Download RGUHS MBBS Final Year 2024 March 1040 Surgery Paper II Rs 4 Previous Question Paper

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Rajiv Gandhi University of Health Sciences, Karnataka

MBBS Phase – III (PART II) (CBME) Degree Examination - 04-Mar-2024

Time: Three Hours

SURGERY (SECTION –A)

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PAPER – II (RS-4)

QP CODE: 1040

Max. Marks: 50

Your answers should be specific to the questions asked

Draw neat, labeled diagrams wherever necessary

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(Note: Both QP Codes 1040 and 1041 are to be answered within total duration of three hours)

(Use separate Answer Books for QP Code 1040 & 1041)

LONG ESSAYS 1 x 10 = 10 Marks

1. 40 year man presented with pain in the right calf while walking for the last six months. He also noticed change in colour of the second toe of right foot.
   1. What is the probable diagnosis?
   2. What other history would you like to take?

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   3. Relevant investigation to be done
   4. Add a note on management of thrombo angitis obliterans

SHORT ESSAYS 4 x 5 = 20 Marks

2. Write clinical features and management of inguinal hernia

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3. Enumerate the clinical features and management of pancreatic pseudocyst
4. Enumerate clinical features and add a note on management of Achalasia cardia
5. List the differential diagnosis for haematuria and elaborate on investigations

SHORT ANSWERS 5 x 3 = 15 Marks

6. Enumerate components of Charcot's triad

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7. Differential diagnosis for mediastinal tumors
8. Enumerate complications of splenectomy
9. How to diagnose torsion testis?
10. Differential diagnosis for Right iliac fossa mass.

Sherren regimen

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Multiple Choice Questions 5x1=5 Marks

11. i) Surgery for Inguinal hernia includes all
    1. Litchenstein repair
    2. Stoppa's repair
    3. Desarda repair
    4. McEvedy repair

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12. ii) Features of peritonitis include all EXCEPT
    1. Abdominal pain that increases on movement
    2. Fever
    3. Guarding
    4. Increased bowel sounds

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13. iii) Following are features of venous ulcer EXCEPT
    1. Sloping edge
    2. Occurs at pressure site
    3. Venous hypertension
    4. Surrounding skin pigmentation

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14. iv) Conditions associated with severe obesity are the following EXCEPT
    1. Type 2 diabetes
    2. Polycystic ovary syndrome
    3. Hypertension
    4. Hypothyroidism

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15. v) Which of the following is TRUE for seminoma testis
    1. Predominantly spreads through lymphatics
    2. Consists of a mixture of tissues
    3. Secretes beta HCG
    4. Spreads predominantly by blood

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