Second Year MBBS Examination
II MBBS Pathology Paper 1 (New)
Time: 3 hours Max Marks: 100 Date: 06-01-2023
Instructions: 1. Answer to the points.
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2. Figure to the right indicates marks.3. Use separate answer books for each section.
4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1
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1.Structured long answer question : (one out oftwo) (10)
a) Enumerate causes of cell injury. Describe
pathogenesis and morphology of cell injury.
b) Enlist the chemical mediators of acute
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inflammation. Describe the role of importantmediators of acute inflammation. Write different
between acute and chronic inflammation.
2A.Applied short notes: (two out of three) (12)
a) Describe pathogenesis, Enumerate route of
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transmission and Laboratory investigations of AIDS.b) A 55 year old lady was brought to the emergency
room unconscious. Her blood pressure was very low,
pulse was weak and rapid. Her skin was warm and
flushed. Her blood culture revealed growth of Gram
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positive bacteria. (a) What is the possible diagnosis?(b) Describe the pathogenesis of thig condition. (c)
Describe the stages of this disorder.
c) Define Metastasis. Describe routes and
mechanism of metastasis.
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28.Write short notes: (three out of four) (18)a) Define Obesity. Describe etiopathogenesis and
metabolic effect of obesity.
b) Define Gangrene. Describe pathophysiology of
gangrene and difference between Wet and dry
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gangrene.d) Define and classify amyloidosis and describe
morphology of amyloid Spleen.
3.Answer in two to three sentences only: (five out
of Six) (10)
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a) Name four paraneoplatic syndromes.b) Define Autonomy.
c) Enlist the sPectrum of autoantibodies in SLE,
d) Define metaplasia and give two examples of it.
e) Give four ,-xamples hypertrophy.
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f) Cardinal) signs of Inflammation.Section 2
4. Structured long answer question:(one out of
two) (10)
a) Classify Anemia. Describe pathogenesis
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hematologic features and laboratory Miegnosts ofSickle cell anemia.
b) Define chronic myeloid leukemia. Describe
etiology, clinical features and laboratory findings of
CML.
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5A.Applied short notes: (two out of three) (12)a) 20 year female come to OPD with complain of
weakness, easy fatigability with bilateral tingling,
numbness and sensory disturbances. She is strict
vegetarian in diet. On examination, Pallort++t and
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briefy red tongue. Complete blood count shows HB6.5 gm/dl, WBC 3800/cumm, Platelet count is
90000/ cumm, MCV is 1111. (a) What is your
probable diagno (b) Describe etiology, pathogenesis,
morphology and laboratory investigations of same.
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b) A 1 year female come to OPD with complain offatigue, weakness facial bone deformities, slow
growth with abdominal swelling. She has history of
frequent blood transfusion since she was 3 years of
age: Laboratory findings show total RBC count 2.3
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million/cumm, HB 6.6 gm/dl, HPLC shows HBF is70%, HBA1 27.5% and HBA2 15 9 5%.(a) What is
your probable diagnosis? (b) Describe etiology,
pathogenesis, morphology and laboratory
investigations of same.
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c) Describe Blood Transfusion Reactions andenumerate the steps in the investigation of a
transfusion reaction.
58.Write short notes: (three out of four) (18)
b) Define and Describe Hemophilia.
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c) Write difference between leukemia and leukamoidreaction.
d) Describe bleeding disorders related to defective
platelet functions.
6.Answer in two to three sentences only: (five out
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of six) (10)a) FAB classification of Acute Leukemia.
b) Differences between Intravascular and Extra
vascular Hemolysis.
d) Enumerate various blood components,
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e) Indications of Autologous blood transfusion.***