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RAN-2406000104020601
Final M. B. B. S. (Part - II) Examination April - 2025
Paper - I : General Surgery
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Seat No.:
Fill up strictly the details of signs on your answer book
Name of the Examination:
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Final M. B. B. S. (Part - II)Name of the Subject :
Paper - I : General Surgery
Subject Code No.: 2406000104020601
Student's Signature
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Section - IQ. l.
Give answer in brief: (Any two out of three)
2?10=20
a. A 60 yr diabetic male came with history of ulcer over left leg for 1
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month, h/o fever, oligourea, drowsiness for 2 days.on examination T-102F, PR-110/min, BP-70/40, RR-25/min, SPO2-85%
at room air, left leg has 8?6 cm ulcer with copious, fowl smelling pus
discharge, with pitting edema in left lower limb
i.
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what type of shock is this?(2 marks)
ii. write in details about management of this pt
(2 marks)
iii. write a note on pathophysiology and types of shock.
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(3 marks)b. 50 year old female came with lump in Right breast since 6 months.
4?4cmlumpinrightupperouterquadrant,hard,nontender,fixedtoskin
and underlying fascia. No palpable axillary lymphnode palpable.
i.
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What is your probabale diagnosis?(2 marks)
ii. What is the TNM staging of this patient
(2 marks)
iii. What investigatios will you do?
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(3 marks)iv. Discuss about treatment of this patient
(3 marks)
c. A 30 yr female pt presented to casuality with h/o burn injury to the head
and neck, both upper limbs and front and back of chest
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i.How will you acess area and degree of burn?
(3 marks)
ii. Describepathophysiologyofburnanditsclassification. (4marks)
iii. Describe in brief the management of this patient.
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(3 marks)RAN-2406000104020601 ]
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[ P.T.O. ] P0602
Q. 2.
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Write short notes : (Any three out of four)3?4=12
a. Abdominal Compartment syndrome
b. Classify Surgical site infection and describe in brief about prevention of
it.
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c. Complications of blood transfusiond. Describe in brief various management modalities of varicose veins.
Q. 3.
Write in brief : (Nine out of ten)
9?2=18
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i. Difference between dry and wet gangreneii. Enumerate complications of amputation
iii. Lefortclassificationofmaxillofacialinjury
iv. Mention the possible sites and management of thyroglossal cyst
v. What are the differences between primary and secondary thyrotoxicosis
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vi. What are the different types of bariatric surgeryvii. What are the cause and management of hyperkalemia
viii. Difference between keloid and hypertrophic scar
ix. What are the factors affecting wound healing
x. what are the roles of indian medical graduate
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Section - IIQ. 4.
Give answer in brief: (Any two out of three)
2?10=20
a. 30 year old male presented with Right sided painless testicular swelling
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since two months.O/E-6?6cmswellinginrightscrotum,firmtohard,nontender,non
trnasilluminantandfluctuationabsent.
i.
What is the most likely clinical diagnosis?
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(2 marks)ii. What are the differential diagnosis?
(3 marks)
iii. What are required investigations.
(2 marks)
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iv. Discuss in detail management of this patient.(3 marks)
b. A 47 year male came to OPD with history of suprapubic pain for 1
month, he has frequency of urination at daytime, increase pain at jolting
movements, history of interruption of urination.
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On xray KUB pt has 4?4 cm size calculus in urinary bladderi.
What are the types of bladder calculus
(3 marks)
ii. What are the etiology for its formation
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(3 marks)iii. Discuss in details about management of this patient
(4 marks)
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[ Contd. P0602c. A young male patient came to emergency department with history of
roadtrafficaccidentbefore4hourswithpelviccompressiontestpositive,
patient is unable to pass urine ,has blood at tip of external urethral
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meatus.i.
What is probable diagnosis
(3 marks)
ii. What investigations you will do in this case?
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(3 marks)iii. Discuss in detail about treatment of this case.
(4 marks)
Q. 5.
Write short notes : (Any three out of four)
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3?4=12i. What are the types of cystoscopy. What are the uses and complications of
it.
ii. What are the causes of hematuria, describe in brief about management of
it.
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iii. What are clinical features of ureteric calculus and describe in briefmanagement of it.
iv. Describe in brief about clinical features investigations and treatment of
wilms tumor
Q. 6.
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Write in brief : (Nine out of ten)9?2=18
i. Enumerate causes of hydronephrosis
ii. What are the causes of transitional cell carcinoma of urinary bladder
iii. Posterior urethral valve
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iv. Management of retention of urinev. Paraphimosis
vi. What is priaprism how will you treat it.
vii. What are the indications of circumcision
viii. Management of schistosoma haematobium
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ix. Causes of cystitisx. Management of polycystic kidney disease
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[ 90 ] P0602
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