3& Wlrich of the following statement is not correct for acute lymphoblastic leukemia: (1) CNS manifestations may be present. (2) It has BCR-ABL fusion gene of 210 KD. (3) Surface expression is positive for TdT. (4) It has numerical chromosomal change 39' Increased incidence of malignant tumour in ataxia telangiectasia is due to : (1) Defective DNA repair ,(2) Mutatuion of p53 gene ", (3) Mutation of RAS gene (4) Polymorphism of p_450locus Monoclonal antibody to CD20.(Rituximab)is used in the treatment of (1) Carcinoma breast (2) Lymphoma : .. (3) Hashimoto's thyroiditis Attempt any five questi'ons. Write answer (4) Sjogren's syndrome in 750-200 words. Each question carries 16 marks' Answer each question on separate page, after writing euestion Number. I I 1. Tubercularmeningitis. 2. Erythrocytic sedimentation rate (ESR) 3. Anti Neutrophii Cytoplasmic Auto_antibody (ANCA). 4. Glycosylated haemoglobin (HbAlc). 5. Reed Sternberg cell. 6. Bence Jones Protein, 7, Tumour markers in serum. 8. Osteoclastoma. 9. Demonstration of amyloid in tissue. '1.0' Peripheral blood.and bone marrow finding of megaloblastic anaemia. REfll2lTest 8/652 . (7) P. T. O. l ri RET/LZ/Test B Questidn Booklet No. ,(t'be Rol! No. fired up by the candidate by btue/brack bar-point pen) Serial No. of OMR Answer Sheet (Signature of lnvigilator) INSTHUCTIONS TO CANDIDATES (Use only bluelblac? balt'point pen in the space above and on both sides of the Answerstreef) 1. Within gllt'S 'l O rnintfoo +L^ :^^--^ ^t Lt- ^F ensure.that you have got the lSjilill'tr0'1,'ti,iffi",1lii"q::,1:ij::ll:lll":.: 'lTil3l")el:sJ"'i: ffi:::i::':X'"'"#'I,*?jiffi '1,1*-:,*:*{i1,!,:Ft"d;ffiTffiff,il: oiff/.:""#'it': .t;'i#i=.;,i;"'ff" ffii'"'Jlf,i""'#,,i?1i,,,fi1,^l:*t3:.::li: superintendent/rnvisilatorsi#m"fi ;t"l;;.uTi",il?"r,lbt?"iJ"JB"ui"^,I 2. Do nof hrino an, l^^-^ *^-^-- -..---:,, written o, u1"r,r., ?:;'iirxnr{ry::f"N?per, Card withoit iti enztetofie. ' - fri,ft'rfil{r'fr#:#f;:leet H.J:anH;}:| is giaetr.It shoutit not i"'iau *,ui*amination Han except tke,Ldmit be fotited or mutitated. A seconit Answer sheet Number and serial Number of the Answer sheet by pe' in the space ' ?i,'!"ii{{-ri:,fftafr;Tfi.'l;:f;2:#';l! circiii-;;-i;;6iitli{'ir;;',';;#i:;;r r:#:;'ffJi,y#i:;:r*ifr.7r,r,i,y}t:d.r: ,;'rfrrfrrrr,'ffi1,:rfr:, i J ii"i the tap, and ba darkqting tt e i"ffi: Que sti o n B o o k Iet Numb er"an lni"s x ii ipn or, p t a c e s. 6. No oztprznil.inaia nll^-..-) )- r1-^ ---t . y; on oMR tr^ffi#y:,r:;fyffi',(,'.",#3;H'i,"!.!{,,}yi,s;i:j:!!.o:\b1,N.o. shee{anit RouNo. oia oina-iiir; 7- Amt ehnnooo io n1^-^^-:s Any changes in thn the a! '' ^--t-,t N".';;'itY5;;:;;;r";:ff,;i: and set No (ir any) is to be zterified iy in, iwsigitator, othetwise it wiu be f:{r;r!"f;i"lf taken as unfair *::!"*said-entries mean* *r{!i|'!.!i T,'"!,:|T;16:T:;"' :*::::::s!::::.lottoweit .bv la short altswer questions. rqhi:;{:i'*'fff*W*o'l,f ':;r;:;*#:&,y,o#o:,torecdrdin;'ii,i,i-i,'iiii,iTf y,!;:r#!""r,7;i'zr,#r;rr;,.fr":l;ri,l:li*":;:;;'x*,tai;i,;I:;*,;J,!f;ii; guidetinebsirsenon'r*';:"7r:::"*y,:X:!.!12,1;i;{i;;;;1i;;;7,ii,Lu,,edinthe Q.uestionsltse fiac R -euestionsusefit:eBtanice;s;;;h;ih;ii;inlZLi'ii'iirI"df##frTf 9. For each nrrpstion AonL^ ^-r-- ^-- : r .r ,tf!r. circleordirkenacircrep*tiutfy,th-";;.;;,i#il'"H:'*",",1; H:,::.l*x:l:t,f;:Tl;lir":,ffi:x*;#,","g'^:""^,,I**:IjiJ"?l r"y 10. Note that the ansuter once filled in ink cannot be cha ";i,";!:';;1;: *:;**,S;;" ,lr;il t'' -"" ' " darken more than one zero marks). 5i';#Eg:r#?:u, #{,:#::i,:;i:#€f;lif* (such t"::,f"y,*fi:::::I:"3 question wili be awafded use the inner back page of the tirle cover and the blank page at the end 12 Deposit both oMR Answer sheet anil Question iookletat the end of the Test. 13' You are not permitted to leave the Exariination Hall until the end of the Test. 14- If a candidate attempts to use any form of unfair meErns, he/she shall be punishment as the unlversity*"ij'"t"r*i"""*a Total No. of printed pages : 15 impose on him/her liable to such Code No. Klinefelter syndrome has the following genetic make up (1) ,44 : autosomes +xxy (2) 44 autosomes + xo 2. (3) 45 autosomes + xx (4) Alautosomes + xy Which of the following statement is incorrect related to 'Sickle cell Anaemia' (1) It is a autosomal recessive linked disorder. (2) It is due to a single base mutation of B globulin gene. (3) It is inherited in whose one of the parent is carrier and other normal (4) It changes shape of RBC from Round to sickle 3. Which property does not belong to cytokines : (1) Pleiotropy (2) Redundancy (3) Synergy (4) Specificity 4. What is the most likely organism in Patient with colrunon v immunodeficiency presenting with pneumonia 5. I (1) Aspergillus (2) Pneumococcus (3) Mycoplasma (4) CMV Which,of the following is a mechanical barrier to conception (1) Condom (2) Abortion (3) Cu-T (4) oral pill RET/1?Test B,1652 (2) :' : 6. By studying analogous structures we look for (1) similarities in organ structure : , (2) similarities in cell make-up (3) similarities in appearance and function but different in structure (4) similarities in appearance that differences in functions 7. Which prediction from the fossil record is in agreement with the theory of evolution ? (1) unicellular organisms are first found in strata above (2) multicellular fossils. (3) Land animals ' aPPear earlie?'than Land plants in the fossil record. Reptiles appear earlier an insects in the fossil record. (4) Prokaryote fossils appear earlier than eukaryote fossils. 8. 9. Ductless glands are known as : (1) Digestive Glands (2) Milk Glands (3) Endocrine Glands (4) Exocrine Glands Virus is chemically composed of : (1) Starch and Proiein' (2) Fat and nucleic acid (3) D.N.A. and tipids (4) Protein and Nucleic Acid 10. Thyroxin hormone is secretM by (1) Thyroid (2) Pituitary (3) Adrenal (4) Ovary RETtl2lTestB/652 Ii : (B) P..T. O, 11. rvVhich of the (1) Nerve 1 2' following celI shqws more hyperplasia (3) Endometrium (2) Muscle (4) Cartilage llil:xf'"ffi J, or *,u ce,ls H'il#:'#tH:T: is d'ue to decrease in size of the cells' (2) Metaplasia (3)Itisduetoabnormalpersistentproliferationofthecells. (4)Itisareversiblechangein*ni.r,onedifferentiatedcellisreplacedby another cell tYPe' 13. 14. necrosis ? \Mhich pattern is seen in gangrenous (2) Liquefactive necrosis (1) Coagulative necrosis (4) Fibrinoid necrosis (3) Caseous necrosis Apoptosisisdecreasedinwhichofthefollowingconditions: ti"ty (1) Neurodegenerative diseases (Z) lch1tl (3)Cancei(4)Deathofviralinfectedcell 15. Fatty change in liver is caused by (1) Alcohol : (2) Diabetes mellitus (4) All ofthe above (3) Proteinmalnutrition 16'YellowbrownpigmentincardiacmuscleinelderlyPersonisdueto: (3) Haemosiderin (4) Lipofuscin (2) Bilirubin (1) Melanin 17. : In which d.isease leukocytosis is not seen (2) Lobar Pneumorua (1) Acute aPPendictis (4) Myocardial infarction (3) Typhoid fever features are present except iron deficienry anemia.all the following (2) Serum ferritin is low (1) Serum iron is low (4) Iron binding capacity is high : 1g._ Il:r (3) FIbA2 is increased 19. except one are converted In cyanmethemoglobin method, all hemoglobins cYanmethemoglobin : (1) Carboxy hemoglobin (3) Carbamino hemoglobin RET/I2lTest 81652 (2) Sulfhemoglobin (4) None of the above (4) d n' Dense neurosecretory granules are present in cells of which of the following u (1) squamous cell (2) small cell carcinoma of 1ung (3) ?fl' Vasculitis I4trhich carcinoma (4) Dabetes mellitus of the following tumour in stomach is associated with Helicobacter pylori infection: (L) Carcinoid tumour (3) Linitis plastica 22' 23. 24' : , (2) Gastrointestinal stromal tumour (4) Lymphoma stomach ltVhich of the following feature is not present in chronic ulcerative colitis (1) Crypt abscess (2) Pseudopolyps (3) Granuloma (4) Ulcers in mucosa Hemochromatosis can produce (1) Cirrhosis of liver (3) Skin pigmentation : : (2) Diabetes mellitus (4) All of the above a "Tram Track" aPPearance of glomerular basement membrane is seen in (1) Endocapillary glomerulonephritis : (2) Crescentic giomerulonephritis (3) Nlembranous glomerulonephritis (4) Mesangiocapillary glomerulonephritis 25' \rVhich of the following is not responsible for oedema in nephrotic syndrome : (1) Decreased plasma (2) Increased plasma osmotic pressure protein (3) Lypphatic obstruction 26- ' (4) sodium and water retention Prothrombin time assesses function of which type of protein (1) Factor VII, X, II, V & fibrinogen (2) Factor XII, XI,IX, V[I, X, V, II & fibrinogen (3) Plasmin (4) Vitamin K : , ' ' 27, \Atrhich of the foliowing does not produce hypercoagulability , (1) Antiphosphoiipid antibody 1zj unrractionated heparin "-- (3) Nepfuotic syndrome (4) Tissue plasminogen activator RET/lfiest 8/652 (5) p. T. O. : k 28. What is the site where red infarcts are usually not seen (1) Ovary 29. (2) Lung : (4) Small intestine (3) Heart " recessive disorder Which of the following disease does not belong to X:linked (2) Myotonic dystrophy (1) G6pD'deficiency (4) Lesch-Nyhan syndrome wirtott-Aldrich syndrome ? ie) 30. Karyotype found in Down's syndrome is $) 31. 'qzxx+zt (2) 47xx+1s : MHC class II antigen presents antigen to : (2) T cytotoxic cells (1) T helper cells (4) Macrophages (3) Natural killer cells 32, \Mhich test is most important for renal transplant patients (1) HLA matching between donor and recipient (2.) ABO matching between donor and recipient (3) B cell cross match (4) T cell cross match 33. (4) 45x (3) 4TxxY : Cancerwhichembolizesthroughparavertebralplexusisof: (4) Ovary (3) Breast (2) Prostate (L) Stomach 34. \Atrhich of the following infection is not transrnitted by transplacental route monogrtogenes !2) listeria (4) Nocardiabrasiliensis : 819 ie) ro*oplasma gondii (1) Parvovirus diagnosis of myocardi Which of the following biomarker is more specific for infarction: (2) CK-MB (1) Troponins T'& I (4) High leukocYte count (3) LDH 36. Diagnostic feature of Ha3himoto's thyroiditis_is : (1) iymphocytic infiltration between thyroid follicular cells izi fy*irhorytic infiltration and Hu{hle cell change (3) Dilated follicles filled with colloid (4) AtroPhied thYroid follicle 97. Diabetes mellitus is diagnosed when : .(1)Fastingb1oodsugaris>126mg/d1. Pospr:andial blo6d sugar is >140 mgldl (3) Urine sugar test is Positiv"' . oceasion' ,- ,, ' *iz1y,-*.Fii6ting #1ood sugai is ) 126 mg/dl on moie than one iri RET/12ffeSt8/652 (6) '
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