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

Download KUHS (Kerala University of Health Sciences) MBBS Fourth Year (4th Year) 2017 March General Surgery I Question Paper

Reg. No.: ???????
Third Professional MBBS (Part II) Degree Examinations, March 2017
GENERAL SURGERY - I
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)
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)
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.
Mention briefly the management.
Short notes (5x2=10)
5. Ileal perforation
6. Chylolymphatic cyst
7. Fistula in ano
8. Pseudocyst of pancreas
9. Premalignant conditions of carcinoma stomach
Q P Code: 312001 Section B ? Orthopaedics Marks: 30
Essay (6)
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
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
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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