Download MPMSU MBBS Final Year Sep 2023 Subject General Medicine Paper II Question Paper

Time: 3 Hours Maximum Marks : 60

Instructions:

1. All questions are compulsory.
2. Draw diagrams wherever necessary.
3. Answers of Questions and Sub-questions must be written strictly according to the serial order of question paper.

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4. MCQs have to be answered in theory answer book.
5. Write MCQ answers neatly and in serial order with brackets, e.g. 1.(a) 2.(b).
6. MCQs answered only once; cutting, erasing or whitener is malpractice.
7. Student can answer in both Hindi & English language.

Q.1 Total MCQs : 20 20 × ½ = 10

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1. Diseases associated with triplet repeat sequences include all except:
   1. Friedreich's ataxia
   2. Fragile-X syndrome
   3. Huntington's disease
   4. Refsum's disease

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2. Which of the following is not an autoimmune disorder
   1. Pemphigus vulgaris
   2. Antiphospholipid syndrome
   3. Wilson's disease
   4. Hashimoto's thyroiditis

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3. Leonine like face is seen in:
   1. Psoriasis
   2. Amyloidosis
   3. Dermatomyositis
   4. SLE

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4. BMI range for simple obesity (International criteria) is:
   1. 18.5-24.9
   2. 25.0-29.9
   3. 30.0-39.9
   4. >40

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5. Serum homocysteine lowering therapy is given by supplementation with:
   1. Vitamin A and C
   2. Folate, vitamin B6 and B12
   3. Riboflavin and nicotinic acid
   4. Biotin, vitamin C and B6

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6. Hyponatremia is manifested by all except:
   1. Muscular weakness
   2. Paralytic ileus
   3. Myoclonic jerk
   4. Confusion

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7. Impaired fasting glucose ranges blood glucose value between:
   1. 96-106 mg/dl
   2. 106-116 mg/dl
   3. 100-125 mg/dl
   4. 116-130 mg/dl

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8. Serum Lactate Dehydrogenase (LDH) is raised in:
   1. Stroke
   2. Hemolysis
   3. Both a & b
   4. None

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9. Cushing's syndrome does not give rise to:
   1. Hirsutism
   2. Peripheral neuropathy
   3. Purple striae
   4. Acne

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10. Galactosemia does not feature:
    1. Cataract
    2. Seizures
    3. Intellectual impairment
    4. Development of cirrhosis of liver

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11. POEMS syndrome includes polyneuropathy, organomegaly, M-proteins, skin changes and :
    1. Enlarged pituitary gland
    2. Empyema thoracis
    3. Endocrinopathy
    4. Endocarditis

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12. Which of the following is not a criterion for diagnosis of nephrotic syndrome?
    1. Hypertension
    2. Massive proteinuria
    3. Hyperlipidemia
    4. Anasarca

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13. Acanthosis nigricans may be associated with:
    1. Urticaria pigmentosa
    2. Diabetes mellitus
    3. Addison's disease
    4. Carcinoma of the stomach

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14. Which of the following is not a part of metabolic syndrome?
    1. Hyperlipidemia
    2. Obesity
    3. Ischemic heart disease
    4. Hypertension

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15. In stage 5 chronic kidney disease (CKD), the GFR falls below:
    1. <20
    2. <10
    3. <15
    4. <5

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16. Myxoedema coma is characterized by:
    1. Hypertension
    2. Tachycardia
    3. Euthermia
    4. Hypoventilation

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17. Normal anion gap is:
    1. 2-4 mmol/L
    2. 4-8 mmol/L
    3. 8-18 mmol/L
    4. 16-24 mmol/L

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18. Most pathognomonic lesion in scabies is:
    1. Vesicles
    2. Burrow
    3. Impetigo
    4. Papules

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19. Drug of choice in cysticercosis:
    1. Suramin
    2. Albendazole
    3. Metronidazole
    4. Niclosamide

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20. AIDS chorioretinitis is commonly due to infection by:
    1. Toxoplasmosis gondii
    2. Cytomegalovirus
    3. Candida albicans
    4. Cryptococcus neoformans

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Q.2 Long Answer Questions 4 × 5 = 20

1. Describe etiology, clinical features, diagnosis and management of acute kidney injury.
2. Rhinocerebral mucormycosis – etiopathogenesis, clinical features and management.
3. Etiopathology and management of type I diabetes mellitus.
4. Complication and management of cerebral malaria.

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Q.3 Short Answer Questions 4 × 3 = 12

1. Clinical features and management of psoriasis.
2. Management of septic shock.
3. Clinical features of hyperthyroidism.
4. Clinical features and management of obsessive-compulsive disorder.

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Q.4 Very Short Answer Questions 9 × 2 = 18

1. Four indications of dialysis.
2. Four vaccines used in adult immunization.
3. Four drugs used in treatment of leprosy.
4. KDIGO classification of CKD.

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5. Four clinical features of adrenal insufficiency.
6. Enumerate antiretroviral drugs.
7. Enumerate precipitating events of diabetic ketoacidosis.
8. Four causes of hyperkalemia.
9. Four drugs used in treatment of enteric fever.

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