mbbs question paper

THIRDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002Part1OPHTHALMOLOGY

Time:TwoHours Maximum:40marksAnswerallthequestions.

Drawdiagramswherevernecessary.SectionA

1. Multiplechoicequestions.Singleresponsetype8(separatesheetattached)

(8x1/2=4marks)II. Matchthefollowing.Singleresponsetype8(separatesheetattached)

(8x1/2=4marks)III.Drawandlabel:

1.Irisbombe.2.Normalfunds. (2x1=2marks)

IV.Shortanswerquestions:1.DefineStye2.DefinePresbyopia3.MentionfourcomplicationsofIridocyclitis.4.Mentionfourcausesofnightblindness (4x1=4marks)

V.Writeshortnoteson:

1.Atropine2.Enucleation.3.Keratoconus (3x2=6marks)

SectionB

VI.Readthisparagraphandanswerthefollowingquestions:

A50yearoldwomencomplainsofpainlessprogressivedimunitionofvisionofrighteyesinceayear.1.Mentiontwopossiblecommoncauses2.Howwillyoudifferentiatethem?3.Brieflyoutlinethesurgicalmanagementofanyoneofthem.

(2+5+3=10marks)

VII.Shortanswerquestions:

1.Mentiontwousesofcryoinophthalmology

2.Mentiontwocausesofcherryredspot.

3.Mentiontwocausesoftoxicamblyopia.

4.MentiontheprinciplesoftreatmentofacaseofCornealUlcer.(4x1=4marks)

VIII.Writeshortnoteson:

1.Horner'ssyndrome

2.Dacryocystsrhinostomy(D.C.R)

3.Sympatheticophthalmia (3x2=6marks)

OPHTHALMOLOGY

1.MULTIPLECHOICEQUESTIONS

Note: (1)Donotwriteanythinginthisquestionpaper.

(2)WriteyourRegisterNumberintheanswersheetprovided

(3)Selectonemostappropriateresponseandencirclethecorrespondingalphabetagainsteachquestionnumberintheanswersheetprovided.

1. Ectaticcicatrixunderlinedbyurealtissueiscalled:

(A)Keratomalacia. (B)Descemetocele

(C)Anteriorstaphyloma (D)Keratectasia.

2. Keraticprecipitatesareseenin:

(A)Keratoconus (B)Viralkeratitis

(C)AcuteIridocyclitis (D)Keratomalacia

3. Cobblestoneappearanceisafeatureof:

(A)Trachoma (B)Springcatarrah.

(C)Viralconjunctivitis (D)Angularconjunctivitis.

4. Complicatedcataractisacataract:

(A)Occuringinsystemicdisease. (B)Occuringduetodrugtoxicity

(C)Secondarytooculardisease (D)Complicationofsurgery.

5. Ishihara'schartisusedtotest:

(A)Fieldofvision (B)Colourvision

(C)Diplopia (D)Visualacuity.

6. Depthofanteriorchamberisshallowin:

(A)Sublocationoflens (B)Narrowangleglaucoma

(C)Leucomaadherance (D)Aphakia

7. Scintillatingscotomaischaracteristicof:

(A)Migrains (B)Synthesisscintillans

(C)Openangleglaucoma (D)Occipitallobelesions.

8. Vitreousbaseissituatedat:

(A)Oraserrata. (B)Equator

(C)Macula (D)Opticdisc.

(8x1/2=4marks

OPHTHALMOLOGY

II. Matchthefollowing:

A 1.Ndyaglaser (a)Retinaldetachment

2.Indirectophthalmoscope (b)Visualfield

3.Autorefractometer (c)Aftercataract.

4.Bjerrumscreen (d)Refraction

B 1.Timalol (a)Sympathmimatic.

2. Atropine (b)Parasympathomimetic

3. Pilocarpine (c)blocker4.Phenylephrine (d)Parasympathlytic

(8x1/2=4marks)

THIRDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002Part1

OTORHINOLARYNGOLOGYTime:TwoHours Maximum:40marks

Drawdiagramswherevernecessary.SectionA

I.MultipleChoiceQuestions.(onseparatesheetattached) (8x1/2=4marks)

II. Matchthefollowing(onseparatesheetattached) (8x1/2=4marks)

III.Drawandlabel:

1.Organofcorti

2.Cartilagesoflarynx. (2x1=2marks)

IV.Shortanswerquestions:

1.Whatiskeratosisobturans?

2.Howdoyoutreatunilateralvocalcordpalsy?

3.WhataretheclinicalfeatureofQuinsy?

4.Whatisrhinolaliaclausa? (4x14marks)

V. Writeshortnoteson:

1.Ototoxicity.2. Singer'sNodule3. Rhinophyma.

SectionB

Readthisparagraphandanswerthefollowingquestions:

A55yearoldmalewithcomplaintsofbloodstainednasaldischargefromrightnostrilassociatedwithrightsidednasalobstructionandonexaminationfoundtohaveaulceratedmassoccupyingtherightnasalcavity.

1.Whatisyourdiagnosis?2.Whatarethedifferentialdiagnosisyouwillkeepinyourmind?3. Whataretheareasyouwillliketoexamine?4. Whatinvestigationswouldyoudo?5. Howwillyoutreatthiscaseasperyourdiagnosis?

(1+2+2+2+3=10marks)VII.Shortanswerquestions:

1.WhatisCitellisabscess?2.Whatarethecausesforawhitepatchoverthetonsil?3.Whatisthelatesttreatmentforchronicsinusitis?4.Whatarethegraftmaterialusedformyringoplasty?

VIII.Writeshortnoteson:1.Haematomaauris2.Rhinitismedicamentosa3.Acutelaryngotracheobronchitis. (3x2=6marks)

OTORHINOLARYNGOLOGY

1. MULTIPLECHOICEQUESTIONSNote: (1)Donotwriteanythinginthisquestionpaper.

(2)WriteyourReg.No.intheAnswersheetprovided.


1. Otolithorgansliein:

(A)Ampula (B)Cochlea

(C)Endolymphaticsac (D)Utricleandsaccule.

2. Furunculosisincausedby:

(A)Staphylococcus (B)Streptococcus]

(C)Pneumococcus (D)Haemophilusinfluenzae.

3. Termglueearisappliedto:

(A)Acutesuppurativeotitismedia (B)Acutecatarrhalotitismedia

(C)Secretoryotitismedia (D)Barootitismedia.

4. Nasalvestibuleislinedby:

(A)Skin (B)Cuboidalepithelium

(C)Ciliatedcolumnarepithelium (D)Olfactoryepithelium

5. Theshapeofparapharyngealspaceis

(A)Quadrangular (B)Conical

(C)Pyramidal (D)Invertedpyramid.

6. Vocalnodulespresentusuallyat:

(A)Anteriorcommissure.

(B)Middleofthecord

(C)Thejunctionofanterior2/3rdandposterior1/3rd.

(D)Anterior1/3rdandposterior2/3rdjunction.

7. Atwelveyearoldboyhavingprofusebontsofunprovokedepistaxiscouldbehaving:

(A)Nasalpolyp (B)Rhinolith

(C)Nasopharyngealcarcinoma (D)Juvenilenasopharyngealangiofibroma

8. Mainsymptomofachalasiacardiais

(A)Pain (B)Regurgitation

(C)Dysphagia(persistent) (D)Intermittentdysphagia

(8x1/2=4marks)

OTORHINOLARYNGOLOGY


(A) 1.LateralRhinotomy (a)Fibrousdysplasia

2.CaldwellLueoperation (b)Rhinolith

3.Young'soperation (c)RecurrentAntrochoanalpolyp

4.Cosmetictrimming (d)AtrophicRhinitis

(B) 5.Puberty (e)Menier'sdisease

6.Famale (f)Angiofitroma

7.Familyhistory (g)PlummerVinsonsyndrome.

8.Fluctuatingsensorineuraldeafness (h)Otosclerosis

(8x1/2=4marks)

THIRDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002

Part1

COMMUNITYMEDICINEPaper1

Time:ThreeHours Maximum60marks

SectionA

I. Multiplechoicequestions,Singleresponsetype20(separatesheetattached)

(20x1/2=10marks)

II.Matchthefollowing.Singleresponsetype6(separatesheetattached)

(6x1/2=3marks)

III.Drawandlabel:

1.IcebergPhenomenon.2.SchemediagramforaCasecontrolStudy.

(2x1=2marks)

IV.Writebrieflyon:1.DefinethetermPandemic2.Givetwoexamplesfornosocomialinfections.3.Soakagepit4.Riskfactorsfordiabetes.

5.Amplifyinghosts. (5x1=5marks)


1.AcuteFlaccidparalysis.

2.StandardDeviation

3.Biologicaltransmissionthroughvectors.

4.Ergonomics

5.EpidemiologicalTriad

(5x2=10marks)

SectionB

VI.AtwoyearoldchildwasbroughttothePrimaryhealthCentrewithvomitingandloosemotions.1.Howwillyouassessthechild'shydration?

2.Whatisyourrecommendationformilddehydration?

3.Whatdietwillyousuggestforthischild?

4.Whatsocialfactorscanplayaroleindiarrhoealdiseases?

5.Whatadvicewillyougivethemothertopreventitsrecurrence?

(5x2=10marks)

VII.Writebrieflyon:

1.PrePlacementexamination.

2.Koplik'sspots

3.Mammography

4.Sensitivityofascreeningtest.

5.VocationalRehabilitation.

6.Cyclicaltrendindiseaseoccurrence.

7.FixedVirus.

8.DOTSagent.

9.Chemoprophylaxisformalaria.

10.ModesoftransmissionofPlague.

(10x1=10marks)


1.TestsofStatisticalsignificance.

2.IntegratedVectorControl.

3.SicknessAbsenteeism.

4.WorldHealthDay.

5.SecondarypreventionofRheumaticFever

(5x2=10marks)


1. MULTIPLECHOICEQUESTIONS

Note: (1)Donotwriteanythingonthequestionpaper

(2)Writeyourregisternumberintheanswersheetprovided


1. Themalariometricindexusefulinassessingtheoperationalefficiencyofnationalmalariaeradicationprogrammeis:

(A)AnnualBloodExaminationRate (B)AnnualParasiteIncidence(C)SlidePositivityRate (D)AnnualFalciparumIncidence.

2. Anexampleofadiseasewhichexhibitsicebergphenomenonis:(A)Rabies (B)Poliomelitis(C)Tetanus (D)Genitalwarts.

3. Whichofthefollowingisnotariskfactorofcancercervix?(A)Earlymarriage (B)Earlymenarche(C)Poorgenitalhygiene (D)Genitalwarts

4. VectorforJapaneseencephalitisinIndiais:(A)Culextritaeniorhynchus (B)Monsonoides(C)Aedesaegypti (D)Anophelesculicifacies.

5. Theprimarymodeoftransmissionintuberculosisis:(A)Formites (B)Airborne(C)Arhtropodborne. (D)Milkborne

6. Thedenominatorusedforcalculationofinfantmortalityrateis:(A)Alldeaths (B)Livebirths(C)Totalbirths (D)Midyearpopulation.

7. Whichofthefollowingistrueabouttherelationshipbetweenprevalenceandincidenceofadisease?

(A)Prevalence(P)=Incidence(I)xDuration(D)(B)Incidence(I)=Prevalence(P)xDuration(D)(C)Duration(D)=Prevalence(P)xIncidence(I)(D)Noneoftheabove.

8. Combinedactiveandpassiveimmunizationcanbegiveninwhichofthefollowingdiseases:

(A)Tetanus (B)Diphtheria(C)Rabies (D)Alloftheabove.

(Contd....2)

2

9.Thepercentageofpersonsexaminedshowingmicrofilariaeintheirbloodordiseasemanifestionsoffilariasisorbothiscalled:

(A)Microfilariarate (B)Filarialendemicityrate

(C)Microfilarialdensity (D)Averageinfestationrate.

10.Activeimmunitycannotbeacquiredby:

(A)Exposetodisease (B)Inoculationoflivingorganisms

(C)Inoculationofkilledorganisms(D)Inoculationofimmuneserum

11.Randomizationreducesthechancesof:(A)Confoundingbias (B)Selectionbias(C)Interviewer'sbias (D)Noneoftheabove.

12.Indicationforantirabiestreatmentinacaseofdogbite:(A)Animalshowssignsofrabies(B)Animalisnottraceable.

(C)Unprovokedbites (D)Alloftheabove.13.Thetypeofbiologicaltransmissionseenamongmalariaparasitesinmosquitois:

(A)Propagative (B)Cyclopropagative(C)Cyclodevelopmental (D)Mechanical.

14.ThevectorresponsibleforKalaazaris:(A)Sandfly (B)Blackfly(C)TseTsefly (D)Reduvidbug.

15.WhichofthefollowingisNOTa:(A)Sullivan'sindex (B)DALY(C)Worklossdays (D)PQLI

16.Theratiooftheincidenceofthedisease(ordeath)amongexposedandtheincidenceamongnonexposedis:

(A)Oddsratio (B)Relativerisk(C)Attributablerisk (D)Noneoftheabove

17.AnexampleforSpecificProtectionis:(A)Immunization (B)Healtheducation(C)Provisionofsafedrinkingwater(D)MDTforleprosy.

18.Leadpoisoningisanoccupationalhazardforworkersin:(A)Foundries (B)Printingpress(C)Pencilindustry (D)Nucleargenerators

19.TheprotectivevalueofCholeraVaccineis:(A)20% (B)50%(C)70% (D)90%

20.Thedrugusedinthetreatmentofleprosyis(A)Rifampicin (B)INH(C)Chloroquine (D)AZT


IIMatchthefollowing:

1. InfantMortalityrate (a)Morbidityindicator

2. Abortionrate (b)Disabilityindicator

3. Tuberculinpositivityrate (c)Mortalityindicator

4. Schoollossdays (d)HealthCareDeliveryIndicator

5. PopulationperHealthCare (e)FertilityIndicator

6. GrossNationalProduct (f)SocioEconomicIndicator.

(6x1/2=3marks)

C20805


Part1

PaperIICOMMUNITYMEDICINE

Time:3Hours Maximum:60Marks

SectionA

I. MultipleChoiceQuestions.Singleresponsetype20(separatesheetattached)

(20x1/2=10marks)

II. Matchthefollowing.Singleresponsetype6(separatesheetattached)

(6x1/2=3marks)

III.Drawandlabel:

1.Diagramtoshowtheageandsexdistributionofpopulation.

2.Adiagramtoshownaturalhistoryofdisease. (2x1=2marks)

IV.Writebrieflyon:

1.Epidemicdropsy 2.Laparoscopicsterilization

3.Jointfamily 4.IntersectoralcoordinationinPrimaryHealthCare.

5.Sourcesofessentialfattyacids. (5x1=5marks)


1.Managementofseverepneumoniainatwoyearoldchild.

2.Oralcontraceptives.

3.Nutritionalanaemia

4.FertilitytrendsinIndia

5.Culturalfactorsaffectingbreastfeeding. (5x2=10marks)

SectionB

VI.Readtheparagraphandanswerthequestions:

Aoneyearoldchildisbroughtwithahistoryofdogbiteonthehand.

1. Howdoyouclassifythebite?

2. Howdoyoumanagethecase?

3. Describetheantirabiesvaccinesavailablewithdosageschedule.

4. Whatisantirabiesserumandwhendoyouadminister?

5. Writethesignsandsymptomsofrabies.

(1+2+3+2+2=10marks)

(Contd....2)

2

VII.Writebrieflyon:

1.Socialcontrol 2.Healthpropaganda

3.Micronutrients 4.Endemicgoitre.

5.MukhyaSevika 6.SocailMarketing

7.Limitingaminoacids 8.NetReproductionRate.

9.Communityparticipation 10.Barrierstocommunication

(10x1=10marks)

Writeshortnoteson:

1.Nutritionalanthropometry.

2.Postnataladvice.

3.Functionsofahealthworkerfemale.

4.UNICEF

5.Dietsurvey

(5x2=10marks)

PaperIICOMMUNITYMEDICINE


Note: (1)Donotwriteanythingonthequestionpaper.

(2)writeyourregisternumberontheanswersheetprovided.


1. Anexampleofreferenceproteinis:

(A)Meat (B)Fish

(C)Egg (D)Pulses

2. Advantagesofintrauterinedevicesare:

(A)Simplicity (B)Inexpensive

(C)Highcontinuationrate (D)Alloftheabove,

3. Limitingaminoacidofcerealsis:

(A)Lysin (B)Methnomine

(C)Glycin (D)Valin

4. ThefollowingisrichinVitaminA:

(A)Greenleafyvegetables (B)Citrousfruits.

(C)Milk (D)Pulses

5.InfantmortalityofIndiais:

(A)58/1000livebirths (B)30/1000livebirths

(C)50/1000livebirths (D)70/1000livebirths

6. IndianMTPActallowsabortionupto:

(A)15weeks (B)20weeks

(C)24weeks (D)28weeks.

7. Demographyisrelatedcloselyto:

(A)Births (B)Deaths

(C)Deathsofinfants (D)Alloftheabove

8. Condomdecreasesofthechanceof:

(A)Azoospermia (B)Ejaculation

(C)Sexuallytransmitteddiseases(D)Abortion

9. Itismandatorytoregisterallbirthswithin:

(A)24hours. (B)1week

(C)2weeks (D)Noneoftheabove.

(Contd.....2)

2

10.Percentageofpopulationunder15yearsofageinIndiais:

(A)10% (B)15%

(C)40% (D)50%

11.Supplementaryfeedingforaninfantisstartedfrom:

(A)4months (B)6months

(C)9months (D)1year

12.Thenormalweightgainduringpregnancyis:

(A)5Kg. (B)7Kg.

(C)10Kg. (D)12Kg.

13.Thedenominatortakenforcalculationofmaternalmortalityrateis:

(A)Alldeaths (B)Livebirths

(C)Totalbirths (D)Femaledeaths

14.Asubcentrelocatedinruralareaservesapopulationof:

(A)1000 (B)2000

(C)5000 (D)10,000

15.Childguidanceclinicishelpfulfor:

(A)Delinquentchild (B)Disabledchild

(C)Childrenfrombrokenfamilies (D)Bedwettingchild

16.Theconceptofruralhealthschemewasgivenbythefollowingcommittee:

(A)Mudaliar (B)Bhore

(C)Srivastava (D)Chadha

17.Whichofthefollowinghashighestcholesterolcontent?

(A)Whitemeat (B)Redmeat

(C)Egg (D)Fish

18.Sicklecellanaemiais:

(A)Anautosomalrecessivedisorder (B)Sexlinkeddisease

(C)Deficiencydisease (D)Inbornerrorofmetabolism

19.Afamilyisdefinedas:

(A)Primaryunitofthesociety

(B)Agroupofbiologicallyrelatedindividualslivingtogetherandeatingfromacommonkitchen

(C)Agroupofpeoplelivingtogetherinahouse.

(D)Agroupwithchildrenandelderlyindividuals.

20.Apgarscoreisassessedonthebasisof:

(A)Heartrate (B)Respiration

(C)Muscletone (D)Alloftheabove. (20x1/2=10marks)

II. Matchthefollowing

1. Conventionalcontraceptive (a)Fortificationofcommonsalt

2. Eligiblecouple (b)Lowbirthweight

3. Anaemiainpregnancy (c)Currentlymarriedwomeninthereproductiveage.

4. IDD (d)Nonformalpreschooleducation

5. MDT (e)Nirodh

6. ICDS (f)Leprosy.

(6x1/2=3marks)


PartII

PaperIGENERALMEDICINE

(NewScheme)

Time:3Hours Maximum:60Marks

SectionA

I.MultipleChoiceQuestions.Singleresponsetype20(separatesheetattached)

(20x1/2=10marks)


(6x1/2=3marks)

III.Drawandlabel:

1.Pyramidaltract

2.Castsinurine

IV.Writebrieflyon:

1.WhatisStevenJohnsonsyndrome?

2.WhatisFISH?

3.Totalparenteralnutrition

4.Seronegativespondyloarthropathies

5.Methaemoglobinaemia. (5x1=5marks)


1.Extraintestinalamoebiasis

2.Anorexianervosa

3.Interferons.

4.Theophyllineintoxication

5.Chemoprophylaxisintyphoid (5x2=10marks)

SectionB


A52yearolddiabeticpresentswithfever,pleuriticpainandrustycolouredsputum.

(a)Whatisyourdiagnosis?

(b)Whatarethecommonaetiologicalagents?

(c)Whataretheclinicalfeatures?

(d)Whatisthemanagement?

(e)Whataretheothercommoninfectivediseaseindiabetics?

(5x2=10marks)

(Contd....2)

2

VII.Writebrieflyon:

1.Managementofacutebreathlessness.

2.Antihypertensivedrugs.

3.Conversiondisorders.

4.WhatisKaposissacroma?

5.Leprareactions.

6.Thenailinsystemicdisease.

7.FragileXsyndrome?

8.Whatisthemanagementofcarbonmonoxidepoisoning?

9.WhatisCRESTsyndrome?

10.Whatistheroleofantioxidants?

(10x1=10marks)


1. Hyperlipidaemias.

2. Radiologicalfeaturesofmitralstenosis

(2x5=10marks)

PaperIGENERALMEDICINE

1.MULTIPLECHOICEQUESTIONS


(2)writeyourregisternumberontheanswersheetprovided.

(3)Selectoneappropriateanswerandencirclethealphabetagainsteachquestionintheanswersheetprovided.

1. Zincdeficiencyislinkedtoallthefollowingexcept:

(A)Growthretardation (B)Diarrhoea

(C)Dermatitis (D)Infertility

(E)Anaemia.

2. WhichofthefollowingisnotspecificallyassociatedwithHLAB27?

(A)Ankylosingspondylites (B)Coeliacdisease

(C)Reiterssyndrome (D)Psoriaticarthropathy

3. Southernblothelpsinanalysisof:

(A)DNA (B)RNA

(C)Neucleicacids (D)None.

4.Hyperglycaemiacanbecausedbyallthefollowingexcept:

(A)Thiazide (B)Furosemide

(C)Propranolol (D)Diazoxide

5. Whichformoftuberculosisishighlycontagious?

(A)Laryngeal (B)Endobronchial

(C)Cavitary (D)Alltheabove

6. Whichofthefollowingisusuallynotafeatureofamoebicliverabscess?

(A)Tenderhepatomegaly (B)Jaundice

(C)Fever (D)Sterilepleuraleffusion.

7. TherateoftransmissionofHIVfrominfectedmothertofetus/infantisapproximately:

(A)100% (B)50%

(C)25% (D)10%

8. Themostcommontypeofinheritedimmunodeficiencyis:

(A)SCID (B)Agammaglobulinaemia

(C)IgAdeficiency (D)WiskotAldrichsyndrome

9. MostspecificautoantibodyforSLEdiagnosisis:

(A)AntiDNA (B)AntiSM

(C)Anticardiolipin (D)Antihistone.

10.Whichofthefollowingisnotafeatureofhypertrophicosteoarthropathy?

(A)Clubbing (B)Cyanosis

(C)Periostealnewboneformation(D)Arthritis

11.Delusionisseeninallexcept:

(A)Mania (B)Depression

(C)Anxietyneurosis (D)Schizophrenia

12.Heraldplaqueischaracteristicallyseenin:

(A)Lichenplanus (B)Pytiriasisrosea

(C)Tineaversicolar (D)Psoriasis

13.Targetlesionsarespecificto:

(A)Erythenianodosum (B)Erythemamultiforme

(C)Secondarysyphilis (D)Noneoftheabove.

14.Bamboospineiscommonlyseenwith:

(A)Ankylosingspondylitis (B)Riterssyndrome

(C)Psoriaticarthritis (D)Inflammatoryboweldisease.

15.Investigationofchoicetodifferentiatepericardialeffusionanddilationofheartis:

(A)Angiocardiography (B)Echocardiography

(C)MRI (D)CT

16.Mostseriouscomplicationofmyelogramis:

(A)Allergy (B)Arachnoiditis

(C)Transientneurologicaldeficit(D)Headache

17.AbsolutecontraindicatonofECTis:

(A)Convulsions (B)Pregnancey

(C)ICSOL (D)Bleedingdiathesis

18.Cyanidepoisoningaffectsfunction:

(A)Respiratory (B)Cardiac

(C)Renal (D)Liver

19.Medialgeniculatebodyisconcernedwith:

(A)Vision (B)Smell

(C)Hearing (D)Taste

20.NormalvalueofFEVIinadultmaleis:

(A)80% (B)95%

(C)65% (D)50%

(20x1/2=10marks)


1. Denguefever (a)HepatitisAvirus

2. Posttransfusion (b)HepatitisC

3. Tuberculosis (c)Aedes

4. CutaneousTcelllymphoma (d)Bazinsdisease

5. IVdrugabuses (e)Mycosisfungoids

6. Aplasticanaemia (f)Staphendocarditis

(6x1/2=3marks)


PartII

Paper1GENERALMEDICINE

(NewScheme)

Time:ThreeHours Maximum:60Marks

MCQsshouldbeansweredfirstintheresponsesheetprovided.

SectionA

I.MultipleChoicequestions.Singleresponsetype20(separatesheetattached)

(20x1/2=10marks)


(6x1/2=3marks)

III.Drawandlabel:

1.Pyramidaltract

2.Castsinurine.

IV.Writebrieflyon:

1.WhatisStevenJohnsonsyndrome?

2.WhatisFISH?

3.Totalparenteralnutrition.

4.Seronegativespondyloarthropathies.

5.Methaemoglobinaemia. (5x1=5marks).


1.Extraintestinalamoebiasis

2.Anorexianervosa

3.Intererons

4.Theophylineintoxication

5.Chemoprophylaxixintyphoid (5x2=10marks)


A52yearolddiabeticpresentswithfever,pleuriticpainandrustycoluredsputum.

(a)Whatisyourdiagnosis?

(b)Whatarethecommonaetiologicalagents?

(c)Whataretheclinicalfeatures?

(d)Whatismanagement?

(e)Whataretheothercommoninfectivediseaseindiabetics? (5x2=10marks)

VII.Writebrieflyon:

1.Managementofacutebreathlessness

2.Antihypertensivedrugs

3.Conversiondisorders.

4.WhatisKaposissarcoma?

5.Leprareactions.

6.Thenailinsystemicdisease

7.FragileXsyndrome.

8.Whatisthemanagementofcarbonmonoxidepoisoning?

9.WhatisCRESTsyndrome?

10.Whatistheroleofantioxidants?

(10x1=10marks)


1.Hyperlipidamias.

2.Radiologicalfeaturesofmitralstenosis.

(2x5=10marks)

C20806

Paper1GENERALMEDICINE



(2)Writeyourregisternumberontheanswersheetprovided

(3)Selecttheappropriateanswerandencirclethealphabetagainsteachquestionintheanswersheetprovided.

1. Zincdeficiencyislinkedtoallthefollowingexcept:

(A)Growthretardation (B)Diarrhoea

(C)Dermatitis (D)Infertility

(E)Anaemia

2.WhichofthefollowingisnotspecificallyassociatedwithHLAB27?

(A)Ankylosingspondylites (B)Coeliacdiseases

(C)Reiterssyndrome (D)Psoriaticarthropathy.

3. Southernblothelpsinanalysisof:

(A)DNA (B)RNA

(C)Neuclicacids (D)None.

4. Hyperglycaemiacanbecausedbyallthefollowingexcept:

(A)Thiazide (B)Furosemide

(C)Propranolol (D)Diazoxide

5. Whichformoftuberculosisishighlycontagious?

(A)Laryngeal (B)Endobronchial

(C)Cavitary (D)Alltheabove.

6.Whichofthefollowingisusuallynotafeatureofamoebicliverabscess?

(A)Tenderhepatomegaly (B)Jaundice

(C)Fever (D)sterilepleuraleffusion.

7. TherateoftransmissionofHIVfrominfectedmothertofetus/infantisapproximately:

(A)100% (B)50%

(C)25% (D)10%

8. Themostcommontypeofinheritedimmunodeficiencyis:

(A)SCID (B)Agammaglobulinaemia

(C)IgAdeficiency (D)WiskotAldrichsyndrome.

9. MostspecificautoantibodyforSLEdiagnosisis:

(A)AntiDNA (B)AntiSM

(C)Anticardiolipin. (D)Antihistone.

10.Whichofthefollowingisnotafeatureofhypertrophicosteoarthropathy?

(A)Clubbing (B)Cyanosis

(C)Periostealnewboneformation (D)Arthritis.

11.Delusionisseeninallexcept:

(A)Mania (B)Depression

(C)Anxietyneurosis (D)Schizophrenia

12.Heraldplaqueischaracteristicallyseenin:

(A)Lichenplanus (B)Pytiriasisrosea

(C)Tineaversicolar (D)Psoriasis

13.Targetlesionsarespecificto:

(A)Erythenianodosum (B)Erythemamultiforme

(C)Secondarysyphilis (D)Noneoftheabove

14.Bamboospineiscommonlyseenwith:

(A)Ankylosingspondylitis (B)Riterssyndrome

(C)Psoriaticarthritis (D)Inflammatoryboweldisease.

15.Investigationofchoicetodifferentiatepericardialeffusionanddilationofheartis:

(A)Angiocardiography (B)Echocardiography

(C)MRI (D)CT

16.Mostseriouscomplicationofmyelogramis:

(A)Allergy (B)Archanoiditis

(C)Transientneurologicaldeficit (D)Headache

17.AbsolutecontraindicationofECTis:

(A)Convulsions (B)Pregnancy

(C)ICSOL (D)Bleedingdiathesis

18.Cyanidepoisoningaffectsfunction:

(A)Respiratory (B)Cardiac

(C)Renal (D)Liver

19.Medicalgeniculatebodyisconcrnedwith:

(A)Vision (B)Smell

(C)Hearing (D)Taste

20.NormalvalueofFEVIinadultmaleis:

(A)80% (B)95%]

(C)65% (D)50%

(20x1/2=10marks)

THIRDPROFESSIONALM.B.B.SDEGREEEXAMINATION.AUGUST2002

PartII

PaperIIGENERALMEDICINE

(newScheme)


MCQsshouldbeansweredfirstintheresponsesheetprovided.SectionA

I. MultipleChoicequestion.Singleresponsetype20(separatesheetattached)(20x1/2=10marks)

II. Matchthefollowing.Singleresponsetype6(separatesheetattached)(6x1/2=3marks)

III.Drawandlabel:

1.JVP.

2.Glomerulus (2x1=2marks)

IV.Writebrieflyon:

1.Transientischaemicattack.

2.Cyanosis

3.Helicobacterpylori

4.Hypersplenism

5.Additionaldisease (5x1=5marks)


1.Sleepapnoeasyndrome.2. Thrombocytopenia

3. Goodpasteurssyndrome4. ARDS5. Atrialfibrillation.

(5x2=10marks)

SectionB

VI.Readtheparagraphandanswerthefollowingquestions:A35yearoldmalewhoisasmokerpresentedwithlossofconsciousnessandweaknessofrightsideofbody.(a)Whatisyourdiagnosis?(b)Whatarethepredisposingfactorsinthisagegroup?(c)Whataretheinvestigationsforconfirmingthediagnosis?(d)Whatisthetreatment?(e)Whatarethemeasuresthatcanbetakentopreventoccurrenceofsuchacondition?

(5x2=10marks)

VII.Writebrieflyon:

1.WhatisDawnphenomenon?

2.WhatisKussmaulssign?

3.WhatisDressler'ssyndrome?

4.Whatissubacutecombineddegenerationofthecord?

5.Alzheimersdementia.

6.WhatisAlportssyndrome?

7.ManagementofHaemophiliaA.

8.Whatiscarcinoidsyndrome?

9.Treatmentofgastrooesophagealrefluxdisease.

10.Cardiactamponade. (10x1=10marks)


1.Managementofraisedintracranialtension

2.DIC

3.Wilsonsdisease.

4.Managementofdysentery

5.Pleurallap.

(5x210marks)

PaperIIGENERALMEDICINE

1. MULTIPLECHOICEQUESTIOS

Note: 1.Donotwriteanythingonthequestionpaper.

2. Writeyourregisternumberontheanswersheetprovided.

3. Selecttheappropriateanswerandencirclethealphabetagainsteachquestionintheanswersheetprovided.

1. Lowoutputcardiacfailuremaybecausedby:

(A)Thyrotoxicosis (B)Mitralstenosis

(C)Anaemia (D)Advancedliverdisease

2. Absentanklejerkwithextensorplantarresponseisseenin:

(A)Freidreich'sataxia (B)Spinabifidaocculta

(C)AnteriorcerebralAocclusion(D)Alltheabove.

3. Autoregulationofbloodflowisnotseenin:

(A)Brain (B)Skin

(C)Kidney (D)Muscles

4. Spasticparaplegiaisseeninallexcept:

(A)Leadpoisoning (B)Motorneuronedisease.

(C)Cervicalspondylosis (D)Lathyrism

5. Mostcommonsiteofmyocardialinfarctionis:

(A)Anterolateral (B)Interventricularseptum

(C)Posterior (D)Inferiorwall

6. Curschmann'sspiralsinsputumareseenin:

(A)Bronchogeniccarcinoma (B)Tuberculosis

(C)Branchialasthma (D)Alltheabove.

7. Besttestforassessingfunctionofplateletsis:

(A)Bleedingtime (B)Perniciousanaemia

(C)Cirrhosis (D)ZullingerEllisonsyndrome

8. Resectionof90%ofstomachleadstoallexcept:

(A)Hyperparathyrodiam (B)Perniciousansemia

(C)Cirrhosis (D)ZollingerEllisonsyndrome

9. Resectionof90%ofstomachleadstoallexcept:

(A)ECFvolumedepletion (B)Hypocalcemea

(C)Anaemia (D)Diarrhoea.

10.Bleedingtendenciesarecommonin:

(A)CML (B)CLL

(C)Myclomonocyticleukemia (D)Noneoftheabove

11.Todd'sparalysisisfeatureof

(A)Grandmalepilepsy (B)Petimalepilepsy

(C)Temporallobeepilepsy (D)Jacksonianepilepsy

12.Hypochronicmicrocyticanaemiaisseeninallthefollowingconditionsexcept:

(A)Irondeficiency (B)Leadpoisoning

(C)Thalassemia (D)Thiaminedeficiency

(E)Pyridoxinedeficiency

13.Hepatorenalsyndromeischaracterisedby:

(A)Acutetubularnecrosis (B)Normalhistopathologyonrenalbiopsy.

(C)Acuteglomerulonephritis (D)Interstitialnephritis

14.Nephriticsyndromecanbecausedbyallexcept:

(A)Malaria (B)Syphilis

(C)Hepatitis (D)Mycoplasma

15.Cholestaticjaundiceisarecognisedcomplicationoftreatmentwith:

(A)Phenothiazines (B)17substitutedtestosterones

(C)Erythromycinestolate (D)Alltheabove

16.HourglassvertebraandTriradiatepelvisareseenradiologicallyin:

(A)Thyrotoxicosis (B)Myxoedema

(C)Cretinism (D)Hyperparathyroidism

17.Peripheralnerveisthickenedinallexcept:

(A)Leprosy (B)Neurofibromatosis

(C)Alcoholicneuropathy (D)Traumaticneuropathy.

18.Hypercalcimiaoccurinallofthefollowingexcept

(A)Sarcoidosis (B)Multiplemyeloma

(C)Shypethyrofism (D)MilkAlkalisyndrome

19.StringsignonbariummealXrayisusuallyassociatedwith:

(A)Ulcerativeclotis (B)Regionalileitis

(C)Atrophicgastrites (D)Paralyticileues.

20.Spidernaevioccurin

(A)Spidernaevioccurin (B)Cirrhos.ofliver

(C)Pregnancy (D)Alltheabove

II Matchthefollowing:

1. Meningoeoccalmeningitis (a)Cotrimoxazole

2. Tetanus (b)Trimethoprein

3. Pseudomembranouscolitis (c)BenzylPenciline

4. Pneumocystiscarinii (d)Metronidazole

5. Amoebiasis (e)Vancomycin

6. UncomplicatedUTI (f)TVimmunoglobulin

(6x1/2=3marks)


PaperII

Surgery

Paper1GENERALSURGERYincludingGITANDORTHOPADICS

(NewScheme)

Time:11/2Hours Maximum:30Marks

MultipleChoiceQuestionsshouldbeansweredfirstintheresponsesheetprovided.

SectionA

1. MultipleChoiceQuestionsSingleresponsetype10(Onattachedsheet)

(10x1/2=5marks)

II. Matchthefollowing(onattachedsheet)

(10x1/25marks)

III.Drawandlabel:

Bloodsupplyofstomach


1.WhatarethemalignanciesofLiver?

2.Namethepartsofextrahepaticbileduct.

3.Whatarethetypesofcolostomy? (3x1=3marks)


1.Surgicalprocedureforpepticulcer.

2.Visiblegastricperistalsis (2x2=4marks)

SectionB

VI.Readthefollowingparagraphsandanswerthequestionsgiven:

Youarewitnessingasurgeondoingperrectalexaminationonawomanwhocomplainsofmucousdischargeperannum.

1.Whatisthepatientsposition(Decubitus)duringtheexamination?

2.WhatispouchofDouglas?

3.WhatisGoodsaals'rule?

4.Whatarethecommonpositionsofprimarypiles?

5.Definepartialprolapseofrectum

(1+1+1+1+1=5marks)


1.Whatiscourvoisier'slaw?

2.WhatisLinitisplastica?

3.Whatarethepredisposingcausesofcancercolon?

4.Whatisintervalappendicectomy?

(4x1=4marks)

VIII.Shortnoteson:

1.Meckels'diverticulum

2.Pilonidalsinus

3. Warthin'stumour

(3x2=6marks)


Paper1GENERALSURGERYincludingGITANDORTHOPAEDICS

Note1.Donotwriteanythingonthequestionpaper.2. WriteyourReg.No.ontheanswersheetprovided.3. Selecttheonemost appropriate responseandencirclecorrespondingalphabet

againsteachquestionintheanswersheetprovided.4. Intheanswersheetenterthetotalnumberofyourresponseintheappropriate

boxesprovided.5. Eachquestioncarriesmark.

1. Meckel'sdiverticulumisadiverticulumof:

(A)Bladder (B)Colon

(C)Duodenum (D)Ileum2. Intussusceptioninchildrenisrelatedto:

(A)Intestinalmalrotation (B)Swollenpeyers'patches(C)Intestinalvolvulus (D)Inguinalhernia

3. Surgeryforduodenalulcerisindicatedin:(A)Gastricoutletobstruction (B)Earlyinthediseases(C)Acuteexacerbation (D)Preventionofhaemetemesis

4. CarcinomaOesophagus:(A)Mostlyoccursinwomen(B)Thereisearlydysphagiaforliquids.(C)Majorityareadenocarcinomas(D)Squamouscellcarcinomaismostcommon.

5. Cholangitisis(A)Pyelephlebitis (B)Aformofangina(C)Inflammationofbileducts (D)Thrombophlebitisofhepaticvoins.

6. Mayo'soperationisdonefortherepairof:(A)InguinalHernia (B)UmbilicalHernia(C)FemoralHernia (D)IncisionalHernia

7. Thecommonesttumourofsalivarygland:(A)Pleomorphicadenoma (B)Lymphoma(C)Carcinoma (D)IncisionalHernis

8. Electrolytedisturbanceinchromicpyloricstenosiswithvomitingtendstobe:(A)Hypochloraemicacidosis (B)HypochloraemicAlkalosis(C)Hyperchloraemicacidosis (D)HyperchloraemicAlkaaalosis

9. Heller'soperationisindicatedin:

(A)Achalasiacardia(B)Oesphagealvarices(C)Congenitalhypertrophicpyloricstenosis(D)Hiatushernia

10.Themostcommontypeofherniainfemaleis:(A)Inguinal (B)Epigastric(C)Femoral (D)Umbilical (10x1/25marks)

Paper1GENERALSURGERYincludingGITANDORTHOPAEDICS

II. Matchthefollowing

1. Heller'soperation (a)ParaumbilicalHernia

2. Thiersch'soperation (b)Achalasiacardia

3. Ramstedoperation (c)Partialprolapseofrectum

4. Mayo'soperation (d)Congenitalhypertrophicpyloricstenosis

(4x1/2=2marks)


PartII

Paper1GENERALSURGERY

SectionBOrthopaedics

Time:OneHourandaHalf Maximum=30mrks

MCQsshouldbeansweredfirstintheresponsesheetprovided.

I. MultipleChoiceQuestions.Singleresponsetype10(separatesheetattached)

(10x1/2=5marks)

II. Matchthefollowing.Singleresponsetype4(separatesheetattached)

(4x1/2=2marks)

III.DrawandlabelThomas,Splint. (1mark)


1.Brodier'sabscess,

2.Fracturepatella

3.Wristdrop

(3x1=3marks)


1.Madurafoot

2.Solitarybonecyst.


A14yearoldmalepresentswithpainandswellingoverlowerendofrightfemurof3monthsduration.Aclinicaldiagnosisofosteosarcomaismiddle.

(a)WhataretheXrayfeaturesofthiscondition?

(b)Whatwillyoudotoconfirmthediagnosis?

(c)Whatisthetreatmentofchoice?

(d)Apartfromsurgery,whataretheothermodalitiesoftreatmentyouwanttoadd?

(e)Whatarethecommonsitesofthistumour? (5x1=5marks)


1.Erb'spalsy 2.Malletfinger

3.Baker'scyst. 4.Barlow'stest. (4x1=4marks)

Writeshortnoteson:

1.Tuberculousgranuloma 2.Genuvalgum

3.Callusformation (3x2=6marks)

Paper1GENERALENGLISH

MULTIPLECHOICEQUESTIONS

Note: 1.Donotwriteanythingonthequestionpaper.

2. Writeyourregisternumberontheanswersheetprovided

3. Selecttheappropriateanswerandencirclethealphabetagainsteachquestionintheanswersheetprovided.

1. Phalenstestispositivein:

(A)Tenniselbow (B)deQuervainsdisease.

(C)Carpaltunnelsyndrome (D)Ulnarbursitis.

Soapbubbleappearanceisseenin:

(A)Osteosarcoma (B)Giantcelltumour

(C)Ewing'ssarcoma (D)Lymphoma

3. Froment'ssignispositiveinlesionsof:

(A)Ulnarnerve (B)Mediannerve

(C)Radialnerve (D)Alloftheabove

4. Gunstockdeformityoccursasacomplicationof:

(A)Supracondylarfracture (B)Capitulumfracture

(C)Fractureneckofradius (D)Fracturelateralepicondyleofhumerus.

5. Housemaidskneeisduetoinflammationof:

(A)Prepatellarbursa (B)Infrapatellarbursa

(C)Poplitealbursa (D)Suprapatellabursa

6. Carpalbonewhichcommonlyfracturesis:

(A)Scaphoid (B)Lunate

(C)Hammate (D)Pisiform

7. Mostcommoncomplicationoffractureclancleis:

(A)Nonunion (B)Malunion

(C)Nerveinjury (D)Delayedunion.

8. Giantcelltumouris:

(A)Epiphysealtumor (B)Metaphysealtumor

(C)Diaphysealtumor (D)Noneoftheabove.

9. Antalgicgaitofhipis:

(A)Stiffnessofhipjoint (B)Painfulhipgait

(C)Trendelenburggair. (D)Gaitinpolio

10.Keinbock'sdiseaseinvolves:

(A)Scaphoid (B)Radialhead

(C)Lunate (D)2ndmetatarsalhead. (10x1/2=5marks)

Paper1GENERALSURGERY


1.Gout (a)Syphilis

2. Charcot'sjoint (b)Morningstiffness

3.Sudeck'satrophy (c)Sodiumuratecrystals

4.Rheumatoidarthitis (d)Colles'fracture

(4x1/2=2marks)


Surgery

GENERALSURGERYPaperII9INCLUDESWHOLEOFSURGERYEXCLUDINGGIT)

(NewScheme)


AnswerSectionsAandBinseparateanswerbooks.

Drawdiagramswherevernecessary

Answerquestions.

SectionA

1. MultipleChoiceQuestions.Singleresponsetype20(Separatesheetattached)

(20x1/2=10marks)

II. Matchthefollowing.Singleresponsetype6.(separatesheetattached)

(6x1/2=3marks)

III.Drawandlable:

1.Variouszonesintheprostategland(Mc.Neal).

2.Highlyselectivevagotomy (2x1=2marks)


1.Recurrentlaryngealnerveparalysis.

2.Vascularcomplicationsofcervicalrib.

3.Phyllodestumour.

4.Acuteparotitis

5.Whiplashinjury (5x2=10marks)


1.Basalcellcarcinoma

2.Hypospadias

3.Ischiorectalabscess

4.Pericardialtamponade.

5.ANDI

(5X2=10marks)

VI.SectionB


ApatientunderwentsubtotalthyroidectomyforGraves'diseaseandisinthepostoperative ward and six hours after surgery he develops respiratory distress withswellingofoperatedsite.

1.Whatisthecauseofthisrespiratorydistress?

2.Whatshouldbedoneimmediatelytorelievethedistress?

3.Whatisthyroidstorm?

4. Howdoyoumanageacaseofthyrotoxiccrisis?

5. Whatpartofthyroidisleftbehindinsubtotalthyroidectomyandwhy?

(2+2+2+2+2=10marks)


1.Whatisakeloid?

2.Whatisdelayedprimaryclosureofwounds?

3.Whatissecondaryhaemorrhage?

4.Whatisepiduralanaesthesia?

5.Gasgangrene.

6.Raynaud'sphenomenon.

7.Deepveinthrombosisinalowerlimb.

8.Localgigantism.

9.Madurafoot.

10.Subduralhaemorrhage. (10x1=10marks)


1.Prostatism.

2.Seminoma

3.Postoperativetetany.

4.Retrosternalgoitre.

5.TURP

(5X210marks)

1. MULTIPLECHOICEQUESTIONSGENERALSURGERYPaperII(INCLUDESWHOLEOFSURGERYEXCLUDINGGIT)

Donotwriteanythingonthequestionpaper.Writeyourregisternumberintheanswersheetprovided.Selectonemostappropriateresponseandencirclethecorrespondingalphabetagainsteachquestionnumberinanswersheetprovided.

1. Fibrosacromas:

(A)Spreadprimarilybylymphetics. (B)Areadenomatoustumours

(C)Aretreatedbywideexcision (D)Highlyradiosensitive

2. Ketamineisa

(A)Dissociativeanaesthetic (B)Narcotic

(C)MuscleRelaxant (D)Localanaesthetic

3. Spinalanesthesiaiscarriedoutbyinjectingthelocalanestheticinto:

(A)SpinalExtraduralspace. (B)Spinalsubarachnoidspace.

(C)Caudalregion (D)Spinalveins

4. ThecolouroftheNitrous,Oxide,cylinderis:

(A)Orange (B)Black

(C)Blue (D)Brown

5. MetabolicAcidosisiscorrectedby:

(A)Calciumgluconate (B)Sodiumbicarbonate

(C)Calciumchloride (D)Sodiumchloride

6. Fourmier'sgangreneis:

(A)Idiopathicgangreneofscrotum (B)Gangreneoffingers

(C)Gangreneofthelowerlimb (D)Gangreneoflargebowel

7. Adamantinomaarisesfrom:

(A)Epithelialliningofdentalplate (B)Jawbone.

(C)Fibroustissue (D)Ameloblasts.

8. Risussardonicusisseenin:

(A)Meningitis (B)Epilepsy

(C)EarlystageofTetanus (D)Strychninepoisoning

9. Decubitusulcerisa:

(A)Venuousulcer (B)Pressuresore

(C)Nonhealingnonspecificulcer (D)Infectedtraumaticwound

10.Ahamartomais:

(A)Ahaemorrhagiccyst (B)Tumourofmuscle

(C)Atumourofbone (D)Adevelopmentalmalformation.

11.Malignantpustuleis:

(A)InfectionwithAnthrax (B)Malignantdegenerationofatumour

(C)Lifetearingspreadinginfection (D)Secondarybacterialinfectioninmalignantulcer.

12.ThetreatmentofchoiceforanearlycaseofHyperNephromais:

(A)RadicalNephrectomy (B)Radiotherapy.

(C)Chemotherapy (D)Combinationofradiotherapyandchemotherapy.

13.Lipomainthefollowingsiteinmostlikelytobecomemalignant:(A)Subcutaneous (B)Submucous(C)Retroperitoneal (D)Subsynovial

14.Themediannervesuppliesallthefollowingmusclesexcept:(A)FlexorpollicisBrevis (B)FlexorPollicisLongus(C)Opponenspollicis (D)AdductorPollicis

15.TheUlnarnervesuppliesallthefollowingmusclesexcept:(A)Firstlumbrical (B)Firstpalmarintrosseous(C)Firstdorsalintrosseous (D)AdductorPollicis

16.Wharton'sductdrainsthe:(A)Parotidsalivarygland (B)Pancreas(C)Submandibularsaliverygland (D)Gallbladder

17.TheSclerosantusedintheinjectiontreatmentofpileis:(A)5%phenolinwater (B)5%phenolinAlmondoil(C)5%Ethnolamineoleate (D)90%Alcohol

18.Thecommonestsideforcarcinomaintheanterior2/3oftongueis:(A)Tip (B)Lateralborder(C)Dorsum (D)Ventralaspect

19.Allthefollowingaresignsofcerebralcompressionexcept:(A)Bradycardia (B)Hypotension(C)Alteredsensorium (D)Vomiting

20.Greencolourdischargefromanulcerindicatesinfectionwith:(A)Staphaureus (B)Staphalbus(C)Streptviridons (D)Pseudomonuspyocyanus

GENERALSURGERYPaperII(INCLUDESWHOLEOFSURGERYEXCLUDINGGIT)


1. Reducible (a)Haemangioma2. Compressible (b)Varicocoele3. Slipperyedges (c)Kidney4. Bagofworms (d)Hernia5. Mouldable (e)Lipoma6. Ballotable (f)Sebaceouscyst

(6x1/2=3marks)

THIRDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002PartII

ObstetricsandGynaecologyPaper1OBSTETRICSincludingSOCIALOBSTETRICS

(NewScheme)Time:2Hours Maximum:40marks

MultipleChoiceQuestionsshouldbeansweredfirstintheResponseSheetprovided.

SectionAI.MultipleChoiceQuestionsSingleResponse(onattachedsheet)

(8x1/2=4marks)II.Matchthefollowing(onattachedsheet). (8x1/2=4marks)

III.DrawandLabel:1.BiparietalDiameter.2.DiagonalConjugate (1x2=2marks)

IV.Shortanswerquestions:1.SignificanceofBandl'sring.2.Glucosechallengetest.3.Cardiovascularchangesinpregnancy.4.BishopScore. (1x4=4marks)

V. Writeshortnoteson:1.Acuteleftventricularfailure2.Deliveryofsecondoftwins3.Placentapreviableedingat32weeks. (2x3=6marks)

SectionBVI.Readtheclinicaldataandanswerthefollowing:

A22yearoldPrimigravidapresentingwithmobileheadatterm:1. Whatisyourdiagnosis?2. Whatspecificclinicalexaminationyouwilldoonthispatient?3. Whatismeantbytriallabour?4. DescribethestepsofaCaesareanSection.

(1+3+3+3=10marks)VII.Shortanswerquestions:

1.Whatismeantbyengagementoffoetalhead?2.Ventouseapplication3.CompletePerinealtear.4.Objectivesofantenatalcare (4x1=4marks)

VIII.Writeshortnoteson:1.BraxtonHicksContraction.2.Pyelonephritisinpregnancy.3.TeenagePregnancy. (2x3=6marks)

1.MULTIPLECHOICEQUESTIONSPaper1OBSTETRICSincludingSOCIALOBSTETRICS

Note: (1)Donotwriteanythingonthequestionpaper.(2)Writeyourregisternumberontheanswersheetprovided.(3)Selecttheonemostappropriateresponseandencirclethecorresponding

alphabetagainsteachquestionintheanswersheetprovided.(4)Intheanswersheetenterthetotalnumberofyourresponseinthe

appropriateprovided.(5)Eachquestioncarriesmark.

1. HegarsSigninpregnancyisbestelicitedat:(A)46weeks (B)810weeks(C)1416weeks (D)1820weeks

2. Occupitoposteriorpositionismorecommonlyassociatedwith:(A)GynecoidPelvis (B)AndroidPelvis(C)AnthropoidPelvis (D)Platypelloid

3. AllthedrugsareusedtotreatPretermlaborexcept:(A)Terbutaline (B)Nifidepine

(C)AlfaMethyldopa (D)Indomethacin

4. TotalironrequirementinPregnancyis:(A)100200mgm. (B)300500mgm.(C)8001000mgm. (D)10002000mgm.

5. Spalding'ssignappearsasearlyas:(A)6hrs. (B)24hrs.(C)48hrs. (D)1week

6. Allthemaneuversareusedinmanagementofshoulderdystociaexcept:(A)McRobert's (B)Wood's(C)Lovset's (D)Rubin's

7. Earlyclampingofcordisindicatedinalldeliveriesexcept:(A)Rhnegative (B)Fetalasphyxia(C)Prematurity (D)Postmaturity.

8. AntidoteforMagnesiumSulphatetoxicityis:(A)Sodabicarb (B)CaGluconate(C)25%Dextrose (D)Mephentine.

(8x1/2=4marks)

Paper1OBSTETRICSincludingSOCIALOBSTETRICS


1. MonozygoticTwins (a)ReticulocyteCount

2. Alfafetoprotein (b)Wernicke'sEncephalopathy.

3. Breech (c)Hydramnios

4. Protermlabour (d)Renalagenisis

5. Deeptransversearrest (e)Ext.version

6. Anaemia (f)Meningocoele

7. Hyperemesis (g)Tocolytics

8. Oligohydramnios (h)AndroidPelvis.

THIRDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002PartII

ObstetricsandGynaecologyPaperIIGYNAECOLOGYincludingFAMILYWELFAREANDDEMOGRAPHY

Time:2Hours Maximum:40MarksMultiplechoiceQuestionstobeansweredfirstintheResponsesheetprovided

SectionAI. MultipleChoiceQuestions(onattachedsheet) (8x1/2=4marks)II. Matchthefollowing(onattachedsheet) (8x1/2=4marks)III.Drawdiagramandlabel:

(a)Attachmentsofuterosacralligament.(b)MicroscopicstructureofHydatidifommole (2x1=n2marks)

IV.Shortanswerquestions:1.Follicularstudy 2.Meig'ssyndrome3.TVVaginitis 4.Norplant (4x1=4marks)

V. Writeshortnoteson:1.Triphasicpills2.Rectocoele3.CystoglandularHyperplasia (3x2=6marks)

SectionBVI.Readthisreportanswerthefollowing:

55yearoldobese,hypertensiveanddiabeticladycomplainingofbleedingpervaginum.1.Whatisthemostprobablediagnosis?2.Discusstheclinicalfeaturesofthatcondition.3.Discussonereliableinvestigationfordiagnosingthecondition.4.WhatarethestepsofAbdominalhysterectomy?

(1+3+3+3=10marks)VII.Shortanswerquestions:

(a)Azoospermia(b)Femalecondom(c)CINIII(d)ImperforateHymen (4x1=4marks)

VIII.Writeshortnoteson:1.Lymphaticdrainageofcervix.2.MTPActofIndia3.Ovulationpain.

(3x2=6marks)

1.MULTIPLECHOICEQUESTIONSPaperIIGYNAECOLOGYincludingFAMILYWELFAREANDDEMOGRAPHY

Note: (1)Donotwriteanythingonthequestionpaper.(2)Writeyourregisternumberontheanswersheetprovided.(3)Selecttheonemostappropriateresponseandencirclethecorresponding

alphabetagainsteachquestionintheanswersheetprovided.(4)Intheanswersheetenterthetotalnumberofyourresponseinthe

appropriateprovided.

(5)Eachquestioncarriesmark.1. Hyperprolactinaemiacanproduce:

(A)Infertility (B)Galactorrhoea.(C)Amenorrhoea (D)Alloftheabove.

2. Danazolisusedinallofthefollowingexcept:(A)Endometriosis (B)Hirsuitism(C)Fibroid (D)DUB

3. Intrauterinedevicescanbeusedfor:(A)Postcoitalcontraception (B)AshermanSyndrome(C)Contraception (D)Alloftheabove.

4. Germcelltumorsoftheovaryarethefollowingexcept:(A)Brennertumor (B)Dysgerminoma.(C)Teratoma (D)Endodermalsinustumor

5. Retentionofurinecanbecausedbyallexcept:(A)Pelvichaematocoele (B)Fundalanteriorfibroid(C)Retrovertedgraviduterus (D)Cervicalfibroid

6. ColposcopicfindingssuggestiveofCINareallexcept:(A)Acetowhiteepithelium (B)Mosaicism(C)Ectopion (D)Punctation

7. Commonestsiteoftubalgestation:(A)Isthmial (B)Cornual(C)Ampullary (D)Fimbrial

8. Genitaltractdevelopsfrom:(A)Mullerianducts. (B)Wolfianducts(C)YolkSac (D)Cloaca (8x1/2=4marks)

PaperIIGYNAECOLOGYincludingFAMILYWELFAREANDDEMOGRAPHY

III.Matchthefollowing:

1.Postmenopausalbleeding (a)Conebiopsy

2.CINIII (b)Pheumoperitoneum

3.Choriocarcinoma (c)Ecotopicgestation

4.AriesStellareaction (d)Recurrentabortion

5.Germcelltumour (e)Danazol

6.Cervicalincompetence (f)Methotrexate

7.Chocolatecyst (g)Dysgerminoma

8.Laparosocopy (h)Caendometrium

(8x1/2=4marks)

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mbbs question paper