Download MPMSU MBBS Final Year 2020 Feb General Medicine Paper I Question Paper

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Madhya Pradesh Medical Science University, Jabalpur

MBBS Final Part-2 Examination Jan-Feb 2020

Paper Code:-20AM0107100241

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Subject- General Medicine

Paper-I

Time: 3Hours

Maximuot Marks: 60

Instructions

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Draw figures wherever necessary

Answers of Questions should be 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 to bracket for example:- 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 malpractice.

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Such answers will not be counted in the marks and action will be taken according to UFM rules of University

Q.1 Total MCQs: 20 20 X 1/2=10

1. What is the appropriate initial treatment for the symptoms of acute pericarditis?
   1. intravenous morphine
   2. oral amiodarone
   3. oral aspirin

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   4. intravenous glucocorticoids
2. Which of the following is not a feature of Kartagener's syndrome:
   1. Bronchiectasis
   2. Pancreatic insufficiency
   3. Situs inversus

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   4. Sinusitis
3. Systemic Miliary Tuberculosis spreads via?
   1. Artery
   2. Vein
   3. Bronchus

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   4. Lymphatic
4. Which of the following is a minor manifestation of acute rheumatic fever?
   1. Carditis
   2. Chorea
   3. Raised C-reactive protein

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   4. Subcutaneous nodules
5. CSF glucose level is:
   1. Half the plasma glucose
   2. 2/3 plasma glucose
   3. 1/3 plasma glucose

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   4. Same as plasma glucose
6. All are true about peripheral neuropathy except:
   1. Glove and stocking anaesthesia
   2. Proximal muscle weakness
   3. Nerve-conduction deficit

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   4. Decreased reflexes
7. Which of the following conditions may lead to exudative pleural effusions:
   1. Cirrhosis
   2. Nephrotic syndrome
   3. Congestive heart failure

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   4. Bronchogenic carcinoma
8. Fasciculation is seen in:
   1. UMN type of lesion
   2. LMN type of lesion
   3. Myoneural junction

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   4. Peripheral neuropathy
9. Iron is mainly absorbed in the:
   1. Stomach
   2. Duodenum
   3. Jejunum

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   4. Ileum
10. Most common complication of massive transfusion:
    1. Hyperkalemia
    2. Acidosis
    3. Hypothermia

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    4. Hypocalcemia
11. Hemiballismus is due to lesion in?
    1. Ipsilateral Caudate nucleus
    2. Contralateral sub-thalamic lesion
    3. Contralateral Putamen

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    4. Ipsilateral sub-thalamic lesion
12. Which of the following biomarkers is a structural protein rather than a cardiac enzyme?
    1. Troponin I
    2. Lactate dehydrogenase
    3. Creatine kinase

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    4. Aspartate aminotransferase
13. Sinus bradycardia is seen in all except:
    1. Sick sinus syndrome
    2. Hypothyroidism
    3. Raised intracranial pressure

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    4. Hyperthermia
14. Which organism causes infection after splenectomy?
    1. H.influenza
    2. Staph aureus
    3. E.coli

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    4. Klebsiella
15. Rheumatoid arthritis commonly affects the:
    1. Lumbar spine
    2. Sacral spine
    3. Cervical spine

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    4. Thoracolumbar spine
16. Transmitted by blood transfusion:
    1. Hepatitis A
    2. Hepatitis B
    3. Hepatitis C

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    4. Hepatitis E
17. Palpable nerves are seen in
    1. Charcot Marie Tooth disease
    2. Diabetes mellitus
    3. Neurosyphilis

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    4. Myotonic dystrophy
18. The commonest hepatotropic virus causing increased chronic carrier state is
    1. HEV
    2. HAV
    3. HBV

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    4. HCV
19. Severity of Mitral stenosis is best identified by:
    1. Loud S1
    2. Loud opening snap
    3. Duration of mid-diastolic murmur

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    4. Intensity of mid-diastolic murmur
20. Incorrect about Cerebellar disease is:
    1. Rhomberg sign
    2. Rebound phenomenon
    3. Dysdiadochokinesia

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    4. Dysmetria

Q.2 Long Answer Question 4X 5=20

1. Describe diagnostic criteria, clinical features and treatment of Rheumatoid arthritis.
2. Discuss aetiology, pathophysiology, clinical features and management of heart failure.

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3. Discuss the aetiology, pathophysiology and clinical features of Aplastic anemia.
4. Discuss aetiology, clinical assessment and treatment of unilateral pleural effusion.

Q.3 Short Answer Question 4X3=12

1. Diagnostic criteria of SLE.
2. Non alcoholic fatty liver disease

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3. Methanol poisoning.
4. Pulmonary function test.

Q.4 Very Short Answer Question 9X 2=18

1. Name four hepatotoxic drugs.
2. List four causes of hematemesis.

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3. Auto antibodies in SLE.
4. Four causes of atrial fibrillation.
5. Name four indications for bone marrow transplantation.
6. Four complications of seizures.
7. Four clinical features of sarcoidosis.

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8. Four clinical features of migraine.
9. Name four anti-epileptic drugs.

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