Download VNSGU MBBS 2306000104020202 General Surgery Paper II Level 2 July2024 Question Paper

2306000104020202

Examination January – February – 2024

THIRD MBBS PART-II

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GENERAL SURGERY (PAPER - II) LEVEL - 2

[Time: Three Hours] [Max. Marks: 100]

Instructions:

1. Fill up strictly the following details on your answer book
   1. Name of the Examination: M.B.B.S (Third Year)
   2. Name of the Subject: General Surgery (Paper-II)

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   3. Subject Code No: 2306000104020202
2. Sketch neat and labelled diagram wherever necessary.
3. Figures to the right indicate full marks of the question.
4. All questions are compulsory.

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Section -1

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

1. A 65yr old lady presents with a lump in right lower abdomen, intermittent dark coloured stools, anemia. On Examination, there is around 5 cms mass palpated in right iliac fossa.
   1. What is the most likely diagnosis? 2 marks
   2. Which investigations will you advise to reach to a complete diagnosis? 3 marks
   3. What treatment options are available? Write about her long term management. 5 marks

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2. A 40 yr mother of three, overweight, with complain of pain in upper abdomen and vomiting comes to emergency.
   1. What are the common differential diagnosis? 2 marks
   2. What investigations may be needed to confirm the diagnosis? 3 marks
   3. Write about the treatment plan of this patient, in brief. 5 marks

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3. A 35yr male farm labourer, chronic alcoholic, presents in emergency with abdominal distension and significant blood in vomiting.
   1. What is the most likely diagnosis? 2 marks
   2. Enumerate management steps in emergency room to treat this patient. 3 marks

ix. Long term management plan of this patient. 5 marks

Q.2 Write Short notes (Any three out of Four) 12 marks

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1. Clinical features and management of pancreatic Pseudocyst
2. Causes of paralytic ileus and management principles of the same in post-operative patient
3. Criteria for certifying brain death
4. Prescription techniques advised by NMC

Q.3 Write in brief (Nine out of ten) 18 marks

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1. Treatment options for acute fistula in ano
2. List complications of colostomy in children
3. Herniotomy
4. Enumerate causes of neonatal intestinal obstruction
5. Cork screw esophagus

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6. Hypertrophic pyloric stenosis of newborn
7. Goodsall's rule
8. Scoring systems for appendicitis
9. Patient's right to refuse suggested treatment
10. Enumerate Likely Complications of Laparoscopic surgery

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Section -2

Q.4 Write notes on: [any 2] 14 marks

1. Define Osteomyelitis (2 marks). Describe the clinical features (2 marks) and management (3 marks) of Acute Osteomyelitis of Distal femur in a child of 3 years.
2. Classify Intracapsular fractures of Neck femur (2 marks). Describe the management (3 marks) and complications (2 marks) of Fracture neck Femur in a 70 year old woman.
3. Define dislocation (2 marks). What are the clinical features (2 marks) and methods of reduction of Shoulder dislocation (3 marks)?

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Q.5 Write short notes on: [any 3] 12 marks

1. Fracture clavicle
2. Foot drop
3. Gout
4. De Quervain's synovitis

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Q.6 Write short notes on [any 3] 12 marks

1. Complications of spinal anaesthesia
2. Intravenous urography
3. Mention radiation hazards. Enlist radiation protection measures in imaging.
4. Compare propofol and ketamine as anaesthetic induction agent

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Q.4 Write in brief: (Any six) 12 marks

1. Ludwig's angina
2. Dentigerous cyst
3. Radiological findings in Rickets
4. Importance of documentation of communication in health care

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5. Stages of general anaesthesia
6. Advantages of teleradiology
7. Uses of Lignocaine

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