KGMU- Jan. 2023
M- 014M
MBBS FINAL PROFESSIONAL (PART- 1) EXAMINATION,2023
OPHTHALMOLOGY
Time Allowed: Three Hours
Maximum Marks- 100
Note: Atempt all questions in serial order. Answer Section-A and Section-B in separate answer books. All parts
of a question should be answered together. Illustrate your answer with suitable diagram where required.
Figures in parenthesis indicate marks allotted to a question.
Section-A
Ler.
Q2.
Describe Aphakia and its optics. Enumerate the visual problems that arises due
to unilateral Aphakia. Discuss optical rehabilitation of Aphakia.
Write briefly on:
va Pupillary pathway
(20)
(4x5)
(bDefine Blindness and visuál impairment. Write briefly on National
Programme for Control of Blindness in India
(c) Corticosteroids: Indications and side effects in Ophthalmology
Q3.
a) LASERs used in Ophthalmology
Multiple Choice Questions:
1. Direct Ophthalmoscopy may be used to see all EXCEPT
a. Red glow of the fundus
b. Lenticular opacity
C.. Optic disc cupping
d. Peripheral lattice degeneration
2. All are true about humnan eye EXCEPT
a. It is hypermetropic at birth
b. Its dioptric power is around 60D
c. The refractive index of aqueous humor and vitreous humor is same
d. Itissupplied by branches of external carotid artery
3. Allof the following structures are ectodermal in origin EXCEPT:
a.
b.
C.
d.
Optic vesicle and optic cup
Conjunctival epithelium
Extraocular muscles of the eye
Human crystalline lens
4. Primary metabolic pathway in human lens is:
a. Embden -Meyerhof -Parnas (EMP) Pathway
b. Pentose Phosphate Pathway
c. Tricarboxylic Acid Cycle
d. Sorbitol Pathway
5.
Blindspot of the eye is at:
a. Macula
b. Nodal point of the eye
c. Optic Disc
d. Limbus of the eye
1Ox1)
2023
Jan.
KGMU-
7.
b. C. d.
8.
a.
9.
C.
Clear
10.
a.
C. d.
(20)
(4x5)
thein
glaucoma
Mention
(10x1)
1.
d))Risk
Q3.
a. b.
C.
A
2.
a.
C.
primary
the
may
describe
of
of
He
one
control
of
sports.
Preservation:
andmanagement
in
seen
vision
for
during
is
Strategy
degeneration
of
Prodrug:
prematurity)
diminution
ball
the
(ARMD)
Corneal
for:
and
EXCEPT
tennis
SAFE
option
Section-Bclassification
a
in:
detachment
is
Donor
epithelium Degeneration
progressive
used
by
following
under
of
treatment
(Retinopathy
diseases
trauma
is a.Phacoemulsification
surgery
for
surgery
surgery
recommended
5-Florouracil
Sympathetic
ophthalmitis
d.
Retinal
medium
definition,
the
pigment
painless
following
Macularblunt
is
filtration
Multiple
Choice
Questions:
among
Transplant
extraction
Retinal
detachment
Pterygium
surgery
Choroidal
rupture
Corneal
laceration
d.
Rhegmatogenous
ROP
sustained
angle
glaucoma.
narrow
b.Rosette
cataract
Retinoblastoma
b.chamber
a Moist
d.Cephalosporin
following
diseases.
Hypermetropia
Azithromycin
b.
of
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of
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MK not Tetracycline
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a.
for Retinal Related the
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Presbyopia
causes
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d.
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C.
terms
Trachoma
is:
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Ketorolac
b. Diclofenac
Viral
b factors
Sa keratitis
Write
briefly
on:Iridodialysis
b.Myopia
all
CornealAlcohol d.Optisol
Antibiotic
lens
Following
Primary Age person
develop
Which
6.
.Q2.
3.
Chalazion can have all the clinical features
EXCEPT
a. Commonly seen in second
of
decade
age.
b.
Painful and tender condition
c. Treated by incision and
d. Can contribute to visual curettage
symptoms if large
4. The most common intra-ocular
malignant tumor in adults is
a. Malignant melanoma
b. Ocular lymphoma
C. Retinoblastoma
d. Retinal hemangioma
5. The morphological classification of cataract includes
a. Rose cataract
b. Sunflower cataract
C. Lily cataract
d. Blue Bell cataract
6. Keratoconus is can be induced in young adults due to
one of the
following activities
a. Excessive blinking
b. Excessive use of steroid eye drops
C. Excessive rubbing of eyes
d. Excessive intake of vitamin A
7. The corona virus induced pandemic has seen increased incidence of
one of the following diseases.
a. Cataract
b. Glaucoma
C. Bacterial conjunctivitis
d. Ocular mucormycosis
8. Aqueous humour is relatively rich in one of the following vitamins
a. Vitamin A
b. Vitamin C
C. Vitamin D
d. Vitamin E
9. The most common refractive error seen the young adults is
a. Myopia
b. Hypermetropia
c. Presbyopia
d. Astigmatism
10. A 10 year old child presents with bilateral diminution of vision and has
history of prolonged oral steroid intake. The most likely diagnosis
should be
a. Glaucoma
b. Uveitis
c. Cataract
d. Corneal opacity
****** *
KGMU-Jen. 2023
KGMU- Jan 2023
M- 013M
MBBS FINAL PROFESSIONAL (PART- 1) EXAMINATION, 2023
Forensic Medicine & Toxicology
Time Allowed: Three Hours
Maximum Marks- 100
Note: Attempt all questions in serial order. Answer Section-A and
of a question should be answered together. IlIlustrate your Section-B in separate answer books. All parts
answer with suitable diagram where required.
Figures in parenthesis indicate marks allotted to a question.
Section-A
Q1.
A female aged 21 years was found dead on road in early
morning with
clothes torn and
with multiple fresh injuries allover his body.Police has brought the body
for
(20)
postmortem.
a) What are probable causes of death you will look for
during autopsy?
wb) What samples will be preserved during autopsy?
V) Define Injury and classify injuries.
Q2.
Write briefly on:
a Criminal Negligence in Medical Practice
o McNaughten's Rule
Jey Plumbism
YDifferentiate between Rigor mortis and Cadaveric spasm
Q3.
Ten Multiple Choice Questions:
1. Which body cavity shall be opened first in a suspected case of
Strangulation?
a
b.
Head
Thorax
C.
Abdomen
d. Any cavity may be opened
2. Revealing the identity of rape victim by the doctor or nurse who conducted
the medical examination is punishable offense under
Section 222A IPC
b. Section 224A IPC
C. Section 226A IPC
d. Section 228 A IPC
3. Postmortem clot is characterized by all, EXCEPT
a.
Currant jelly appearance
b. Does not conform to the shape of vessel
c.
Lines of Zahn
d. Friable and easily detachable
4.
Cephalic index is maximum for:
a
Dolico-cephalic
b. Mesati-cephalic
c. Brachy-cephalic
d. Allof above
5.
Fabricated wounds are mostly:
a. Abrasions
b. Incised wounds
Contusions
d.
Lacerations
(4x5)
(10x1)
KGMU- Jan. 2023
6. Which of the following will putrefy last
a.
Heart
b. Spleen
C.
Uterus
d.
Brain
7. Formication is
a. Olfactory hallucination
b. Tactile hallucination
C. Auditory hallucination
d. Visual hallucination
8. Which of the following is not an example of professional misconduct?
a.
b.
C.
d.
Splitting fee
Sexual relationship with patient
Operating after consuming alcohol
Administration of wrong dosage
9. Which of the following is most common type of fingerprint pattern?
a. Loop
b.
C.
Arch
Whorl
d. Composite
10. Which of the following IPCis in relation to the offence of stalking a women?
a. 304B
b. 345
C.
506
d. 354
Section-B
A 35 years male was found unconscious on the roadside, his breathing is slow and
stertorous, breath smells strongly of alcohol, mouth dry, tongue furred and profuse
salivation, skin cold & clammy&& pupils dilated.
a) Enumerate the differential diagnosis
(20)
b) Signs &symptoms of its acute poisoning
c) Steps for doing medicolegal examination of such case
Q2.
Write short notes on:
se IPC376
(4x5)
(b) Semen bank
Q3.
Ses Causes of male impotency
ef Anti-snake venom
Multiple Choice Questions:
1. True statement is allI EXCEPT:
a. Vera coupula constitutes erectio, intromossio & ejaculation
t
Impotence is a valid cause for nullity of marriage but sterility is not
C. Impotentia ejaculandi & ejaculatio precox are no bar to consummation of
marriage
d. Impotency in males is passive
2. Pygmalionism is a sexualdeviation, where sexual gratification is obtained by
a. Obscene language
b. Smelling or handling fecal matter
c. Viewing or handling nude statues
d. Sight of large fires
3. Condition mimicking strychnine poisoning is:
a. Intermeningeal spinal haemorrhage
b. Epileptic fits
C. Hysterical states
d.
Allof above
(10x1)
KGMUJen,
2023
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4.
Spal ey
202n
Jan.
KGMU-
M016M
2023
parts
required.
All
Maximum
Marks100
books.
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EXAMINATION,
answer
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Epidemiological
syndrome
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is:
for
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KGMU2023
Jan
2023
parts
required.
Maximum
Marks100 All
books.
where
EXAMINATION,
diagram
answer
separate
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(20)
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2023
KGMU-Jan.
EXCEPT;
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5.
KGMU- Jn. 2023
M- 015M
MBBS FINAL PROFESSIONAL (PART- 1) EXAMINATION, 2023
E. N.T.
Time Allowed: Three Hours
Maximum Marks- 100
Note: Atempt all questions in serial order. Answer Section-A and Section-B in separate answer books. All parts
of aquestion should be answered together. llustrate your answer with suitable diagram where required.
Figures in parenthesis indicate marks allotted to a question.
Section-A
A17 year old male presented to emergency OPD with complaint of profuse epistaxis.
What should be immediate management? How will you further evaluate the patient?
Write about etio-pathogenesis and management of the disease
Q2.
Write briefly on:
e Draw Labeled diagram of a normal indirect laryngoscopy finding?
Hitselberger's sign
eGradinego's Syndrome
Q3.
ey Frey's syndrome
Multiple Choice Questions:
1, "Cone of light" is seen in
a.
Malleolar fold
b. Handle of malleus
e
Anterior inferior quadrant
d. Stapes
2. Impedance audiometry is for pathology of:
External ear
a.
b. Middle ear
C.
Mastoid air cell
d.
Inner ear
3.
Allof the following are seen in bell's palsy EXCEPT.
a. Ipsilateral facial palsy
Ipsilateral -loss of taste sensation
C.
.
Hyperacusis
Ipsilateral ptosis
4. In acoustic neuroma, cranial nerve to be inyolved earliest is.
a. 5
b.
C.
d.
7
10
9
5. A child aged3 years, presented with severe sensorineural deafness was
prescribed hearing aids but, showed no improvement. What is the next line of
management?
a. Fenestration surgery
b. Stapes mobilization
L
d.
Cochlear Implant
Conservative
(20)
(4x5)
6. Which of the following best differentiates antrochoanal polyp from ethmoidal
polyp?
a, They are multiple<
V6. Best seen on posterior rhinoscopy
C. They are bilateral
d. Recurrence on polypectomy <
7. A35 years old male presented with nasal discharged, facial pain and fever
which subsided with acourse of antibiotics and antihistaminics, which
recurred again after 2 months. O/E mucopurulent discharged from middle
meatus, and inflamed sinusopeinings, investigation of choice:
a., X-ray PNS
8. NCCT PNS
C.
d.
MRIof the face
Inferior meatal puncture
8. Killian's dehiscence is seen in
a. Superior constrictor
b. Inferior constrictor
C. Middle constrictor
d. None
9. Nodes of Rouvier:
a. Retropharyngeal node
b. Parapharyngeal node
C.
Adenoids
d.
None
10. Trotter's triad is seen in
a. Nasopharyngeal ca
b. Maxillary sinusitis
c. Maxillary ca
d. Angiofibroma
Section-B
Q2.
Enumerate the causes of otalgia. Describe etiology, pathology, clinical features and
management of acute suppurative otitis media.
Wrjte short notes on:
vá) Osteomeatal complex
Singers nodules
es Indications of tracheostomy
ef Anatomy of tonsil and tonsillar bed
Q3.
Multiple Choice Questions:
1. Treatment of congenital subglottic stenosis
a. Tracheostomy
b.
Serial dilatation
C. Laryngotracheoplasty
t . All of the above
2. Portwine stain in the area of distribution of trigeminal nerve with angioma of
cerebral cortex are features of
Va. Sturge-Weber syndrome
b. Treacher collin's syndrome
C. Pendred syndrome
d. Cri-du-chat syndrome
3. Treatment of subglottic haemangioma is
It regresses spontaneously
b. Tracheostomy
s
Steroid therapy
d.
All of the above
(20)
(2x10)
(10x1)
KGMU- Jan, 2023
4. Laryngotracheal cleft presents with
Stridor
. Recurreent aspiration
C. Toneless cry
All ofthe above
5. Neuhauser's anomaly is
VA Double aortic arch
b. Aorta passing right of the trachea
C. Left pulmonary artery passing posterior to trachea
d. Anomalous innominate artery
6. Child presenting with stridor, dyspnoea, harsh cough, had sudden reflex
apnoca during bronchoscopy, the cause may be
a.
Double aortic arch
b. Anomatous innominate artery
C. Neuhauser's anomaly
d. Large pulmonary artery
7. Indentation of esophagus on barium swallow in children can be due to
a.
Aberrant subclavian artery
b. Neuhauser's anamoly
e Double aortic arch
d. Allof the above
8. Vascular anomalies in children in the region of trachea can be treated by
a.
b.
t
9
Tracheostomy
Endotracheal intubation
C. Surgical correction of deformity
All of the above
Most reliable sign in an acutely obstructed (respiratory)child is
va. Cyanosis
b. Rising pulse
c. Flaring of nostril
d.
Substernal recession
10. Operating microscope used for larynx is of focal length of
a
400 mm
b
300mm
C
200 mm
d.
600 mm
***** *