Download RUHS MBBS Final Year General Surgery Paper II 2024 January Question Paper

08-01-2024

III-MBBS (Part-II) RUHS 1421A3+1421A4

Third Professional M.B.B.S. Part-II (Main) Examination (New Scheme)

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January 2024

General Surgery

Paper-II

Time: Three Hours

Maximum Marks: 100

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Attempt all questions in both sections.

Section-A

1. Fill in the blanks: 6x1=06
   1. Most common site for ectopic testis is _______.
   2. Palpable metastatic left supraclavicular lymph node is known as _______ sign.
   3. Phytobezoars are made of _______.

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   4. Choledocholithotomy is removal of stone from _______.
   5. Liver receives 80% of its blood supply from _______.
   6. Gall stone ileus is a _______ small bowel obstruction.
2. Answer the following: 4x1=04
   1. Which of the following is not a sign of acute appendicitis?
      1. Rovsing's sign

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      2. Pointing sign
      3. Psoas sign
      4. Murphy's sign
   2. Which of following is not precancerous?
      1. Barrett's oesophagus

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      2. Oesophageal candidiasis
      3. Corrosive injury
      4. Achalasia cardia
   3. Which of following is not a complication of an inguinal hernia?
      1. Bleeding

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      2. Irreducible
      3. Strangulation
      4. Obstruction
   4. Following statements area true for parietal peritoneum EXCEPT:
      1. Innervated by somatic nerves

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      2. Innervated by autonomic nerves
      3. Pain originating in parietal peritoneum is well localised at site of inflammation
      4. Pain originating from parietal peritoneum may radiate along nerves.

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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: (5x3=15)
   1. How will you clinically evaluate this patient?
   2. What are the differential diagnosis?
   3. What are the investigations required?
   4. Pre-operative preparation of patient.
   5. How will you treat this patient?

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4. Write briefly on (Any Five). 5x2=10
   1. Early Gastric Cancer
   2. ?.?.?.?.S
   3. Paraphimosis
   4. Reynold's pentad

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   5. Park's classification of fistula in And
   6. DTPA renogram
5. Write about the following (Any Three). 3x5=15
   1. Indicated/diagnostic preoperative investigations in surgical patients.
   2. Clinical signs in acute pancreatitis.

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   3. Advantages and disadvantages of minimal invasive surgery.
   4. Classification and causes of intestinal obstruction.

Section-B

6. Describe clinical presentation, investigations, immediate care & management of femur neck fracture in elderly patient.

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7. Write short notes: 10x3=30
   1. Acute osteomyelitis
   2. Giant cell tumor
   3. Day care anaesthesia
   4. Pain management in palliative care
   5. Role of communication in patient safety

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   6. Enumerate indications of X-ray KUB region
   7. Barium swallow
   8. E.R.C.P
   9. Enumerate oral pre-cancerous conditions
   10. How will you take care of edentulous elderly person?

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