Download WBUHS MBBS Final Year April 2025 General Surgery Paper II Question Paper

FirstRanker.com

The West Bengal University of Health Sciences

MBBS 3rd Professional Part-II Examination (New Regulation)

--- Content provided by‍ FirstRanker.com ---

March - April 2025

Subject: General Surgery

Paper: II

Full Marks: 100

Time: 3hours

--- Content provided by​ FirstRanker.com ---

Attempt all questions. The figures in the margin indicate full marks.

Use separate answer script for Orthopaedics questions

1. a) A 50 year old gentleman, a bus conductor by profession, complained of pain and swelling in his left lower limb which was aggravated especially in the evening. On examination, there is a swelling in the course of the Great Saphenous vein of the left lower limb with a 3 x 4 cm ulcer near the region of medial malleolus. 2+4+2+6+1
   1. State with reasons your provisional diagnosis.
   2. Discuss the course of great saphenous vein and enumerate its tributaries in the groin, thigh and leg.
   3. Discuss one important investigation to investigate the above patient that would help you to confirm your clinical diagnosis.

   --- Content provided by‌ FirstRanker.com ---

   4. Discuss only the principles of management of varicose vein and venous ulcer.
   5. Name one minimally invasive procedure done for varicose veins.
   b) Classify bone tumor. Write in brief the clinical features, investigations and treatment of giant cell tumor of lower end of radius. 4+3+3+5
2. Answer the following:
   1. What is cleft lip and cleft palate? Write down the management of cleft lip and cleft palate. 2+2+3+3
   2. What are the types of congenital hydrocele? Write in short clinical features and treatment of acquired hydrocele. 4+3+3

   --- Content provided by‌ FirstRanker.com ---

   3. What is Tension pneumothorax? Write down the clinical features and management of Tension pneumothorax. 2+4+4
3. Write short notes on the following: 2 x 5
   1. Adamantinoma.
   2. Epidural anaesthesia.

--- Content provided by‌ FirstRanker.com ---

4. Explain the following statements: 5 x 4
   1. Diathermy (electro surgical unit) is very useful in modern surgical operation theatre.
   2. ABI (Ankle Brachial pressure index) measured in suspected case of Diabetic foot shows a high value.
5. c) Hypercalcemia may occur in renal cell carcinoma.
6. d) Carbon dioxide is used in pneumoperitoneum.

--- Content provided by​ FirstRanker.com ---

7. e) GCS score can never be zero.
8. Choose the correct option for each of the following: 10x1
9. i) Plain abdominal X ray shows "Double bubble" sign in:
10. a) Duodenal atresia
11. b) Ileal atresia

--- Content provided by‌ FirstRanker.com ---

12. c) Meconium ileus
13. d) Malrotation and midgut volvulus
14. ii) Wolfe graft is:
15. a) Thin split thickness graft
16. b) Thick split thickness graft

--- Content provided by‍ FirstRanker.com ---

17. b) Medium split thickness graft
18. d) Full split thickness graft
19. iii) Umbilical hernia in pediatric age group:
20. a) May result partly from absence of the Richet's fascia
21. b) Commonly strangulated below the age of 3 years

--- Content provided by‌ FirstRanker.com ---

22. c) If symptomless, should be operated below the age of 2 years
23. d) Should be operated by hernioplasty to prevent recurrence
24. iv) Painless effusion in joints in congenital syphilis is called:
25. a) Clutton's joint
26. b) Banton's joint c) Charcot's joint d) Synovitis

--- Content provided by‌ FirstRanker.com ---

27. v) Which is not seen in complete ectopic vesicae?
28. a) Umbilical hernia
29. b) Visible uretero vesical reflux
30. c) Hypospadias
31. d) Waddling gait

--- Content provided by⁠ FirstRanker.com ---

32. vi) Which bladder stone is not radiopaque?
33. a) Tripple phosphate
34. b) Uric acid
35. c) Xanthine
36. d) Cysteine

--- Content provided by FirstRanker.com ---

37. vii) Common site for extradural hemorrhage:
38. a) Frontal
39. b) Occipital
40. c) Temporoparietal
41. d) Brainstem

--- Content provided by FirstRanker.com ---

42. viii) Whitaker test is done in:
43. a) Posterior urethral valves
44. b) Ureteric opening distal to external spincter
45. c) Ureterocele
46. d) Benign prostatic hyperplasia

--- Content provided by‍ FirstRanker.com ---

47. ix) Dietl's crisis is associated with all except:
48. a) Renal colic
49. b) Swelling in the loin
50. c) Haematuria
51. d) Swelling disappears after passage of large volume of urine

--- Content provided by FirstRanker.com ---

52. x) As a rule which of the following is not seen in Carcinoma penis?
53. a) Fungation of glans
54. b) Lymphatic spread to groin
55. c) Urinary obstruction
56. d) Phimoses

--- Content provided by‌ FirstRanker.com ---

FirstRanker.com