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

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Third Professional MBBS (Part II) Degree Examinations, March 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.

QP Code: 307001 Section A - Surgery (GIT) Marks: 30

Structured Essay (5)

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1. A 40 years old female attends the surgical casualty with H/O recurrent upper abdominal pain. Now she has severe pain in upper abdomen with fever, chills and rigor. O/E patient is febrile with tachycardia and guarding over the right hypochondrium. Answer the following:
   • What is the probable diagnosis
   • What are the investigations done to diagnose the disease
   • Discuss the management (1+2+2=5)

Short essays (2x6=12)

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2. Amoebic liver abscess
3. Sigmoid volvulus

Clinical Situation (3)

4. A young male is brought to casualty with H/O blunt injury abdomen. O/E PR-100/mt. BP- 80/60 mm Hg. There is tenderness and guarding in the left hypochondrium.
   • What is the likely diagnosis.
   • How will you investigate.

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   • Mention briefly the management. (5x2=10)

Short notes

5. Ileal perforation
6. Chylolymphatic cyst

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7. Fistula in ano
8. Pseudocyst of pancreas
9. Premalignant conditions of carcinoma stomach

QP Code: 312001 Section B - Orthopaedics Marks: 30

Essay (6)

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1. 14 yr old male complains of dull aching constant pain over lower right thigh for 3 months. He noticed a fusiform swelling over the same region which was increasing in size. He says it all started after a fall during football game. He was able to complete the game after the fall. He was afebrile during this episode. Discuss:
   • Differential diagnosis
   • Outline management of the most probable diagnosis (2+4=6)

Short essays (4x3=12)

2. Pathology in clubfoot

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3. Advanced trauma life support
4. Mechanism of injury in Colles' fracture and its displacements
5. Management of acute septic arthritis of knee

Short notes (6x2=12)

6. Clinical grading of muscle power

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7. Trendelenburg test
8. Radiology of chronic osteomyelitis
9. Causes of non-union of fracture
10. Clinical features of acute compartment syndrome
11. Ankle sprain

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