Firstranker's choice
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OP CODE : 1039
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Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase – III (PART II) (CBME) Degree Examination - 03-Jun-2024
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Time: Three Hours Max. Marks: 100
SURGERY - PAPER – I (RS-4)
QP CODE: 1039
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(QP Contains Two Pages)
Your answers should be specific to the questions asked
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Draw neat, labeled diagrams wherever necessary
LONG ESSAYS 2 x 10 = 20 Marks
- 60 year old diabetic male came with H/o ulcer in left leg for 1 month, H/o fever, oliguria, drowsiness for 2 days. On examination Temp-102F, PR-110/min, BP-70/40mmHg, RR- 25/min, Spo2 – 85% at room air, left leg- 8*6 cm ulcer with copious purulent foul smelling discharge with pitting edema in left lower limb.
- Classify various types of shock.
- Write in detail Pathophysiology, clinical features and Management of this patient.
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- 40 yr old female came with painless rapidly progressive lump in left breast for 4 months. On examination 3*3 hard lump with Peau d orange appearance with 1*1 cm hard lump in level 1 axilla. Stage the condition. Write in detail risk factors, investigations and management of this patient.
SHORT ESSAYS 8 x 5 = 40 Marks
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- Enumerate Indications and Complications of Blood transfusion.
- 30 year old female suffered 60% burns due to gas cylinder explosion. Write about fluid and wound management of this patient.
- Define Ranula. What are the clinical features? How do you treat the same?
- What is Surgical audit? Enumerate the steps in audit cycle.
- Enumerate preoperative investigations in patient with SOLITARY NODULAR GOITRE
- Enumerate clinical features and management of malignant melanoma
- Enumerate clinical features and management of papillary thyroid carcinoma
- Write in detail about types, clinical features and management of tetanus.
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SHORT ANSWERS 10 x 3 = 30 Marks
- Write a note on Metabolic surgeries
- Discuss clinical features and management of Acute Paronychia
- Mention the components MEN1 and MEN2 syndrome
- An HIV positive patient is posted for hernia surgery. What are the universal precautions to be followed?
- Describe the steps of informed written consent
- Differentiate between hypertrophic scar and keloid
- Enumerate various factors affecting wound healing
- Complications of superficial parotidectomy
- Enumerate principles of organ transplantation
- Enumerate components of triage
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Firstranker's choice
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OP CODE : 1039
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Rajiv Gandhi University of Health Sciences, Karnataka
Multiple Choice Questions 10 x 1 = 10 Marks
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- i) Structure NOT preserved in modified radical neck dissection is
- Spinal accessory nerve
- Submandibular nerve
- Sternocleidomastoid muscle
- Internal jugular vein
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- ii) Which of the following is not a complication of massive transfusion?
- Hypercalcemia
- Coagulopathy
- Hypothermia
- Hyperkalemia
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- iii) Which of the following is NOT part of the anaesthetic triad used during surgery?
- Unconsciousness
- Pain relief
- Amnesia
- Muscle relaxation
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- iv) A patient who was admitted after a road traffic accident is put on mechanical ventilation. He opens his eyes on verbal command and moves all four limbs spontaneously. Calculate his GCS
- Eyes - 2, Verbal - 1, Motor -5
- Eyes - 2, Verbal - NT, Motor -5
- Eyes - 3, Verbal - 1, Motor -6
- Eyes - 3, Verbal - NT, Motor -6
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- v) Standard upper GI endoscopy includes examination of all EXCEPT
- Pharynx
- Esophagus
- Duodenum
- Jejunum
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- i) In remodeling phase of wound healing it is characterized by maturation of collagen in type 1 collagen is replaced by
- Type III
- Type II
- Fibro-blasts
- Type IV
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- ii) Fasciotomy is indicated in Compartment Syndrome ,if compartment pressure is higher than
- 20 mmhg
- 22 mmhg
- 25 mmhg
- 30 mmhg
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- iii) Which virus is associated with naso pharyngeal carcinoma?
- Epstein barr virus
- Varicella Zoster
- HPV 6 and 11
- Rhinovirus
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- iv) Which solution is preferred in the initial management of hypovolemic shock?
- Normal Saline
- Ringer Lactate
- Albumin
- Blood
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- v) Malignancy arising from a chronic scar is called ………….
- Meleney's ulcer
- Melanoma
- Marjolin's ulcer
- Rodent ulcer
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