Download MBBS KUHS 2nd Year 2010 August Pathology Paper II Question Paper

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

Reg. No:........................

SECOND PROFESSIONAL M.B.B.S. DEGREE EXAMINATION, AUGUST 2010

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PATHOLOGY-Paper II

(SYSTEMIC PATHOLOGY AND HAEMATOLOGY)

(2007 admissions)

Time: Two Hours Maximum: 40 Marks

Answer all the questions.

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Answer Sections A and B in separate answer-books.

MCQs should be answered first in the response sheet provided.

Section A

I. Multiple Choice Questions. Single response type 16 (separate sheet attached). (16 × ½ = 8 marks)

II. Male 20-years presented with progressive pallor, bleeding gums, hepatosplenomegaly.

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Hb = 6 gm %, TC 50000/cu.mm.

(a) What is your provisional diagnosis?

(b) Classify the condition.

(c) Describe the peripheral smear findings in this condition.

(d) Mention 2 cytochemical stains of diagnostic importance.

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(1+3+2+2= 8 marks)

Section B

III. (a) What is the classification of Bone Tumours?

(b) Write down the gross and microscopy of Osteogenic sarcoma.

(c) Mention 2 bones most frequently involved.

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(3+2+1=6 marks)

IV. Write short notes on:

(a) Morphological changes of heart in 1st week of myocardial infarction.

(b) Etiopathogenesis of carcinoma cervix.

(c) Fibroadenoma.

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(18 marks)

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Note: Do not write anything on the question paper.

Write register number in the answer-sheet provided.

Firstranker's choice. Mark appropriate answer in the answer-sheet provided for each question number.

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1. Hyaline inclusions in hepatocytes in Alcohol liver disease is:
1. Russell body.
2. Mallory body.
3. Councilman body.

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4. Sclerotic body.
2. Which of the following is a T-cell marker?
1. CD₁₀
2. CD₁₉
3. CD₃₁

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4. CD₃
3. Carcinoma breast usually showing bilateral involvement is:
1. Ductal.
2. Lobular.
3. Medullary.

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4. Mucinous.
4. Gamma Gandy bodies are seen in :
1. Liver.
2. Spleen.
3. Lung.

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4. Lymph node.
5. Aneurysm of Aorta with Tree bark appearance is:
1. Syphilitic.
2. Atherosclerotic.
3. Hypertensive.

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4. Mycotic.
6. Defective platelet aggregation cause:
1. Glanzman's disease.
2. May Hegglin anomaly.
3. Storage pool disease.

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4. Bernard-Soulier syndrome.
7. Pneumocystis carinii produce:
1. Interstitial pneumonia.
2. Bronchopneumonia.
3. Cavity lesion.

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4. Lobar pneumonia.
8. An epiphyseal tumour of femor in a young adult showing expansite lytic lesion with their cortic. Most probable diagnosis:
1. Aneurysmal bone cyst.
2. Osteogenic sarcoma.
3. Ewing's sarcoma.

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4. Giant cell tumour.

Turn over

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9. Following are true about Haemophelia-A except:

1. Autosomal recessive inheritance.
2. Deficiency of factor VIII.
3. Prolonged clotting time.

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4. Haemarthrosis.

10. Autosplenectomy occurs in:

1. Heriditary spherocytosis.
2. Sickle cell anaemia.
3. Myclofibrosis.

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4. Malaria.

11. An intraabdominal tumour clinically presenting as Paroxysmal episodes of hypertension is:

1. Adrenal cortical carcinoma.
2. Myelolipoma.
3. Pheochromocytoma.

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4. Neuroblastoma.

12. Features of Crotin's disease include all except:

1. Skip lesions.
2. Fissuring ulcers.
3. Transmural inflammation.

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4. Caseating granuloma.

13. H. Pylori is complicated as etiological agent in all Gastric lesions except:

1. Lymphoma.
2. Carcinoma.
3. Chronic gastritis.

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4. GIST.

14. MEN syndrome Type I includes all except:

1. Pheochromcytoma.
2. Parathyroid hyperplasia.
3. Pituitary adenoma.

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4. Pancreatic adenoma.

15. Which of the neoplasm is NOT a paraproteinemia:

1. Multiple Myeloma.
2. Primary Amyloidosis.
3. Waldenström's macroglobulinemia.

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4. Myeosis Fungoides.

16. Renal neoplasm associated with Tuberous sclerosis is:

1. Renal cell carcinoma.
2. Oncocytoma.
3. Angiomyolipoma.

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4. Nephroblastoma.

(16 x ½ = 8 marks)

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