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

OP CODE : 1039

Rajiv Gandhi University of Health Sciences, Karnataka

MBBS Phase - III (PART II) (CBME) Degree Examination - 01-Mar-2024

--- Content provided by‍ FirstRanker.com ---

Time: Three Hours

Max. Marks: 100

SURGERY - PAPER – I (RS-4)

QP CODE: 1039

(QP Contains Two Pages)

--- Content provided by‍ FirstRanker.com ---

Your answers should be specific to the questions asked

Draw neat, labeled diagrams wherever necessary

LONG ESSAYS 2 x 10 = 20 Marks

1. 45 year old lady presents with a painless lump of 2x2 cm size to start within the right breast and has doubled the size in 6 months
   1. What other history is needed?
   2. What is your differential diagnosis?

   --- Content provided by FirstRanker.com ---

   3. How do you investigate?
   4. Add a note on management of early breast carcinoma
2. 40 year old lady presents with swelling in the front of the neck of 10 years duration, gradually increasing in size
   1. List the differential diagnosis
   2. Symptoms of hyperthyroidism

   --- Content provided by‍ FirstRanker.com ---

   3. Complications of multinodular goitre
   4. Investigations for multinodular goitre

SHORT ESSAYS 8 x 5 = 40 Marks

3. Enumerate types of shock and principles of resuscitation

--- Content provided by‍ FirstRanker.com ---

4. Advantages and disadvantages of minimally invasive surgery
5. Enumerate clinical features and write a note on management of parathyroid adenoma
6. Enumerate clinical features and write a note on management of tension pneumothorax
7. Principles of laparoscopy
8. Clinical features and management of Pleomorphic adenoma

--- Content provided by​ FirstRanker.com ---

9. Investigations of a surgical patient
10. Complications of blood transfusion

SHORT ANSWERS 10 x 3 = 30 Marks

11. Factors affecting wound healing
12. Clinical manifestation of Multiple endocrine neoplasia type 1

--- Content provided by FirstRanker.com ---

13. Glasgow coma scale in head injuries
14. Principles of organ transplantation
15. Ethics in general surgery
16. Indications for daycare surgery
17. Enumerate clinical features of cystic hygroma

--- Content provided by FirstRanker.com ---

18. How do you arrive at a diagnosis of squamous cell carcinoma of skin?
19. Immunological basis of transplantation
20. Parkland formula for burns

Multiple Choice Questions 10 x 1 = 10 Marks

21. Pain caused by irritation of nerves
    1. Psychogenic pain

    --- Content provided by​ FirstRanker.com ---

    2. Nociceptive pain
    3. Neuropathic pain
    4. Inflammatory pain
22. The following may be associated with Human Immunodeficiency Virus(HIV) EXCEPT
    1. Pneumocystitis Carinii Pneumonia

    --- Content provided by​ FirstRanker.com ---

    2. Kaposi's Sarcoma
    3. Drug treatment is most effective in late phase
    4. Drug treatment is most effective in early phase
23. Branchial cyst, following is TRUE
    1. Sequestration dermoid

    --- Content provided by⁠ FirstRanker.com ---

    2. Presents at the upper end of neck
    3. Seen at lower end of the neck
    4. Develops from third branchial cleft
24. Gas Gangrene, following is true EXCEPT
    1. Caused by Clostridium tetani

    --- Content provided by⁠ FirstRanker.com ---

    2. Occurs in immunocompromised patients
    3. Antibiotic prophylaxis is necessary
    4. Gas in soft tissue
25. Mondor's disease is
    1. Infection of scalp

    --- Content provided by​ FirstRanker.com ---

    2. Spontaneous thrombophlebitis of veins of leg
    3. Spontaneous thrombophlebitis of veins of breast
    4. Infection of the cheek
26. Metabolic response to trauma includes all EXCEPT
    1. Increased energy requirement

    --- Content provided by⁠ FirstRanker.com ---

    2. Decreased energy requirement
    3. Increased nitrogen requirement
    4. Increased gluconeogenesis
27. Complication of blood transfusion includes all EXCEPT
    1. Febrile reaction

    --- Content provided by‍ FirstRanker.com ---

    2. Allergic reaction
    3. AIDS
    4. Leukemia
28. Cleft palate occurs due to
    1. Abnormal development of median nasal process

    --- Content provided by FirstRanker.com ---

    2. Abnormal development of maxillary process
    3. Failure of fusion of palatine shelves
    4. Failure of fusion of nasal bones
29. Preoperative plan for better surgical outcome includes all EXCEPT
    1. Optimize patient condition

    --- Content provided by FirstRanker.com ---

    2. Informed consent
    3. Document relevant information
    4. No need to correct anaemia
30. Postoperative complications include all EXCEPT
    1. Hypotension

    --- Content provided by​ FirstRanker.com ---

    2. Chronic obstructive pulmonary disease
    3. Pneumonia
    4. Renal failure

*****

--- Content provided by FirstRanker.com ---

FirstRanker.com