Download RGUHS (Rajiv Gandhi University of Health Sciences) MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Third Year Part II) 2024 June 1039 Surgery Paper I Rs 4 Previous Question Paper
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase ? III (PART II) (CBME) Degree Examination - 03-Jun-2024
Time: Three Hours
Max. Marks: 100
SURGERY - PAPER ? I (RS-4)
QP CODE: 1039
(QP Contains Two Pages)
Your answers should be specific to the questions asked
Draw neat, labeled diagrams wherever necessary
LONG ESSAYS
2 x 10 = 20 Marks
1.
60 year old diabetic male came with H/o ulcer in left leg for 1 month, H/o fever, oliguria,
drowsiness for 2 days. On examination Temp-102F, PR-110/min, BP-70/40mmHg, RR-
25/min, Spo2 ? 85% at room air, left leg- 8*6 cm ulcer with copious purulent foul smelling
discharge with pitting edema in left lower limb.
a) Classify various types of shock.
b) Write in detail Pathophysiology, clinical features and Management of this patient.
2.
40 yr old female came with painless rapidly progressive lump in left breast for 4 months. On
examination 3*3 hard lump with Peau d orange appearance with 1*1 cm hard lump in level
1 axilla. Stage the condition. Write in detail risk factors, investigations and management of
this patient.
SHORT ESSAYS
8 x 5 = 40 Marks
3.
Enumerate Indications and Complications of Blood transfusion.
4.
30 year old female suffered 60% burns due to gas cylinder explosion. Write about fluid
and wound management of this patient.
5.
Define Ranula. What are the clinical features? How do you treat the same?
6.
What is Surgical audit? Enumerate the steps in audit cycle.
7.
Enumerate preoperative investigations in patient with SOLITARY NODULAR GOITRE
8.
Enumerate clinical features and management of malignant melanoma
9.
Enumerate clinical features and management of papillary thyroid carcinoma
10. Write in detail about types, clinical features and management of tetanus.
SHORT ANSWERS
10 x 3 = 30 Marks
11. Write a note on Metabolic surgeries
12. Discuss clinical features and management of Acute Paronychia
13. Mention the components MEN1 and MEN2 syndrome
14. An HIV positive patient is posted for hernia surgery. What are the universal precautions to
be followed?
15. Describe the steps of informed written consent
16. Differentiate between hypertrophic scar and keloid
17. Enumerate various factors affecting wound healing
18. Complications of superficial parotidectomy
19. Enumerate principles of organ transplantation
20. Enumerate components of triage
Page 1 of 2
QP CODE : 1039
Rajiv Gandhi University of Health Sciences, Karnataka
Multiple Choice Questions
10 x 1 = 10 Marks
21 i) Structure NOT preserved in modified radical neck dissection is
A. Spinal accessory nerve
B. Submandibular nerve
C. Sternocleidomastoid muscle
D. Internal jugular vein
21 ii
) Which of the following is not a complication of massive transfusion?
A. Hypercalcemia
B. Coagulopathy
C. Hypothermia
D. Hyperkalemia
21 ii
i) Which of the following is NOT part of the anaesthetic triad used during surgery?
A. Unconsciousness
B. Pain relief
C. Amnesia
D. Muscle relaxation
21 iv)
A patient who was admitted after a road traffic accident is put on mechanical ventilation.
He opens his eyes on verbal command and moves all four limbs spontaneously. Calculate
his GCS
A. Eyes - 2, Verbal - 1, Motor -5
B. Eyes - 2, Verbal - NT, Motor -5
C. Eyes - 3, Verbal - 1, Motor -6
D. Eyes - 3, Verbal - NT, Motor -6
21 v)
Standard upper GI endoscopy includes examination of all EXCEPT
A. Pharynx
B. Esophagus
C. Duodenum
D. Jejunum
22 i) In remodeling phase of wound healing it is characterized by maturation of collagen in
type 1 collagen is replaced by
A. Type III
B. Type II
C. Fibro-blasts
D. Type IV
22
ii) Fasciotomy is indicated in Compartment Syndrome ,if compartment pressure is higher
than
A. 20 mmhg
B. 22 mmhg
C. 25 mmhg
D. 30 mmhg
22 iii) Which virus is associated with naso pharyngeal carcinoma?
A. Epstein barr virus
B. Varicella Zoster
C. HPV 6 and 11
D. Rhinovirus
22 iv)
Which solution is preferred in the initial management of hypovolemic shock?
A. Normal Saline
B. Ringer Lactate
C. Albumin
D. Blood
22 v)
Malignancy arising from a chronic scar is called ................
A. Meleney's ulcer
B. Melanoma
C. Marjolin's ulcer
D. Rodent ulcer
*****
Page 2 of 2
This post was last modified on 02 December 2024