Download Calicut University MBBS 2003 March Medicine Paper II Previous Question Paper

(Pages: 2+ 2 + 1 = 5)

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FINAL M.B.B.S. DEGREE EXAMINATION, MARCH 2003

Part II

Paper II-GENERAL MEDICINE

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(New Scheme)

Time: Three Hours Maximum: 60 Marks

MCQs should be answered first in the response sheet provided.

Section A

I. Multiple Choice Questions. (20 x 1/2 = 10 marks)

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Single response type-20 (separate sheet attached).

II. Match the following. (6 x 1/2 = 3 marks)

Single response type-6 (separate sheet attached).

III. Draw and label:

1 Circle of Willis.

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2 Peripheral smear showing iron deficiency anaemia. (2 x 1/2 = 1 mark)

IV. Write briefly on: (5 x 1 = 5 marks)

1 What is malignant hypertension ?

2 What is pseudobulbar palsy ?

3 What is sensory aphasia ?

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4 What is Traube's space ?

5 What is octreotide ?

V. Write short notes on: (5 x 2 = 10 marks)

1 Paroxysmal nocturnal haemoglobinuria.

2 Nephrocalcinosis.

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3 Tuberculous pericarditis.

4 Features of hypothyroidism.

5 Atelectasis.

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Section B

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VI. Read this paragraph and answer the following questions :- (5 x 2 = 10 marks)

A 58 year old male, known diabetic for 20 years admitted for treatment of respiratory infection, who is on Inj. Mixtard 40u suddenly develops loss of consciousness with convulsions. On examination sweating + PR 120/mt bounding cold extremities.

(a) What is your diagnosis?

(b) What investigations do you suggest?

(c) How will you manage the case?

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(d) What are the other differential diagnosis ?

(e) What is the minimum blood sugar level required for normal brain function?

VII. Write briefly on: (10 x 1 = 10 marks)

1 Antacids in peptic ulcer.

2 Oesophageal candidiasis.

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3 Causes of viral hepatitis.

4 Pernicious anaemia.

5 Prevention of venous thrombosis.

6 Treatment of lung abscess.

7 Asymptomatic bacteruria.

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8 Haemoglobin A1C.

9 Orthopnoea.

10 Thiamine deficiency.

VIII. Write short notes on: (5 x 2 = 10 marks)

1 Factors precipitating hepatic encephalopathy.

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2 Lumbar puncture.

3 Myelodysplastic syndromes.

4 Complications of acute pancreatitis.

5 Diagnosis of amyloidosis.

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(3) Select the appropriate answer and encircle the alphabet against each question in the answer-sheet provided.

1. Skin lesions usually seen with diabetes includes all of the following except :-
   1. Erythema nodosum.
   2. Infections.
   3. Necrobiosis diabeticorum.
   4. Cholesterol.

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2. Polyuria is seen with all except:
   1. Diabetes mellitus.
   2. Diabetes insipidus.
   3. Hyperparathyroidism.
   4. Liver failure.

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3. The commonest site of cerebral hemorrhage in hypertension is :
   1. Pons.
   2. Cerebrum.
   3. Putamen.
   4. Thalamus.

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4. "Locked in syndrome" may be seen in all except :
   1. Pontine lesions.
   2. Tegmentum lesions.
   3. B/L lesions of medulla.
   4. B/L lesions of lateral one-third of cerebellar peduncle.

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5. Cardioselective betablocker is:
   1. Metoprolol.
   2. Proctalol.
   3. Atenolol.
   4. Timold.

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6. Fatal arrythmias are seen if infarction in heart is:
   1. Posterior.
   2. Inferior.
   3. Anterolateral.
   4. Subendocardial.

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7. The most sensitive diagnosis of myocardial infarction is by:
   1. Serum LDH.
   2. SGOT levels.
   3. Serial ECG monitoring.
   4. Clinical symptoms.

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8. If FEV₁ = 1-3 lit, FVC = 3-1 lit. in an adult male the pattern is suggestive of:
   1. Normal lung function.
   2. Restrictive lung disease.
   3. Obstructive lung disease.
   4. None of the above.

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9. In bronchial asthma there is constriction of:
   1. Large airways.
   2. Medium airway.
   3. Terminal bronchiole.
   4. Respiratory bronchiole.

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10. Serum Vitamin B12 level in chronic myelocytic leukemia is:
    1. Elevated.
    2. Slightly decreased.
    3. Markedly decreased.
    4. Normal.

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11. Eaton Lambert syndrome is seen with:
    1. Oat cell carcinoma.
    2. Bronchial adenoma.
    3. Thyroid cancer.
    4. Pancreatic head cancer.

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12. Opening snap in mitral area corresponds to:
    1. "a" wave in JVP.
    2. X descent in JVP.
    3. Dicrotic notch of carotid pulse.
    4. "c" point of apex cardiogram.

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13. Drug of choice in drug induced Parkinsonism is :
    1. Levodopa.
    2. Benzhexol.
    3. Amantadine.
    4. Carbidopa.

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14. Which of the following is abnormal in haemophilia?
    1. Bleeding time.
    2. Platelet count.
    3. PT.
    4. PTT.

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15. Muddy brown granular casts are suggestive of:
    1. Prerenal azotemia.
    2. Acute tubular necrosis.
    3. Urinary infection.
    4. None of the above.

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16. Parathyroid hormone acts on:
    1. Bowman's capsule.
    2. Proximal tubule.
    3. Distal tubule.
    4. None of the above.

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17. Nephrotic syndrome in adults is mostly due to :
    1. Minimal change disease.
    2. Membranoproliferative glomerulonephritis.
    3. Membranous glomerulonephritis.
    4. Mesangial proliferative glomerulonephritis.

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18. PAS positive macrophages replacing lamina propria of intestine indicate:
    1. Abetalipoprotinemia.
    2. Amyloidosis.
    3. Whipples disease.
    4. All the above.

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19. Specificity of which test for H pylori is nearly 100%:
    1. Urea breath test.
    2. Rapid urea test of gastric biopsy.
    3. Culture of gastric biopsy.
    4. Serum H pylori antibody fibre.

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20. Thyroid acropachy refers to :
    1. Digital gangrene.
    2. Myxomatous thickening of fingers.
    3. Clubbing and bony osteolysis with osteoporosis.

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(20 x 1/2 = 10 marks)

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Paper II-GENERAL MEDICINE

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II. Match the following: (6 x 1/2 = 3 marks)

1. Captopril (d) Cough
2. Cyclosporine (e) Gingival hyperplasia.
3. Cyclophosphamide (a) Haemorrhagic cystitis.
4. Chloroquine (c) Retinal pigmentation.

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5. Chloramphenical (b) Aplastic anaemia.
6. Vincristine (f) SIADH.

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