Reg. no.: .....................
III Professional MBBS Part I
I Degree Regular/Supplementar
y Examinations
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May 2025General Medicine Paper II
(2019 Scheme
)
Time: 3 Hour
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Total Marks: 10
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0Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin spac
e
Answer all parts of a single question together ? Leave sufficient space between answers
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Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Question
s
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(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).
Responses for MCQs marked in any other part/page of the answer book will not be valued
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Question numbers i-v are case scenario-based questionsA young female of 35 years old comes with H/o pain in small joints with morning stiffness lasting for more
than one hour. On examination joints are tender with RA factor positive
.
i. Which of the following is the diagnosi
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sa) SLE
b) Reactive arthriti
s
c) Osteoarthriti
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sd) Rheumatoid arthriti
s
ii. Which is the specific test for this disea
se
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a) Anti CCP abs
b) Anti RA ab
s
c) AN
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Ad) Anti dS ab
s
iii. Most common DMARD use
d in treatmen
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ta) Steroids
b) NSAIDS
c) Colchicine
d) Methotrexat
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eiv. Which is not a feature of Felty's syndrom
e
a) Splenomegal
y
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b) Neutropeniac) Rheumatoid arthriti
s
d) SL
E
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v. Which is not a complication of Rheumatoid arthritisa) Z deformit
y
b) Boutannaire's deformit
y
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c) Swan neck deformity
d) H deformit
y
Questio
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n numbers vi-x consist of two statements- Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given belo
w
vi. Assertio
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n (A): There is no mortality benefits with corticosteroids in COPD patients
Reaso
n (R): There is a high degree of neutrophilic and monocytic infiltration with chronic inflammatory
features in airway mucosa of COPD patient
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sa) Both A and R are true, and R is the correct explanation of
A
c) A is true, but R is fals
e
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b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
vii. Assertion (A): Vegetations are found on atrial surface of mitral valves in Acute infective endocarditis.
Reason(R): The Vegetations happens due to turbulence injury to endothelium of valve leaflets
.
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a) Both A and R are true, and R is the correct explanation ofA
c) A is true, but R is fals
e
b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
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viii. Assertion (A): The Rheumatic fever mainly affects the mitral valve.Reason(R): In Rheumatic fever mitral valve involvement is seen due to bigger size of valve and high
blood flow velocity injury.
a) Both A and R are true, and R is the correct explanation of
A
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c) A is true, but R is false
b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is tru
e
ix. Assertion (A): In Psoriatic arthritis, involvement of all type of joints is seen.
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Reason(R): Psoriatic arthritis will have predominantly synovial pannus formation.
a) Both A and R are true, and R is the correct explanation of
A
c) A is true, but R is fals
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eb) Both A and R are true, but R is not the correct explanation of A
d) A is false, but R is tru
e
x. Assertion (A): Auditory hallucinations and delusions are the common features of Paranoid
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Schizophrenia.Reason(R):
Paranoid Schizophrenia can be associated with Lewy bodies in frontal lobe
with dementia.
a) Both A and R are true, and R is the correct explanation of A
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c) A is true, but R is falseb) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
Question numbers xi-xv
are multiple response type questions. Read the statements and mark the
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most appropriate answer
xi. Pellagra:
1) Is found in people e
atin
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g Cornbased d iet
2) Causes diarrhea
a)
3) 1
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C &a 2
u a
se re
s
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c coon rr
ste
i ct
p
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ationb) 1 & 3 are correct
c)
4
) 3
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I &s f 4
o
u a
n re
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d icn o
r
p re
eoct
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ple d
e )
a
ti2
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n &g 4
J
o a
wre
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ar cob r
a r
s ect
d diet
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(PTO)xii. Kussmaul's sign is seen in
1) Acute severe asthma
2) Cardiac tamponade
3) Aortic stenosis
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4) Mitral regurgitationa) 1 & 2 are correct
b) 1 & 3 are correct
c) 3 & 4 are correct
d) 2 & 4 are correct
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xiii. The receptors on the cells to which HIV virus attaches is1) CCR 6
2) CCR 3
3) CCR 5
4) CXCR 4
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a) 1 & 2 are correctb) 1 & 3 are correct
c) 3 & 4 are correct
d) 2 & 4 are correct
xiv. Basic Life support components are
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1) Chest compression2) Head tilt and chin lift
3) IV Adrenaline
4) Intra cardiac Adrenaline
a) 1 & 2 are correct
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b) 1 & 3 are correctc) 3 & 4 are correct
d) 2 & 4 are correct
xv. Main adverse effects of corticosteroids are
1) Hyperglycemia
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2) Hypoglycemia3) Hypokalemia
4) Hyponatremia
a) 1 & 2 are correct
b) 1 & 3 are correct
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c) 3 & 4 are correctd) 2 & 4 are correct
Question numbers xvi-xx are single response type questions
xvi. Criteria of Fever of unknown origin are all except
a) Temperature of >38.30C
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c) No known immunocompromised stateb) Illness duration of more than 3 weeks
d) Illness duration of >1 week
xvii. All are features of O P compound poisoning, except
a) Neck muscle weakness
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c) Tachycardiab) Increased respiratory secretions
d) pin point pupil
xviii. The features of tumor lysis syndrome are all except
a) Hyperkalemia
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b) Hypercalcemiac) Hyperuricemia
d) Hyperphosphatemia
xix. Drugs used in Lepra reaction are all except
a) Clofazimine
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b) Rifampicinc) Thalidomide
d) Prednisolone
xx. Feature of ARDS is
a) Pao2/FIO2 ratio of less than 300
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b) Acute onset of hypoxemia of less than one week durationc) B/L lung opacities not explained by fluid over load or cardiac failure
d) All of the above are correct.
Long Essays:
(2x10=20)
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2. Discuss about the etiopathology, clinical features, investigations, treatment and complications of LUNGabscess
(2+2+2+2+2)
3. An young female of 25 years comes with h/o of rashes, fever, arthralgia, butterfly rash on face with
sparing of naso labial furrow. On examination patient had anemia, mouth ulcers, alopecia, lab
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investigations positive for ANA antibodies with Leukopenia and Thrombocytopeniaa) what is your Diagnosis. what are the other features required to diagnose this condition
b) What is the etiopathology of this diagnosis
c) what are the other necessary investigations required to confirm and treat this diagnosis
d) What is the treatment for the above diagnosis
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e) What are the complications you can expect(2+2+2+2+2)
Short Essays:
(6x6=36)
4. Acute infective Endocarditis
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5. Eosinophilic granulomatosis with Polyangitis6. OP Compound Poisoning
7. Obesity
8. Scabies
9. Role of AETCOM in patients management
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Short Answers:(6x4=24)
10. Depression
11. Basic life Support
12. Acute Pulmonary embolism
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13. Dengue shock syndrome14. Reactive Arthritis
15. Post Exposure Prophylaxis in HIV
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