Download KUHS MBBS Final Year 2024 July 324001 General Surgery II Question Paper

Reg. No.: .....................
Third Professional MBBS (Part II) Degree Supplementary (SAY)
Examinations July 2024
General Surgery ? II

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(2019 Scheme)
Time: 3 Hours
Total Marks: 100
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

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Answer all parts of a single question together ? Leave sufficient space between answers
Draw table/diagrams/flow charts wherever necessary
Write section A (52 Pages) and section B (32 Pages) in separate answer books. Do not mix up
questions from section A and section B.
Q.P. Code: 324001

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Max. Marks: 70
Section A ? General Surgery Including Anesthesiology, Dental Sciences and
Radiodiagnosis
Essay:
(2x10=20)

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1. 45year old male patient presented with upper abdominal pain and vomiting of one day
duration. Pain radiating to back. There is history of alcohol intake 2 days back. On
examination there is tachycardia, mild abdominal distension and tenderness with guarding
in epigastrium.
a) What is the most probable diagnosis

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b) How do you investigate
c) How do you manage this patient
(2+4+4)
2. 65years old male patient presents with massive abdominal distension, absolute
constipation and pain abdomen of one-day duration. On examination there is tachycardia,

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massive abdominal distension and tenderness, no guarding or rigidity plain X ray of erect
abdomen showed coffee bean sign.
a) What is your diagnosis
b) What are the etiological factors
c) How do you investigate and treat this patient

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(2+3+5)
Short essays
(4x6=24)
3. Epidural anaesthesia
4. Carcinoid tumour of appendix

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5. Meckel's diverliculum
6. Dentigerous cyst
Shorts answers
(4x4=16)
7. Undescended testes

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8. ERCP
9. Benign prostatic hypertrophy
10. Discuss how will you take consent for a patient with permanent colostomy
Precise answers

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(5x2=10)
11. Murphy's sign
12. Surgical treatment of Haemorrhoids

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13. Mallory Weiss tear
14. Triangle of doom
15. Infantile hypertrophic pyloric stenosis
(PTO)

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Q.P. Code: 325001

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Max. Marks: 30
Section B ? Orthopedics Including Physical Medicine and Rehabilitation

Essay
(6)

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1. Describe aetiopathogenesis, clinical features, management of Developmental Dysplasia
of Hip.
Short Essays
(3x4=12)
2. Classification and management of Fracture Neck of Femur in Adults.

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3. Describe Gustilo and Anderson Classification and management of Open fractures.
4. Management of Chronic Osteomyelitis.
Short notes
(2x3=6)
5. Gait -definition and examples.

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6. Carpal Tunnel syndrome.
Precise Answers
(6x1=6)
7. Deformities in Erb's Palsy.
8. What is Distraction osteogenesis. Give two examples where it is used.

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9. Thomas Splint.
10. De-Quervain's tenosynovitis.
11. Types of Bone graft.
12. Stages of Fracture healing.
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