CLASS : 10th (Secondary) Code No. 4202
Series : Sec. M/2019
Roll No. SET : A
ENGLISH
(Academic/Open)
(Only for Fresh/Re-appear Candidates)
Time allowed : 3 hours ] [ Maximum Marks : 80
• Please make sure that the printed pages in this
question paper are 16 in number and it contains 13
questions.
• The Code No. and Set on the right side of the
question paper should be written by the candidate
on the front page of the answer-book.
• Before beginning to answer a question, its Serial
Number must be written.
• Don’t leave blank page/pages in your answer-book.
• Except answer-book, no extra sheet will be given.
Write to the point and do not strike the written
answer.
• Candidates must write their Roll Number on the
question paper.
• Before answering the questions, ensure that you
have been supplied the correct and complete
question paper, no claim in this regard, will be
entertained after examination.
4202/(Set : A) P. T. O.
, (2) 4202/(Set : A)
General Instructions :
(i) This question paper is divided into four
Sections : A, B, C and D.
(ii) All questions are compulsory.
(iii) Attempt all the parts of a question together.
(iv) Stick to the word limit wherever prescribed.
SECTION – A
(Unseen Comprehension)
1. Read the passage given below and answer the
questions that follow :
AIIMS admitted 150 patients with alcohol –
related liver failure from 2011 to 2015. Of this,
the study said, 96 died within 10 days despite
all possible medical intervention.
Follow – up of the rest of the patients who
were discharged when their condition got stable
revealed that nearly 20% died within three to
four months and another 20% in a year.
"Once you have got acute-on chronic liver
failure due to alcohol, survival is rare.
Transplant, the only life-saving treatment
option, is not possible immediately because
three months of abstinence from alcohol is
required", said Dr. Shalimar, associate professor
of gastroenterology at AIIMS.
4202/(Set : A)
, (3) 4202/(Set : A)
There is no medicine for alcoholism.
"Abstinence is the only way to prevent liver
failure and deaths caused by that. The
government needs to create awareness to
prevent excessive drinking."
A recent survey published in Global Heart,
a reputed medical journal, showed alcohol use
has gone up from 16.1% to 25.6% among urban
dwellers in Delhi in the past 20 years. The
increase in alcohol use in rural areas in the
corresponding period is nearly four times – from
8% to 33.2% – the survey found.
"We admitted 427 patients with acute – on
chronic liver failure from 2011 to 2015 at the
hospital. Of this, a maximum 150 (40.8%) cases
were alcohol-related, followed by hepatitis B
virus infection (71, 19.3%), hepatitis E (45, 12.2%),
autoimmune hepatitis flare – up (17, 4.6%), anti-
tuberculosis drugs (16, 4.3%) and hepatitis
A(2, 0.5%). In 67 patients (18.2%), the cause of
acute liver failure couldn't be ascertained", he
said.
The AIIMS doctor added alcohol-related liver
failure cases have poorer prognosis. "Most of them
required ventilator supports, their blood was
thinner and brain damage was higher too", he
added. Dr. S. K. Sarin, director of the Institute of
4202/(Set : A) P. T. O.
, (4) 4202/(Set : A)
Liver and Biliary Sciences (ILBS), said most
alcoholics are calorie – deprived. "Most infections
cause leaky bowel. But in case of alcoholics, this
problem is severe. Due to this, bacteria easily get
into liver from the small intestine, thus
aggravating organ failure status, he added.
He, however, stressed the need to create
awareness about harmful effects of binge
drinking.
Questions : 1×5=5
(i) What happens to the patients who go to
AIIMS with alcohol – related liver failure ?
(ii) What is the best treatment for patients
suffering from acute on chronic liver failure
due to alcohol ?
(iii) What is the best way to prevent liver failure
and death due to alcohol ?
(iv) In which areas of India is the use of alcohol
increasing more rapidly ?
(v) What is the effect of binge drinking ?
OR
Trees give shade for the benefit of others,
while they themselves stand in the sun and
endure the scorching heat; they produce the
fruit by which others profit. The character of a
4202/(Set : A)
Series : Sec. M/2019
Roll No. SET : A
ENGLISH
(Academic/Open)
(Only for Fresh/Re-appear Candidates)
Time allowed : 3 hours ] [ Maximum Marks : 80
• Please make sure that the printed pages in this
question paper are 16 in number and it contains 13
questions.
• The Code No. and Set on the right side of the
question paper should be written by the candidate
on the front page of the answer-book.
• Before beginning to answer a question, its Serial
Number must be written.
• Don’t leave blank page/pages in your answer-book.
• Except answer-book, no extra sheet will be given.
Write to the point and do not strike the written
answer.
• Candidates must write their Roll Number on the
question paper.
• Before answering the questions, ensure that you
have been supplied the correct and complete
question paper, no claim in this regard, will be
entertained after examination.
4202/(Set : A) P. T. O.
, (2) 4202/(Set : A)
General Instructions :
(i) This question paper is divided into four
Sections : A, B, C and D.
(ii) All questions are compulsory.
(iii) Attempt all the parts of a question together.
(iv) Stick to the word limit wherever prescribed.
SECTION – A
(Unseen Comprehension)
1. Read the passage given below and answer the
questions that follow :
AIIMS admitted 150 patients with alcohol –
related liver failure from 2011 to 2015. Of this,
the study said, 96 died within 10 days despite
all possible medical intervention.
Follow – up of the rest of the patients who
were discharged when their condition got stable
revealed that nearly 20% died within three to
four months and another 20% in a year.
"Once you have got acute-on chronic liver
failure due to alcohol, survival is rare.
Transplant, the only life-saving treatment
option, is not possible immediately because
three months of abstinence from alcohol is
required", said Dr. Shalimar, associate professor
of gastroenterology at AIIMS.
4202/(Set : A)
, (3) 4202/(Set : A)
There is no medicine for alcoholism.
"Abstinence is the only way to prevent liver
failure and deaths caused by that. The
government needs to create awareness to
prevent excessive drinking."
A recent survey published in Global Heart,
a reputed medical journal, showed alcohol use
has gone up from 16.1% to 25.6% among urban
dwellers in Delhi in the past 20 years. The
increase in alcohol use in rural areas in the
corresponding period is nearly four times – from
8% to 33.2% – the survey found.
"We admitted 427 patients with acute – on
chronic liver failure from 2011 to 2015 at the
hospital. Of this, a maximum 150 (40.8%) cases
were alcohol-related, followed by hepatitis B
virus infection (71, 19.3%), hepatitis E (45, 12.2%),
autoimmune hepatitis flare – up (17, 4.6%), anti-
tuberculosis drugs (16, 4.3%) and hepatitis
A(2, 0.5%). In 67 patients (18.2%), the cause of
acute liver failure couldn't be ascertained", he
said.
The AIIMS doctor added alcohol-related liver
failure cases have poorer prognosis. "Most of them
required ventilator supports, their blood was
thinner and brain damage was higher too", he
added. Dr. S. K. Sarin, director of the Institute of
4202/(Set : A) P. T. O.
, (4) 4202/(Set : A)
Liver and Biliary Sciences (ILBS), said most
alcoholics are calorie – deprived. "Most infections
cause leaky bowel. But in case of alcoholics, this
problem is severe. Due to this, bacteria easily get
into liver from the small intestine, thus
aggravating organ failure status, he added.
He, however, stressed the need to create
awareness about harmful effects of binge
drinking.
Questions : 1×5=5
(i) What happens to the patients who go to
AIIMS with alcohol – related liver failure ?
(ii) What is the best treatment for patients
suffering from acute on chronic liver failure
due to alcohol ?
(iii) What is the best way to prevent liver failure
and death due to alcohol ?
(iv) In which areas of India is the use of alcohol
increasing more rapidly ?
(v) What is the effect of binge drinking ?
OR
Trees give shade for the benefit of others,
while they themselves stand in the sun and
endure the scorching heat; they produce the
fruit by which others profit. The character of a
4202/(Set : A)
