Download VNSGU MBBS 4th Year Old 2206000104020001 General Surgery P I June 2024 Question Paper

2206000104020001
EXAMINATION JUNE 2024
Third MBBS Part-II (OLD)
GENERAL SURGERY P ? I LEVEL 2

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

[Time: As Per Schedule]
[Max. Marks: 100]
Instructions:
Seat No:
1. Fill up strictly the following details on your answer book

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

a) Name of the Examination : Third MBBS Part-II (OLD)
b) Name of the Subject : GENERAL SURGERY P - I
c) Subject Code No : 2206000104020001
2. Sketch neat and labelled diagram wherever necessary.
3. Figures to the right indicate full marks of the question.

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

Student's Signature
4. All questions are compulsory.

SECTION ? I

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

Q.1 Give answers in brief: (Any two out of three)
20

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

A) A 25yr old lady presents with lump in left upper outer part of the Breast

for 12 months. On Examination, 5 cms mass, freely mobile, no nodal

enlargement.

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

i)
What is the most likely diagnosis?
2
ii)

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

Which investigations will you advise to reach to confirm your
3
diagnosis?

iii)

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

What treatment options are available and follow-up advise to
5
patient management.

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

B) A 30 yr student is brought to emergency when his motorcycle skids in

speed. He is conscious, has Pulse rate of 100/minute, BP of

100/70mmHg. Has a wound over left thorax with palpable rib fracture.

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

He has respiratory distress and falling oxygen saturation.

i)
Write is the likely diagnosis?

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

2
ii)
Write briefly about the treatment of this patient, in emergency
3
iii)

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

Write briefly about the investigations needed to confirm the
5
diagnosis & definitive treatment of this patient.

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

C) A 42 yr. heavy smoker patient presents in OPD with claudication pain in

left leg with increasing to rest pain in foot 3 months. On examination, he

has absent dorsalis pedis and posterior tibial artery pulsation.

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

2206000104020001
[1 of 3]

---

i) What is the most likely diagnosis?

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

2
ii) Enumerate investigations to decide line of management of this
3
patient.

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

iii) Long term management plan of this patient.
5
Q.2 Write Short notes (Any three out of Four)
12

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

i)
Clinical features and management of diabetic foot ulcer
ii)
Clinical feature and treatment of Dermoid cyst
iii)

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

Management of a person with grade 2 dog bite.
iv)
Preventive measures to avoid bedsore
Q.3 Write in brief (Nine out of ten)
18

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

1)
Partial thickness skin graft
2)
Causes of nodular breast in young lady

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

3)
Treatment of 4 cms defect epigastric hernia.
4)
Enumerate investigations for venous ulcer.
5)

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

Treatment options for ingrowing toe nail
6)
Use of carbon dioxide gas in laparoscopy.
7)
Principles of triage

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

8)
Management of fibroadenosis of breast.
9)
Clinical presentation solitary thyroid nodule
10) Principles of foot care for diabetic patient to prevent complications

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

SECTION ? II


Q.4 Give answers in brief: (Any two out of 3)

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

20


A) A 16 yr male, presented in casualty with acute sudden pain in scrotum

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

without redness or mass and on elevation of scrotum no pain relief
2
i)
Which is most common diagnosis
3

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

ii)
Enumerate further investigations for the same
5
iii)
Describe treatment for the same in emergency

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

B) A 45 yr male, has presented in OPD with acute colicky pain radiating

from loin to groin on left side with haematuria

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

i)
What is the most likely diagnosis?
2
ii)

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

Enumerate investigations for the same
3
iii)
Describe management plan of this patient'
5

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

2206000104020001
[2 of 3]

---

C) A 25-year male presented with headache, perspiration and bool pressure

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

of 180/120 mm of Hg. USG shows adrenal mass

i)
What is the most likely diagnosis?

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

2
ii)
What investigations would be needed to reach a diagnosis?
3
iii)

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

Outline management plan of this patient'
5
Q.5 Write Short notes (Any three out of 4)
12

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

i)
Clinical features and management of primary tunica vaginalis
Hydrocele.
ii)
Uroflowmetry

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

iii)
visual/optical uretherotomy for stricture urethra
iv)
importance of maintenance of medicolegal case records.
Q.6 Write in brief (Nine out of ten)

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

18

1) Circumcision in paediatric patient
2) Acute epididymo-orchitis
3) Renal tuberculosis

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

4) Vasectomy indications
5) Causes of acute retention of urine in male child of 4 years
6) Informed consent for major surgical procedures.
7) Common sites of ectopic testis.
8) Announcement of brain death to relative.

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

9) Treatment for young lady with recurrent urinary tract infections
10) ETO sterilization
*****
2206000104020001
[3 of 3]

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

---