Download RUHS MBBS 2nd year Pathology Paper II 2022 January Question Paper

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20-01-2022

II-MBBS

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Second M.B.B.S. (Main) Examination (New Scheme)

January - 2022

PATHOLOGY

Paper-Second

Time: Three Hours

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Maximum Marks: 100

Attempt all questions in both sections

(Use separate answer book for each section)

Section-A

1. Fill in the blanks: 6 x 1 = 06
   1. Tree-bark Aorta is a feature of ____________________

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   2. Commonest causative organism of SABE is ____________________
   3. Potato Nodes are characteristic of ____________________
   4. Berger's Nephropathy is due to Mesangial Deposition of ____________________
   5. Most common site of Carcinoid in Gut is ____________________
   6. Marker for Ovarian carcinoma is serum is ____________________

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2. Answer the followings (Multiple Choice Questions): 4 x 1 = 04
   1. Heart failure cells are seen in-
      1. Kidney
      2. Heart
      3. Lungs
      4. Brain

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   2. Orphan Annie Eye Nuclei appearance is characteristic of-
      1. Papillary carcinoma thyroid
      2. Meningioma
      3. Medullary carcinoma
      4. Paraganglioma

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   3. Most common testicular tumour of childhood is-
      1. Teratoma
      2. Choriocarcinoma
      3. Seminoma
      4. Embryonal Ca

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   4. True about Barrett's Oesophagus is-
      1. Lower oesophagus lined by columnar epithelium.
      2. Upper oesophagus lined by columnar epithelium.
      3. Lower oesophagus lined by ciliated epithelium.
      4. Lower oesophagus lined by pseudo stratified epithelium.

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3. A 40 years female is admitted with complains of fatigue, malaise, anorexia, nausea and vomiting with abdominal pain. There is a history of blood transfusion few months back.

4. On routine investigations the SGPT Levels are 2500 U/L, SGOT – 1600 U/L, Bilirubin total - 8mg/dl, Bilirubin Direct – 5 mg/dl.
   1. What is the probable diagnosis and why? 05
   2. Give other relevant investigations for evaluation of the case. 05

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   3. Discuss the pathological features of organ affected. 05
5. Write short notes on (Any five): 5 x 2 = 10
   1. Crohn's disease
   2. Hashimoto's thyroiditis
   3. Papillary necrosis

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   4. CSF findings in tubercular meningitis
   5. Chronic bronchitis
   6. Glucose tolerance test
6. Explain briefly (Any three): 3 x 5 = 15
   1. Diabetic nephropathy

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   2. Basal cell carcinoma
   3. Hydatidiform mole
   4. Risk factors for Myocardial infarction

Section-B

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6. A 35 years female visits a doctor with complains of lethargy, weight gain, increased sleep, altered texture of skin, loss of hairs, and irregular menses from 6 months.
   1. What is the probable diagnosis? 07
   2. Which investigations should be advised? 07
   3. Comment upon treatment and monitoring of the disease. 06
7. Write short notes on (Any five): 5 x 2 = 10
   1. Lobar pneumonia.

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   2. Complications of gastric ulcer.
   3. Reye's syndrome.
   4. Leiomyoma.
   5. Ewing's sarcoma.
   6. Aschoff's nodule

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8. Explain briefly (Any four): 4 x 5 = 20
   1. Wilm's tumour.
   2. Nephrotic syndrome.
   3. Seminoma testis.
   4. Benign hyperplasia of prostate.

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   5. Rheumatoid arthritis.