Download KUHS MBBS 2019 Aug 4th Year (Final Year) General Surgery I Question Paper

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Third Professional MBBS (Part II) Degree Supplementary Examinations August 2019

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 60 years old male presented with complaints of upper abdominal mass with severe vomiting immediately after food intake with positive visible gastric peristalsis and presence of succussion splash. Answer the following:

   • What is the diagnosis
   • How will you investigate
   • Briefly mention the management. (1+2+2)

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Short essays (2x6=12)

2. Intussusception.
3. Hydatid liver disease

Clinical Situation (3)

4. A 35 years old male is presenting at casualty with acute upper abdominal pain radiating to the back following a binge of alcohol. Patient is dehydrated and is having tachycardia. Clinical examination reveals upper abdominal guarding with distension of abdomen. Answer the following:

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   • What is the probable diagnosis
   • What are the investigations
   • Discuss the management.

Short notes (5x2=10)

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5. Barrett’s esophagus.
6. ERCP
7. Calot’s triangle
8. OPSI(Opportunist Post Splenectomy Infection).
9. Oschner Sherren regimen

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Q P Code: 312001 Section B — Orthopedics Marks: 30

Essay (6)

1. A 40-year-old manual-labourer complains of sudden onset of low back ache with radiating pain down-his right lower limb after lifting heavy weight. He also complains of numbness on-the lateral aspect of the leg as well as dorsum of the foot. Answer the following:

   • What is the probable diagnosis.
   • What are the clinical signs that will help diagnosis.

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   • How will you manage this patient. (1+2+3)

Short essays (4x3=12)

2. Transient synovitis of the hip
3. Carpal tunnel syndrome

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4. Fracture lateral condyle humerus in children
5. Lisfranc fracture dislocation

Short notes (6x2=12)

6. Causes of non-union in fracture neck of femur
7. Complications of slipped capital femoral epiphysis

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8. X-ray findings in congenital hip dislocation
9. Classification of bone tumors
10. Tinel's sign
11. Sequestrum

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