Download MPMSU MBBS Final Year 2019 General Medicine Paper I Question Paper

Madhya Pradesh Medical Science University, Jabalpur

MBBS Final Part-2 Examination 2019

Paper Code:- 18AM0107100241

General Medicine Paper-I

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Time: 3:00Hours

Maximum Marks: 60

Instructions:

1. All questions are compulsory
2. Draw diagrams wherever necessary

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3. Answers of Questions and Sub questions must be written strictly according to the serial order of question paper.

MCQ has to be answered in theory answer book

Please write MCQ answer neatly and in serial order with black or blue pen in brackets for asample:- 1. (a) 2. (b)

MCQ has to be answered only once, any kind for repetition or cutting or erasing or whitener will be consider as University

Student can answer the question in both Hindi & English language

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Q1 Total MCQs: 20 20 X 1/2=10

1. Which is not obstructive air way disease?
   1. Asthma
   2. Emphysema
   3. Pneumonia
   4. Asthma

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2. Which is a feature of Gerstman syndrome?
   1. Acalculia
   2. Dysgraphia
   3. Finger agnosia
   4. All of these

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3. Aortic regurgitation can lead to following murmur?
   1. Early diastolic murmur
   2. Mid diastolic murmur
   3. Ejection systolic murmur
   4. Holo systolic murmur

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4. Trepopnea can occur in patients with
   1. COPD
   2. Cardiac illness
   3. Plural effusion

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5. Parietal cell is also known as
   1. Mucous cell
   2. Oxyntic cell
   3. Endocrine cell
   4. Enterochromaffin like cell

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6. Mitral stenosis is not associated with
   1. Mid diastolic murmur
   2. Opening snap
   3. Loud P2
   4. Early diastolic murmur

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7. Which of the following is not the cause of pseudohyponatremia?
   1. Hyper lipidemia
   2. Hyper proteinemia
   3. Hyper glycemia
   4. Nephrotic syndrome

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8. Which of the following is not a cause of hyperkalemia?
   1. ACEI
   2. NSAIDS
   3. Heparin
   4. 4B2 agonists

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9. In patients with alcoholic hepatitis, steroids are indicated if DF is more than
   1. 24
   2. 30
   3. 32
   4. 40

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10. Auto anti-body found in ulcerative colitis is
    1. Anti ds DNA
    2. c ANCA
    3. ANCA
    4. Anti mitochondrial

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11. Which of the following is false about Palmar Erythema?
    1. Patients with alcoholic cirrhosis
    2. Erythema is peripheral with central pallor
    3. Present in pregnancy
    4. None of these

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12. Megaloblastic anemia is not found in
    1. Tropical sprue
    2. Alcoholic
    3. Fish tapeworm infestation
    4. Mitral valve prosthesis

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13. Which of the following is not a feature of acute MI?
    1. ST elevation
    2. Tall T wave
    3. T wave inversion
    4. Prominent U wave

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14. What is the normal level of Methemoglobin in blood?
    1. Less than 1 percent of total haemoglobin
    2. Less than 2 percent
    3. Less than 3 percent
    4. Less than 4 percent

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15. Which of the following is genetic risk factor for DM?
    1. IRS-1
    2. G-protein sub snit 3
    3. Apolipo protein E-4
    4. Homocysteine

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16. Which of the following is not the cause of Neutropenia?
    1. Clozapine
    2. Phenothiazine
    3. Methotrexate
    4. Steroids

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17. Which of the following is not the cause of Hypo proliferative anemia?
    1. Myelodysplasia
    2. Marrow fibrosis
    3. Chronic kidney disease
    4. Iron deficiency

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18. Which syndrome is not associated with obesity, hypogonadism and mental retardation?
    1. Prader willi
    2. Lawrence Moon Biedel
    3. Down syndrome
    4. Carpenter syndrome

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19. Which of the following B-blocker can not be used to reduce portal pressure?
    1. Nadolol
    2. Atenolol
    3. Timolol
    4. Carvedilol

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20. Which is not a feature of paroxysmal nocturnal haemoglobinuria?
    1. Curable disease by treatment
    2. Thrombotic complications are more common
    3. Dark-colored urine
    4. Death of approximately 50%

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Q.2. Long Answer Question 4X5=20

1. Write about the management of Status epilepticus.
2. Treatment of acute myocardial infarction.
3. Management of organo phosphorus poisoning
4. Clinical features of Rheumatoid arthritis.

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Q.3. Short Answer Question 4X3=12

1. Clinical features of Bronchiectasis
2. Management of chronic myeloid leukemia
3. Clinical features of Ulcerative colitis
4. Complications of infective endocarditis.

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Q.4. Very Short Answer Question 9X2=18

1. Two causes of oedema over feet
2. Two causes of extensor plantar response
3. Differential diagnosis of Bronchial breathing
4. Cardiac Causes of Hemoptysis

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5. Causes of Icterus with splenomegaly
6. Causes of macrocytic anemia.
7. Causes of Water hammer pulse.
8. Complications of portal hypertension.
9. Differential diagnosis of Pansystolic murmur.

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