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

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

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

GENERAL MEDICINE – PAPER – II

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SET-D (Multiple Choice Questions)

Time: 20 Minutes Max. Marks: 20

Note: Answer all questions

SECTION – I (MCQs – 20 MARKS) 1x20=20

1. Which of the following sexually transmitted infections can be diagnosed with a 'darkfield' microscopy?
   1. Chlamydia trachomatis

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   2. Treponema pallidum (syphilis)
   3. Neisseria gonorrhoeae
   4. Trichomonas vaginalis
2. A patient presents with sudden-onset chest pain, shortness of breath, and a feeling of impending doom. The ECG shows ST-segment depression in leads II, III, and aVF. What is the most likely diagnosis?
   1. Unstable angina

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   2. Non-ST elevation myocardial infarction (NSTEMI)
   3. Pulmonary embolism
   4. Aortic dissection
3. Which of the following is a characteristic feature of primary syphilis?
   1. Painful genital ulcer with purulent discharge

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   2. Painless genital ulcer (chancre)
   3. Painful inguinal lymphadenopathy
   4. Genital warts
4. What is the primary mechanism of action of ACE inhibitors in treating heart failure?
   1. Inhibition of sodium reabsorption in the kidneys

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   2. Reduction of afterload by vasodilation
   3. Inhibition of platelet aggregation
   4. Increased myocardial contractility
5. Which of the following medications is used for rate control in atrial fibrillation?
   1. Digoxin

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   2. Beta-blockers
   3. Anticoagulants
   4. All of the above
6. The most common primary malignant brain tumor in adults is:
   1. Glioblastoma multiforme

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   2. Meningioma
   3. Medulloblastoma
   4. Pituitary adenoma
7. What is the most likely cause of a widened pulse pressure in a 60-year-old patient with a history of hypertension?
   1. Aortic stenosis

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   2. Aortic regurgitation
   3. Mitral stenosis
   4. Pulmonary hypertension
8. A 30-year-old woman presents with sudden-onset severe headache, nausea, vomiting, and a stiff neck. The most likely diagnosis is:
   1. Tension headache

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   2. Migraine
   3. Subarachnoid hemorrhage
   4. Cluster headache
9. A 25-year-old woman presents with generalized weakness and diplopia. She reports that the symptoms worsen as the day progresses and improve at rest. On examination, she has ptosis and a positive ice-pack test. What is the most likely diagnosis?
   1. Multiple sclerosis

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   2. Myasthenia gravis
   3. Guillain-Barré syndrome
   4. Amyotrophic lateral sclerosis (ALS)
10. Which of the following is a first-line treatment for obsessive-compulsive disorder (OCD)?
    1. Benzodiazepines

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    2. Cognitive-behavioral therapy
    3. Antipsychotics
    4. Selective serotonin reuptake inhibitors (SSRIs)
11. Which of the following is a characteristic feature of multiple sclerosis?
    1. Progressive muscle weakness

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    2. Relapsing and remitting episodes of neurological deficits
    3. Presence of positive Babinski sign only
    4. Gradual, steady progression of symptoms without remissions
12. A patient presents with intense fear of being in crowded places. She avoids public transportation and large gatherings. This is most consistent with:
    1. Social anxiety disorder

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    2. Panic disorder
    3. Agoraphobia
    4. Specific phobia
13. A 35-year-old woman presents with a sudden onset of intensely pruritic vesicles on her hands and feet. The lesions are grouped and have a 'dew drop on a rose petal' appearance. What is the most likely diagnosis?
    1. Chickenpox (Varicella)

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    2. Herpes simplex virus infection
    3. Hand, foot, and mouth disease
    4. Impetigo
14. Which of the following conditions is characterized by the presence of 'honeycomb lung' on chest imaging?
    1. Asthma

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    2. Chronic bronchitis
    3. Pulmonary fibrosis
    4. Pneumonia
15. Which of the following is the most appropriate pharmacological treatment for attention-deficit hyperactivity disorder (ADHD) in adults?
    1. Lithium

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    2. Methylphenidate
    3. Antipsychotics
    4. Selective serotonin reuptake inhibitors (SSRIs)
16. Which of the following conditions is characterized by the presence of a 'herald patch' followed by the development of a 'Christmas tree' pattern of erythematous lesions?
    1. Psoriasis

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    2. Pityriasis rosea
    3. Lichen planus
    4. Tinea corporis
17. Which of the following conditions is most likely to present with 'digital clubbing'?
    1. Asthma

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    2. Chronic obstructive pulmonary disease (COPD)
    3. Interstitial lung disease
    4. Pulmonary embolism
18. A patient with chronic kidney disease presents with bone pain and deformities. His phosphate and calcium levels are abnormal. What is the most likely cause of his condition?
    1. Osteoarthritis

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    2. Renal osteodystrophy
    3. Paget's disease
    4. Osteoporosis
19. A 40-year-old man presents with shortness of breath, pleuritic chest pain, and a history of deep vein thrombosis (DVT). His chest X-ray shows no consolidation. What is the most likely diagnosis?
    1. Pulmonary embolism

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    2. Pneumothorax
    3. Pneumonia
    4. Pleural effusion
20. Which of the following is the first-line treatment for osteoporosis in postmenopausal women?
    1. Bisphosphonates

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    2. Parathyroid hormone analogs
    3. Calcium supplements
    4. Calcitonin

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