Download RGUHS MBBS Final Year 2024 June 1039 Surgery Paper I Rs 4 Previous Question Paper

QP CODE : 1039

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

(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

1. 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.
   1. Classify various types of shock.
   2. Write in detail Pathophysiology, clinical features and Management of this patient.

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2. 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

3. Enumerate Indications and Complications of Blood transfusion.
4. 30 year old female suffered 60% burns due to gas cylinder explosion. Write about fluid and wound management of this patient.
5. Define Ranula. What are the clinical features? How do you treat the same?

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6. What is Surgical audit? Enumerate the steps in audit cycle.
7. Enumerate preoperative investigations in patient with SOLITARY NODULAR GOITRE
8. Enumerate clinical features and management of malignant melanoma
9. Enumerate clinical features and management of papillary thyroid carcinoma
10. Write in detail about types, clinical features and management of tetanus.

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SHORT ANSWERS 10 x 3 = 30 Marks

11. Write a note on Metabolic surgeries
12. Discuss clinical features and management of Acute Paronychia
13. Mention the components MEN1 and MEN2 syndrome
14. An HIV positive patient is posted for hernia surgery. What are the universal precautions to be followed?

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15. Describe the steps of informed written consent
16. Differentiate between hypertrophic scar and keloid
17. Enumerate various factors affecting wound healing
18. Complications of superficial parotidectomy
19. Enumerate principles of organ transplantation

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20. Enumerate components of triage

Multiple Choice Questions 10 x 1 = 10 Marks

21. Structure NOT preserved in modified radical neck dissection is
    1. Spinal accessory nerve
    2. Submandibular nerve
    3. Sternocleidomastoid muscle

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    4. Internal jugular vein
22. Which of the following is not a complication of massive transfusion?
    1. Hypercalcemia
    2. Coagulopathy
    3. Hypothermia

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    4. Hyperkalemia
23. Which of the following is NOT part of the anaesthetic triad used during surgery?
    1. Unconsciousness
    2. Pain relief
    3. Amnesia

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    4. Muscle relaxation
24. 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
    1. Eyes - 2, Verbal - 1, Motor -5
    2. Eyes - 2, Verbal - NT, Motor -5
    3. Eyes - 3, Verbal - 1, Motor -6

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    4. Eyes - 3, Verbal - NT, Motor -6
25. Standard upper GI endoscopy includes examination of all EXCEPT
    1. Pharynx
    2. Esophagus
    3. Duodenum

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    4. Jejunum

22. In remodeling phase of wound healing it is characterized by maturation of collagen in type 1 collagen is replaced by
    1. Type III
    2. Type II
    3. Fibro-blasts

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    4. Type IV
23. Fasciotomy is indicated in Compartment Syndrome, if compartment pressure is higher than
    1. 20 mmHg
    2. 22 mmHg
    3. 25 mmHg

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    4. 30 mmHg
24. Which virus is associated with naso pharyngeal carcinoma?
    1. Epstein barr virus
    2. Varicella Zoster
    3. HPV 6 and 11

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    4. Rhinovirus
25. Which solution is preferred in the initial management of hypovolemic shock?
    1. Normal Saline
    2. Ringer Lactate
    3. Albumin

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    4. Blood
26. Malignancy arising from a chronic scar is called
    1. Meleney's ulcer
    2. Melanoma
    3. Marjolin's ulcer

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    4. Rodent ulcer

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