M.B.B.S. EXAMINATION (SYSTEMIC PATHOLOGY) PAPER-II

Pathology (Systemic Pathology)

M.B.B.S. DEGREE EXAMINATION – JANUARY, 2015

PAPER-II

Time : 2 Hours                                                                      Max. Marks: 40

Note : Answer all questions

            Draw diagrammatic representation wherever necessary

1. A 55 year old lady present with breathlessness and cough for the past 2 weeks.  She gives history of loss of weight and tiredness for past 6 months.  X-ray chest revealed a massive pleural effusion on the left side.     CT scan showed a nodular mass which is peripherally located in the left lung.  CT guided biopsy of the mass showed, large cells with pleomorphic nuclei and prominent nucleoli, arranged in a glandular pattern.  

 a) What is your diagnosis?                                       (1+5+4=10)

                b) Mention the histological types (sub-classification) of this

                     lesion with illustrations

3. Describe its etiopathogenesis.

WRITE SHORT NOTES ON:                                                     5x4=20

2. Valvular lesions in rheumatic heart disease
3. Etiopathogenesis of carcinoma stomach
4. Etiopathogenesis of hepatocellular Carcinoma
5. Etiopathogenesis of Chronic Pyelonephritis
6. Morphology of malignant melanoma

WRITE BRIEFLY ON:                                                              5x2=10

7. Morphology of uterine leiomyoma
8. Name four brain tumors
9. Three causes of primary hyperparathyroidism and one cause of secondary hyperparathyroidism

         10) Microscopic appearance of giant cell tumour of bone

         11) Classification of germ cell tumours of testis