PAPER CODE: MB2019131
KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
TELANGANA STATE, WARANGAL ? 506 002
MBBS FINAL YEAR PART-II DEGREE SUPPELEMENTARY EXAMINATIONS: MAY 2024
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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
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Multiple Choice Questions: 10 X 1 = 101. Which of the following can occur following chronic administration of
amiodarone to subjects with iodine deficiency?
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a) Hyperthyroidismb) Hypothyroidism
Hypothyroidism followed by
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c)d) De Quervain's thyroiditis
hyperthyroidism
2. Which of the following medications is preferred to reduce proteinuria in
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diabetic nephropathy?
a) Enalapril
b) Methyldopa
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c) Prazosind) Amlodipine
3. The haemoglobin threshold for blood transfusion in upper GI bleed in a
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haemodynamically stable patient isa) 4 gm%
b) 7 gm%
c) 9 gm%
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d) 10 gm%4. Hyperpyrexia is defined as body temperature greater than
a) 37.5 ? C
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b) 32.5 ? Cc) 41.5 ? C
d) 38.5 ? C
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5. Nephrotic Syndrome is characterized by the following features EXCEPTa) Oedema
b) Proteinuria
c) Hypoalbuminemia
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d) Decreased triglyceride level6. Which of the following features is unlikely to be seen in irritable bowel
syndrome.
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a) Weight lossb) Constipation
c) Diarrhoea
d) Diffuse pain abdomen
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7. Flumazenil is used as antagonist for
a) Organo phosphorous poisoning b) Benzodiazepine poisoning
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c) Opioids poisoningd) Aspirin poisoning
8. The gut hormone which stimulates insulin release is
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a) Gastric inhibitory peptideb) Secretin
c) Gastrin
d) Somatostatin
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9. True about mitochondrial DNA
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a) Linear double strandedb) Low mutation rate
c) Encodes all respiratory chains
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d) Inherited from mother10. Which of the following is associated with Factor V Leiden mutation?
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a) GI bleedingb) Thromboembolic events
c) Haemophilia
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d) HemarthrosisEssay/ Long Answer Questions:
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2 X 15 = 30
11. Describe the etiology, clinical features, diagnosis and management of
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Megaloblastic Anaemia.12. Write the etiology, clinical features, investigations and management of
Thyrotoxicosis.
Short Answer Questions:
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7 X 6 = 42
13. Viper Bite.
14. X linked inheritance.
15. Nephrotic syndrome.
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16. Organo Phosphorous poisoning.17. Syncope.
18. Discuss medico legal socio economic and ethical issues pertaining to
Organ Donation.
19. Portal Hypertension.
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Very Short Answer Questions:6 X 3 = 18
20. Irritable Bowel Syndrome (IBS).
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21. Pheochromocytoma.22. Acute Transfusion Reaction.
23. Biguanides.
24. Disseminated intravascular Coagulation.
25. Heat Stroke.
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