Second Professional MBBS Degree Supplementary Examinations July 2023 Pathology - Paper II (Systemic Pathology) Time: 3 Hours Total Marks: 100 Answer all questions to the point neatly and legibly • Do not leave any blank pages between answers • Indicate the question number correctly for the answer in the margin space Answer all parts of a single question together • Leave sufficient space between answers Draw table/diagrams/flow charts wherever necessary
Long Essays (2x15=30)
1. A 7-year-old boy presents with puffiness of eyelids, decreased urine output of 6 days duration. Clinical examination reveals generalized edema and mild hypertension. Urine examination reveals numerous RBCs and mild proteinuria. He gives a history of a sore throat 3 weeks ago. A renal biopsy is performed. (a) What is your provisional diagnosis (b) Describe the pathogenesis of this condition (c) What features do you expect to see in the renal biopsy (d) What is the outcome of this disease (2+5+6+2) 2. (a) Define pneumonia (b) Describe the types, stages, morphology and complications of lobar pneumonia. (1+4+3+4+3)
Short essays (5x8=40)
3. Pathogenesis of Atherosclerosis 4. Gross and microscopic features of myocardial infarction 5. Obstructive uropathy 6. Benign gestational trophoblastic diseases 7. Prognostic and predictive factors for breast carcinoma
Short answers (5x4=20)
8. Dysgerminoma ovary 9. Emphysema – aetiopathogenesis and classification 10. Basal cell carcinoma of the skin 11. Morphology of Hashimoto thyroiditis 12. Radiologic and morphological features of osteogenic sarcoma
Objective type questions (10x1=10)
13. Name the carcinoma that arises in the background of Barret esophagus 14. What is the stain for H. pylori 15. What is the appearance of hepatocytes in hepatitis B infection 16. Name the mode of inheritance of Adult Polycystic Kidney Disease 17. Name the types of gall bladder calculi 18. Name two neoplasms of the adrenal gland 19. Name the common molecular abnormality in carcinoma colon 20. Name the grading system for prostatic carcinoma 21. Name the condition associated with mature thyroid tissue in a benign cystic teratoma of the ovary 22. What is sequestrum ***********************