(New Scheme)
Time: Three Hours Maximum: 60 Marks
Answer Sections A and B in separate answer-books.
Draw diagrams wherever necessary.
Question I should be answered first in the response sheet provided.
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Section A
I. Multiple Choice Questions.
Single response type 20 (Separate sheet attached).
II. Match the following. (20 ½ = 10 marks)
Type 6 (Separate sheet attached). (6× ½ = 3 marks)
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III. Draw and label :
- Course of the Cortico Spinal Tract.
- Hook Worm Ova as seen in stools.
(2×1=2 marks)
IV. Write briefly on:
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- Gametocytes of Malaria.
- Diagnostic Tests of HIV Infection.
- Drug Resistance in Tuberculosis.
- Hepatitis B Vaccines.
- Insulin Analogues.
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(5×1=5 marks)
V. Write short notes on :
- Widal Test.
- Rh Factor.
- Splenectomy.
- Differential Cyanosis.
- Telemedicine.
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(5 × 2 = 10 marks)
Turn over
2 C 20455
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Section B
VI. Read this Paragraph and answer the following questions :-
A 40 year old manual labourer is admitted with Trismus:
- List 2 differential diagnosis.
- List 2 important points each in favour of each of these 2 diagnosis.
- List 4 drugs useful in treating one of these conditions.
- List 2 complications of one of these conditions.
- How this condition can be prevented?
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(1 + 4 + 2 + 1 + 1 + 1 = 10 marks)
VII. Write briefly on:
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- Aminophyllene.
- Levodopa.
- Insulin analogues.
- Atropine.
- Leukotreine antagonists.
- Heroin.
- Medical Therapy of Enlarged Prostate.
- Sildenafil.
- Congenital syphilis.
- Scabies.
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(10 × 1 = 10 marks)
VIII. Write short notes on :
- Hysteria.
- Paroxysmal Nocturnal Dyspnoea.
- Insulin pumps and pens.
- Assistive devices in chronic arthritis.
- Berry Aneurysm.
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(5 × 2 = 10 marks)
(A) Duchene's Type of Muscular Dystrophy.
(B) Limb-Girdle Type of Muscular Dystrophy.
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(C) Facio-Scapulo-Humeral Muscular Dystrophy.
(D) Dystrophia Myotonica.
3. All of the following are TYPICAL features of Parkinsonism except:
(A) Cog-Wheel Rigidity.
(B) Pill Rolling Tremor.
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(C) Mask-like Facies.
(D) Extensor Plantar Response.
4. Esophagitis as a common and important sideeffect is typically reported with:
(A) Alendronate.
(B) Raloxifene.
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(C) Mosapride.
(D) Leflunomide.
5. Albumino-Cytological dissociation in CSF is a typical feature of:
(A) Cryptococcus meningitis.
(B) Extramedullary tumours.
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(C) Guillain-Barre Syndrome.
(D) Sub Acute Slerosing Pan Encephalopathy.
6. All of the following in a patient with a transient ischemic attack are pointers to involvement of Carotid Artery Territory except:
(A) Hemiparesis.
(B) Hemianaesthesia.
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(C) Dysphasia.
(D) Diplopia.
7. All of the following are Mosquito-Borne Diseases except:
(A) Yellow fever.
(B) Dengue.
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(C) Japanese Encephalitis.
(D). Kyasanur Forest Disease.
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2 C 20455
8. Rose-spots are typically associated with:
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(A) Typhoid.
(B) Bacterial endocarditis.
(C) Measles.
(D) Lyme disease.
9. All of the following are typically associated with continuous murmurs except:
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(A) Persistent Ductus Arteriosus with Reversal of Flow.
(B) Rupture of Sinus of Valsalva Aneurysm.
(C) Peripheral Pulmonary Artery Stenosis.
(D) Coronary Arterio Venous Fistula.
10. Thrombocytopenia is a typical feature of the following except:
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(A) Chronic Myeloid Leukemia.
(B) Anti-Phospholipid Antibody Syndrome.
(C) Aplastic Anemia.
(D) Systemic Lupus Erythematosis.
11. Which of the following poisons could produce a clinical picture identical with acute gastroenteritis?
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(A) Organophosphorous Insecticides.
(B) Formic acid.
(C) Arsenic.
(D) Methyl Alcohol.
12. A lesion of the left internal capsule could produce the following except:
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(A) Right Hemiplegia.
(B) Right Hemianaesthesia.
(C) Right Lower Motor Neuron Facial Palsy.
(D) Right Homonymous Hemianopia.
13. Which of the following anti bacterial has been recognized as hepatotoxic?
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(A) Erythromycin Stearate.
(B) Erythromycin Estolate.
(C) Ciprofloxacin.
(D) Cefotaxime.
14. Testing for Microalbuminuria is used as an early indicator of:
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(A) Diabetic Nephropathy.
(B) Analgesic Nephropathy.
(C) Ischemic Nephropathy.
(D) Hypertensive Nephropathy.
15. Bilateral Lower Motor Neuron Facial Palsy is a typical feature of:
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(A) Pseudo Bulbar Palsy.
(B) Syringo Bulbia.
(C) Guillian-Barre Syndrome.
(D) Ramsey-Hunt Syndrome.
3 C 20455
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16. Which of the following will be a Curable cause for Dementia ?
(A) Huntington's disease.
(B) Alzheimer's disease.
(C) AIDS Encephalopathy.
(D) Hypothyroidism.
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17. Hoarse voice dysphonia is a feature of:
(A) Palatal paralysis.
(B) Perforation of palate.
(C) Congenital cleft palate.
(D) Recurrent laryngeal nerve lesion.
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18. All of the following are features of Sydenham's Chorea except:
(A) Dementia.
(B) "Jack in the Box Tongue".
(C) "Hung up knee".
(D) Milkman's Grip".
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19. Internuclear Ophthalmoplegia is due to a lesion of:
(A) 3rd nerve nucleus.
(B) 6th nerve nucleus.
(C) Medial longitudinal fasciculus.
(D) Vestibulo nuclear fibers.
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20. All of the following are classical features of a Non-Dominant Parietal Lobe Lesion except:
(A) Neglect of contra lateral side.
(B) Constructional apraxia.
(C) Contra lateral visual inattention.
(D) Right-Left disorientation.
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C 20455 (20 × ½ = 10 marks)
GENERAL MEDICINE-Paper I
II. Match the following :-
- Pendular Knee Jerk (a) Plasmodium falciparum.
- CD4 T cells (b) Hepatoma.
- Immunofluorescence (c) Cerebellar syndrome.
- Hypercholesterolemia (d) Albinism.
- Alpha Fetoprotein (e) HIV infection.
- Backwater fever (f) Mitral stenosis.
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(g) Nephrotic syndrome.
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(h) Anti-ds DNA.
(i) Granuloma Inguinale.
(6× ½ = 3 marks)
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