Download MPMSU MBBS General Surgery AUGUST 2020 General Surgery Paper II Question Paper

Time: 3Hours Maximum Marks : 60

Instructions:

1. All questions are compulsory
2. Draw diagrams wherever necessary
3. Answers of Questions and Sub questions must be written strictly according to the serial order of question paper.

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4. MCQ has to be answered in theory answer book
5. Please write MCQ answer neatly and in serial order with black or blue pen in brackets for example:- 1.(a) 2.(b)
6. MCQ has to be answered only once; any kind for repetition or cutting or erasing or whitener will be considered malpractice. Such answers will not be counted in the marks and action will be taken according to UFM rules of University.

Q.1 Total MCQs : 20 20X1/2 = 10

1. Most common site of intestinal duplication:
   1. Duodenum

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   2. Jejunum
   3. Ileum
   4. Colon
2. Most common organ injury in blunt trauma abdomen:
   1. Spleen

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   2. Heart
   3. Lung
   4. Stomach
3. Goodsall's rule used for assessment of:
   1. Rectal mass

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   2. Fistula in ano
   3. Pruritis ani
   4. Perianal abscess
4. Jeep's disease is also known as:
   1. Anal incontinence

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   2. Haemorrhoids
   3. Pilonidal sinus
   4. Anal fissure
5. Staghorn calculus is made of:
   1. Oxalate

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   2. Phosphate
   3. Uric acid
   4. Cystine
6. Most common urinary bladder tumour:
   1. TCC

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   2. SCC
   3. Rhabdomyosarcoma
   4. Sarcoma
7. Most common cause of urethral stricture is:
   1. Trauma

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   2. Infection
   3. Congenital
   4. Post endoscopy
8. Split skin graft can be applied over:
   1. Muscle

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   2. Bone
   3. Cartilage
   4. Eyelid
9. Which is the most common symptom of carcinoma of bladder:
   1. Increase urine frequency

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   2. Pain
   3. Painless haematuria
   4. Burning micturition
10. Most common site of curling's ulcer:
    1. Duodenum

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    2. Mouth
    3. Stomach
    4. Intestine
11. Normal portal vein pressure is:
    1. <3 mm Hg

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    2. 3-5 mm Hg
    3. 5-10 mm Hg
    4. 10-12 mm Hg
12. Most common symptom of carcinoma head of the pancreas:
    1. Weight loss

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    2. Pain
    3. Jaundice
    4. Anorexia
13. Thiersch's operation is done for:
    1. Haemorrhoids

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    2. Anal fistula
    3. Rectal prolapse
    4. Anal fissure
14. The most common position of appendix is:
    1. Pelvic

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    2. Retrocaecal
    3. Pre ileal
    4. Post ileal
15. Best investigation for Zenker's diverticulum is:
    1. Barium swallow

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    2. Endoscopy
    3. CECT
    4. EUS
16. Bezoar in the stomach presents as:
    1. Melena

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    2. Perforation
    3. GI obstruction
    4. Diarrhoea
17. Most common site of intra-abdominal abscess:
    1. Pelvic

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    2. Subphrenic abscess
    3. Mesenteric
    4. Paracolic gutters
18. Most common tumour of parotid gland is:
    1. SCC

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    2. Pleomorphic adenoma
    3. Adenolymphoma
    4. None of the above
19. Sigmoid volvulus:
    1. Clockwise

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    2. CECT is diagnostic
    3. Rigid sigmoidoscopy is the initial treatment
    4. Sigmoidectomy is contraindicated
20. Most radio sensitive testicular tumour is:
    1. Seminoma

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    2. Teratoma
    3. Lymphoma
    4. Sertoli cell tumour

Q.2 Long Answer Questions 4X5 = 20

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1. Enumerate the complications of peptic ulcer. Write down clinical features and management of acute perforation of duodenal ulcer with generalized peritonitis.
2. Describe the pathogenesis, clinical presentation and management of acute calculous cholecystitis.
3. Describe the etio-pathogenesis of acute appendicitis. Write down clinical presentation and management of a case of acute obstructive appendicitis.
4. Write down the pathogenesis, clinical features, diagnosis and management of pseudo-pancreatic cyst.

Q.3 Short Answer Question 4X3 = 12

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1. Enumerate causes of haematuria
2. Amoebic liver abscess
3. Spinal anaesthesia
4. Dietel's crisis

Q.4 Short Answer Question 9X2 = 18

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1. Charcot's triad
2. ERCP
3. Mondor's disease
4. Extra Dural haematoma
5. Medical management of BPH

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6. Cleft lip
7. Barrett's oesophagus
8. Enumerate the indications for splenectomy.
9. Common causes of upper GI bleeding

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