Patho Pyq 2.0
Patho Pyq 2.0
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PATHOLOGY PYQs
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Version 2.0
Abir Debnath
Batch 17, AGMC
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PAPER 1
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● GENERAL PATHO
● HEMATOLOGY
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● LYMPHOMA
● AETCOM
● GENETICS
PAPER 2
● All Systemic Ds
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● CVS & BLOOD VESSELS 12
GIT 13
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● RENAL PATHOLOGY 14
● RESPIRATORY PATHO 15
● HEPATOBILIARY & PANCREATIC DISORDERS 16
● BREAST PATHOLOGY 17
● FEMALE GENITAL TRACT DISORDERS 17
● MALE GENITAL TRACT DISORDERS 18
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● GENETIC DISEASES AND PAEDIATRIC 19
● CNS PATHOLOGY 19
● ENDOCRINE PATHOLOGY 19
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● MUSCULO SKELETAL PATHOLOGY 20
● SKIN PATHOLOGY 21
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5. Define metastasis. 2016
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Explain the hyperchromasia of nuclei and anaplasia in malignant neoplasm. 2016
What is paraneoplastic syndrome or Short Note ? 2013 2016 2019 2021
6. 3a + 1 + What is a tumor giant cell? Give an example.
7. Chemical carcinogens 2013
8. Classify neoplasia with eg.
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Routes and mechanism of metastasis.
9. Hyperplasia vs Neoplasia. 5 2014
10. Define neoplasm. 2
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CELL INJURY & ADAPTATION
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6. Write a short note on dystrophic calcification. 2,6 2008, 09, 2014, 19 pct
7. Write a short note on metaplasia. 2 (X2),6 ,4 2014,17,19 pct, 12 pct, 08, 07, 10
8. Difference between hyperplasia and neoplasia. 5 2014 sup
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a. What type of healing will take place in a lacerated wound resulting from a road
traffic accident?
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b. Describe the mechanism of healing in such a wound. 2017 ,pct
c. Enumerate the factors influencing wound healing ***. 1+6+3 /2019
d. mention the local and systemic factors that affect wound healing.
e. What is regeneration? 2014
f. Complication of healing in skin wounds SN
2. What is repair?
a. Describe healing by secondary intention + 1.c
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3. Chemical mediators of acute inflammation. 2x 2021, 2010 pct
4. Define inflammation. ***** Define acute inflammation **** 07, 08, 09, 10,22
a. Enumerate the chemical mediators of Acute inflammation right from onset up
to killing and degradation with mechanism in brief 2021. OR
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b. Describes with diagram cellular events in acute inflammation + vascular
events 2017, 22, 10, pct
c. Give an account of the fate of acute inflammation (or) Outcomes of it 2019,
18, 12, 22
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a. Types?
b. Describe tubercular granuloma with a diagram.
c. Describe the mechanism of its evolution
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HAEMODYNAMIC DISORDER,
THROMBOEMBOLISM & SHOCK
1. Differentiate between
a. Thrombosis and Embolism 5 2019 2021
b. Transudate and exudate 2022, 2012, 18, 17, 14
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2. Define thrombosis/ thrombus
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Define briefly the pathogenesis and fate of thrombosis *2022,09,10
Factors of thrombus 2+6+2 2018, 19
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What is decompression sickness? How will you avert this situation?
A mother died of amniotic fluid embolism. How will you prove it?
2+3+3+1+2 2017, 2014
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Describe the pathogenesis of fat and amniotic fluid embolism. 2015, 09
+ Describe the morphological features of the area where impaction of an embolus
has occurred in a blood vessel of a solid organ? 3 2015
4.
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A. Define infarction.
B. Classify infarct.
C. Describe the gross appearance of the infarct of a solid organ.
D. What is the organization of infarct? 2+4+2+2 2016, 2019
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IMMUNOLOGY
1. Write a short note on stains of amyloid.(X4) 2 2013, 2019 sup, 2017,2017 pct
2. Define amyloidosis. Classify and mention pathogenesis. 6 2019 sup
3. Type III Hypersensitivity . 2 2019
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4. Type IV hypersensitivity. 2 2018,12,13, 3- 22 ,
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5. Type I hypersensitivity 2 2016,09,15,21
6. Difference between immunity and hypersensitivity . 10s
7. Secondary amyloidosis. 3 -08 , 5-09
AETCOM
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1. Role of autonomy in bioethics* 2. Pillars of bioethics** 3. Paternalism
4. Legal surrogate
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RBC DISORDERS
1. a. Briefly describe the etiology of megaloblastic anemia.
b. Specify the lab diagnostic investigation in a suspected case of megaloblastic
anemia.
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2. SN :
a. Sickle Cell Anemia 2019
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b. Reticulocyte. 2009
4. Difference b/w
a. Thalassaemia & hemoglobinopathy. 2016, 15
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5.
a. Classify anemia according to i) etiology. 2016, 13, 15
b. Elaborate on the morphological classification of anemia 2021
c. Pathogenesis of Megaloblastic Anemia.
d. Peripheral smear and bone marrow picture of this type of anemia. 2016 , 2021 /
PCT
8. A five-year-old boy presented with severe anemia, moderate splenomegaly and mild
icterus. He has a history of repeated blood transfusion. His elder sister also suffers
from the same problems.
a. Probable diagnosis
b. Brief pathogenesis of the disease.
c. Outline of the lab investigation to confirm the disease. 2018, 12
9. A 5 years old child is suffereing from growth retardation & easy fatiguability. On
examination he is found to have pallor, mild icterus & moderate splenomegaly. His
13 years old sister has been taking repeated blood transfusion for last few years &
also has splenomegaly. 5-07
● a) What is your provisional diagnosis?
● b) What are the investigations you would advise?
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● c) Lab investigation findings.
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● d) Classification of the disease.
11.Why is the ESR of patients with sickle cell anemia low. 3 2022
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12.A 58-year-old vegetarian woman presented with numbness of limbs and soreness of
tongue. Her hemoglobin level was found to be 7.5 gm/dl and MCV was 115 fl. 2022
(a) What is the provisional diagnosis?
(b) Name the relevant laboratory investigations in this case.
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(c) Briefly describe the expected findings of laboratory investigations.
13.A 50 year old man comes to a hospital with severe anemia ,glossitis, loss of appetite,
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EXTRAS
14.Schilling test
15.Megaloblast
16.Pancytopenia
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17.Hydrops foetalis
18.Sickle cell ds. PCT
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4. A 5 yr old has been brought to the OPD with a history of becoming very pale for the
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last 2-3 weeks. On examination, there are multiple palpable lymph nodes in his neck
and a few purpuric spots on his skin. 2+2+6 16
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a. What is the provisional diagnosis?
b. What is purpura? Explain the cause of purpuric spots in this case.
c. What investigations may be done to establish the diagnosis?
5. A 40-year-old lady is feeling weak and having pallor with a low-grade fever for the last
one month. On abdominal examination, there is a huge hepatosplenomegaly. There
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is no sternal tenderness. 2+2+6 16 sup
a. What is the probable diagnosis?
b. What are the different phases of this disease?
c. What are the laboratory findings expected in such cases?
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6. A 50 yr old man attended medical OPD with a medical history of pallor, tiredness
with massive liver and spleen enlargement. 2+2+6 09 sup
a. What is your provisional diagnosis?
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1.
a. What are the important clinical features of acute myeloid leukemias?
b. Give the classification and describe the method of lab diagnosis. 3+3+4 14
Medicine ward. Laboratory report show Hb: 7 gms/dl, TLC: 1.5 lacs/cu.mm. On
examination, sternal tenderness present with mild hepatomegaly..
a. What is your probable diagnosis. AML
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3. Difference between
a. leukemoid reaction and leukemia. 5 15, 22
b. myeloblast and lymphoblast. 5 2017, 2021
c. Lymphocytic depletion and lymphocytic predominance Hodgkin,s lymphoma
5 2018
d. Hodgkin vs Non Hodgkin Lymphoma
4.
a. Classify hodgkin’s lymphoma
b. Describe the M/E of any two types. 2 +4+4 2016, 2009
5. Short Notes
a. Blast crisis 2 18
Pathology PYQ | Abir Debnath | Batch 17 AGMC | 2022-23
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b. Leukemoid reaction . 2 19,16,pct 08,17,12
c. Philadelphia chromosome 2 19 ,5 19,12 pct
d. Burkitt Lymphoma. 2 2012
e. What is leukemia? 2 2021
6. Reed Sternberg cell ( pathognomic cell of HL ) – SN or 2021
Brief note on cytomorphology of Reed Sternberg Cell. 5 2019, 22
or Describe the morphological variants of RS cell with diagram. 2009
7. Write the peripheral blood picture of CML. 5 17, 18 pct, 2021
8. Write down the FAB classification of Acute Leukemia. 5 pct 10,12
9. Mention it's distinguishing features from CML. Pct 08
10. A 58 years old male presented with severe back pain. He was anaemic & his X-ray
skull showed a punched out osteolytic lesion. His ESR was very high &blood grouping
was very difficult due to roulex formation.
a. Discuss etiology, pathogenesis & lab investigations.
11.
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a. Write briefly on pathogenesis of multiple myeloma.
b. Describe it's bone marrow findings
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c. What is plasmacytoma? 5+3+2 Pct 08
12. Relative lymphocytosis and eosinophilia . 2.5 PCT 08
13.Name three special stains (cytochemical) used in lab diagnosis of leukemia. 3, 22
14.Name the subtype of classical Hodgkin lymphoma. 3 ‘22
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PLATELET DISORDER / HAEMOSTASIS DISORDER
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1. Immune Thrombocytopenic Purpura (ITP) 2 2019, 2021, PCT
2. Etiology of thrombocytopenia. (2) (2017)
3. Lab Dx of hemophilia. 2021
4.
a. What is purpura?
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7. A 28 years old woman presented with tiny cutaneous bleeding spots all over the body
for duration of one month. She gave history of menorrhagia and two episodes of
epistaxis during last six months. On physical examination multiple petechial spots
were found on skin and oral mucosa. 3-10,5-07
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8. 5 yr old boy brought to OPD with H/O of becoming pale for last 2-3 weeks. O/E there
are multiple palpable lymph nodes in his neck and few purpuric spots.
a. Probable Dx.
b. What is purpura?
c. Explain the cause of purpuric spots.
d. Investigations. 2016
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16. Name various casts of urine. 2022
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Abir Debnath
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PAPER 1
● GENERAL PATHO
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● HEMATOLOGY
● LYMPHOMA
PAPER 2
● All Systemic Ds
3. MI
a. Complications of MI. 3 10,12, 2019, 2022
b. Lab Investigations. 08, 10
c. Etiopathogenesis. 08, 10 , 12
d. Morphological changes of MI 08, PCT
e. Describe the risk factors of MI. 3 2012
f. Enumerate the serum cardiac markers and its changes in MI. 5 2012
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g.
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4. Atherosclerosis
a. Write the pathogenesis of atheroma mentioning the factors affecting
formation. 4 2019
b. Describe an atheroma , microscopic fts 4 2019, 2008
c. Mention the complications of atheroma. 4 2019
d. Atheroma - SN 2 2009
e. Define atherosclerosis. 2009
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f. Pathology of atherosclerotic plaque formation. 2012
g. Components of ath. Plaque. 2007
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5. Describe the pathogenesis of Rheumatic carditis and the effects of this disease in the
layers of the heart. 4 + 3 + 3 2015
8.
a. Define Rh Fever 2009
b. Etiopathogenesis 2009
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9. A 55-year-old man - acute severe left-sided chest pain with rapid pulse rate, sweating
and fall in blood pressure.
a. What is your probable diagnosis?
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10.A 8-year-old boy presented to pediatrics OPD with history of fever & migratory joint
pain involving large joints for duration of 10 days. He gave history of sore throat/
pharyngitis & fever 2 weeks prior to onset of joint pain.On physical examination, he
was febrile and his right wrist joint was found to be acutely inflamed. 2021
A. Provisional Dx? B. Investigations.
C. Discuss briefly the salient pathological and morphological changes of
cardiac/ endocardial lesion in the ds.
D. Lab investigations in the support e. Complication f. Diagnostic criteria.
G. Etiopathogx
2.
a. Enumerate ulcerative lesions in the GIT.
b. Describe macroscopic and microscopic pictures of any one type.
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c. Mention any two complications of that ulcer. 4+4+2 = 10
2019, 2014, 2021
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3. Briefly describe the pathogenesis of colonic adenocarcinoma. 3 2022
4. Differentiate between
a. Ulcerative colitis and Crohn’s disease. 5 2018, 2012, 2009
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b. Benign and malignant ulcer of the stomach. 5 2022
5.
a. Enumerate ulcers of the small intestine.
b. Describe the pathophysiology of any of them.
c. Write down the complications of typhoid ulcer. 2+4+4 2017
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6.
a. Describe the gross and microscopic features of the peptic ulcer of the stomach.
2012, 2010
b. What are the possible complications in such cases? 4+3+3 2015
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7.
a. What do you mean by Enterocolitis?
b. Describe the etiopathogenesis and pathology of Inflammatory Bowel Disease
in brief . 2014
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9. A 45 year old male having pallor and weakness for the last two months. He is also
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giving a history of alteration of his bowel pattern i.e alternate diarrhea and
constipation for the same.
a. What is the probable diagnosis?
b. How can you explain the cause of pallor and weakness?
c. What investigations will help you to diagnose the condition and how? 2016
10.A 40 years female presented with abdominal pain, diarrhoea, moderate anaemia,
loss of body weight, evening rise of temp. & night sweating. On imaging
investigations multiple ulcers were found in her small bowel. Her ESP was found to
be 120 mm/1st hour.
a. What is your probable diagnosis? - TB Ulcer
b. What are differential diagnoses?
c. Distinguish them.
12. Gastric Ca. - Gross, M/E fts, morphological types, macro + micro gastric adeno
Ca,Early gastric Ca, WHO clssfc, Spread 2009,11
RENAL PATHOLOGY
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1. What is hydronephrosis? 2 2022 PCT
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Enumerate the causes of unilateral and bilateral hydronephrosis. 4,
2022
Describe the urinary findings on acute pyelonephritis. 6
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3.
a. Define nephrotic syndrome. 2
b. Enumerate the causes. 4
c. Pathophysiology of edema in nephrotic syndrome. 4 2022,12,10,08
d. Briefly discuss the pathogx & pathology of any cause of np synd. 2008
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e. Write the urinary findings of any one of the condition leading to np syndrome.
PCT
2009, 2014
7. Short notes:
a. Diabetic Nephropathy. 2 2012,11,08 PCT
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8.
a. Classify glomerulo nephritis.
b. Describe the salient pathological fts of one glomerulonephritis.
c. Complication occurring due to glomerulonephritis. 2010
9. 5 year old girl - general edema and recurrent infection for last one month
a. What is the provisional diagnosis? 2
10.A 5 year old boy presented with fever, pufiness of face, genaralised sweling of body,
passage of dark coloured urine of one week history. Urine examination shows
massive proteinuria. 09,08s,4-07,4-08,4-11,5-08,5-09
a. What is your probable diagnosis?
b. How will you proceed to investigate this case?
c. What is the fate of the child?
d. Pathogenesis & complications.
e. Lab findings
11.Etiopathogenesis of glomerular ds. PCT
12. SN - PCT
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a. RPGN
b. Glomerular crescent
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13.
a. Classify tumors of kidney. PCT
b. Describe the macro and microscopic fts of any 1 of them. PCT
14.
a. Describe various mechanism of glomerular injury leading to kidney ds. PCT
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b. Classify primary glomerular ds. PCT
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RESPIRATORY PATHO
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1. Short Notes
a. Lobar Pneumonia. 2 2019
b. Pancoast tumor. 2 2018
c. Pulmonary embolism. 2 2018
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10.A male patient aged 40 years is complaining of cough, haemoptysis& loss of weight
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for the last 2 months. 4-12,5-07,4-10
a. What are the possible conditions that he can be suffering from?
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b. How will you proceed to investigate the case?
c. Morphology features & prognosis.
d. Classification of the diseases.
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b. Enumerate the causes of hemoptysis. 2
c. Pathogenesis & Lab Dx of Pulmonary TB. 3 + 3 2009, 2014
12.
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a. Define bronchietesis? PCT
b. Predisposing factors & pathogx?
c. Morphological fts.
d. What are its sequelae?
13. Small cell Ca, Bronchopneumonia, Obst vs Restrictive Lung Ds, Honeycomb lung,
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5. Explain why:
a. Usually serum AST and ALT are significantly arises in viral hepatitis. 5
2022
6.
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10.
a. Enumerate the aetiologies of liver cirrhosis. 4
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b. Describe the macro and microscopic fts of any 1 type. 4
c. Mention complications of the particular type. 2 2014
11.
a. Enumerate the causes of inflammation of the liver
b. Write the morphology of the liver in any 1 type
c. Mention the fates of this type of inflammation. 2016
12.A 40-year-old man - a chronic alcoholic, has come to the OPD with swelling of his
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abdomen, that is, ascites and history of hematemesis.
a. What is the provisional diagnosis?
b. How can you account for the sites and hematemesis?
c. write in brief the pathogenesis
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d. what are the expected findings of the site ascitic fluid 2019
13.A 50-year-old male patient presented to the OPD with mild icterus ,
hepatosplenomegaly and edema of legs. Patient had a history of hematemesis once.
Imaging shows nodularity of liver.
a. What is your most probable diagnosis?
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BREAST PATHOLOGY
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7. A 64-year-old woman presented with a hard and fixed lump in her left breast with an
enlarged hard lymph node in her left axilla.
a. What is your provisional diagnosis of the breast lesion?
b. Name the relevant investigations in such a case.
c. Classify disease condition. 2+3+5=10 2022
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FEMALE GENITAL TRACT DISORDERS
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1.
a. Describe the tumors of the ovary. 3
b. Describe the germ cell tumors. 7 2021
2.
a. Classify the ovarian tumors. 4 2017, 2013
b. Describe the macro + microscopic picture of a tumor arising from any germ cell
origin. 3 + 3 2017
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c. Describe the macro + microscopic picture of serous cystadenoma of ovary.
2013
3.
a. Define carcinoma in situ.
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b. Write briefly the etiopathogenesis of squamous cell carcinoma of the cervix.
c. Describe the pap smear and its role. ** 2+4+4 2012
4. SN
a. Krukenberg tumor. 2017, 2013 **
b. Benign cystic teratoma. 2 2015
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5.
a. What is Cervical Intraepithelial Neoplasia (CIN) of cervix?
b. What are the gross or macroscopical pictures of the lesion?
c. Mention the factors leading to Cervical Ca.
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a. Classify tumors of testis
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b. Describe the macroscopic and microscopic fts of any 1. 2016
5. Define teratoma
a. Classify germ cell tumor of testis.
b. Describe the commonest testicular tumour with diagram. 2009
6. Benign Cystic Teratoma. 2015
1.
th GENETIC DISEASES AND PAEDIATRIC
Turner Syndrom- SN. 2021, 2017, 13, 16
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2. Down Syndrome 2019,2018
3. Klinefilter Syndrome. 2019, 2013, 2017, 2016
4. Trisomy of 18. 2009
5. Difference between Kwashirokor and Marasmus. 2017, 2013
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CNS PATHOLOGY
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2. The glucose level of CSF in pyogenic meningitis is markedly low. Give reason.
2022
3. Short Notes.
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ENDOCRINE PATHOLOGY
1. Short Notes
a. Papillary carcinoma of thyroid 2021
b. Glycosylated HbA1C. 2021, 2014, 2009
c. Hashimoto thyroiditis 2 2019
d. Diabetic nephropathy 2 2012
2. Name one benign and two malignant tumors of the thyroid. 3 2022
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e. Mention the complications of this condition
f. What is the role of estimation of HbA1c in such cases? 2016
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6. A 10-year-old boy presented with an evening rise of fever, wt loss, and enlarged
matted neck gland.
a. What is probable Dx? 2
b. Lab Investigation 4
c. Describe the histology of affected gland 4 2013
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7. A 50 yr old male - increased appetite, thirst along with frequency of micturation. O/E
big toe of right foot was found ulcerated.
a. Prov Dx?
b. Investigations
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c. Pathogx
d. Complications
8. A 50 year old person - tiredness, excessive thirst and his disturbed sleep due to
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nocturia.
a. What is the professional diagnosis?
b. How will you investigate?
c. Describe the complications of this disease. 2017
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4. Difference between
a. Sequestrum & involucrum. 5 2022, 2018
b. Mature and immature teratoma. 5 2022
6. A 10-year-old boy presented with swelling over knee with pain for last 3 months.On
X-ray show a bony swelling arises from the upper end of the tibia with evidence of
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new bone formation.O/E swelling was tender & warm.
a. What is your provisional diagnosis?
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b. Origin & classical radiological features of this lesion
c. Microscopic features of different types of this lesion.
SKIN PATHOLOGY
1. Give example of malignant and benign tumor of skin
th THANK YOU
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