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

Download RGUHS (Rajiv Gandhi University of Health Sciences) MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Third Year Part II) 2024 June 1039 Surgery Paper I Rs 4 Previous Question Paper

This post was last modified on 02 December 2024


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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


  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.
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    3. Write in detail Pathophysiology, clinical features and Management of this patient.
  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

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  1. Enumerate Indications and Complications of Blood transfusion.
  2. 30 year old female suffered 60% burns due to gas cylinder explosion. Write about fluid and wound management of this patient.
  3. Define Ranula. What are the clinical features? How do you treat the same?
  4. What is Surgical audit? Enumerate the steps in audit cycle.
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  6. Enumerate preoperative investigations in patient with SOLITARY NODULAR GOITRE
  7. Enumerate clinical features and management of malignant melanoma
  8. Enumerate clinical features and management of papillary thyroid carcinoma
  9. Write in detail about types, clinical features and management of tetanus.

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SHORT ANSWERS 10 x 3 = 30 Marks


  1. Write a note on Metabolic surgeries
  2. Discuss clinical features and management of Acute Paronychia
  3. Mention the components MEN1 and MEN2 syndrome
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  5. An HIV positive patient is posted for hernia surgery. What are the universal precautions to be followed?
  6. Describe the steps of informed written consent
  7. Differentiate between hypertrophic scar and keloid
  8. Enumerate various factors affecting wound healing
  9. Complications of superficial parotidectomy
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  11. Enumerate principles of organ transplantation
  12. Enumerate components of triage

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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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  1. i) Structure NOT preserved in modified radical neck dissection is
    1. Spinal accessory nerve
    2. Submandibular nerve
    3. Sternocleidomastoid muscle
    4. Internal jugular vein
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  2. ii) Which of the following is not a complication of massive transfusion?
    1. Hypercalcemia
    2. Coagulopathy
    3. Hypothermia
    4. Hyperkalemia
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  3. iii) Which of the following is NOT part of the anaesthetic triad used during surgery?
    1. Unconsciousness
    2. Pain relief
    3. Amnesia
    4. Muscle relaxation
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  4. 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
    1. Eyes - 2, Verbal - 1, Motor -5
    2. Eyes - 2, Verbal - NT, Motor -5
    3. Eyes - 3, Verbal - 1, Motor -6
    4. Eyes - 3, Verbal - NT, Motor -6
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  5. v) Standard upper GI endoscopy includes examination of all EXCEPT
    1. Pharynx
    2. Esophagus
    3. Duodenum
    4. Jejunum
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  1. i) 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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    5. Type IV
  2. ii) 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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    5. 30 mmhg
  3. iii) Which virus is associated with naso pharyngeal carcinoma?
    1. Epstein barr virus
    2. Varicella Zoster
    3. HPV 6 and 11
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    5. Rhinovirus
  4. iv) Which solution is preferred in the initial management of hypovolemic shock?
    1. Normal Saline
    2. Ringer Lactate
    3. Albumin
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    5. Blood
  5. v) Malignancy arising from a chronic scar is called ………….
    1. Meleney's ulcer
    2. Melanoma
    3. Marjolin's ulcer
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    5. Rodent ulcer

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