Download MPMSU MBBS General Medicine August 2020 General Medicine Paper I Question Paper

Time: 3 Hours

Maximum Marks: 60

Instructions:

1. All questions are compulsory
2. Draw diagrams wherever necessary

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3. Answers of Questions and Sub questions must be written strictly according to the serial order of question paper.
4. MCQ has to be answered in theory answer book.
5. Please write MCQ answer neatly and in serial order with black or blue pen in brackets for example: 1. (a) 2. (b) ...
6. MCQ has to be answered only once, any kind of repetition or cutting or erasing or whiteliner will be considered malpractice. Such answers will not be counted in the marks and action will be taken according to UFM rules of University.

Q.1 Total MCQs: 20 20 x 1/2 = 10

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1. All are differential diagnoses of thunderclap headache except:
   1. Encephalitis
   2. Ischemic stroke
   3. Subarachnoid hemorrhage
   4. Meningitis

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2. Which is not a cardinal feature of Parkinson's disease:
   1. Bradykinesia
   2. Rigidity
   3. Rest tremors
   4. Headache

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3. Intravenous thrombolysis in ischemic stroke can be done:
   1. In 8 hrs
   2. 12 hrs
   3. 3-6 hrs
   4. 12-24 hrs

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4. Which of the following is not an indication for intravenous thrombolysis:
   1. Ischemic stroke
   2. Symptoms in 4.5 hrs
   3. Age < 18 yrs
   4. CT scan showing no hemorrhage or edema

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5. Which drug is given to reduce serum triglycerides:
   1. Fibrates
   2. Statins
   3. Ezetimibe
   4. Niacin

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6. Thrombolysis can be done in treatment of acute MI if patient comes in:
   1. 3 hrs
   2. 6 hrs
   3. 12 hrs
   4. 24 hrs

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7. Which of the following is not recommended for the treatment of Raynaud's phenomenon:
   1. Nifedipine
   2. Sildenafil
   3. Doxazosin
   4. Telmisartan

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8. Following are the risk factors involved in asthma:
   1. Gender
   2. Passive smoking
   3. Ethnicity
   4. All

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9. Which is not a complication of oral theophylline:
   1. Diuresis
   2. Nausea
   3. Bradycardia
   4. Seizures

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10. Factors increasing clearance of theophylline except:
    1. Smoking
    2. High protein diet
    3. Viral infection
    4. Drugs like rifampicin

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11. Which of the following is a cause of demyelinating neuropathy:
    1. CIDP
    2. Hyperglycemia
    3. Uremia
    4. Antiretroviral drugs

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12. CSF finding in Guillain-Barré syndrome:
    1. Normal cells with increased protein
    2. Increased protein with normal cells
    3. Increased cells with increased protein
    4. Normal cells with normal protein

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13. The dome of the diaphragm is elevated in:
    1. Emphysema
    2. Typhoid fever
    3. COPD
    4. Liver abscess

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14. Tubercular ascites has the following feature except:
    1. Increased ADA
    2. Increased protein
    3. Hemorrhagic effusion
    4. High SAAG

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15. The following are present in anterior mediastinum except:
    1. Thymoma
    2. Teratoma
    3. Neurofibroma
    4. Cyst

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16. Which of the following is not a cause of low pleural fluid sugar:
    1. Dressler's syndrome
    2. Tubercular effusion
    3. Empyema
    4. Malignant effusion

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17. Fulminant hepatitis is common in:
    1. HAV
    2. HBV
    3. HCV
    4. HEV

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18. Which of the following is transmitted by fecooral route:
    1. HBV
    2. HDV
    3. HCV
    4. HEV

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19. Dane particle is related to:
    1. HEV
    2. NANB
    3. HBV
    4. None

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20. HCV is associated with:
    1. LKM antibody
    2. Autoimmune cirrhosis
    3. Antimitochondrial antibody
    4. None

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Q.2 Long Answer Questions (4 x 5 = 20)

1. Describe clinical features and complications of rheumatic heart disease.
2. Diagnosis and treatment of acute bronchial asthma.
3. Describe cirrhosis of liver and its complications.
4. Diagnosis and management of acute meningitis.

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Q.3 Short Answer Questions (4 x 3 = 12)

1. Treatment of rheumatoid arthritis.
2. Complication of sickle cell disease.
3. Treatment of status epilepticus.
4. Clinical features and treatment of iron deficiency anemia.

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Q.4 Very Short Answer Questions (9 x 2 = 18)

1. Four causes of ascites.
2. Four causes of extensor plantar response.
3. Glasgow Coma Scale.
4. Management of acute myeloid leukemia.

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5. Diagnosis of pulmonary tuberculosis.
6. Four causes of atrial fibrillation.
7. Differential diagnosis of diastolic murmur at mitral area.
8. Treatment of chronic hepatitis B
9. Paraneoplastic syndrome.

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