Download KNRUHS MBBS Final Year MB2019131 General Medicine Paper I April 2026 Question Paper

PAPER CODE: MB2019131
KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
TELANGANA STATE, WARANGAL ? 506 002
MBBS FINAL YEAR PART-II DEGREE EXAMINATIONS: APRIL 2026

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GENERAL MEDICINE
PAPER - I
Time: 3 Hours

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Max Marks: 100
Note: Answer all questions.
Give Diagrammatic representation wherever necessary.
Multiple choice questions: 10 X 1 = 10
1. All of the following are features of crohn's disease except:

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A) Transmural involvement
B) Lead pipe appearance
C) Rectal sparing
D) Perianal fistula
2. A patient presents with severe colitis associated with an overgrowth of clostridium

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difficile in the lower part of intestine. Which of the following is the most likely
cause of this condition.
A) Stomach ulcer
B) Food poisoning
C) Antibiotic therapy

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D) Immunosuppressed person
3. RIFLE criteria is used to classify
A) Acute kidney injury
B) Chronic renal failure
C) Acute glomerulonephritis

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D) Nephrotic syndrome
4. Normocytic normochromic anemia is seen in patients with which of the following
A) Iron deficiency
B) Kidney disease
C) Lead toxicity

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D) Thalassemia
5. Which antidote is commonly used to treat organophosphate poisoning.
A) Naloxone
B) Atropine
C) Flumazenil

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D) Activated charcoal
6. On thyroid function test analysis, TSH value was much higher than normal with a
low free T4. What is the diagnosis.
A) Subclinical hypothyroidism
B) Hyperthyroidism

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C) Secondary hypothyroidism
D) Primary hypothyroidism
7. All of the following are features of wilson's disease except
A) Increased copper content in
B) Increased ceruloplasmin

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liver
C) Mental changes
D) Features of chronic active hepatitis
8. The peripheral vascular resistance is decreased in
A) Hypovolemic shock

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B) Cardiogenic shock
C) Obstructive shock
D) Distributive shock
9. Which of the following are the complications of typhoid fever.
A) Myocarditis

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B) Intestinal perforation
C) Cholecystitis
D) All the above
10. Which technology is commonly used to amplify DNA for genetic analysis.
A) Sanger sequencing

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B) CRISPR
C) Polymerase chain reaction
D) Southern blotting
(PCR)

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Essay/ long answer questions:

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2 X 15 = 30
11. Discuss about clinical features, diagnosis and management of Non-Hodgkin's
Lymphoma.

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12. Enumerate staging of CKD. Write in detail about etiopathogenesis and management
of CKD.
Short answer questions:
7 X 6 = 42
13. Define and write causes of pyrexia of unknown origin.

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14. Write a short note on management of hyponatraemia.
15. Write a short note on Tumor Markers.
16. Benzodiazepine poisoning- clinical features and management.
17. Management of Diabetic keto Acidosis (DKA) and its complications.
18. Write a note on Hepatitis-B and its management.

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19. Haemophilia B.
Very short answer questions:

6 X 3 = 18
20. Define Informed Consent and when it is considered Invalid.

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21. Intermediate syndrome.
22. Triad of Plummer-Vinson Syndrome.
23. Write three important clinical features of Turner's syndrome.
24. Type-I Hypersensitivity reaction.
25. Mention any three clinical features of Cushing's disease.

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