Second Year MBBS Examination
II MBBS Pathology Paper 2 (New)
Time: 3 hours Max Marks: 100
Instructions:
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1. Answer to the points.2. Figure to the right indicates marks.
3. Use separate answer books for each section.
4. Draw diagrams wherever necessary.
5. Write legibly.
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Section 11. Structured long questions: (any one out of two)
(10)
a. Define and classify emphysema. Describe
pathogenesis, morphology and clinical course
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of emphysema (1+2+4+2+1)b. Classify salivary gland tumour. Define
Pleomorphic adenoma. Describe morphology
and clinical features of Pleomorphic
adenoma. (5+1+4+2+2)
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2. A.Applied short notes: 2x6 marks =12marks(12)
a. A 60 year old smoker male patient who is on
long term NSAIDS presented to OPD with
complain of epigastric burning and aching
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pain, the pain tends to occur 1-3 hours aftermeal during the day and worst at night
usually 11 pm and 2am. Patient is also
complains nausea, vomiting, bloating and
weight loss. What is your probable
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diagnosis? Describe etiopathogenesis,morphology and complications of the
condition.
b. A 45 year old alcoholic male patient comes to
OPD with complain of malaise, anorexia,
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weight logs, upper abdominal discomfort andtender hepatomegaly. Laboratory findings
show hyperbilirubinemia, elevated serum
transaminase, serum alkaline phosphatise
and neutrophilic leukocytosis, Serum AST to
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serum ALT ratio>2:1 what is your probablediagnosis?
c. Describe pathogenesis and morphology of
the condition Describe etiopathogenesis and
morphology of ineffective endocarditis
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2. B.Write short notes on:(any three out of four)(18)
a. Seminoma
b. Stromal tumors of breast
c. Papillary carcinoma of thyroid gland
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d. Rheumatoid arthritis.
3. Answer in two to three sentences: only (any
five out of six) (10)
a. What is the "rule of 2s" in meckel
diverticulum?
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b. Morphology of meningiomac. Mention four long term complications of
diabetes mellitus
d. What is prostate specific antigen and what is
normal value of it?
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e. Morphological features of acutepyelonephritis
f. What is Wilson disease?
Section 2
4. Structured long questions (any one out of two)
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(10)a. Describe physical examination of
cerebrospinal fluid Enlist the indications of
cerebrospinal fluid examination, Describe role
of cerebrospinal fluid in various form, of
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meningitis. (2+2+6)b. Describe exfoliative cytology. Describe the
method of specimen collection and staining
for PAP smear, Describe the role of PAP
smear for diagnosing cervical cancer.
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(8+3+4)5. A.Applied short notes: (any two out of three)
(12)
a. A young married couple comes to infertility
clinic with complain of failure to conceive.
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What are the possible causes of failure toconceive? Describe the role of semen
examination in diagnosing infertility.
b. A 32 year old female presented to OPD with
complain of difficulty in sleeping, irritability,
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grittiness in her eyes and reduced frequencyof her periods. She lost 5 kg over the same
period. On examination: Pulse rate: 90/min-
regular, warm and sweaty peripheries along
with bilateral fine tremor. Proptosts is noted
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and thyroid gland is diffusely enlarged,Serum TSH level is 0,1 mIUIL a What are the
differential diagnoses of this case and which
would be the most common diagnosis?
c. Describe thyroid function tests. Define
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atheroscelrosis. Describe pathogen andcomplications of the atheroscelrosis.
5. B.Write short notes on. (any three out of four)
(18)
a. Fine needle aspiration cytology.
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b. Sputum examination.c. Special stains in pathology.
d. Urine microscopy examination.
6. Answer in two to three sentences only (any
five out of six) (10)
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a. What is dehydration in tissue processing?and mention one dehydrating agent name
b. What is the importance of adenosine
deaminase enzyme in diagnosing
tuberculosis?
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c. What is the role of triphenyltetrazoliumchloride stain in myocardial infarction?
d. Name four complications of bronchiectasis.
e. Explain the role of parathyroid hormone in
calcium homeostasis.
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f. Give four causes. of dilated cardiomyopathy.***
Document Outline
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