Q.P. Code: 214001
Reg. no.: .....................
Second Professional MBBS Degree Regular/Supplementary Examinations
August 2025
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Pathology - Paper IITime: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
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Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The responses for MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for
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answering MCQ questions at page No. 51 of the answer book (the inner portion of the back coverpage (PART III)). Responses for MCQs marked in any other part/page of the answer book will not be
valued
Question Numbers (i) ? (v) are Single Response Type
i. Codman triangle is a radiological finding in:
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a) Multiple myelomab) Osteosarcoma
c) Chondrosarcoma
d) Ewings sarcoma
ii. Primary type II hyperlipidaemia (familial hypercholesterolemia) results from a defect in
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a) Lipoprotein lipasec) Apolipoprotein E
b) Low-density lipoprotein (LDL) receptor
d) Apolipoprotein CII
iii. The most common histologic type of carcinoma of the oral cavity is
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a) Adenocarcinomac) Small cell carcinoma
b) Clear cell carcinoma
d) Squamous cell carcinoma
iv. Immune complexes located within the glomerular basement membrane would most
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likely befound in a patient with
a) IgA nephropathy
b) Membranous G
N
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c) Minimal change disease
d) Type II membranoproliferative glomerulonephritis (MPGN)
v. Which of the following testicular tumors is most radiosensitiv
e
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a) Seminomac) Choriocarcinoma
b) Embryonal carcino
ma
d) Yolk sac tumor
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Question numbers (vi)-(x) are multiple response type questions. Read the statements & mark theanswers appropriately.
vi
. Aortic dissection is associated with:
:
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1) Alports syndrome 2) Ehler's Danios syndrome3) Marfan syndrome
4) Tumer's syndrom
e
a) 1, 2, 3 b) 2, 3, 4 c) 3, 4, 1
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d) 4, 1, 2vii. Following are germ cell tumours
1) Dysgermino
ma
2) Teratoma 3) Granulosa cell tumour 4) Yolk sac tumou
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ra) 1, 2, 3
b) 2, 3, 4 c) 3, 4, 1 d) 4, 1, 2
viii. Malignant tumours include
s.
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1) Osteosarcoma 2) Osteoid osteoma 3) Chondrosarcoma 4) Ewing sarcomaa) 1, 2, 3 b) 2, 3, 4
c) 3, 4, 1 d) 4, 1, 2
ix. Chronic bronchitis is characterised by
1) Smooth muscle hypertrophy 2) leucocyte infiltration 3) Mucus gland hypertrophy
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4) Curschman spiralsa) 1, 2, 3
b) 2, 3, 4 c) 3, 4, 1 d) 4, 1, 2
x. Premalignant lesion of oral cavity includes
1) leukoplakia 2) Aphthous ulcer 3) Squamous cell carcinoma insitu 4) Erythroplakia
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a) 1, 2, 3 b) 2, 3, 4 c) 3, 4, 1 d) 4, 1, 2(PTO
)
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Question numbers (xi) ? (xv) consists of two Statements - Assertion (A) and Reason (R). Answer
these questions by selecting the appropriate options given below.
a) Both A & R are correct and R is the reason for A
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c) A incorrect & R is correctb) Both A & R are correct and R is not reason for A
d) A is correct but R is not correct
xi. Assertion: Gall stones are more common in females
Reason: Hypersecretion of cholesterol in bile plays major role in gender difference
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xii. Assertion: Left and right-side colonic carcinoma gross presentation differsReason: Because left and right-side colonic carcinoma differs microscopically
xiii. Assertion: Nephrotic syndrome is characterized by selective massive proteinuri
a
Reason: Minimal change disease is caused effacement of foot process
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xiv. Assertion: HPV infection is associated with carcinoma cervix
Reason: All HPV infection proceeds to High grade squamous intraepithelial lesion
xv
. Assertion: Psoriasis is a chronic inflammatory dermatosi
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sReason: It is characterized by autoimmune mediated keratinocyte proliferation
Question numbers (xvi) ? (xx) Read the following case scenario and answer subsequent
questions based on this
A 42-year-old man presents because recently he had to change his shoe size from 9 to 10.5. He also
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says that his hands and jaw are now larger.xvi
.
Disorder is most likely mediated through the actions of excess
a) Prolactin
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b) ACTHc) Somatostatin
d) Antidiuretic hormon
e
xvii. Above condition associated with increased size of
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a) Heartb) Kidneys
c) Liver
d) All the above
xviii. Most likely diagnosis
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a) Acromegalyb) Cushing's syndrome
c) Prolactinoma
d) Sheehan's syndrome
xix. Which of the following disease is not associated with above condition
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a) Diabetesb) Hypertension
c) Cardiomyopathy d) Hypotension
xx. Which of the following is NOT a anterior pituitary hormone
a) FSH
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b) Prolactinc) Oxytocin d) LH
Long Essays
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(2x10=20)
2. A 50 years old man collapses suddenly while climbing the stairs with severe chest pain and profuse
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sweating.a) What is your clinical diagnosis
b) Discuss the aetiopathogenesis of the condition
c) What are the complications that may follow the condition
(1+5+4)
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3. Define and Classify cirrhosis of liver, write in detail about alcoholic cirrhosis(1+4+5)
Short Essays
(6x6=36)
4. Pathology of Seminoma Testis
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5. Classify ovarian neoplasms. Discuss in brief about surface epithelial tumours6.
Prognostic and predictive factors of breast cancer.
7. Hashimoto's thyroiditis
8. Precancerous lesions of skin
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9. Giant cell tumor bone
Short Answers
(6x4=24
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)10. Explain Do not resuscitate
11. Good Pasteur's syndrome ? pathogenesis and patholog
y
12. Pleomorphic adenom
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a13. CSF in TB meningitis
14. Four pathological effects of gall stones
15. Intestinal polyps
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