Download VNSGU MBBS 4th Year RAN 2406000104020602 General Surgery Paper II Apr 2025 Question Paper

*RAN-2406000104020602*
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RAN-2406000104020602
Final M. B. B. S. (Part II) Examination April - 2025
Paper - II : General Surgery

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k|Q"p : / Instructions
(1) "uQ? v$ip?h?g r"ip"uhpmu rhNsp? D?fhlu `f Ah?e gMhu.
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 - II : General Surgery
Subject Code No.: 2406000104020602
Student's Signature

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Section - I
Q. 1.
Give answers in brief: (any two out of three)
2?10=20
a. A 30 yr old male brought to casuality with H/O severe abdominal pain

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of 1 day duration and ingetion of NSAID for 3 weeks for low back pain.
O/E there is abdominal guarding and board like rigidity
i.
what is the probable diagnosis
(3 marks)

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ii. how will you investigate
(3 marks)
iii. mentionbrieflythetreatment
(4marks)
b. A 60 yr male presented with complain of upper abdominal mass with

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severe vomiting immediately after food intake with positive visible
gastric peristalsis and presence of succution splash.
i.
what is the diagnosis
(3 marks)

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ii. how will you investigate
(3 marks)
iii. brieflymentionthemanagement
(4marks)
c. A45yearmalepatient,alcoholicsince20yearscametoemergency

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department with severe abdominal pain in epigastric region. Pain reduces
inleaningforwardposition.Serumamylase,lipasearesignificantly
raised. Discuss
i.
whatisyourprobablediagnosis?

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(2marks)
ii. Whataretheetiologicalfactors
(2marks)
iii. Discussaboutclinicalfeatures
(2marks)

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iv. Discussmanagementofthispatient.
(4marks)
RAN-2406000104020602 ]
[ 1 ]
[ P.T.O. ] P0603

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Q. 2.
Write short notes : (Any three out of four)
3?4=12
1. what are the typs of liver abcess. Describe in brief about management of
amoebic liver abcess

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2. whatarethetypes,cinicalpresentationandmanagementof
choledocholithiasis
3. overwhelming post splenectomy infection (OPSI)
4. whataretheetiologyandriskfactorsforcarcinomacolon.Describein
brief management of ca colon

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Q. 3.
Write in brief : (Nine out of ten)
9?2=18
1. Surgical anatomy of femoral canal
2. TIPSS(transjugularintrahepaticportosystemicshunt)

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3. Mallory Weiss syndrome
4. Differencebetweenchronsandulcerativecolitis
5. Whataretheindicationsofcolostomy
6. What is Alvarado scoring system for appendicitis
7. How will you manage internal piles

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8. Enumerate the causes of lower Gl bleeding
9. Familial adenomatous polyp (FAP)
10. Goodsalls law
Section - II
Q. 4.

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Give answers in brief : (any two out of three)
2?7=14
i. A8yearboysustainedafallonoutstreachedhandandsustainedinjury
nearrightelbowpresentingwithpain,swellingandSshapeddeformity
near elbow

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a.
What is best probable clinical diagnosis
b.
What are differential diagnosis
c.

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Investigations
d.
Treatment options for the child
ii. Describethepathology,signs,symptomsandmanagementofTBspinein
dorsolumbar function.

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iii. Describeindetailetiology,clinicalfeaturesandmanagementofgiantcell
tumor of upper end of tibia.
RAN-2406000104020602 ]
[2]
[Contd. P0603

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Q. 5.
Write short notes : (Any three out of four)
3?4=12
i. Discuss Investigations and management of Gout
ii. Discuss clinical features and management fracture neck of femur.

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iii. Discuss principles of management of compound fracture of long bone.
iv. Saturday night palsy
Q. 6.
Write short notes : (Any three out of four)
3?4=12

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i. MRI-Principle,uses,advantages,disadvantages
ii. NOTES(Naturalorificetransluminalendoscopicsurgery)
iii. Whatisregionalanaesthesia.Mentionthedifferentdrugsused,whatare
the advantages of this method?
iv. What are the roles of physician as a communicator.

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Q. 7.
Write in brief : (six out of seven)
6?2=12
i. Ameloblastoma
ii. Intravenous urethrogram (IVU)

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iii. Percutaneous nephrolithotomy
iv. Defference between EDH and SDH
v. Classifysutures,whatarethepropertiesofidealsuture,
vi. Whatiskeloid,discussmanagementofit.
vii. Indications of burr hole surgery.

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RAN-2406000104020602 ]
[ 3 ]
[ 90 ] P0603

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