Download KUHS Fourth Year 2024 July 2019-Scheme General Surgery II Question Paper

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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

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• 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 (52 Pages) and section B (32 Pages) in separate answer books. Do not mix up questions from section A and section B.

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Q.P. Code: 324001 Max. Marks: 70

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

Essay: (2x10=20)

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

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   3. How do you manage this patient? (2+4+4)
2. 65-year-old male patient presents with massive abdominal distension, absolute constipation, and pain abdomen of one-day duration. On examination, there is tachycardia, massive abdominal distension and tenderness, no guarding or rigidity plain X-ray of erect abdomen showed coffee bean sign.
   1. What is your diagnosis?
   2. What are the etiological factors?
   3. How do you investigate and treat this patient? (2+3+5)

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Short essays (4x6=24)

3. Epidural anaesthesia
4. Carcinoid tumour of appendix
5. Meckel’s diverticulum

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6. Dentigerous cyst

Short answers (4x4=16)

7. Undescended testes
8. ERCP
9. Benign prostatic hypertrophy

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10. Discuss how you will obtain consent for a permanent colostomy from a patient.

Precise answers (5x2=10)

11. Murphy’s sign
12. Surgical treatment of Haemorrhoids
13. Mallory Weiss tear

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14. Triangle of doom
15. Infantile hypertrophic pyloric stenosis

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P. Code: 325001 Max. Marks: 30

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Section B - Orthopedics Including Physical Medicine and Rehabilitation

Essay (6)

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.
6. Carpal Tunnel syndrome.

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Precise Answers (6x1=6)

7. Deformities in Erb’s Palsy.
8. What is Distraction osteogenesis. Give two examples where it is used.
9. Thomas Splint.
10. De-Quervain’s tenosynovitis.

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11. Types of Bone graft.
12. Stages of Fracture healing.

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