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:
- Fill up strictly the following details on your answer book
- Name of the Examination: M.B.B.S (Third Year)
- Name of the Subject: General Surgery (Paper-II)
- Subject Code No: 2306000104020202
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- Sketch neat and labelled diagram wherever necessary.
- Figures to the right indicate full marks of the question.
- All questions are compulsory.
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Section -1
Q.1 Give answers in brief: (Any two out of three) 20 marks
- 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.
- What is the most likely diagnosis? 2 marks
- Which investigations will you advise to reach to a complete diagnosis? 3 marks
- What treatment options are available? Write about her long term management. 5 marks
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- A 40 yr mother of three, overweight, with complain of pain in upper abdomen and vomiting comes to emergency.
- What are the common differential diagnosis? 2 marks
- What investigations may be needed to confirm the diagnosis? 3 marks
- Write about the treatment plan of this patient, in brief. 5 marks
- A 35yr male farm labourer, chronic alcoholic, presents in emergency with abdominal distension and significant blood in vomiting.
- What is the most likely diagnosis? 2 marks
- Enumerate management steps in emergency room to treat this patient. 3 marks
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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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- Clinical features and management of pancreatic Pseudocyst
- Causes of paralytic ileus and management principles of the same in post-operative patient
- Criteria for certifying brain death
- Prescription techniques advised by NMC
Q.3 Write in brief (Nine out of ten) 18 marks
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- Treatment options for acute fistula in ano
- List complications of colostomy in children
- Herniotomy
- Enumerate causes of neonatal intestinal obstruction
- Cork screw esophagus
- Hypertrophic pyloric stenosis of newborn
- Goodsall's rule
- Scoring systems for appendicitis
- Patient's right to refuse suggested treatment
- Enumerate Likely Complications of Laparoscopic surgery
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Section -2
Q.4 Write notes on: [any 2] 14 marks
- 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.
- 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.
- 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
- Fracture clavicle
- Foot drop
- Gout
- De Quervain's synovitis
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Q.6 Write short notes on [any 3] 12 marks
- Complications of spinal anaesthesia
- Intravenous urography
- Mention radiation hazards. Enlist radiation protection measures in imaging.
- Compare propofol and ketamine as anaesthetic induction agent
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Q.4 Write in brief: (Any six) 12 marks
- Ludwig's angina
- Dentigerous cyst
- Radiological findings in Rickets
- Importance of documentation of communication in health care
- Stages of general anaesthesia
- Advantages of teleradiology
- Uses of Lignocaine
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This download link is referred from the post: VNSGU MBBS Last 15 Years 2010-2025 Previous Question Papers (Veer Narmad South Gujarat University)