Download KUHS Fourth Year 2024 March Scheme 10 General Surgery I Question Paper

Reg. No.:

Third Professional MBBS (Part II) Degree Supplementary Examinations

March 2024

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General Surgery - I Max marks: 60

Time: 3 Hours

• 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

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• 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. An elderly female presented with pain and distension of abdomen with reduced appetite and loss of weight since 4 months. The patient also complains of yellowish discolouration of skin, eyes and passage of clay coloured stools since one month. On examination scratch marks present all over the body.
   1. What is the probable diagnosis
   2. What are the relevant investigations (1+2+2)

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   3. Discuss the management

Short essays (2x6=12)

2. Choledochal cyst
3. Koch's abdomen

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Clinical Situation (3)

4. A 20-year-old presented with pain right lower abdomen of one day duration. He gives h/o pain around the umbilicus on the previous day. He also has nausea and fever of one day duration
   1. What is the most probable clinical diagnosis
   2. What are the relevant investigations
   3. Describe briefly about management

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Short notes (5x2=10)

5. Achalasia cardia
6. Umbilical hernia
7. Mention causes of reflux esophagitis
8. Complications of splenectomy

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9. Types of colostomy

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

Essay (6)

1. Classify shoulder dislocation. Describe clinical features, diagnosis and management of anterior dislocation of shoulder in adults.

Short essays (4x3=12)

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2. Management of Brodie's abscess
3. Bone grafts
4. McMurray's test
5. Tennis elbow

Short notes (6x2=12)

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6. Plaster of Paris
7. Pseudoarthrosis
8. Osteoid osteoma
9. Barlow's test
10. Baker's cyst

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11. Thomas splint

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