2206000104020002
EXAMINATION JUNE 2024
Third MBBS Part-II (OLD)
GENERAL SURGERY P ? II LEVEL II
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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 ? II LEVEL II
c) Subject Code No : 2206000104020002
2. Sketch neat and labelled diagram wherever necessary.
3. Figures to the right indicate full marks of the question.
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4. All questions are compulsory.Student's Signature
SECTION ? I
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Q.1 Give answers in brief: (Any two out of three)
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A. A 16 years old girl presented with complaint of right lower abdominalpain and vomiting for one day. On examination, there was tenderness in
right iliac fossa with rebound tenderness.
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i. What is differential diagnosis?
2
ii. How will you confirm the diagnosis?
3
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iii. Write about the management in detail.5
B. A 65 years old man presented with constipation for last 15 days,
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bleeding per rectum mixed with stool, vague abdominal pain for 2months, with history of episodes of diarrhoea for last 6 months,
significant weight loss, anorexia and generalised weakness. On
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examination, there was mobile, firm and non-tender palpable lump in
left iliac fossa.
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i. What is the most likely diagnosis?2
ii. How will you investigate the patient?
3
iii. Write about treatment of this patient in detail.
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C. A 35 years old women presented with pain in right upper abdomen
radiating to back with fever and vomiting. On examination, there was
tenderness in right hypochondrium with localised guarding over tender
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area, tachycardia and raised body temperature.
i. What is likely diagnosis?
2
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ii. How will you investigate this patient?3
iii. Write about treatment of this patient in detail.
5
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Q.2 Write Short notes (Any three out of four)
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i. Amoebic liver abscess
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ii. Pseudo cyst of pancreasiii. Differential diagnosis of dysphagia
iv. Hypersplenism
Q.3 Write in brief (Nine out of ten)
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i. Ritcher's hernia
ii. Raynaud's pentad
iii. Oshner-Sherren regimen
iv. Ogilvie syndrome
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v. Brooke's ileostomyvi. Postcholecystectomy syndrome
vii. Omphalocele
viii. Goodshall's rule
ix. Disappearing lump
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x. Moynihan's aphorismSECTION -II [ORTHOPAEDICS] LEVEL 2
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Q.4 Write Notes: [Any 2]14
a. Describe Glass holding cast and Shaking hand cast [2 marks]. for these
both type of cast injury Describe mechanism of injury [2 marks], clinical
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features [3 marks], complications [3 marks] and Management [4 marks]of such fractures.
b. Discuss the classification of bone tumours. Elaborate on the clinical
features, investigations and management of Giant cell Tumour.
2206000104020002
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[2 of 3]c. Describe the mechanism of injury, clinical features, complications and
Management of fracture neck of femur (intra capsular) in a 30 year aged
patient.
Q.5 Write Short Notes: [any 3]
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12a. Cubitus varus
b. Gout
c. Jones fracture
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d. Write different kind of implants used in Hip Arthroplasty [2 marks] andknee arthroplasty [2 marks] and its brief technical specifications.
Q.6 Write short notes on (any 3)
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a) Complications of general anaesthesiab) Barium meal study
c) Principles of safety in medical imaging to reduce radiation exposure.
d) Propofol as anaesthesia induction agent
Q.7 Write in brief: (Any six)
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12a) Preventive dental care
b) Dentigerous cyst
c) X ray findings in Rickets
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d) Importance of daily notes and treatment plan documentation in patientcase papers
e) Complications of epidural anaesthesia
f) Digital x-rays imaging
g) Uses of Lignocaine with adrenaline.
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