Download KUHS MBBS 4th Year 2017 July General Surgery I Question Paper

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Third Professional MBBS (Part II) Degree Supplementary Examinations, September 2017

GENERAL SURGERY - I

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Time: 3 Hours Max marks: 60

• Answer all questions
• Write section A and section B in separate answer books (32 Pages). Do not mix up questions from section A and section B.

Q P Code: 307001 Section A – Surgery (GIT) Marks: 30

Structured Essay (5)

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1. A 35 years old alcoholic male patient is admitted with upper abdominal pain and vomiting. O/E patient has tachypnea, tachycardia, hypotension, upper abdominal guarding and rigidity. Answer the following:
   • What are the probable diagnosis
   • Mention relevant investigations
   • How will you manage

Short essays (2x6=12)

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2. Pancreatic carcinoma
3. Carcinoid in appendix

Clinical Situation (3)

4. A 30 years old male came to OP with H/o habitual constipation and painless bleeding P/R of 3 months duration. General examination revealed pallor. Answer the following:
   • What is the most likely diagnosis
   • How will you investigate

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   • Mention briefly the treatment options.

Short notes (5x2=10)

5. Tumor markers in GI cancers
6. Self-expanding metallic stents

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7. Solitary rectal ulcer
8. Diverticulitis
9. Choledochal cyst

Q P Code: 312001 Section B - Orthopaedics Marks: 30

Essay (6)

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1. A 60 year old diabetic patient sustained injury to the left hip after he slipped and fell in the toilet. The patient was unable to walk after the fall. He was carried to the hospital. Clinical examination revealed externally rotated, shortened left lower limb. Hemodynamically patient was stable with no evidence of any other serious injury. Discuss:
   • Differential diagnosis
   • Outline the management of the most probable diagnosis. (2+4)

Short essays (4x3=12)

2. Greenstick fracture.

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3. Volkmann's ischemic contracture
4. Solitary exostosis
5. Lateral epicondylitis.

Short notes (6x2=12)

6. Gibbus.

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7. Brodie's abscess
8. Skeletal traction.
9. Sudeck's osteodystrophy.
10. Bone grafting.
11. Effusion knee joint.

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