2ND PROFESSIONAL

SUPPLIMENTARY MBBS
EXAMINATION
MIDNAPORE MEDICAL COLLEGE & HOSPITAL
MIDNAPORE, PASCHIM MEDINIPUR
 PATHOLOGY
GENERAL PATHOLOGY
SHORT NOTES:
1. Granuloma(inflammation)
2. Primary amyloidosis(amyloidosis)
3. Down’s syndrome(Genetic disorder)
4. Free radical(Inflammation and healing)
5. Endotoxic shock(Shock)
6. Giant cell(Inflammation)
7. Turner’s syndrome(Genetic disorder)
8. Type IV Hypersensitivity(Immunopathology)
9. Apoptosis(Cellular adaptation)
10. Lepromatous leprosy (inflammation )
11. Chemical mediators of inflammatio
12. Bar body (genetic disorder)
13. Fat embolism (embolism)
14. Metaplasia (cell injury)
15. Philadelphia chromosome (disorder of leucocyte)
16. Granuloma (inflammation)
17. Metaplasia (cell injury)
18. Type 1 hypersensitivity (immunopathology)
19. Trisomy 21 (genetic disorder)
20. Type IV hypersensitivity (immunopathology)
21. Reactive oxygen species(inflammation)
22. Klinefelter syndrome
23. Granuloma (inflammation)
24. Tumour markers (neoplasia
25. Turner syndrome (genetic disorder)
26. Teratoma (neoplasm)
27. Down’s syndrome (genetic disorder)
28. Paraneoplastic syndrome (neoplasia)
29. Giant cell (inflammation)

SHORT QUESTIONS
1. Define shock,
Pathogenesis of hypovolemic shock
What is irreversible shock? (Shock)
2. Define Gangrene, types, mechanisms of gas gangrene (cell injury)
3. Dystrophic vs metastatic calcification (cell injury)
Pathogenesis of septic shock
4. Routes of tumour spread (neoplasm)
5. Pathogenesis of oedema
6. Carcinoma vs sarcoma (neoplasm)
7. Benign vs malignant tumour

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 8. Staining of amyloid (AMYLOIDOSIS)
9. Type IV hypersensitivity (immunopathology)

10. Oedema – definition, important factor of regulation, pathogenesis of cardiac oedema

11. Infarct – definition, patho-physiology, morphological feature
(derangement of haemostasis and haemodynamics)
12. Necrosis – definition, pathogenesis, example (cell injury)
13. Pathogenesis of reversible and irreversible shock (cell injury)
14. Routes of spread of malignant tumour (neoplasm)
15. Humoral and cell mediated immunity in viral infection. (immunopathology)
16. Roll of angiogenesis in process of repair. (healing)
17. Apoptosis serves as usual purpose (cell injury)
18. Healing of lacerated wound. (healing and repair)
19. Endothelial cells play a crucial role in antithrombocytic activity. (thrombosis)
20. Necrosis vs apoptosis (cell injury)
21. Hypertrophy vs hyperplasia ( cell injury)
22. Metaplasia vs dysplasia(cell injury)
23. Gaseous mass can form embolism (thrombosis and embolism)
24. Transudate vs exudate (cell injury)
25. Autolysis is different from necrosis (cell injury)
26. Steps of processing of tissue to prepare a paraffin block. (cytology)

THE KIDNEY AND LOWER URINARY TRACT

LONG QUESTIONS:
1. A 55yr old man presents with painless haematuria. Enumerate the causes. How do you
investigate the patient to reach a diagnosis?(3+7)
2. A 59 years old male presented with weight loss, painless haematuria, flank pain and a large
mass in lower abdomen.
a. what are the possible causes?
b. How will you proceed to investigate the patient in the laboratory?
c. Describe the gross and microscopic feature of the lesion. (2+4+4)
3. lassify primary glomerulonephritis. Describe glomerular changes of APGN. what are urinary
findings in this case?

SHORT NOTES:
1. Adult polycystic kidney disease
2. Flea-bitten kidney
3. Paraneoplastic features of hypernephroma (kidney)
4. Hydronephrosis(kidney)

SHORT QUESTIONS:
1. Nephrotic syndrome- definition, causes.S
Morphological changes in membranous glomerulopathy. (Kidney)
2. Chronic pyelonephritis (kidney)
3. Acute glomerulonephritis (kidney)
4. Lab diagnosis of Diabetes Mellitus

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 5. Proteinuria is found in nephritic syndrome (kidney)

THE LIVER
LONG QUESTIONS:
1. A 65 year old male developed deep jaundice clay coloured stools and weight loss since two
months.
a. What are the possible diagnosis?
b. Enumarate the various laboratory findings in the blood and urine?
c. Outline the mechanisms for these changes. (2+8) (obstructive jaundice)
2. A 16 year old boy develops pain and swelling near right knee joint. on x ray lower end of
femur shows a growth with periosteal elevation with reactive bone formation giving a
triangular shadow at periphery and sun burst appearance with in the mass.
a. What is your provisional diagnosis?
b. Briefly describe the microscopic and macroscopic feature of the lesion.

SHORT NOTES:
1. Serological diagnosis of Hepatitis B virus infection
2. Nutmeg liver
3. Fatty liver

SHORT QUESTIONS:
1. Jaundice – definition, type, lab diagnosis
2. Cirrhosis- definition, classification
3. Alcoholic cirrhosis-aetiology, pathogenesis, complication
4. Interpretation of oral glucose tolerance test. (pancreas)
5. LFT are not significantly altered in amoebic liver abscess.
6. Vital markers in hepatitis B infection.
7. Hydatidiform mole and hydatid cyst are not the same.
8. Ascites in cirrhosis of liver has varied reasons.

THE BREAST
LONG QUESTIONS:
1. A 50 years old lady presented with hard mass on the right breast, retraction of the nipple
and dimpling of skin.
a. What is your provisional diagnosis?
b. How will you proceed to investigate the case to reach the final diagnosis?
c. Name its important prognostic parameters. (2+6+2) (CA breast)

2. 50 years female presented with hard mass over the left breast about 7 cm in diameter with
retraction of nipple.
a. What is your pd?
b. How will you investigate the case?

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 c. Enumerate the prognostic factors. (2+3) (ca breast)
SHORT NOTES:
1. Fibroadenoma of the breast

GI TRACT
LONG QUESTIONS:
1. A 60 years old female presented with anorexia and weight loss for 7 months. there is a
history of haematemesis. on examination a palpable lump found over epigastric region and
enlarged left supraclavicular lymph nodes are felt.
a. What is your PD?
b. How do you investigate the case in the laboratory?

SHORT NOTES:
1. Barrett’s oesophagus
2. Ulcerative colitis
3. Ulcers of the small intestine
4. Prostate specific antigen

SHORT QUESTIONS:
1. Classify tumours of stomach. Discuss etiopathogenesis of gastric carcinoma. Enumerate
differences between benign and malignant gastric ulcer. (GI Tract)
2. Typhoid ulcer in small intestine (GI tract)
3. Diff. of typhoid ulcer and tubercular ulcer. (GI tract)
4. Peptic ulcer of stomach (GI tract) Classify tumours of stomach.
Gastric carcinoma- etiopathogenesis (
5. H. pylori and peptic ulcer disease (GI tract

THE HEART
SHORT NOTES
1. Jone’s criteria
2. Biochemical findings of the myocardial infection
3. Pericarditis
4. Aschoff’s nodule

SHORT QUESTIONS:
1. Lipid profile in atherosclerosis.
2. Complication of left ventricular hypertrophy. (Heart)
3. Rheumatic vegetation of endocardium and its pathogenesis. (Heart)
4. Aschoff nodule (heart)
5. Characteristics of vegetation in infective endocarditis varies with virulence of infective
organism (heart)
6. Hyperlipidemia is not the only cause of atherosclerosis. (heart)

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 MUSCULOSKELETAL SYSTEM
SHORT NOTES:
1. Ewing’s sarcoma
2. Osteosarcoma
3. Involucrum
4. Osteogenic sarcoma

SHORT QUESTIONS:
1. Giant cell tumour of bone, microscopy.
2. Osteomyelitis- pathogen, pathogenesis, complication
3. Giant cell containing lesion and giant cell tumour of bone are different.

FEMALE GENITAL TRACT

SHORT NOTES:
1. Serous tumours of the ovary

SHOR QUESTIONS:
1. Cervical carcinoma- Pathogenesis.
2. Routes of spread of Carcinoma cervix
3. Endometrial hyperplasia often considered alarming.

MALE GENITAL TRACT

1. Prostate specific antigen
2. Seminoma testis
3. Benign hyperplasia of prostate

ENDOCRINE SYSTEM
SHORT NOTES:
1. Hashimoto’s thyroiditis
2. Glycosylated haemoglobin
3. Colloid goitre

SHORT QUESTIONS:
6. Grave’s disease

SKIN AND CNS

SHORT NOTES:
1. Basal cell carcinoma
2. Meningioma

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SHORT QUESTIONS:
1. CSF finding in pyogenic meningitis. (CNS)

HAEMATOLOGY
LONG QUESTIONS:
1. A 3 year old child presented with anaemia fever hepatosplenomegaly lymphadenopathy and
bony tenderness for last one month. his peripheral blood smear shows some abnormality.
a. What is your pd?
b. How will you investigate the case in the laboratory?
c. What are the prognostic factors in the case? (2+6+2) (ALL)

2. A 30 year old female presented with severe anaemia weakness and dyspnoea. Blood
examination shows Hb 6gm/dl. And low PCV.
a. What is your pd?
b. What laboratory test will you perform to confirm the diagnosis?
c. Discuss the causes and pathogenesis. (2+5+3) (microscopic hypochromic anaemia)

3. A 35 year old male is admitted with puffiness of eyelid.

a. What are the possible mechanism of oedema of this case?
b. Enumerate the differences in the pathogenesis of oedema due to cardiac and renal
diseases.
4. A 15 year old boy after receiving chloramphenicol therapy for a febrile episodes develops
gum bleeding and severe anaemia.
a. What is your pd?
b. How will you proceed to establish the diagnosis?
c. What is the significance of reticulocyte count in this case? (1+7+2)[Aplastic
Anaemia][2013]
5. A 10 year old boy developed haemarthritis. His younger brother had similar experience after
trivial trauma.
a. What is your PD?
b. What laboratory investigation will be performed to establish the diagnosis?
c. In which condition his younger sister may also suffer from similar condition? (2+7+1)
(Haemophilia)

6. A 45 year old female presented with gum bleeding and weakness. On examination, there
was pallor but no splenomegaly or lymphadenopathy.
a. What is your PD?
b. How will you proceed to investigate the case?
c. Write the pathogenesis of this condition. (1+6+3) (Chronic ITP)

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 7. 5 yrs male presented with purpuric spots, epistaxis and haematuria 3 weeks a after viral
fever.
a. What is ur PD?
b. How will you proceed to investigate the case?
c. What is pseudo thrombocytopenia? (TPP)

8. A 28 years old female mother of three children. Her youngest child is 2 months old and her
husband is a daily wage earner. Presently she is complaining of pallor, weakness and
frequent blackouts.
a. What is ur PD??
b. What are the expected changes in the blood in this case?
c. How can this disease be classified? (2+5+3)

SHORT NOTES:
1. Reverse grouping(Blood transfusion)
2. Reticulocyte
3. Caisson’s disease(Derangement of haemostasis and haemodynamic)
4. Blood transfusion reaction
5. Inhibitors of coagulation (coagulation disorder)
6. Fresh frozen plasma (blood transfusion)
7. Coomb’s test (disorders of red blood cells)
8. Bombay blood group (blood transfusion)
9. Reed-Sternberg cell (Hodgkin’s disease)

SHORT QUESTIONS:
1. Classification of leukaemia,
Blood-bone marrow picture of CML
Philadelphia chromosome
2. Blood transfusion- indicators,
Complication of whole blood transfusion,
Components
3. Pathogenesis- megaloblastic anaemia
4. Laboratory diagnosis of bleeding disorder (haematopoietic disorder)
5. Principle and utility of coomb’s test (disease of red blood cell)
7. Lab diagnosis of haemophilia A (bleeding and coagulation disorder
8. Blood and bone marrow picture of pre myelocytic leukaemia
9. Etiopathogenesis of myeloblastic leukaemia (anaemia)
10. Benign vs. malignant leukaemia
11. Important urine examination of multiple myeloma patients (disorders of WBC)
12. Leukemoid reaction do not progress to leukemia. (leukaemia)
13. Blood component transfusion is preferred over whole blood transfusion. (blood transfusion)
14. Transfusion of blood component is preferred over whole blood transfusion.
15. Philadelphia chromosome and leukaemia (leukaemia)

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 SHORT QUESTIONS
1. Transfusion disease can be avoided. (blood transfusion)
2. Urine analysis in multiple myeloma. (Disorders of WBC)
6. Reactive hyperplasia of lymph node (disorder of lymphocyte and lymphoreticular system)
4. FNAC in lymphadenopathy (disorder of lympho reticular tissue)
5. Hodgkin’s disease- classification, macroscopic features of mixed cellularity type (Hodgkin’s
lymphoma)
Describe the features of diagnostic cell in HL.
6. Reed-Sternberg cells are lymphocytes (Hodgkin’s lymphoma)

LUNGS
LONG QUESTIONS:
A 58 years’ male habituated to smoking, cigarettes for more than 30 yrs., is complaining of cough,
progressive loss of weight, chest pain and haemoptysis for last 3 months. X ray chest reveals a mass
lesion in the lung.

a. What is your PD?

b. How will u investigate to confirm the diagnosis?
c. Enumerate the effects caused by the local spread of such a lesion? (2+5+3)
(CA Lung)

SHORT NOTES:
1. Paracinar emphysema
2. Bronchopneumia

SHORT QUESTIONS:
1. Emphysema – pathogenesis
2. Bronchogenic carcinoma- classification, etiopathogenesis
3. Morphology of small cell carcinoma
4. Lung tumour- classification, morphologic features.
5. Malignant lung tumour can present with SOL in brain
6. Protease- anti protease theory of emphysema
7. Emphysema
8. Cavitory pulmonary tuberculosis may give rise to haemoptysis.

BROUGHT TO YOU BY
INDRANIL DAS, SOURADIP MANDAL,
SUVAM TUNG, PRIYABRATA SARKAR, MRINAL KANTI RAJAK,
KUMAR APOORVAM

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 PHARMACOLOGY
GENERAL PHARMACOLOGY
LONG QUESTION
1. What are the advantage of inhalation route of drug administration? Enumerate the drugs
administrated by the inhalation route with tree different therapeutic indication. Write down
the adverse drug reaction of any of them. (3+5+2) -2016
2. Define bio-transformation of drugs. Mention with examples concomitant medications can
influence bio-transformation of a drug and how the treatment outcome is effected by
therapy. Name the clinical reactions that occur in different bio-transformation phases. What
is first pass effect. What are pro drug? (1+2+2+1+2+2) --2011

SHORT NOTE
1. Zero order kinetics and first order kinetics, Fixed dose combination -2016
2. Drug antagonism, Sublingual mode of drug administration, Pharmacovigilance -2015
3. Pharmacokinetic, Tachyphylaxis, Kinetics of drug, bioavailability of drug, Transdermal
therapeutic system --2014
4. Tolerance, Fixed dosed combination, Sublingual mode of drug administration, Competitive
antagonism --2013
5. Gprotein coupled receptor, Pharmacovigilance, Metered dose inahaler-2011
6. Zero order kinetics, Fixed dosed combination, Volume of distribution of drug, Importance of
age of the patient in the drug therapy --2010
7. Essential drug, P-drug, Pharmacodynamics ---2009

EXPLAIN WHY
1. Plasma half-life --2014
2. Eliciting medical history is imp for rational therapeutics. --2011

ANS
1. Enumerate the anticholinergic agents. Discuss their role in treatment of myasthenia
gravis. Outline the management of its poisoning (2+3+5)2009
2. Enumerate beta blockers. Discuss mechanism of action of it as a hypertensive.
Contraindication of beta blocker (4+4+2) --2015

EXPLAIN WHY
1. Pyridostigmine is preferred to neostigmine in the treatment of myasthenia gravis. –
2014
2. Timolol is used in open angle gluocoma, both alpha and beta blocker are given to
control hypertension in phaeochromocytoma. ----2013
3. Adrenaline is used in anaphylactic shock. –2011,2009
4. PAM is indicated in OP poisoning. –2010
5. Revastigmine is used in Alzheimer’s disease.

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 MOA
1. Pralidoxime in OP poisoning---2014
2. Acetazolamide in glaucoma --2009

SHORT NOTE
1. Cheese reaction. –2014
2. Dobutamine. –2009

CVS & BLOOD

LONG QUESTION
1. Mention the drug used in acute MI. Indicate their MOA. (5+5) ….2016
2. Enumerate the antianginal drugs. Discuss the pharmacological actions, therapeutic uses &
adverse drug reaction of nitrate. (2+4+2+2) ……2014
3. Enumerate anti-hypertensive agent. How will u manage a patient suffering from
hypertensive emergency (BP=210/120). (3+7) –2014
4. How do u treat a case of anemia in pregnancy (early, midterm and late)? How will u treat
drug have induced anemia. –2013
5. Classify the drugs used in the treatment of hypertension. Mention the therapeutic status of
calcium channel blocker in the hypertension and their adverse effect. (3+4+3) …2010
6. Enumerate hyperlipidemia.
7. Write the rational use of beta blocker in the angina pectoris. Mention their contraindication.
(5+5) ….2009

EXPLAIN WHY
1. Beta blocker r contraindicated in variant angina. Vitamin B12 and folic acid are combindly
used in megaloblastic anemia ….2016
2. Nitroglycerin is used sublingually. (2008)
3. Dopamine is used in cardiogenic shock. (2008)
4. Folic acid is used in combination with Vit B12 in megaloblastic anaemia. (2016)
5. Aspirin and clopidogrel is used together in acute coronary syndrome. (2016)
6. Beta blockers are contraindicated in variant angina. (2016)
7. Verapamil and atenolol shouldn’t be given concurrently. (2014)
8. Furosemide is used in hypertensive emergency. (2009)
9. It is advantageous to co-prescribe amiloride with hydrochlorothiazide. (2010)
10. Beta adrenergic blockers are contraindicated in prinzmetal angina. (2010)

MOA
1. Warfarin as oral anticoagulant. (2011,2015)
2. Statin in hyperlipidaemia. (2015)
3. Low molecular weight heparin as an anticoagulant. (2016)
4. Digoxin in congestive cardiac failure. (2014)
5. Steptokinase in acute myocardial infection. (2009,2013)
6. Statin as hypolipidaemic agent. (2009)

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 7. Dobutamine. (2009)
8. Nitrate as antianginal agent. (2011)
9. Adenosine in the treatment of paroxysomal supraventricular tachycardia. (2010)
10. Vitamin K as coagulant. (2013)

SHORT NOTES
1. Streptokinase. (2008,2011)
2. Oral iron preparation. (2011)
3. Low molecular weight heparin. (2010)
4. Whole human blood. (2013)

AUTACOID, RESPIRATORY, KIDNEY, GIT

LONG QUESTION
1. Classify Diuretics. Discuss the MOA, therapeutic uses and adverse effects of Furosemide.
(3+3+2+2) (2013,2015)
2. Classify Diuretics. Mention the clinical uses. What is the most preferred agent for each
indication? Outline the rationale for using thiazide in the treatment of hypertension. How do
they adversely impact on the electrolyte balance and metabolism? (2+2+2+2+2) (2011)

EXPLAIN WHY
1. Chromolyn sodium is not effective in acute attack of bronchial asthma. (2013)
2. Glucose is added in ORS solution. (2013)
3. Salbutamol is preferred over isoprenaline in the treatment of bronchial asthma. (2009)
4. Sodium chromoglycate is not used for treating acute attack of bronchial asthma. (2010)
5. ORS therapy is indicated in acute diarrhea in children. (2011)
6. Domperidone is used in treatment of gastroesophageal reflux disease. (2014)
7. Sucralfate and omeprazole shouldn’t be co administered. (2015)
8. Nebulized salbutamol is used in the treatment of acute severe bronchial asthma. (2015)

MOA
1. Bromohexin as mucolytic. (2013)
2. Promethazine in motion sickness. (2013)
3. Codeine in the treatment of dry cough. (2010)
4. Monteleukast in the treatment of bronchial asthma. (2010)
5. Disease modifying agent in rheumatoid arthritis. (2011)
6. Ondansetron in chemotherapy induced emesis. (2011)
7. Potassium sparing diuretics are use in hepatic edema. (2014)
8. Dopamine in shock impending renal failure. (2014)
9. Theophylline in treatment of bronchial asthma. (2016)
10. Bisacodyl as a purgative. (2016)
11. Furosemide in acute pulmonary oedema. (2016)
12. Erythropoietin in chronic renal failure. (2015)

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SHORT NOTES
1. Metered dose inhaler. (2011)
2. Lactulose. (2016)
3. Metoclopramide. (2016)
4. Levocetrizine. (2016)

CNS
1. Enumerate the antiepileptic drug. Mention the mechanism of action, therapeutic uses &
adverse drug reaction of carbamazepine. (4+2+2+2) ....2016+2009
2. Enumerate the drug used in parkinsonism. Why levodopa is combined with carbidopa and
not with pyridoxime? In drug induced parkinsonism which group of drug is used and why?
(4+4+2) ....2015
3. Describe the pharmacological action and the therapeutic uses of morphine. Enumerate the
contraindication of morphine. (4+3+3) ....2013
4. Name 4 systemic opoids. Mention 2 therapeutic uses of opioid and comment on the rational
for such uses. What are the MOA of morphine? What is the current status of morphine as an
analgesic action? What are the hindrance of such uses? (2+2+2+2+2) ....2011
5. Enumerate the antipsychotic drugs. Discuss the merits and demerits of atypical antipsychotic
drugs in the treatment of schizophrenia. (5+5).2010

EXPLAIN WHY
1. CARBAMAZEPINE is preferred over phenytoin in the patient suffering from generalized tonic clonic
seizures. ----2010

2. Newer antipsychotics are preferred over the older agents.

Long term use of hypnotics is discouraged. Succinyl choline is sometime produced prolonged
apnoea ------2009

3. Thiopentone is a rapid acting anaesthetic agent. ... 2013

4. Methadone is used in morphine withdrawal ---2016

MOA
1. Lidocaine as local anaesthetics agents, morphine as analgesics ---2016

2. Succinul choline as a muscle relaxant ---2015

3. Lignocaine as local anaesthetics agent ---2014

4.Midazolam as pre anaesthetic medications. ----2011

SHORT NOTES

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1. Lidocaine, ketamine, Ivermetrine ----2009 2. Sodium valproate --2011 3. Lithium ---2014 4.
SSRI --- 2013+16

CHEMOTHERAPY
1. Enumerate the anti-tubercular drugs. Discuss the MOA, Therapeutic, side effects of rifampicin.
(4+2+2+2) ---2014
2. Describe the drug treatment of a new patient of pulmonary TB. Outline the managements of
MDR TB. (5+5) ----2016
3. Enumerate the drugs used in treatment of leprosy. Why are they used in the combination? How
would you treat a case of multi bacillary leprosy? mention the commonly encounter adverse
reaction. How would you treat a lepra reaction? (2+1+3+2+2) ----2011

EXPLAIN WHY
1. Monoclonal antibodies are used in organ transplantation. --2009
2. tetracycline is not safe in pregnancy; clavulanic acid is combined with amoxicillin.
2010,2011,2013,2014
3. Primaquine is used in radical care of malaria. 2014
4. Clistatin is combined with imipenen. ---2015
5. Chloroquine is only useful in extra intestinal amoebiasis

MOA
1. Cisplatin as an anticancer drug....2016

2. Penicillin as an antimicrobial agent, ...2015

3. Penicillin as an anti-bacterial ....2013 ,2009

SHORT NOTE
1. Albendazole, ...2009.2014

2. Chemoprophylaxis, Fourth generation cephalosporin, ketoconazole...2010,14

3.Superinfection....2011

4. Acyclovir, Uofazimine, TT......2013

5. Doxycycline, Granisetron, Glriserofulvin, antimicrobial resistance ......2015

6. Gliserofluvin as an antifungal agent...2016

ENDOCRINE
1. Mention 4 insulin preparation. Describe the drugs for the treatment of diabetic ketoacidosis.
Define Insulin resistance and write the management of such a case. (2+4+2+2) ...2013
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2. Enumerate glucocorticoids. Mention the pharmacological basis of use and adverse effects of
glucocorticoids. (3+3+4) ....2010

EXPLAIN WHY
1. INSULIN INFUSION IS PREFFERED FOR MANAGEMENT OF DIABETIC KETOACIDOSIS...2010
2.Lugol's iodine is used before thyroid surgery...2011

3. Estrogen and progesterone are combined in OCP...2013

4.In myxoedema, though T3 act faster, but T4 is preferred drug...2014

5.Immunosupressive agents are required during organ transplantation. Oxytocin, but not
ergometrine is used for induction of labour...2015,2016

6. Glucocorticoids should not be withdrawn suddenly after prolonged therapy...2016

7. Prednisolone used in morning sickness....2010

MOA
1. Metformin as oral antidiabetic agent...2016
2. Carbimazole as an ant thyroid drug...2015,2010
3. Combined OCP...2014

4. Oxytocin in induced labour...2013

5. Propranolol in hyperthyroidism....2011

6. Ergometrine in post partial hemorrhage...2010

7. Rosiglitazone as an antidiabetic agent...2009

SHORT NOTES
1. Topical glucocorticoids...2009
2. Post coital pill...2010,2011

3. Anabolic steroids...2010

4. Topical steroids.2010

5. Radioactive iodine...2013,2016

6. Emergency Contraceptive pills...2016

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 GIT (Paper 2)
LONG QUESTION
1. ENNUMERATE THE DRUGS USED IN PEPTIC ULCER. HOW DOES OMEPREZOLE ACT. WHY ANTACIDS
SHOULDNT BE COMBINED WITH OMEPRAZOLE... (3+3+4) ...2009

EXPLAIN WHY
1. Lactulose is preferred in hepatic encephalopathy...2014,2010

MOA
1. Ondansetron as an antiemetic....2014

2. Omeprazole in ZE Syndrome...2013

AUTACOIDS AND MISCELLANEOUS (Paper 2)

1. Therapeutic use of aspirin...2016

2. Somatriptin in migraine...2009

3. Paracetamol (short note) ...2011,2015

4. Vitamin D in calcium homeostasis....2011

5. Tetanus toxoid....2013

6. Allopurinol in chronic gout...2013

7. Bisphosphonates (short note) ...2014

8. Enumerate NSAIDs. Describe MOA of methotrexate in Rheumatoid arthritis. State the method of
preventing the adverse effects of Methotrexate... (4+4+2) ...2015

9. Desferioxamine is used in patient of thalassemia...2015

Brought to you by
Sabyasachi Hazra, Subhajit Sural,
Kumar Apoorvam,Mrinal Kanti Rajak,

Ankan Chakraborty

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 MICROBIOLOGY

GENERAL MICROBIOLOGY
1. Virucidal disinfectant used in hospitals (SN)

2. Selective media(SN)

3. Exotoxin & endotoxin (DIFF)

4.Fimbria(SN)

5. Plasmid (SN)

6.Enriched media & Enrichment media (DIFF)

7. Eukaryotic & Prokaryotic cell (DIFF)

8. Enriched media (SN)

9. Sterilization of moist heat may be done at several temperatures (C/O)

10. Bacterial growth curve (SN)

11. Transport media (SN)

12. Flagella have diff arrangement (C/O)

13. Dry heat & moist heat for sterilization (C/O)

14. Selective & enrichment media (DIFF)

15. Bacteriological filters(SN)

16. Koch’s postulate (C/O)

17. Disinfectant in hospital use(SN)

18. Rapid methods of bacterial isolation, sporicidal disinfectant(SN)

19. Fimbria vs flagella

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SYSTEMIC BACTERIOLOGY
1. Sateliism (SN) ---- haemophilus

2. Salmonella typhi & paratyphi (DIFFF)

3. Patient with UTI may have a colony count of <10^5 organism per mL of urine

4. A negative tuberculin test does not rule out infection by Mycobacterium tuberculosis

5. Toxins of Staphylococcus aureus

6. Significance of ASO titer -----streptococcus

7.VDRL test may be positive in people without syphilis

8. UTI can occur without significant bacteria

9. Classical & El tor biotypes of V. cholera (DIFF)

10. Gas gangrene is polymicrobial in nature (C/O) -----clostridium

11.A positive VDRL test may not always indicative of syphilis (C/O)

12. Enterobacteriaceae family(SN)

13. Mantoux test(SN)

14. Some vibrio are halophilic (C/O)

15. Proper collection of urine sample is essential for diagnosis of UTI (C/O)

16. (a) A 35 yrs old male presented with fever, hemolysis, dyspnea, pain in rightt intercostal regions
& weigh loss. Clinical examination revealed crepitations &rhonchi. What is the provisional diagnosis?
---etiological agent, what other etiological agents could produce similar signs &symptoms?
Confirmation of etiological agent in the laboratory. (TB)

(b) A 10yrs old child presented in the OPD with history of frequently passage of loose rice water
stools without blood. She had cold, clammy skin with hypotension. Etiological agent, other bacterial
agents that can produce watery diarrhoea, lab diagnosis, prevention by vaccine. -----------cholera

17. (a) A 25 yrs. old man come to the OPD with a painless, relatively avascular, circumscribed,
indurated superficial ulcer over the glass penis. He gives history of visiting red light area 3 wks. ago. -
---diagnosis, causative agent, lab diagnosis. -------syphilis

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(b) A patient has been admitted in the hospital with the history of fever for 7 days, headache,
anorexia, mild GI disturbance & rash over trunk & abdomen. On examination the tongue is coated,
temperature is 104F & there is relative bradycardia. Provisional diagnosis, mode of transmission of
the disease, lab diagnosis, prevention. -----enteric fever

18. (a) A 13yr old boy was brought to the hospital following tonic & clonic convulsions. He gave a
history of a minor road traffic accident 21 days back on examination, he was found in opisthosomas.
Provisional diagnosis, causative agent, pathogenesis of the disease, how will you proceed to isolate
& identify the organism in the laboratory. ------tetanus

(b) A 43 yr old male patient was brought to the OPD with fever for 11days, coated tongue, relative
bradycardia, hepatomegaly and reseola rash in front of chest & abdomen. Provisional diagnosis,
causative agent, lab diagnosis & prevention. ------enteric fever

19. (a) A 40yrs old soldier with extensive injury in right leg was admitted in the hospital with foul
smelling discharge from the wound. Surrounding area was blackish in colour palpable crepitation.
Diagnosis, causative agent, pathogenesis & lag diagnosis of the condition----gas gangrene

(b) A patient attended the skin opd with complains of loss of sensation & depigmentation over an
area on the back since last few months. What may be the probable clinical diagnosis, causative
agent, lag diagnosis of the condition. -------leprosy

20. A 25yrs man presented in emergency with severe headache, vomiting, fever, drowsiness,
irritability, neck stiffness, photophobia of 1-day duration. What is the most probable diagnosis?
Responsible pyogenic bacteria for above condition? Lab diagnosis? Are there any vaccines available
to prevent such condition?

21. A 40yrs old man presented with tingling & numbness of left little & ring finger. O/E there was a
hypo pigmented patch on the lt intercapsuler region. What is clinical diagnosis? Which structures are
primarily affected in the disease? Lab diagnosis? What are the suitable experimental animal model
needed for the disease?

22. Non gonococcal urethritis, chlamydia(SN)

23. Rheumatic fever is a sequel of an infection(C/O)

24. VDRL positivity does not necessarily mean infection with Treponoma pallidum(C/O)

25. LT vs ST of E. coli

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26. A 3yrs old child brought to OPD with complains of high fever, headache, convulsion & vomiting.
Examination revealed neck rigidity & positive Kerning’s sign. Clinical diagnosis? Etiological agent? Lab
diagnosis? --------------meningitis

27. Tuberculin test is not diagnostic of TB(C/O)

28. Bacterial food poisoning can be caused by infection or intoxication(C/O)

29. Methicillin sensitive vs resistance staphylococci

30. An epidemic of high fever, with severe headache followed by progressive loss of conscious
occurred in several dist. of eastern UP. Lumber puncture showed no evidence of pyogenic
meningitis. What is Provisional diagnosis, etiological agent, modes of spread, lab diagnosis,
prophylaxis?

31. A 40yrs old female patient was brought to OPD with fever for 10days, coated tongue, relative
bradycardia, hepatosplenomegaly, roseolar rash in front of chest & abdomen. What is provisional
diagnosis, causative agent, lab diagnosis?

32. Army personnel was brought to emergency with extensive lacerated injury on the lt leg with
blackening of the skin, foul smelling odor, crepitation. What is provisional diagnosis, causative agent,
pathogenesis, lab diagnosis?

33. Enterococcus(SN)

34. RPR test is better than VDRL test under field condition(C/O)

35. Streptococcal pneumonia vs viridans

36. A young Bengali woman in early 2nd trimester of pregnancy visited the antenatal clinic for the 1st
time with complain of skin rash & moist cauliflower like lesion around her external genitalia. On
examination wide spread macula, popular skin rashes with typical condylomatous lesion around the
vulva was seen. Her husband is a diamond Custer of Surat & visited home 5months back. What is
provisional diagnosis, causative agent, lab diagnosis, prophylaxis?

37. A large number of patient have been brought to a primary health center with complains of
effortless vomiting followed by watery diarrhea up to 10-15 times a day along with severe cramps all
over the body, the stool was rice watery in nature. What is provisional diagnosis, causative agent,
pathogenesis, lab diagnosis?

38. FTA-ABS test is the best method of diagnosis of congenital syphilis (C/O)

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39. Rheumatic fever follow persistent or repeated streptococcal infection(C/O)

40. Typical vs atypical mycobacteria

MYCOLOGY

1. Dimorphic fungi(SN)

2. Opportunistic fungal infection are common in immunocompromised patient(C/O)

3. Histoplasmosis(SN)

4. Culture is important in species identification in dermatophytes (C/O)

5. Hyphae & Pseudo hyphae (DIFF)

6. Cryptococcus sp. & Candida sp. (DIFF)

7. Mycetoma(SN)

8. Germ tube test(SN)

9. Some fungi are dimorphic (C/O)

10. Fungus & bacteria (DIFF)

11. Pseudo hyphae & true hyphae (DIFF)

12. Species level diagnosis of superficial fungal infection can be confirmed by KOH mount only.(C/O)

13. Various types of opportunistic fungal infections occurs in HIV

14. SDA is a selective medium (C/O)

15. True vs pseudo-mycelium

16. A 35yrs old male farmer presented to the OPD with 3months history of swelling on the left leg &
foot having multiple sinuses(discharging), small granules. What is the clinical diagnosis in the lab?

17. Fungal meningitis (SN)

18. Most candida infection are endangerous in origin(C/O)

19. Hyphae vs pseudo hyphae

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20. Dimorphic fungi, penicillium marneffei(SN)

21. A middle aged person was brought to the OPD with fever & sudden loss of consciousness. He had
a history of fever, weakness, gradual loss of wt & swelling in the axilla & inguinal region. He has
seropositive for HIV. Name the fungal infection. Describe pathogenesis. How will you proceed to
confirm lab diagnosis?

22. Opportunistic infection may occur in AIDS patient (C/O)

IMMUNOLOGY

1. Hypersensitivity is of many types (C/O)

2. Antigen & haptens (DIFF)

3. Agglutination & Precipitation reaction (DIFF)

4. Compliment may be activated by many diff pathways. (C/O)

5. NK cells (SN)

6. Type-I hypersensitivity(SN)

7. IgE antibody mediates Type-I hypersensitivity(C/O)

8. IgA(SN)

9. Type-III hypersensitivity (SN)

10. Active & Passive immunity(DIFF)

11. Direct & indirect Coomb’s Test (C/O)

12. Conjugation, IgE, type-III hypersensitivity(SN)

13. In vitro antimicrobial susceptibility test may not predict in vivo therapeutic efficacy(C/O)

14. Atopy vs anaphylaxis

15. Type-I vs type-iii hypersensitivity in skin test

16. IgM, type-II hypersensitivity(SN)

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17. Complement may be activated in various ways(C/O)

18. Chocolate agar is preferable to blood agar for H. influenza(C/O)

19. Phages are important tool for gene transfer in bacteria(C/O)

20. Primary vs secondary immune response

21. IFN has some role in containment of viral infection (C/O)

22. Type-II hypersensitivity, ILs (SN)

PARASITOLOGY

1. Classical & occult filariasis (DIFF)

2. Routine Stool examination is very important for the diagnosis of GI helminthic infection(C/O)

3. Microfilaria may not be present in peripheral blood smear in case of filariasis(C/O)

4. Trichomonas vaginalis (SN)

5. Anemia in hookworm infection(SN)

6. Cystoids & nematodes (DIFF)

7. T. solium is more dangerous than T. saginata(C/O)

8. Surgical complication of ascariasis(SN)

9. Species of hookworm cannot be diffenciated by examination of ova alone (C/O)

10. Hydatid cyst(SN)

11. Diff between cyst of Antamoeba histolytica & Antamoeba coli

12. importance of parasite numbers in peripheral blood smear examination in malaria (DIFF)

13. LD bodies (SN)

14. Examination of gravid segment of Taenia help in species identification (C/O)

15. Trophozoit induced malaria is not associated with relapse (C/O)

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16. A 40yrs old man attended the OPD with complains of vague abdominal discomfort, chronic
indigestion with diarrhea alternating with constipation. He also gave history of passing something in
stool a few days back which look like a segment of tapeworm. What could be the positive agent?
What complication may arise due to this condition, how will you proceed for lab diagnosis of such a
condition? ------taeniasis

17. A 10 yrs old boy is brought to the emergency with complains of high fever with chill & rigor with
altered level of consciousness for last 2 days. Fever subsides with sweating. On examination there is
hepatomegaly & splenomegaly. Probable diagnosis, causative agent, lab diagnosis, pathogenesis of
the most serious complication caused by the parasite. ------malaria

18. A 25 yrs. old male attended the hospital with symptoms of high fever, rigor, profuse sweating,
headache & vomiting. Probable diagnosis, confirmation of the diagnosis. Add a note on the drug
resistance status of this organism. -----malaria

19. A 7yrs old child presented with micrositic hypochromic anemia. On routine stool examination
non bile stained ova found. What is the clinical condition? Name the parasite causing anaemia. Life
cycle of the parasites with diagram. ---------Hookworm

20. Stool microscopy in bacillary vs amoebic dysentery

21. A 25yrs man presented with sudden rise of high fever with chill & rigor, which persists
intermediately for last 6 days. What is the most probable clinical diagnosis? Name the causative
agents. Write with diagram the stages in the life cycle of the agent(s). explain lab diagnosis.

22. Cystisercosis, cutaneous larva migrans (SN)

23. Peripheral blood smear microscopy can be diagnosis for many infections. (C/O)

24. Cuteneous leishmaniasis vs PKDL (DIFF)

25. Hydatid cyst (SN)

26. Relapse does not occur on transfusion malaria (C/O)

27. Hookworm anaemia (SN)

28. Mosquito spread diff viral & parasitic disease / relapse is associated with BT malaria

29. Primary amoebic meningoencephalitis, visceral larva migrans (SN)

30. Auto infection can occur in certain helminthic infection(C/O)

31. microscopic diff of Plasmodium vivax & falciparum, relapse vs re in malaria(DIFF)

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VIROLOGY
1. Interferons(SN)

2. Viruses can be transported along with organ transplantation (C/O)

3. Antigenic shift & antigenic drift(DIFF)

4. Hepatitis C & Hepatitis E virus (DIFF)

5. A 2yrs old child developed flaccid paralysis of left lower limb after high fever. Mother & child leave
in a remote area & no vaccination was given to the child from birth. --what would be the provisional
diagnosis? How will you confirm the infecting organism in the laboratory? What are the various
preventive measures available? What type of health education would you provide to the rest of the
population living in that area? --------polio virus

6. One child was brought to OPD with history of increased frequency of loose stool for 2days. Name
the viruses responsible for it. How will you do the lab diagnosis in this case?

7. Serological markers of HBV infection (SN)

8. Antigenic shift can cause pandemic(C/O)

9. Oral polio vaccine

10. A 14yrs old boy is brought to the emergency of a hospital with history of being bitten by a street
dog without provocation. He states that the dog has bitten several other persons in the same
locality. Name the disease that may occur if left untreated. Etiological agent pathogenesis, what
specific measures can be taken to prevent the occurrence of the disease? ----------rabies

11. Cytopathic effect(SN)

12. Virion & prion (DIFF)

13. Dengue hemorrhagic fever commonly occurs in endemic areas (C/O)

14. A 7yrs old child attended to OPD from Birbhum with high fever, headache, disorientation &
altered sensorium. ---probable diagnosis, common microorganism, lab diagnosis & measures that
can be taken to prevent the condition.

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15. Inclusion bodies(SN)

16. Street virus & fixed virus

17. Interferon has some roll in containment of viral infection. (C/O)

18. AIDS patient frequently suffers from mycobacterial infection (C/O)

19. An epidemic of high fever, severe headache & progressive drowsiness has been notified in
several areas in Burdwan. Lumber puncture of some cases showed clear CSF. What is the probable
clinical diagnosis? Etiological agents, mode of spread of infection, laboratory diagnosis of the
condition.

20. Stratagies for diagnosis of AIDS

21. Inclusion bodies(SN)

22. Herpes Zooster infection prevents chicken pox. (C/O)

23. An IV drug abuser presented with fatigue, malaise, weight loss, fever, shortness of breath with
chronic diarrhea for last 1month---- what is the clinical syndrome? Causative agent? Lab diagnosis?
Why opportunistic infections are more common in this clinical condition?

24. One middle aged male patient was clinically diagnosed with Japanese encephalitis. How will you
proceed for lab diagnosis? What is the epidemiology of the disease?

25. complication of dengue are immunologically mediated(C/O)

26. A 12yrs old boy has been brought to the OPD with fever & nausea for last 3days. He gave a
history of blood transfusion 3months back. On examination he showed marked jaundice. ---- what is
provisional diagnosis? Causative agent(s)? lab diagnosis? Preventive measures.

Brought to you By

SUVAM TUNG, MOHAN GAYEN, SUMAN RAYHAN,

SUBHASIS MONDAL, MRINAL KANTI RAJAK, PRIYABRATA SARKAR

JAYANTA NAYEK

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 FORENSIC MEDICINE & TOXICOLOGY
ASPHYXIA
1. Diatom test(MLI-2.5)(2008)
2. Typical &atypical hanging (difference-2.5)(2008)
3. Define hanging. Describe the causes of death and PM findings in a case of death due to
hanging.(LQ1+2+2) (2010,2013)
4. Diatom test is not conclusive of ante mortem drowning.(EW-2.5)(2010)
5. Drowning in sweet water causes early death.(EW2.5)(2013)
6. Enumerate different types of drowning deaths. describe briefly the physiopathology of fresh
water wet drowning.(LQ-1.5+3.5)(2014)
7. Smothering (MLI-2.5) (2014)
8. Drowning in fresh water causes earlier death than salt water drowning.(EW_2.5)(2014)
9. The dead body of a young girl is found in a jungle with multiple nail-scratch abrasions around
the mouth and nostrils. Her lips and finger-nails were found cyanosed. What is the most
probable cause of death? What is the most probable cause of death? What post-mortem
findings do you expect in this case?(LQ-1+4)((2015)
10. Hanging and strangulation by ligature.(difference-2.5)(2015)
11. Hyoid cartilage (MLI)(2015)
THANATOLOGY
1. Maggot(MLI-2.5)(2008)
2. Adipocere(MLI-2.5)(2008)
3. Body decomposes early in summer than in winter.(EW-2.5)(2008)
4. Brain death (MLI-2.5) (2009)
5. Rigor mortis &cadaveric spasm (difference) (2009)
6. The first external sign of decomposition is greenish discolouration of the right iliac region of
abdomen.(EW)(2009,2011,2015)
7. suspended animation (MLI)(2008,2010)
8. cadaveric spasm (MLI()2010,2014)
9. Why decomposition occurs?(EW) (2010)
10. Bruise and PM staining (difference)( (2011)
11. Define adipocere. What are the condition which help in formation of adipocere? What is its
medico legal importance.(LQ)(1+2+2)(2013)
12. colour of post-mortem stain may vary in some cases.(EW-2014)
13. Mummification(MLI)(2015)
14. Hypostasis and bruise (difference)(2016)
15. Positive &negative vital reaction(SN) (2016)
MEDICAL ETHICS &LEGAL PROCEDURE
1. What is infamous conduct? Give some example in short.(1+4)(2008)
2. Leading question.(SN)(2008)
3. Describe in brief different criminal courts in India with their power. Write in short the
procedure of giving evidence in a court of law.(3+2)(2011)
4. MTP act 1971.(SN)(2011+2014)

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 5. Summon (SN) (2011+2013)
6. Describe briefly the steps of oral evidence in a court of law. What is perjury.(4+1)(2014)
7. Contributory negligence(MLI)(2014)
8. Define serious professional misconduct (infamous conduct).Discuss various example of it.
What are the consequences of infamous conduct?(1+2.5+1.5) (2015)
9. What are functions of medical council of India(5)(2016)
10. Discuss about different stages of giving evidences in court?(5)(2010)
11. Difference civil & criminal negligence.(2016)
12. Attains of majority(MLI)(2016)
13. Dichotomy(SN)(2009)
IDENTIFICATION
1. Outline the procedure of medico-legal examination for estimation of age of an
adolescent girl.(5)(2008)
2. Bar-bodies(SN)(2008)
3. Difference-Male and female pelvis.(2008-2010)
4. Fingerprint is the surest data for identification of individual.(EW)(2009)
5. Tattoo marks(SN)(2010,2016)
6. accidental tattoo marks(SN)(2011)
7. Scar marks(MLI) (2013)
8. Dactylography is considered to be the surest data of identification.(EW)(2013)
9. Male, female hip bone(difference)(2014)
10. Difference - Human & animal hair (2015)
11. Intersex (SN)(2015)
INJURIES
1. A blow over forehead may produce black eye.(EW)(2008)
2. What are the mechanical injuries that can be diagnosed by of healing of a common
mechanical injury which can be confirmed by radiological examination.(2+3)(2009)
3. Patterned abrasion.(MLI)(2009)
4. Filigree burn (SN)(2009)
5. Suicidal and homicidal cut throat injury (difference)(2009)
6. Self-inflicted injury.(SN)(2010)
7. Difference between incised wounds & lace4rated wounds.(2010)
8. difference - wound of entrance & exit produced by a bullet fired by a rifled
firearm.(2011)
9. difference- flame burns &scalds.(2010,2013,2014)
10. Abrasion(SN)(2011)
11. Abrasion has got more medico-legal importance than bruise.(EW)(2011)
12. Countercoup injury(MLI)(2013)
13. Stab injury over right ventricle is more dangerous than over left ventricle.(EW)(2014)
14. Fabricated wound.(SN) (2014)
15. Wilson's 1st degree burn are more painful than 3rd degree burn (EW)(2015)
INFANTICIDE & CHILD ABUSE
1. Respired &non-respired lung (difference)(2009)
2. hydrostatic test (MLI)(2010)

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 3. Umbilical cord (MLI)(2013)
4. Battered baby syndrome (SN)(2015)
MISCELLENIOUS
1. Positive Benzedrine test (MLI) (2015)
TOXICOLOGY
1. Define poison. Write in short the factors which modify action of a poison.(1+4)(2008)
2. Write specific antibody. (3)(2008)
a. oxalic acid
b. methyl alcohol
c. hydrocyanic acid
3. Mention the preservatives used in the following poison
a. Arsenious oxide
b. white phosphorus
c. carbolic acid
d. opium
4. How would you classify organophorus poisons? Describe in brief the management of
such poison.(2+3)(2009)
5. Write the antidote for the following poisoning.(3)(2009)
a. Acute arsenic poisoning
b. morphine poisoning
c. Cobra bite
6. Mention the preservatives to be used in case of following poisons-(4)(2009)
a. kerosene oil
b. yellow oleander
c. sulphuric acid
d. lead
7. Describe signs and symptoms and post mortem findings of organ phosphorus
compounds.(2+1+2)(2010)
8. SN
a. Toxalbumin
b. Running amok
c. Magnanis symptom(2010)
9. Mention specific antidotes - (3)(2010)
a. Abrus precatorius
b. arsenic poisoning
c. Morphine poisoning
10. Define poison .Write in short the line of treatment in case of patient brought to
emergency with history of ingestion of some poison.(5)(2011)
11. short notes -(1.5*3)(2011)
a. stomach tube
b. running amok
c. marking nut
12. MLI:(1*3) (2011)
a. Ophitoxemia

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 b. Carboluria
c. Pupilary changes in alcohol poisoning.
13. Write in short the features of acute organ phosphorus poisoning. Write the specific
antidote. (2.5+2.5)(2013)
14. SHORT NOTE:
a. Plumbism
b. Carbolism
c. Procedure of collection, preservation and despatch of viscera for FSL
examination. (3*2.5) (2013)
15. Urine in carbolic acid poisoning in green in colour. (Explain why) (2014)
16. Mention the line of treatment of a case of organ phosphorus poisoning? (5) (2014)
17. Specific antidote :(3) (2014)
a. Dhatura poisoning
b. Acute morphine poisoning
c. Abrus precatorius poisoning.
18. Mention possible fatal doses of following: (3) (2014)
a. Corrosive sublimate
b. Common krait venom
c. Phenobarbitine
19. A person is brought to the emergency in delirious state with widely dilated pupils. His
body temperature was found to be 105◦F. From the history it could be elicited that it
took some chapati and curry offered by a fellow passenger in a train after which he
developed this manifestations.
i. What is the most probable cause?
ii. What are the other signs and symptoms expected to be found in this case?
iii. How will you manage this case? (2015) (0.5+2.5+2)
20. Answer the following: (5) (2015)
i. What are the active principle of cannabis?
ii. What is hippus? In which case we can observe this finding?
iii. In which poisoning we can observe yellow discolouration of tissue due to
function of picric acid? What is the name of this reaction?
iv. Name the toxalbumin present in castor seeds and rati seeds?
v. What is the colour of urine in phenol poiusoning and why?
21. Short note: Lead line (2016)
22. Write in short the sign, symptom and treatment of chronic arsenic poisoning? (5)
(2016)
23. Mention the active principle : (2.5*3) (2016)
a. Cannabis sativa
b. Aconitum napellus
c. Strychnos nuxvomica
FORENSIC PSYCHIATRY
1. Short note:
a. Wandering lunatic (2008)
b. Obsession (2009)

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 c. Delusion (2013)
d. Lucid interval (2014)
e. Hallucination (2016)
f. Testamentary capacity (2010)

2. Differences :True insanity and feigned insanity (2008,2015)

3. Delusion is regarded as one of the surest evidence of insanity. (Explain why) (2008)
4. Lucid interval (MLI) (2011)
5. Differences: Delusion and illusion (2011)
6. Define a mentally ill person. Discuss various ways of restraining of a mentally ill
person as per mental health act 1987. (1+2+2) (2016)
SEXUAL OFFENCES
1. What findings you expect after examination of an adolescent girl alleged to have
been raped by more than one person. What material exhibits you will collect and
send for examination?(3+2) (2011)
2. Evidence of sexual intercourse is not a legal evidence of rape. (Explain why)
(2013+2016)
3. Short note: Incest (2016)
ABORTION, IMPOTENCE, STERILITY, VIRGINITY, PREGNANCY,
DELIVERY
1. How it can be concluded that a female subject aged about 18 years brought dead to
the emergency room of a city hospital had a normal vaginal delivery about 3 days
back. (5) (2009)
2. Sterility is not a ground for divorce. (Explain why) (2009,2016)
3. Presence of intact hymen is not an absolute proof of virginity. (Explain why) (2010)
4. Short note: Lochia (2013)
5. Porous uterus and nulliparous uterus (Difference) (2013)
6. True and false virgin (Difference) (2014)
7. Pregnancy (MLI) (2015)
8. Precipitate labour (Short note) (2015)
9. Impotence but not sterility is a ground for divorce. (Explain why) (2015)

Made by
Abhilash Sahoo, Saikat Kumar Chel, Mrinal Kanti Rajak

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