Download NTRUHS MBBS Final Year DECEMBER, 2024 General Medicine Paper I MCQs.Pdf Previous Question Paper

DR. NTR UNIVERSITY OF HEALTH SCIENCES :: VIJAYAWADA – 520 008

M.B.B.S. PART – II DEGREE EXAMINATION – DECEMBER, 2024

FINAL M.B.B.S. EXAMINATION – PART – I (SET-D)

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GENERAL MEDICINE (Paper – I)

(Multiple Choice Questions)

Time: 20 Minutes

Max. Marks: 20

Note: Answer all questions

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SECTION – I (MCQs – 20 MARKS) 1x20=20

1. Which of the following symptoms, in addition to pain, is often addressed in palliative care?
   1. Only physical symptoms
   2. Emotional and psychological distress
   3. Only digestive issues
   4. Exclusively spiritual concerns

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2. In a patient with fever and a rash that started on the face and spread downwards, which of the following diagnoses is most likely?
   1. Measles
   2. Rubella
   3. Chickenpox
   4. Dengue fever

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3. Which of the following is a potential side effect of opioid therapy in palliative care?
   1. Increased appetite
   2. Constipation
   3. Hyperactivity
   4. Euphoria

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4. Which of the following febrile syndromes is associated with a 'saddleback' fever pattern?
   1. Dengue fever
   2. Malaria
   3. Typhoid fever
   4. Influenza

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5. In the management of acute pancreatitis, which of the following is the most important initial step?
   1. Administering antibiotics
   2. Intravenous fluid resuscitation
   3. Starting enteral nutrition immediately
   4. Performing endoscopic retrograde cholangiopancreatography (ERCP)

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6. In the case of acetaminophen (paracetamol) overdose, what is the antidote used to prevent liver damage?
   1. N-acetylcysteine
   2. Activated charcoal
   3. Flumazenil
   4. Vitamin K

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7. What is the primary objective in the initial resuscitation of a patient in shock?
   1. Correcting electrolyte imbalances
   2. Restoring adequate oxygenation and perfusion
   3. Achieving normothermia
   4. Treating underlying infection

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8. Which of the following is the first-line treatment for opioid overdose?
   1. Naloxone
   2. Activated charcoal
   3. Flumazenil
   4. Sodium bicarbonate

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9. Which of the following is the most common inherited bleeding disorder?
   1. Hemophilia A
   2. Vitamin K deficiency
   3. Idiopathic thrombocytopenic purpura (ITP)
   4. von Willebrand disease

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10. What is the first-line treatment for a patient with uncomplicated acute cystitis?
    1. Nitrofurantoin
    2. Ciprofloxacin
    3. Trimethoprim-sulfamethoxazole (TMP-SMX)
    4. Amoxicillin

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11. Which of the following conditions is associated with the presence of 'Howell–Jolly bodies' in peripheral blood?
    1. Sickle cell anemia
    2. Thalassemia
    3. Splenectomy
    4. Iron deficiency anemia

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12. Which of the following is the most common cause of acute glomerulonephritis in children?
    1. Goodpasture syndrome
    2. IgA nephropathy
    3. Post-streptococcal glomerulonephritis
    4. Systemic lupus erythematosus

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13. Which of the following laboratory findings is most consistent with acute pancreatitis?
    1. Elevated alkaline phosphatase
    2. Elevated lipase
    3. Decreased serum calcium
    4. Low amylase

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14. Which of the following is a characteristic finding in primary biliary cholangitis (PBC)?
    1. Positive anti-smooth muscle antibodies
    2. Positive anti-mitochondrial antibodies
    3. Increased alpha-fetoprotein
    4. Decreased alkaline phosphatase

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15. What is the hallmark feature of Crohn's disease on imaging?
    1. Continuous colonic involvement
    2. Skip lesions
    3. Lead-pipe appearance
    4. Ulceration with pseudopolyps

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16. Which of the following is a common cause of upper gastrointestinal bleeding in cirrhosis?
    1. Gastric cancer
    2. Esophageal varices
    3. Peptic ulcer disease
    4. Mallory-Weiss tear

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17. Which of the following is the most common cause of secondary hypertension?
    1. Hyperthyroidism
    2. Hyperaldosteronism
    3. Pheochromocytoma
    4. Obstructive sleep apnea

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18. Which of the following is a hallmark of acute respiratory distress syndrome (ARDS)?
    1. Low lung compliance and hypoxemia
    2. Elevated pulmonary artery pressure and hypoventilation
    3. Hypercapnia and respiratory alkalosis
    4. Decreased tidal volume and hypoxia

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19. Which of the following is the most common type of thyroid cancer?
    1. Follicular carcinoma
    2. Medullary carcinoma
    3. Anaplastic carcinoma
    4. Papillary carcinoma

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20. Which of the following is a common complication of mechanical ventilation in critically ill patients?
    1. Hypotension
    2. Hypothermia
    3. Ventilator-associated pneumonia (VAP)
    4. Tachycardia

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