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

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

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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.

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Student's Signature
4. All questions are compulsory.

SECTION ? I

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

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i)
What is the most likely diagnosis?
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ii)

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

iii)

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

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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.

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He has respiratory distress and falling oxygen saturation.

i)
Write is the likely diagnosis?

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

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

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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.

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i) What is the most likely diagnosis?

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

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iii) Long term management plan of this patient.
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Q.2 Write Short notes (Any three out of Four)
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i)
Clinical features and management of diabetic foot ulcer
ii)
Clinical feature and treatment of Dermoid cyst
iii)

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Management of a person with grade 2 dog bite.
iv)
Preventive measures to avoid bedsore
Q.3 Write in brief (Nine out of ten)
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1)
Partial thickness skin graft
2)
Causes of nodular breast in young lady

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

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

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

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SECTION ? II


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

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20


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

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

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

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

from loin to groin on left side with haematuria

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

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

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

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

i)
What is the most likely diagnosis?

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

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Outline management plan of this patient'
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Q.5 Write Short notes (Any three out of 4)
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i)
Clinical features and management of primary tunica vaginalis
Hydrocele.
ii)
Uroflowmetry

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

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

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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.

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9) Treatment for young lady with recurrent urinary tract infections
10) ETO sterilization
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