10-01-2024
III-MBBS (Part-II)
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RUHS
1421A3+1421A4
Third Professional M.B.B.S. Part-II (Main) Examination (New Scheme)
January 2024
General Surgery
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Paper-II
Time: Three Hours
Maximum Marks: 100
Attempt all questions in both sections.
Section-A
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1. Fill in the blanks: 6 x 1 = 06
a) Most common site for ectopic testis is ......
b) Palpable metastatic left supraclavicular lymph node is known as ...... sign.
c) Phytobezoars are made ......
d) Choledocholithotomy is removal of stone from ......
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e) Liver receives 80% of its blood supply from ......
f) Gall stone ileus is a ...... small bowel obstruction.
2. Answer the following: 4x1=4
i. Which of the following is not a sign of acute appendicitis?
a) Rousing's sign b) Pointing sign
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c) Psoas sign d) Murphy's sign
ii. Which of following is not precancerous?
a) Barrett's oesophagus b) Oesophageal candidiasis
c) Corrosive injury d) Achalasia cardia
iii. Which of following is not a complication of an inguinal hernia?
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a) Bleeding b) Irreducible
c) Strangulation d) Obstruction
iv. Following statements area true for parietal peritoneum EXCEPT:
a) Innervated by somatic nerves b) Innervated by autonomic nerves
c) Pain originating in parietal peritoneum is well localised at site of inflammation
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d) Pain originating from parietal peritoneum may radiate along nerves.
3. A 60 years female presented in surgery OPD with yellowish discoloration of eyes, high colored urine, clay colored stools and pruritus for last one month:
5 x 3 = 15
a) How will you clinically evaluate this patient?
b) What are the differential diagnosis?
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c) What are the investigations required?
d) Pre-operative preparation of patient.
e) How will you treat this patient?
4. Write briefly on (Any Five).
5 x 2 = 10
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a) Early Gastric Cancer b) N.O.T.E.S
c) Paraphimosis d) Reynold's pentad
e) Park's classification of fistula in Ano f) DTPA renogram
5. Write about the following (Any Three).
3 x 5 = 15
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a) Indicated/diagnostic preoperative investigations in surgical patients.
b) Clinical signs in acute pancreatitis.
c) Advantages and disadvantages of minimal invasive surgery.
d) Classification and causes of intestinal obstruction.
Section-B
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6. Describe clinical presentation, investigations, immediate care & management of femur neck fracture in elderly patient: ______ 20
7. Write short notes:
10 x 3 = 30
a) Acute osteomyelitis
b) Giant cell tumor
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c) Day care anaesthesia
d) Pain management in palliative care
e) Role of communication in patient safety.
f) Enumerate indications of X-ray KUB region
g) Barium swallow
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h) E.R.C.P
i) Enumerate oral pre-cancerous conditions
j) How will you take care of edentulous elderly person?
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