Download MBBS KUHS Final Year 2011 February General Medicine Paper I Question Paper

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11164 A

Name: ....................................

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Reg.No. ....................................

THIRD PROFESSIONAL MBBS (PART-II) DEGREE EXAMINATION, FEBRUARY 2011

GENERAL MEDICINE PAPER - I

Time: 3 Hours Maximum: 60 Marks

Answer all questions.

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Draw diagrams wherever necessary.

MCQs should be answered first in the response sheet provided

Section A

I. Multiple choice questions. Single response type 20 (separate sheet attached)

II. Match the following (6x½ = 3)

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1. Hepatitis B
2. Chronic myeloid leukemia
3. L. T. P
4. Gentamycin
5. W P W Syndrome

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6. Atrial fibrillation

a) Ototoxicity

b) Short PR interval

c) Digoxin

d) Steroid

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e) Busulphan

f) hepato cellular carcinoma

III. Draw & Label (2x1=2)

1. Murmur in Mitral Regurgitation
2. Facial nerve pathway

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IV. Write briefly on : (5×1=5)

1. Cheyne Stoke's breathing
2. Causes of short stature
3. Eisenmenger syndrome
4. Whipple's triad of hypoglyecma

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5. Malignant hypertension

V. Write short notes on : (5x2=10)

1. Hepatic encephalopathy
2. Management of multiple myeloma
3. Treatment of COPD

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4. Hepatitis B -disease treatment & prevention.
5. Neurocutanoeus disorders

Section B

VI. Read & answer the questions (2+2+2+2+2=10)

A 15 ys old patient on insulin for diabetes mellitus was brought with vomiting, Abdominal pain & altered sensorium

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1. Diagnosis with differential diagnosis
2. What are precipitating factors
3. Outline the management
4. Never drugs for dialities Mellitus
5. Kidney changes in diabetes Mellitus

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VII. Write briefly on: (10×1=10)

1. clinical features of Budd chiari syndrome
2. Drugs in cirrhosis liver
3. Dubin Johnsons disease
4. Normal pressure hydrocephalus

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5. Non alcoholic steatohepatitis
6. PCOD
7. ECG changes in atrial fibrillation
8. Prophylaxis in Rheumatic fever
9. Treatment of cerebral thrombosis

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10. IVP

VIII. Write short notes on: (5x2=10)

1. Megaloblastic anaemia
2. Symptoms & signs of congestive heart failure
3. Multiple endocrine neoplasia

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4. Babinski's sign
5. Splenomegaly

Section A

I. Multiple choice questions (20×½ =10)

1. 'C'Wave in JVP is due to
   1. Atrial contraction

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   2. Right atrial filling
   3. Rapid ventricular filling
   4. Tricuspid valve bulging to right atrium
2. Auer rods are seen in
   1. CML

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   2. AML
   3. ALL
   4. CLL
3. All are decreased in Nephrotic syndrome except
   1. Fibrinogen

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   2. Transferrin
   3. Ceruloplasmin
   4. Albumin
4. Most common site for leiomyoma
   1. Stomach

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   2. Small intestine
   3. Colon
   4. Rectum
5. Best test assessment of iron status is
   1. Transferrin

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   2. Ferritin
   3. Serum iron
   4. Haemoglobin
6. Corkscrew oesophagus is seen in
   1. Carcinoma Oesophagus

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   2. Scleroderma
   3. Diffuse Oesophageal spasm
   4. Achalasia cardia
7. Polycystic disease of kidney may have cysts in all of following organs except
   1. Lung

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   2. Liver
   3. Spleen
   4. Pancreas
8. All are causes of acute pancreatitis except
   1. Gall stones

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   2. Alcohol
   3. Haemochromatosis
   4. Hypercalcemia
9. Endocarditis is most commonly seen in
   1. Mitral regurgitation

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   2. Mitral stenosis
   3. Tricuspid stenosis
   4. Mitral valve prolapse
10. Megaloblastic anaemia in blind loop syndrome is due to
    1. Vit B12 malabsorption

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    2. Frequent diarrhoea
    3. Decrease iron intake
    4. Bacterial overgrowth
11. The most common histological variant of renal cell carcinoma is
    1. Clear cell

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    2. Chromophobe
    3. Papillary
    4. Tubular
12. Osmotic fragility is increased in
    1. Sickle cell anaemia

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    2. Hereditary spherocytosis
    3. Thalassemia
    4. Chronic lead poison
13. Most common tumour of heart
    1. Myxoma

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    2. Fibroma
    3. Sarcoma
    4. Leiomyosarcoma
14. Most common symptom of primary biliary cirrhosis is
    1. Pruritus

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    2. Abdominal pain
    3. Jaundice
    4. Bleeding
15. In ß thalassemia, there is
    1. Increase in beta chain, decrease in alpha chain

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    2. Decrease in both beta & alpha chain
    3. Increase in alpha chain, decrease in beta chain
    4. Increase in both beta & alpha chain
16. Drug of choice for acute attack of migraine
    1. Sumatriptan

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    2. Amitriptyline
    3. Methysergide
    4. Caffeine
17. Absence seizures seen in
    1. Myoclonic epilepsy

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    2. Petitmal epilepsy
    3. Grandmal epilepsy
    4. Hyperkinetic child
18. Fasciculations seen in
    1. UMN lesion

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    2. LMN lesion
    3. Myoneural function
    4. Peripheral neuropathy
19. Double apical impulse seen in
    1. AS

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    2. AR
    3. MS
    4. MR
20. Hair on end appearance seen in Xray skull in
    1. Thalassemia

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    2. Chronic malaria
    3. Hydrocephalus
    4. Sickle cell anaemia

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