Download KUHS MBBS 4th Year 2015 April General Surgery I Question Paper

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Third Professional MBBS (Part II) Degree Examinations, April 2015

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 45 years old man presented to causality with severe pain in the epigastrium with radiation to back. He gives the history of consumption of alcohol on previous night. What is the most probable diagnosis. Mention the relevant investigations to confirm the diagnosis. How will you manage the case.

Short essays (2x6=12)

2. Hydatid cyst liver
3. Intussusception

Clinical Situation (3)

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4. A 65 years old person is referred to you with abdominal pain of two days duration. He gives history of intake of analgesics for a long time. His plain x-ray abdomen shows free gas under right dome of diaphragm. What is your diagnosis. How will you investigate the case and mention briefly the treatment

Short notes (5x2=10)

5. Ischio-rectal abscess
6. Appendicular mass
7. Desmoid tumor

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8. Complications of splenectomy
9. Choledochal cyst

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

Essay (6)

1. An 18 years old girl presents with a 3 months history of painful swelling of the distal thigh. She is ill looking and examination reveals a firm tender swelling localized to the distal metaphysis of the femur. Discuss:
   • Possible differential diagnosis.

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   • Diagnostic workup
   • Treatment of the likely cause (2+2+2=6)

Short essays (4x3=12)

2. Myositis ossificans

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3. Osteoid osteoma
4. Fracture scaphoid
5. Neuropathic arthritis

Short notes (6x2=12)

6. First aid in suspected cervical spine injury

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7. Classification of peripheral nerve injuries
8. 'Pointing' index
9. Diagnosis of hip dysplasia in newborns
10. Congenital muscular torticollis
11. Complications of Colles fracture

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