Download KUHS MBBS 2020 Feb 4th Year (Final Year) 307001 General Surgery Question Paper

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• Answer all questions to the point neatly and legibly. Do not leave any blank pages between answers
• Indicate the question number correctly for the answer in the margin space. Answer all parts of a single question together. Leave sufficient space between answers. Draw table/diagrams/flow charts wherever necessary. Write section A and section B in separate answer books (32 Pages). Do not mix up questions from section A and section B.

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1. A 55 years old woman is admitted with history of progressive jaundice, loss of appetite, generalized weakness, itching all over the body and weight loss. On examination patient has hepatomegaly and a globular swelling in the right hypochondrium. Answer the following:
   • What is the probable diagnosis
   • What are the investigations to diagnose the disease (1+2+2)
   • Discuss the management (2x6=12)

2. Familial adenomatous polyposis

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3. Pseudo cyst of pancreas (3)

4. A young male is brought to casualty with massive hematemesis. On examination patient has pallor. His pulse rate is 120/min. BP is 80/60 mmHg. Answer the following:
   • What are the probable causes
   • How will you investigate
   • Mention briefly the management (5x2=10)

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5. Meckel's diverticulum
6. Hiatus hernia
7. Colonic pseudo obstruction
8. Blunt abdominal trauma evaluation
9. Fistula in ano

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1. A 14 years old boy with a swelling of distal thigh of 6 years duration presents with a 3 months history of pain in the swelling and a recent increase in size. There is no history of trauma. Patient is moderately built. Examination reveals a firm to hard tender swelling localized to the medial aspect of distal metaphysis of the femur. Discuss:
   • Give the probable diagnosis
   • Outline its management (2+4)

2. Myositis ossificans.

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3. Osteogenesis imperfecta.
4. Stress fracture.
5. Epiphyseal injuries. (4x3=12)

6. Sequestrum.
7. Gunstock deformity elbow joint.

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8. Morrant Baker's cyst.
9. Anatomical classification of fracture neck of femur.
10. Bennett's fracture dislocation.
11. Patellar tap. (6x2=12)

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