Download KUHS MBBS 4th Year 2018 Aug General Surgery I Question Paper

Download KUHS (Kerala University of Health Sciences) MBBS Fourth Year (4th Year) 2018 Aug General Surgery I Question Paper

Reg. No.: ???????
Third Professional MBBS (Part II) Degree Supplementary Examinations
August 2018
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 65 years old male with history of chronic alcoholism is brought to casualty with 2
episodes of hematemesis. His pulse rate is 100/min. BP is 80 mmHg systolic.
Examination of abdomen revealed hepatomegaly. Answer the following:
? What is the most probable diagnosis
? Mention relevant investigations
? How will you manage the patient (1+2+2)
Short essays (2x6=12)
2. Pseudo cyst of pancreas
3. Rectal prolapse
Clinical Situation (3)
4. A 45 years old male, has come to casualty with history of sudden onset of severe
umbilical pain since 6 hours. On examination, he is febrile, has tachycardia and
there is a 3 x 3 cm swelling in the umbilicus that is tender and irreducible with absent
cough impulse. Answer the following:
? What is the most likely diagnosis in this case
? How will you investigate this patient
? Discuss regarding the management of this case
Short notes (5x2=10)
5. Intussusception
6. Diagnostic peritoneal lavage
7. Richter?s hernia
8. Pilonidal sinus
9. Courvoisiers law
Q P Code: 312001 Section B ? Orthopaedics Marks: 30
Essay (6)
1. A 55 year old lady slipped and fell in the washroom on an outstretched hand. She
had severe pain in her right wrist, swelling and dinner fork deformity. Answer the
following:
? What is your clinical diagnosis
? Outline investigations and treatment.
? Enumerate the complications. (1+3+2)
Short essays (4x3=12)
2. Describe radiological features of giant cell tumor.
3. Mention complications of chronic osteomyelitis.
4. Discuss skeletal traction.
5. Enumerate complications of supracondylar fracture of humerus.
Short notes (6x2=12)
6. Enumerate stages of tuberculosis of hip joint
7. Deformities in club foot.
8. Discuss clinical features of Saturday night palsy.
9. Classification of fracture neck of femur.
10. Principles of open fracture management
11. Diagnosis of fat embolism
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