Download KUHS Fourth Year 2024 March Scheme 19 General Surgery II 2019 Scheme Question Paper

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Third Professional MBBS (Part II) Degree Regular Examinations March 2024

General Surgery - II (2019 Scheme)

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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
• 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: 324001 Max. Marks: 70

Section A – General Surgery Including Anesthesiology, Dental Sciences and Radiodiagnosis

Essay: (2x10=20)

1. 27year old male patient presented with pain in right lower abdomen, vomiting and fever of 3 days duration. On examination there is tachycardia, pyrexia and tender mass in right iliac fossa.
   1. What is the most probable diagnosis

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   2. What are the relevant investigations
   3. How do you treat this patient (2+4+4)
2. 35year old male patient with history suggestive of peptic ulcer disease presents to emergency with complaints of severe diffuse abdominal pain, vomiting and abdominal distension of 1 day duration. On examination, abdomen is distended, tender with guarding and rebound tenderness.
   1. What is your probable diagnosis
   2. How do you manage this patient (2+8)

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Short essays (4x6=24)

3. Amoebic liver abscess
4. Ameloblastoma
5. Regional anaesthesia

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6. Mammography

Short answers (4x4=16)

7. Urolithiasis
8. Causes of Haematuria
9. Complications of gall stones

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10. How will you counsel a patient for radiotherapy for a recently diagnosed cancer rectum

Precise answers (5x2=10)

11. Circumcision
12. Complications of ulcerative colitis
13. Mesenteric cyst

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14. Diagnosis and treatment of acute intussusception
15. Goodsall's rule

Q.P. Code: 325001 Max. Marks: 30

Section B - Orthopedics Including Physical Medicine and Rehabilitation

Essay (6)

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1. Describe etiopathogenesis, clinical and pathological features of Osteosarcoma. Management of Osteosarcoma of Proximal Tibia in a 20-year-old patient.

Short Essays (3x4=12)

2. Management of a 2-year-old child presenting with suspected Septic arthritis of Knee.
3. Describe the Gustilo-Anderson fracture classification and management of Open fractures.
4. Classification of Joints.

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Short notes (2x3=6)

5. Role of exercise as a therapeutic modality.
6. Differences between Primary and Secondary fracture healing.

Precise Answers (6x1=6)

7. Radiological findings of Chronic Osteomyelitis.

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8. Gun Stock deformity.
9. Three clinical tests for Ulnar nerve (Function).
10. Deformities in Tuberculosis of the Knee.
11. Tension Band Wiring-principle.
12. Deformities in Congenital Talus Equino Varus.

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