Second Year MBBS Examination
II MBBS Pathology Paper 2
Time: 3 hours
Date: 13-12-2024
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Max Marks: 100Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each section.
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4. Draw diagrams wherever necessary.5. Write legibly.
Section 1
1. Structured long question (any one out
of two):
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a) Define nephrotic syndrome.1x10=10
Describe its cardinal features and
aetiopathogenesis.
(2+3+5)
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b) What is atherosclerosis? Describe itsaetiopathogenesis and complications.
2. Case based scenario/Applied
(2+6+2)
short notes (Any 2 out of 3):
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a) A 40 years old male who was a 2x6=12chronic smoker presented to the medicine
OPD with breathlessness since 3 months.
O/E pulse, BP was normal, no cyanosis
and no pedal oedema. He was found to
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have a barrel shaped chest. (i) What is thelikely diagnosis? (ii) Describe the
aetiopathogenesis. (iii) What findings are
expected in the lungs in this case?
b) A 60 years old male, presented with
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pain in abdomen, loss of weight andyellowish discolouration of skin. O/E Hb-9
gm%, serum bilirubin -14 mg%, S. alk.
phosphatase-markedly elevated, SGPT and
SGOT are mildly elevated. (i) What is the
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likely diagnosis and aetiology? (ii)Describe the confirmatory tests.
c) Enumerate the likely causes of
metastatic deposits in bone of a 65 year
old male.
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3. Write short notes (any three):a) Causes of emphysema.
3x6=18
b) Lesions in the glomerulus in diabetes
mellitus.
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c) Microscopy of renal cell carcinoma.d) Complications of peptic ulcer.
4. Write short answers in 2-3 sentences
(any 5 out of 6):
a) Goodpasture syndrome.
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5*2=10b) Microscopy of giant cell tumour of
bone.
c) Reed Sternberg cell? Describe the types.
d) Complications of liver cirrhosis.
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e) Pathogenesis of emphysema.f) vegeta of Cardiac Valves
Section 2
5. Structured long question (any one out
of two):
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a) Describe the role of physical1x10=10
and chemical examinations of urine in
diagnosis of various diseases.
(3+5+2)
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b) Describe the role of cerebrospinal fluidexaminations in diagnosis of various
diseases.
6. Case based scenario/Applied short
notes (Any 2 out of 3):
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a) What are the causes of2x6=12
hematuria? Mention 2 likely causes of
hematuria in a 60 years old male.
b) Describe the role of cardiac markers in
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diagnosis of myocardial infarction.c) Clinical features and investigations in a
suspected case of haemolytic jaundice.
7. Write short notes (any three):
a) Gross and microscopy of
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3x6=18infiltrating carcinoma of the breast.
b) Malignant skin tumours.
c) Malignant thyroid neoplasms.
d) Chronic pyelonephritis.
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8. Write short answers in 2-3 sentences(any 5 out of 6):
a) Aetiology of colorectal
5*2=10
carcinoma.
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b) Causes of bronchicctasis.c) Causes of proteinuria.
d) Four complications of myocardial
infarction.
e) Causes of crescentic glomerulonephritis.
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f) Manifestations of Wilson's disease.