24-05-2025
111-MBBS (Part-II)
Third Professional M.B.B.S. Part-II
(Supp) Exam. (New Scheme)
May-2025

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General Medicine
Paper-I
Time: Three Hours
Maximum Marks: 100
Attempt all questions in both sections.

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Section-A
Q.1 Fill in the blanks:
1. Most common mode of transmission of HIV is
______
2. ______ criteria is used for diagnosis of Acute

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Rheumatic fever.
3. Kayser-Fleischer ring on slit lamp examination
is a characteristic feature of ______
4. ______ gene mutation is associated &
Hemochromatosis

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5. Anti-citrullinated peptide (anti-CCP) antibodies
used for diagnosis of ______
6. Drug of choice for Hyperthyroidism is 1st
trimester of Pregnancy is ______
Q.2 Answer the following

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1. Asterixis are seen is which of following grade
of Hepatic encephalopathy.
1. Grade-I
2. Grade-II
3. Grade-III

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4. Grade IV
2. Site of CSF formation is
1. Arachnoid villi
2. " Choroid plexus"
3. Cerebral aqueduct

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4. Pia meter
3. Mentzer's Index is calculated using formula
1. R.B.C count
MCV
2. RRC Count

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MCH
3. MCV
R.B.C.Count
4. MCH
R.B.C Count

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Q.3 A 70-year-old male presented with fever
from last 7 days, which was high grade,

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associated with faint salmon coloured
maculopopular rash on abdomen. On physical
examination pulse rate 55/min, temperature

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(oral) 103?F with Hepato-splenomegaly
1. What is your most probable diagnosis?
2. Discuss role investigation for confirmation of
diagnosis?
3. Complications and management plan?

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Q.4 Write briefly all: (any five)
1. Antiplatelet Agents.
2. Trigerminal Neuralgia
3. Anemia in CKD
4. Functional Anatomy of Basal ganglia E

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5. ANCA (Anti neutrophilic cytoplasmic
antibodies)
6. Biomarker of acute M.I. (Myocardial Infraction)
Q.5 Write briefly (Any three)
1. Hypertensive Emergency

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2. Ulcerative Colitis versus crohn's disease.
3. Opportunistic Diseases in HIV patients.
4. DMARDS (Disease Modifying anti rheumatic
drugs)

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Section-B

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Q.6 A 26 year old female night shift worker
presented with unilateral temporal headache
which is throbbing type preceded by sensation
of flashing of lights and associated with nausea,
vomiting and photophobia. Physical

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examination was uneventful.
1. What is your most likely diagnosis?
2. Classify Headaches of different types.
3. How will you approach a same patient?
4. Management of Headache of a same patient

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including prophylaxis?
Q.7 Write briefly (any five)
1. Reticulocyte count is anemia
2. Pathogenesis of atherosclerosis
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