SECONDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002 PaperIPATHOLOGY(includingLABMEDICINEANDGENERALPATHOLOGY) Time:ThreeHours Maximum:40marks SectionA I.MultipleChoiceQuestions.Singleresponsetype8(Separatesheetattached) (8x1/2=4marks) II. Matchthefollowing.Singleresponsetype8.(Separatesheetattached) (8x1/2=4marks) III.Drawandlabel: (a)CVClung. (b)Granuloma. (2x1=2marks) IV.

Shortanswerquestions: (a)Whatisdiapedesis? (b)Whatistigeredeffectoftheheart? (c)Nametwoaberrationsofnormalwoundhealing (d)WhatisLynoshypothesis? V. Writeshortnoteson: (a)Fineneedleaspirationcytology. (b)PrincipleofBenedictstest. (c)Caissonsdisease. (3x2=6marks) SectionB VI.Readthisparagraphandanswerthefollowingquestions: A25yearoldman,presentedwithheadache,andaremittantstepladderpatternof fever,relativebradycardia,andanerythematousrashontheabdomeninthesecond week. (a)Whatisyourprovisionaldiagnosis? (b)Namefourinvestigationstosupportyourdiagnosis. (c)Whatisthemorphologyoftheileuminthecondition? (d)Namesixmajorcomplicationsofthiscondition.(1+2+4+3=10 marks) VII.Writeshortanswerquestions: (a)Whatisdystrophiccalcifcation? (b)Whatismetaplasia? (c)WhatisthedefectinNiemannPickdisease? (d)Namethevirusesassociatedwithhumancervicalcancer.(4x1=4 marks) VIII.Writeshortnoteson:

(4x1=4marks)

(a)FactorsinfluencingESR. (b)Stepsinphagocytosis. (c)Stepsinchemicalcarcinogenesis. (3x2=6marks)

Paper1PATHOLOGY(includingLABMEDICINEANDGENERALPATHOLOGY) 1.MULTIPLECHOICEQUESTIONS Donotwriteanythingonthequestionpaper.Writeyourregisternumberintheanswer sheet provided. Select one most appropriate response and encircle the corresponding alphabetagainsteachquestionnumberintheanswersheetprovided. 1. Theprocessofcoagulativenecrosisischaracteristicofhypoxicdeathinalltissues except: (A)Heart. (C)Spleen (A)Glycogen (C)Hemosiderin (A)Ceruloplasmin (C)Superoxidedismutase (A)Trypanosomacruzi (B)Lung (D)Brain (B)Melanin (D)Bilirubin (B)Transferrin (D)CytochromeP450 (B)Leishmaniadonovani

2. PerlsPrussionbluetestisthehistochemicaltestforthedemonstrationof:

3. Allthefollowingareantioxidantsexcept:

4. Intracellularparasitesincludeallofthefollowingexcept: (C)Toxoplasmagondi (D)Isosporabelli. 5. HeparLobatumisadistinctivelesionduetoscarringin: (A)Typhoid (C)Salmonellosis (A)Riboflavin (C)Thiamine. (B)Syphilis (D)Amebiasis. (B)Niacin (D)Pyridoxine (B)RNAoncogenicviruses. (D)Radiationcarcinogens

6. WernickeKorsakoffsyndromeisduetodeficiencyof:

7. Amestestisusedtodetect: (A)DNAoncogenicviruses (C)Chemicalcarcinogens.

8. LibmanSacksendocarditisischaracteristicof:

(A)Syphilis (C)SLE

(B)Rheumaticheartdisease. (D)Coronaryarterydisease. (8x=4marks)

Paper1PATHOLOGY(includingLABMEDICINEANDGENERAL PATHOLOGY) II. A)Matchthefollowing: (a)Bronzeddiabetes (b)Pinocytosis (c)Alzhiemersdisease (d)SLE B (a)Mallorybody (b)TGF (d)Anaphylatoxins (i)Endothelialcellcontraction. (ii)Intracellularhyalinedeposit (iii)C3aC5a. (8x=4marks) (iv)Growthinhibitor (i)AntibodiestodoublestrandedDNA. (ii) 2Amyloidprotein. (iii)Uptakeofsmallsolubleparticles fromexternalenvironment. (iv)Hemochromatosis.

(c)Immediatetransientresponse

SECONDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002 PaperIIPATHOLOGY(includingHEMATOLOGYANDSYSTEMIC PATHOLOGY) Time:ThreeHours Maximum:40marks SectionA I. MultipleChoiceQuestions.Singleresponsetype8(Separatesheetattached). (8x1/2=4marks) II. Matchthefollowing.Singleresponsetype8.(Separatesheetattached) (8x1/2=4marks) III.Drawandlabel: (a)BloodpictureinCML (b)ReedSternbergcell IV.Writeshortanswers: (a)Namethreeinfectionsassociatedwithsplenomegaly. (b)WhatisTurcotssyndrome? (c)WhatareCrescents? (d)Whatispseudomyxomaperitonei? V. Writeshortnotes: (a)SequelaeofHBVinfection. (b)Hyalinemembranedisease. (c)GrossandmicroscopicpictureofHashimotosthyroiditis.(2x3=6 marks) (4x1=4marks) (2x1=2marks)

SectionB VI.Readtheparagraphandanswerthefollowingquestions: A38yearoldwoman,presentswithahardlumpinthebreast,fixedtotheskin,and axillarylymphadenopathy. (a)Whatisyourprovisionaldiagnosis? (b)Whichpreoperatireinvestigationwillprovethediagnosis? (c)Whatistheetiopathogenesisofthiscondition? (d)Whatisthelikelygrossandmicroscopicpicture?(1+2+4+3=10 marks) VII.Writeshortanswers: (a)Whatishydronephrosis? (b)WhichlungcancersareassociatedwithACTHandADHsecretion? (c)WhatisBarretsesophagus? (d)WhatisWarthinstumour? VIII.Writeshortnotes: (a)Laennecscirrhosis. (b)Phyllodestumor. (c)Schwannoma (3x2=6marks) (4x1=4marks)

Paper1IPATHOLOGY(includingHEMATOLOGYANDSYSTEMIC PATHOLOGY) 1.MULTIPLECHOICEQUESTIONS Donotwriteanythingonthequestionpaper.Writeyourregisternumberintheanswer sheet provided. Select one most appropriate response and encircle the corresponding alphabetagainsteachquestionnumberinanswersheetprovided. 1. Leucocytealkalinephosphataselevelsareelevatedin: (A)AML. (C)CLL (B)CML (D)Myeloidleukemoidreaction.

2. Sicklingisenhancedbyallthefollowingexcept: (A)HighconcentrationofHbs. (C)LowpO2. (B)LowpH (D)HighconcentrationofHbF.

3.Emphysemaassociatedwith 1antitrypsindeficiency: (A)Panacinar. (B)Centriacinar.

(C)Distalaccuar.

(D)Irregular

4. Crounsdiseaseischaracterizedbyallofthefollowingexcept: (A)Noncaseatinggranulomas. (B)Strictures (C)Superficialmucosalulceration(D)Skiplesions 5. Thefollowingaretrueofnasopharyngealcarcinomaexcept: (A)CommoninSouthEastAsia.(B)Poorprognosis (C)EBrisimplicated (D)Occursexclusivelyinmales. 6. ThePopcorncellcharacterizes: (A)LymphocytedepletionHodjkinsdisease. (B)Nodularsclerosis (C)Mixedcellularity (D)LymphocytepredominantHodgkinsdisease. 7.Plummersdiseaseis: (A)Diffusetoxicgoitre. (C)Plunginggoitre. (B)Nodulartoxicgoitre. (D)Subacutethyroditis. (B)Burkitslymphoma (D)Gastriccarcinoma (8x1/2=4marks)

8.EpsteinBarrvirusisassociatedwithallofthefollowingexcept: (A)Infectiousmononucleosus. (C)Nasopharyngealcarcinoma

paperIIPATHOLOGY(includingHEMATOLOGYANDSYSTEMIC PATHOLOGY) II. Matchthefollowing: A 1.Verrocaybodies 2. Hypercalcemia 3. AstierCollerstaging 4. Strumaovaril (a)Teratoma (b)Schwonnoma (c)Bronchogeniccarcinoma (d)Colorectalcancers.

1.Ureasplittingbacteria 2. Skiplesions 3. CallExnerbodies 4. Pseudopolyps

(a)Crohnsdisease.

(b)Ulcerativecolitis (c)Staghorncalculi (d)Granulosacelltumors. (8x1/2=4marks)

SECONDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002 MICROBIOLOGYPaper1 Time:Twohours Maximum:40Marks Answerallthequestions. Drawdiagramswherevernecessary MCQsshouldbeansweredfirstintheresponsesheetprovided. SectionA 1. MultipleChoiceQuestions.Singleresponsetype8(separatesheetattached)

(8x1/2=4marks) II.Matchthefollowing.Singleresponsetype8(Separatesheetattached)(8x1/2=4 marks) III.Drawandlabel: 1.Autoclave. 2.Bacterialcellwall IV.Shortanswerquestions: 1.DifferencebetweenExotoxinandEndotoxin. 2.MentionKoch'spostulates. 3.Functionsofthecomplement 4.DifferentiationbetweenClassicalandEltorvibrio. V. Writeshortnoteson: 1.VDRL 2.THRCagents. 3.Helcobacter

(4x1=4marks)

(3x2=6marks) SectionB

VI.Readtheparagraphandanswerthefollowing: A 24 years male came to the STD clinics with Fever, Myalgia and Mucocutaneousrash.Hegavepasthistorysexualexposureandpainlessulceroverthe genetalia. 1. Whatistheserologicaltestcommonlydone? 2. Whatisyourdiagnosis? 3. WhattypeofAntigenAntibodyreactions? 4. Whatarethespecificserologicaltestsdoneforthisclinicalconditions? (1+2+2+5=10marks) VII.Shortanswerquestions: 1.Mentionnonvenerealtryponemaldrugs. 2.Whataretheaetiologyofpostoperativewouldinfections? 3.IMVICtest 4.TransmissionandlesionsproducedbyBacillusAnthrax(4x1=4 marks) VIII.Writeshortnoteson: 1.Hotairoven 2.Bacterialvaccines3.Coagulasetest (3x2=6marks)

MICROBIOLOGYPaper1 1. MULTIPLECHOICEQUESTIONS 1. Donotwriteanythingonthequestionpaper. 2. Writeyourregisternumberintheanswersheetprovided. 3. Selectonemostappropriateresponseandencirclethecorrespondingalphabetagainst eachquestionnumberintheanswersheetprovided. 1. Phagocytosiswasdiscoveredby: (A)RobertKoch (C)EdwardJenner (A)2024hours (C)1520seconds. (A)Cterminal (C)Aterminal (A)Agglutination (B)Burnet (D)Metchnikoff (B)1520minutes (D)2448hours (B)Bterminal (D)Nterminal (B)Precepitation (D)Floculation (B)Betahaemolysis (D)Nohaemolysis (B)Cranialnerves (D)Venousblood (B)Infectivestage (D)Susceptability (B)Vibro (D)Clostridium (8x1/2=4marks)

2. Thegenerationtimeofmistofthebacteriais:

3. Variableportionofantibodymoleculeis:

4. Reactionofsolubleantigenwithantibodyisknownas: (C)Complementfixationtest (A)Alphahaemolysis (C)Gammahaemolysis (A)Vialymphatics (C)Arterialblood (A)Carrierstage. (C)Immunity (A)Salmonella (C)Treponema

5. Thestreptococuspneumoniaeproduceonbloodagar:

6. Themodeofspreadoftetanusneurotoxinfrombloodtobrainis:

7. ViantigenofSalmonellaishelpfultofindout:

8. Darlingmovementsareseenin:

MICROBIOLOGYPaper1 II. Matchthefollowing: A 1.Dicktest 2. Schicktest 3. Montouxtest 4. Freistest B 1.Swigellaflexneri 2. Proteus 3. Vibriocholera 4. Pseudomonas (a)Lymphogranuloma (b)Scarletfever (c)Diphtheria (d)Tuberculosis (a)Gramnegative,motile,aerobic (c)Gramnegative,motile,aerobis. (d)Gramnegative,motile,pigmenters. (8x1/2=4marks)

(b)Gramnegative,singlepolarflagella

SECONDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002 MICROBIOLOGYPaperII Time:TwoHours Maximum:40marks MCQsshouldbeansweredfirstintheresponsesheetprovided. SectionA I.MultipleChoiceQuestions.Singleresponsetype8(separatesheetattached). (8x1/2=4marks) II.Matchthefollowing.Singleresponsetype8(separatesheetattached)(8x1/2=4 marks) III.Drawandlabel: 1.EgsofSchistasomes. 2.GametocytesofP.Falciparum. VI.Shortanswerquestions: 1.Mentiontheprophylaxisofpoliomyelitis. 2.MorphologyofBacteriophageanduses. 3.Morphologyandexaminationofcryptococcusneoforms. 4.MorphologyofE.Histolytica. V. Writeshortnoteson: 1.LaboratorydiagnosisofToxoplasma. 2.Cryptosporidium. 3.Dermatophytes (3x2=6marks) SectionB VI.Readtheparagraphandanswerthefollowingquestions: 24yearsoldmansufferedmanyattacksofdiarrhoeawhichhasnowbecome continuouswithFlatulenceandabdominaldistension.Stoolexaminationrevelled round,bilestainedwithunsegmentedovumandouterrugositiesofthickalbuminous coat. (a)Whatisthediagnosis? (b)Whatarethecomplicationsofthisinfection? (c)Explainconcentrationtechniqueofstoolexaminationforova/cyst. (4x1=4marks) (2x1=2marks)

(1+3+6=10marks) VII.Writeshortanswerquestions: 1.WhatisthedifferencebetweenBacteriaandViruses? 2.NamethevectorsofArboviralinfectionsandonedesiretransmittedbythem. 3.Casoni'stests. 4.Morphologyandexaminationofcryptococcus. VIII.Writeshortnoteson: 1.ProphylaxixofRabies 2.Opportunisticmycoticinfections. 3.Larvamigrans. (3x2=6marks) (4x1=4marks)

MICROBIOLOGYPaperII 1. MULTIPLECHOICEQUESTIONS 1.Donotwriteanythingonthequestionpaper. 2.Writeyourregisternumberintheanswersheetprovided. 3.Selectonemostappropriateresponseandencirclethecorrespondingalphabetagainst each questonnumberintheanswersheetprovided. 1. DoublestandardRNAisseenin: (A)Retrovirus (C)Reovirus (B)HIVvirus (D)Rhabdovirus (B)Infectionsmononucleosis (D)ECHOviralinfection

2. PaulBunneltestisusefulinthediagnosisof: (A)Cytomegalovirusinfection (C)Hipessimplexinfection 3. Myocarditisiscausedby: (A)Measlesvirus (C)E.BVirus (A)Binucleatecyst. (C)Mononucleatecyst. (A)Sandfly (C)Mosquito (B)Influenzavirus (D)Trophozoiteform. (B)Quadrinucleatecyst. (D)Trophozoiteform. (B)TseTsefly (D)Reduvidbug.

4. InfectiveformofE.histolyticais:

5. TrypanasomaCruzitransmittedby:

6. Oviparousparasiteis: (A)Enteriobius (C)Wuccheraria (A)Microsporum (C)Candidaalbicans (A)Klebsillae (C)V.cholerae (B)Dracunculus (D)Trichinella (B)Epidermophyton (D)Microsporum. (B)Salmonella (D)Shigella. (8x1/2=4marks)

7. Chlamidosporesarepresentin:

8. Noninflamatorygutinfectionisproducedby:

MICROBIOLOGYPaperII II. Matchthefollowing: A. 1.Negribodies 2. H.Pbodies 3. Guarnierbodies 4. Bollingerbodies (a)Smallpox (b)Fowlpox (c)Rabies (d)Molluscumcontagiosum.

B.

1.Beef 2. Pork 3. Crab 4. Fish

(a)T.Saginata (b)T.Solium (c)D.latum (d)P.Westermani (8x1/2=4marks)

SECONDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002 MICROBIOLOGYPaperII Time:TwoHours Maximum:40marks MCQsshouldbeansweredfirstintheresponsesheetprovided. SectionA I.MultipleChoiceQuestions.Singleresponsetype8(separatesheetattached). (8x1/2=4marks) II.Matchthefollowing.Singleresponsetype8.(separatesheetattached)(8x1/2=4 marks) III.Drawandlabel: 1.EgsofSchistasomes. 2.GametocytesofP.Falciparum. IV.Shortanswerquestions: 1.Mentiontheprophylaxisofpoliomyelitis. 2.MorphologyofBacteriophageanduses. 3.Morphologyandexaminationofcryptococcusneoforms. 4.MorphologyofE.Histolytica. V.Writeshortnoteson: 1.LaboratorydiagnosisofToxoplasma. 2.Cryptospordium. 3.Dermatophytes SectionB VI.Readtheparagraphandanswerthefollowingquestions: 24yearsoldmansufferedmanyattacksofdiarrhoeawhichhasnowbecome continuouswithFlatulenceandabdominaldistension.Stoolexaminationrevelled round,bilestainedwithunsegmentedovumandouterrugositiesofthickalbuminous coat. (a)Whatisthediagnosis? (b)Whatarethecomplicationsofthisinfection? (c)Explainconcentrationtechniqueofstoolexaminationforova/cyst. (1+3+6=10marks) VIII.Writeshortanswerquestions: 1.WhatisthedifferencebetweenBacteriaandViruses? 2.NamethevectorsofArboviralinfectionsandonedesiretransmittedbythem. 3.Casoni'stests. 4.Morphologyandexaminationofcryptococcus. (4x1=4marks) (3x2=6marks) (4x1=4marks) (2x1=2marks)

IX.Writeshortnoteson: 1.ProphylaxixofRabies 2.Opportunisticmycoticinfections. 3. Larvamigrans (3x2=6marks) SECONDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002 MICROBIOLOGYPaperI Time:TwoHours Maximum:40marks MCQsshouldbeansweredfirstintheresponsesheetprovided. SectionA I.MultipleChoiceQuestions.Singleresponsetype8(attachedseparatesheet). (8x1/2=4marks) II.Matchthefollowing.Singleresponsetype8.(attachedseparatesheet)(8x1/2=4 marks) III.Drawthediagramofnephronandmarkthesiteofactionofvariousgroupsof diuretics. (2marks) IV.Explainthepharmacologicalbasisforthefollowing: (a)Mannitolinacutecongestiveglaucoma. (b)Atropineinpreanaestheticmedication. (c)Lowdoseaspirininmyocardialinfraction. V. Writebrieflyon: (a)Adverseeffectsofdigoxin (b)Therapeuticusesofbenzodiazepines SectionB VI.Readtheproblemcarefullyandanswerthefollowingquestions: Aladyaged45years,weighing50kgs.Attendedaclinicwithsignsandsymptomsof severe anaemia. On investigation, she was found to have microcytic hypochromic anaemia.Shewasstartedonoralirontherapybutshecouldnotcontinuethetherapyas shedevelopedseverenauseaandvomiting.Thephysiciandecidedtostartparenteral irontherapy.Herperipheralbloodpicturewasagainexamined.Herhaemoglobinwas 69%. (a)Nametwoparenteralironpreparationsthatcanbeusedinthiscondition. (b)Bywhatroutetheycanbeadministered? (c)Whatisthetotaldoseofironrequiredandinhowmanyinjections/daythe treatment canbecompleted? (2x2=4marks) (3x2=6marks)

(d)Namefourindicationsforparenteralirontherapy. (2+2+4+2=10marks) VII.Explainthebasisforthefollowingdrugcombination: (a)LevodopawithcarbidopainParkinsonism. (b)Halothaneandnitricoxideasgeneralanaesthetics. (c)Lignocaineandadrenalineaslocalanaesthetic. VIII.Writebrieflyon: (a)Newsantidepressants. (b)ClinicalusesofH1blockers. (2x2=4marks) (3x2=6marks)

1.MULTIPLECHOICEQUESTIONS PHARMACOLOGYPaper1 Note: 1.Donotwriteanythingonquestionpaper. 2.Writeyourregisternumberintheanswersheetprovided. 3.Selectonemostappropriateresponseandencirclethecorrespondingalphabet againsteachquestionnumberintheanswersheetprovided. 4. Multiple choice questions should be answered first in the response sheet provided. 1. Thedrugthatmustbegivenonlyintravenouslyis: (A)Noradrenaline (C)Salbutamol (A)Chlorpromazine (C)Flumazenil (A)Meningits (B)Adrenaline (D)Ephedrine (B)Atropine (D)Diphenhydramine (B)Respiratoryparalysis (D)Hypotension. (B)Pyridostigmine (D)Pilocarpine

2. Thespecificantidotefordiazepamoverdosageis:

3. Themostcommonadverseeffectofspinalanaesthesiais: (C)Caudaequinasyndrome (A)Physostigmine (C)Bethanachol

4. Thedrugusedtotreatmyastheniagravisis:

5. Thedrugofchoiceforirontoxicityis:

(A)Dimercaprol (C)Desferrioxamine (A)Frusemide (C)Chlorothiazide (A)Digoxin.

(B)EDTA (D)Penicillamine. (B)Amiloride (D)Ethacrynicacid. (B)Enalapril

6. Thediureticthatdoesnotcausepotassiumdepletionis:

7. Thedrugsusedincongestivecardiacfailurearethefollowingexcept: (C)Hydrochlorothiazide (D)Propranolol 8. Theantihistaminewithleastsedativeeffectis: (A)Diphenhydramine (C)Cetirizine (B)Promethazine (D)Cyclizine (8x1/2=4marks)

II. MATCHTHEFOLLOWING PHARMACOLOGYPaper1 II.AMatchtconditionwithdrugofchoiceandroute: 1.Atropinepoisoning 2. Statusepilepticus 3. Morphinepoisoning 4. Arsenicpoisoning (a)DiazepamI.V. (b)NaloxoneI.V. (c)DimercaprolI.M (d)LignocaineI.V

(d)PhysostigmineI.V

B.

Matchthedrugwithspecifictoxicity/effect: 1. Phenytoin 2. Chlorpromazine 3. Clonidine 4. Frusemide (a)Ototoxicity (b)Cleftpalate (c)Spinabifida (d)Extrapyramidalsymptoms.

(e)Reboundhypertensiononsudden stoppage.

(8x1/2=4marks)

SECONDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002 PHARMACOLOGYPaperII (NewScheme) Time:TwoHours Maximum:40marks SectionA I.MultipleChoiceQuestions.Singleresponsetype8(attachedseparatesheet). (8x1/2=4marks) II. Matchthefollowing Singleresponsetype8(attachedseparatesheet) (8x1/2=4marks)

III.Drawthediagramofmalariallifecycleandmarkthesiteofactionof(a)Primaquine and(b)Chloroquine. (1+1/2+1/2=2marks) IV.Explainthepharmacologicalbasisforthefollowing: (a)Tetracyclineshouldbeavoidedduringpregnancy. (b)Glibenclamideisnoteffectiveintype1diabetesmellitus. (c)Useofallopurinolincancerchemotherapy. (3x2=6marks) V. Writebrieflyon:

(a)Combinedpill (b)Leprareaction SectionB VI.Readthefollowingproblemcarefullyandanswerthefollowingquestions: Ayoungmanaged35yearspresentswithurethraldischargeanddysuria.Agramstain smjearfromtheurethralmeatusdemonstratesintracellularGramnegativediplococci inpolymorphonuclearleucocytes. (a)Whatisthemostprobablediagnosis? (b)Howdoyoutreatthiscase? (c)Whatarethealternativedrugsavailableandwhenwillyouusethem? (1+2+3=6marks) VII.Explainthepharmacologicalbasisforthefollowingdrugcombination: (a)Cyclophosphamideandmesna. (b)AmphotericinBandflucytocine. (c)Isoniazidandpyridoxine. (d)GentamycinandpenicillinG VIII.Writebrieflyon: (a)Macrolideantibiotics. (b)Tocolytics (3x2=6marks) (4x2=8marks) (2x2=4marks)

1.MULTIPLECHOICEQUESTIONS PHARMACOLOGYPaperII Note:1.Donotwriteanythingonquestionpaper. 2. Writeyourregisternumberintheanswersheetprovided. 3. Selectonemostappropriateresponseandencirclethecorrespondingalphabet againsteachquestionnumberintheanswersheetprovided. 4. Multiplechoicequestionsshouldbeansweredfirstintheresponsesheet provided. 1. Theosmoticpurgativeis: (A)Senna (B)Magnesiumsulfate. (C)Castoroil (B)Phenophthalein. 2. Theleastantigenicinsulinpreparationis: (A)Semilente (B)Ultralente

(C)Protaminezincinsulin

(D)Humulin.

3. Glucocorticoidsarecontraindicatedinallexcept: (A)Diabetesmellitus (B)Hypertension (C)Pepticulcer (A)Metronidazole (C)Mebendazole (A)Testes (C)Breast (A)Isoniazid (C)Rifampicin (A)Ciprofloxacin (C)Amoxicillin (A)Alpharadiation (C)Gammaradiation (D)Organtransplantation. (B)Quinine (D)Niridazole. (B)Uterus (D)Prostate (B)Streptomycin (D)Ethambutol (B)Tetracycline (D)Cotrimoxazole. (B)Betaradiation (D)Thyroidconstipation. 4. Acuteamoebicdysenteryistreatedwith:

5. Tamoxifenisusedforcarcinomaof:

6. Oneofthefollowingdoesnotaltertheliverfunction:

7.Followingdrugsmaybeusedintyphoidexcept:

8. Radioactiveiodineactsbyemiting/producing:

III.MATCHTHEFOLLOWING PHARMACOLOGYPaper1I II.A Matchthedrugwithspecifictoxicity: 1. Ciprofloxacin 2. Chloramphenicol (a)Flulikesyndrome (b)Retinopathy

3. Gentamycin 4. Chloroquine B.

(c)Cartilagedamage. (d)Ototoxicity (e)Bonemarrowdepression.

Matchthedrugwithitsclinicaluse: 1. Methotrexate 2. Azidothymidine 3. Stibophen 4. Mebendazole (a)Hookworminfestation. (b)Orientalsore (c)Onchoceravolvulus. (d)HIVinfection (e)Rheumatoidarthritis (8x1/2=4marks)

SECONDPROFESSIONALM.B.B.SDEGREEEXAMINATION,AUGUST2002 FORENSICMEDICINE (NewScheme) Time:ThreeHours Maximum:40marks Answerallthequestions. Drawdiagramswherevernecessary. MCQsshouldbeansweredfirstintheresponsesheetprovided.

SectionA I.MultipleChoiceQuestions.Singleresponsetype8(separatesheetattached). (8x1/2=4marks) II. Matchthefollowing.Singleresponsetype8.(separatesheetattached)(8x1/2=4 marks) III.Drawandlabel: 1.Lineofdissectingtheheartduringmedicolegalautopsy. 2.Ruleofninerepresentingthepercentageofskinburns. IV.Shortanswerquestions: 1.WhatarescheduleHandLdrugs? 2.Whatissecondarydrowning? 3.WhatisthedoctrineofLocoparentis? 4.WhatarethecharacteristicfeaturesofImprintAbrasion? V. Writeshortnoteson: 1.Hydrargyrism. 2.Diasticfracture. 3.Cotdeath SectionB VI.Readtheparagraphandanswerfollowingquestions: A young adult female aged 26 years, married since five years, complaining of weakness,Colickyabdominalpain,constipation,etc.Shewasfoundanaemicwith circumoralpallorandagreenishblackpigmentationofthegingivaintheoralcavity onclinicalexamination.Personalhistoryrevealednoissuesandfrequentspontaneous miscarriages in early frequency since marriage. She is also employed in a paint industryasalabourerforlast15years. 1)Whatisyourdiagnosis? 2)Whatisthediagnosticperipheralsmearpictureinthiscase? 3)WhatisBurtonianline? 4)Whatisthelineoftreatment? 5)Whatarethemedicolegalaspectsofthiscase? (1+3+2+2+2=10marks) (3x2=6marks) (2x1=2marks)

VII.Shortanswerquestions:

1.Whatareleadingquestions? 2.Whatistailingphenomena? 3.WhatisthemechanismofdeathinJudicialhanging?] 4.Whatarebevellingcuts? (4x1=4marks) VIII.Writeshortnoteson: 1.Lucidinterval. 2.Timesincedeathbychangesinthebodytemperature. 3.CriminalAbortion. (3x2=6marks)

FORENSICMEDICINE 1. MULTIPLECHOICEQUESTIONS Note: (1)Donotwriteanythingonthequestionpaper. (2)Writeyourregisternumberintheanswersheetprovided (3) Selectonemostappropriateresponseandencirclethecorresponding alphabetagainsteachquestionnumberintheanswersheetprovided. 1. Followingarethesynonymousterminologiesforsodomy,except: (A)Greeklove (C)Buggary (B)Bestiality (D)Malehomosexuality

2. Firm,elastic,roundedlabiamajorathatliesincloseapproximationwitheachother eveninfullabductionofthethighs,isoneofthesignsof: (A)Pregnancy (C)Virginity (A)Delusion (C)Hallucination (B)Defloration (4)Sterility (B)Obsession (D)Illusion.

3. Afalsebutfirmbeliefinsomethingwhichisnotafact,isdefinedas:

4. Injuryisdefinedasanyharmwhatsoeverinnaturecausedillegallytothebody,mind, reputationorpropertyaspertheI.P.CSectionNo.: (A)184 (C)320 (A)7months (C)7days 6. Chopwoundsmostly: (A)Suicidal (C)Accidental (A)Split (C)Excoriation (B)Homicidal (D)Concealed (B)Streatch (D)Avulsion (B)Antemortembruises (B)319 (D)44 (B)7weeks (D)7hours.

5. Scabformedonanabrasionduringitshealingshrinksandfallsoffcompletelyby:

7. Lacerationscouldbeoffollowingtype,except:

8. Extravasationandinfiltrationofbloodinsubcutaneoustissuesisseenin: (A)Antimortemabrasions

(C)Postmortembruises

(D)Postmortemlividity

(8x1/2=4marks)

FORENSICMEDICINE II. Matchthefollowing: A 1.Mudstains 2. Bloodstains 3. Salivarystains 4. Seminalstains B 1.Davidson'sbody (a)Hanging (b)Rape (c)Struggle (d)Injury. (a)Poroscopy (b)Latentfingerprints (c)Stature (d)Nuclearsexing

2. Fragmentedfingerprints 3. Invisiblefingerprints 4. KarlPearson'sformula

(8x1/2=4marks)