Download BFUHS MBBS Final Year MBN403 Surgery A Feb 2024 mcq Question Paper

Total No. = 03 pages
Q.P. Code: MBN403
M.B.B.S. Final Prof. Part-II
(New Scheme w.e.f. 2019 admission onwards)
BF/2024/03

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Surgery-A

M.M. : 100
Time : 3 Hours(First30 Min. for MCQs)
Note: 1.

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Use OMR Sheet to answer Multiple Choice Questions(MCQs).
2.
Attempt all questions. Illustrate your answers with suitable diagrams
3.
NO SUPPLEMENTARY SHEET SHALL BE ALLOWED/PROVIDED

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4.
The student must write Q.P. Code in the space provided on OMR Sheet and the Title *-page
of the Answer Book.
Q.1
MCQs (Attempt on OMR sheet)

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[1x20]
1. Insensible daily water loss per day at normal room temperature is about
a. 100-200ml
b.
600-800ml

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c. 1500-1800ml
d.
200-400ml
2. Which of the following is not transmissible through blood transfusion
a. Hepatitis A

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b.
Hepatitis B
c. Hepatitis C
d.
HIV

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3. Which of the following occurs in hypovolemic shock, except:-
a. Hypotension
b.
Hypoxia
c. Bradycardia

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d.
Hypothermia
4. SIRS include the following except:
a. Temp<36 or>380c
b.

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H.R.>90/min
c. Resp. Rate>20
d.
Systolic BP<100mm of Hg
5. A person suffers road side accident with grossly contaminated wound, 24 hours after an accident is best

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managed by:
a. Primary closure of wound
b.
Debridement, cleaning without closure
c. Primary closure with drain

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d.
Split skin grafting
6. The following is a predisposing factor for hepatocellur carcinoma
a. Hepatitis B infection
b.

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Low fiber intake
c. CMV infection
d.
H. Pylori infection
7. The following is not a complication of gall stone disease.

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a. Mucocoele
b.
Carcinoma G.B
c. Cholangitis
d.

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Carcinoma stomach
8. A 58 years old man presents with lower gastro intestinal bleed, pain and fever for 1 week. On colonoscopy
there are multiple ulcers in sigmoid and appear as flask shaped ulcers. Most appropriate treatment is
a. Ceftriaxone
b.

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Dexamethasone
c. Metronidazole
d.
Hydrocortisone enema
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9.
A 50 years old smoker, K/C of Rh. Arthritis on NSAIDS presents in emergency with severe pain
abdomen, board like rigidity on palpation. The investigation for the diagnosis of the above is
a.
Ultrasound

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b.
X-ray chest erect
c.
ERCP
d.

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ECG
10.
A 35 years old male has H/O Ch. Diarrhea, blood and mucus in stool and multiple fistulae in perineum
and intestinal strictures. The diagnosis is
a.

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Irritable bowel syndrome
b.
Crohn's disease
c.
Ulcerative colitis

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d.
Chronic Pancreatitis
11.
16 years male has 4 day H/O 1 wk pain in RIF with lump. Most appropriate treatment is G.C. is fair
a.

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Exploratory Laparotomy
b.
Emergency Appendectomy
c.
External drainage

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d.
Oschner Sherren's regimen
12.
The following are the causes of gastric outlet obstruction except
a.

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Ch. Duodenal ulcer
b.
Ca stomach
c.
Pyloric stenosis

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d.
Carcinoma esophagus
13.
A features of uncomplicated hernia are all except
a.

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Cough impulse
b.
Reducibility
c.
Lump/swelling

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d.
Fever
14.
Features of Fournier's gangrene are all except
a.

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Necrotising fasciitis
b.
Polymicrobial infection
c.
Testicular involvement

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d.
Obliterative arteritis
15. Premalganant conditions for Ca penis are all except
a.
Bowen's disease

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b.
Leucoplakia
c.
Balanitis Xerotica obliterans
d.

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Diabetes
16.
A case of blunt trauma is brought to emergencies with shock, non responding to IV fluids and blood
transfusion. Next step is
a.

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Dextran
b.
Albumin transfusion
c.
Abd. Compression

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d.
Em. Laprotomy
17.
A young male patient is brought to emergency with H/O RSA with head injury. He is responding with
abnormal flexion to painful stimuli, has irrelevant talk with inappropriate words and open eyes to pain

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only. The G.C.S. is
a.
E1V2M5
b.
E2V3M3

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c.
E4V1M6
d.
E6V1M2
18.

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According to "Rule of NINE" Burn involving perineum constitute:
a.
9%
b.
18%

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c.
1%
d.
27%
19.

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Best disinfectant for endoscopes is
a.
Hypochlorite
b.
Formaldenyde

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c.
Glutaraldehyde
d.
Chlor-hexidine
20.

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Before any elective surgery which of the following is must
a.
Verbal consent
b.
Informed consent

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c.
Special consent
d.
Implied consent

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Q.2.

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Describe the etiology, clinical feature, investigations and management of carcinoma stomach.
[3+3+3+3]
Q.3.
Write short notes on:-
[5x4]

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a.
Keloid
b.
Septic shock
c.

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Hydrocele and its management
d.
Autoclaving and its principle
Q.4.
Explain why:-

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[3x5]
a.
Shifting of pain in acute appendicitis.
b.
Pathogenesis of tension pneumothorax.

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c.
Formation of hydatid cysts of liver.
d.
Changes in body composition after major surgery.
e.

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Crystalloid solution use in management of shock.
Q.5.
Discuss briefly:
[6x3]
a.

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Management of acute urinary retention
b.
Rule of 9 in burns
c.
Complications of blood transfusion

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Q.6.
Short notes:-
[5x3]
a.
Medico-legal issues in surgery.

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b.
Complications of gall stones.
c.
Explain to relatives about sudden death of patient in case of road side accident.
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