Download MBBS HNBUMU Final Year 2020 4004 General Surgery Paper I Question Paper

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MBT 404 Paper I.D.: 4004

Time: 03:00 Hours Max Marks: 60

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Roll No.

M.B.B.S.

Third Professional (Part-02) Subsequent Examination - 2020

Surgery-I

Note: Attempt all questions. Write answers in separate answer books for Section A and Section B. Illustrate diagrammatically where required.

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1. Ramesh, a 55 years old male, school teacher has come to surgical OPD with complaints of dull aching pain in both legs for past 10 years along with a small ulcer over right leg since 1 month. On examination there is dilated and tortuous veins over both lower limbs along with a 4x3 cm ulcer over the medical malleolus on right leg. Answer the following:
   1. What is the most probable diagnosis in this case and how will you proceed to investigate this patient.
   2. Discuss in detail upon the various management options available for this patient.
   3. Discuss about conservative management of ulcer in this case, if the patient is not willing for surgery (2+4+4=10)
2. Write short notes on: 4x2=8
   1. Spinal anaesthesia.

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   2. Cleft lip and palate.
3. Write short notes on: 4x3=12
   1. Causes of painless hematuria.
   2. Management of lower ureteric stone.
   3. Phases of wound healing

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PART-B

4. Discuss the aetiopathogenesis, clinical features and management of cholelithiasis. (10)
5. Discuss briefly: 4x2=8
   1. Management of cervical spine injuries.
   2. Phylloides tumour of breast

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6. Write short notes on: 3x4=12
   1. PET Scan.
   2. Papillary carcinoma thyroid
   3. Fluid management in burns
   4. Dentigerous cyst

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