General Medicine Paper-2 (Main), 2020 MBBS Batch ABVMU Lucknow

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, LUCKNOW
MBBS DEGREE EXAMINATION - IIIrd PROFESSIONAL - PART-II, FEB 2025
GENERAL MEDICINE - PAPER - II
SECTION A - Multiple Choice Questions (MCQs)

PAPER CODE: 2512130011
SET: D

Note:

Choose one correct answer in the OMR sheet provided. No overwriting should be done.

Time: 20 Minutes
(20 x 1 = 20 MARKS)

1. What is the primary focus of the AETCOM module in medical education?
   a) Enhancing patient-doctor communication & ethical
   b) Developing diagnostic imaging skills
   c) Focusing on pharmacological advances
   d) Teaching advanced surgical techniques

2. Which of the following is the most common renal manifestation of SLE?
   a) Membranous nephropathy
   b) Lupus nephritis
   c) Focal segmental glomerulosclerosis
   d) Minimal change disease

3. What is the most common side effect of antipsychotic medications?
   a) Extrapyramidal symptoms
   b) Hyperkalemia
   c) Rash
   d) Hypertension

4. Which imaging modality is the gold standard for diagnosing ischemic stroke in the acute phase?
   a) MRI with diffusion-weighted imaging
   b) CT angiography
   c) Carotid Doppler
   d) CT scan without contrast

5. What is the primary pathological change in chronic obstructive pulmonary disease (COPD)?
   a) Pulmonary embolism
   b) Pulmonary edema
   c) Fibrosis of lung parenchyma
   d) Destruction of alveoli and airway inflammation

6. Which radiological stage of sarcoidosis involves bilateral hilar lymphadenopathy without parenchymal involvement?
   a) Stage II
   b) Stage III
   c) Stage IV
   d) Stage I

7. Which is the most commonly used disease-modifying anti-rheumatic drug (DMARD) for RA?
   a) Sulfasalazine
   b) Hydroxychloroquine
   c) Leflunomide
   d) Methotrexate

8. Which of the following drugs is used for the acute treatment of gout?
   a) Colchicine
   b) Febuxostat
   c) Probenecid
   d) Allopurinol

9. Which vitamin deficiency causes pellagra, characterized by diarrhea, dermatitis, and dementia?
   a) Vitamin B2
   b) Vitamin B3
   c) Vitamin B6
   d) Vitamin B1

10. What is the gold standard diagnostic test for bronchiectasis?
    a) High-resolution CT scan
    b) Pulmonary function tests
    c) Bronchoscopy
    d) Chest X-ray

11. Which of the following is a strategy to minimize polypharmacy in elderly?
    a) Review medications regularly
    b) Discontinue all medications at once
    c) Prescribe high doses initially
    d) Start multiple drugs simultaneously

12. Which cancer is most commonly associated with asbestos exposure?
    a) Mesothelioma
    b) Adenocarcinoma
    c) Renal cell carcinoma
    d) Small cell lung cancer

13. Which clinical sign is most indicative of neurotoxic envenomation from a cobra bite?
    a) Hemorrhage from the bite site
    b) Necrosis at the bite site
    c) Persistent hypotension
    d) Ptosis and dysphagia

14. What is the primary treatment for mild acne?
    a) Retinoids
    b) Topical benzoyl peroxide
    c) Oral isotretinoin
    d) Oral antibiotics

15. What is the most common cancer worldwide?
    a) Breast cancer
    b) Cervical cancer
    c) Prostate cancer
    d) Lung cancer

16. Which cancer is most commonly associated with smoking?
    a) Lung cancer
    b) Bladder cancer
    c) Pancreatic cancer
    d) All of the above

17. What is the drug of choice for multibacillary leprosy?
    a) Rifampin alone
    b) Dapsone and clofazimine
    c) Isoniazid
    d) Rifampin, dapsone, clofazimine

18. What is the hallmark symptom of schizophrenia?
    a) Memory loss
    b) Hallucinations and delusions
    c) Impulsivity
    d) Depression

19. What is the antidote for OP poisoning?
    a) Naloxone
    b) Flumazenil
    c) N-acetylcysteine
    d) Atropine

20. Which EEG finding is characteristic of absence seizures?
    a) Generalized slowing
    b) Focal sharp waves
    c) Triphasic waves
    d) Spike & wave discharges at 3Hz

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, LUCKNOW
MBBS DEGREE EXAMINATION - IIIrd PROFESSIONAL - PART-II FEB 2025
PAPER - II - GENERAL MEDICINE
TIME: 3 Hrs
Max. Marks: 100 Marks (80 Theory + 20 MCQs)

NOTE:

• Attempt all questions.

• This question paper consists of two sections: Section A - Multiple Choice Questions and Section B - Theory Questions.

• Both sections have different paper codes. Write the correct paper code on the respective sheet.

• Write the correct MCQ paper set on the OMR sheet.

• Answer MCQs on the provided OMR sheet and theory questions in the provided answer booklet.

SECTION B - THEORY QUESTIONS

PAPER CODE: 2512230011

Q.1 Long Answer Question (15 MARKS)

i) Define epilepsy. (3 marks)
ii) Discuss classification of seizures. (6 marks)
iii) How will you manage the case of status epilepticus? (6 marks)

Q.2 Clinical Case Scenario-based Structured Question (15 MARKS)

A 62-year-old male presents to the outpatient clinic with a 5-day history of fever, productive cough with yellowish sputum, and shortness of breath. He also complains of fatigue and chest discomfort during coughing. He has a history of smoking 20 cigarettes per day for 35 years but no known chronic illnesses. On examination:

• Temperature: 38.9°C

• Respiratory rate: 24 breaths/min

• Blood pressure: 110/70 mmHg

• Oxygen saturation: 92% on room air

• Auscultation: Bronchial breath sounds and crackles in the right lower lung zone.

• Chest X-ray: Reveals consolidation in the right lower lobe.

• Laboratory investigations:

  • WBC count: 15,000/mm³ (neutrophilia present)

  • CRP: Elevated

Questions:

i) What is the most likely diagnosis, and how would you classify its severity? (2 marks)
ii) Which pathogens are most commonly associated with this condition? (3 marks)
iii) What diagnostic tests are required to confirm the diagnosis and identify the causative organism? (5 marks)
iv) Outline the empirical antibiotic therapy for this condition in both outpatient and inpatient settings. (5 marks)

Q.3 Short Note Question (Approx. 500 Words) (5 x 6 = 30 MARKS)

i) Myasthenia gravis
ii) Systemic lupus erythematosus
iii) Cobra bite
iv) Complications of Chronic Alcohol Use
v) Bipolar disorder

Q.4 Short Answer Questions (Within 100 Words) (5 x 4 = 20 MARKS)

i) First line anti-tubercular drugs
ii) Psoriasis
iii) Dementia in elderly
iv) Paraneoplastic syndrome
v) Gout

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