Download VNSGU MBBS Third Year Part II 2024 March-April 2306000104020201 S General Surgery Paper I Question Paper

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2306000104020201-S

EXAMINATION MARCH-APRIL 2024

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THIRD YEAR MBBS PART-2

GENERAL SURGERY - I - LEVEL 2

Instructions:

1. Fill up strictly the following details on your answer book
   1. Name of the Examination : THIRD MBBS PART-2
   2. Name of the Subject: GENERAL SURGERY – I – LEVEL 2

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   3. Subject Code No : 2306000104020201-S
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-I

1. A 60yr old lady presents with a large lump in left upper outer part of the breast, with foul smelling discharge from the ulcer over it, for 1 month. On Examination, 7 cms mass, fixed to chest wall and having large ulcer. There are multiple lymph nodes palpable in axilla on same side.
   1. What is the most likely diagnosis? 2
   2. Which investigations will you advise to reach to a complete diagnosis? 3
   3. What treatment options are available? Write about her long term management. 5

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2. A 21yr student is brought to emergency when his motorcycle skids in speed. He is unconscious, has Pulse rate of 60/minute, BP of 160/100mmHg. Has a wound over right temporal region with oozing of blood. His left pupil is dilated, not reacting to light and right pupil is normal size, reacting.
   1. What is the likely diagnosis? 2
   2. Write briefly about the treatment of this patient, in emergency 3
   3. Write briefly about the investigations needed to confirm the diagnosis & definitive treatment of this patient. 5
3. A 55 yr. traffic policeman, presents in OPD with non healing ulcer over medial aspect of his left lower leg for 3 months. On examination, he has 3x2 cm superficial ulcer, with pigmentation around it and dilated veins above the ulcer up to mid-thigh.
   1. What is the most likely diagnosis? 2

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   2. Enumerate investigations to decide line of management of this patient. 3
   3. Long term management plan of this patient. 5

1. Clinical features and management of Burger's disease
2. Principles of Post exposure prophylaxis after a needle stick injury to a doctor

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3. Flail Chest
4. Management of a person with dog bite

1. Split thickness skin graft
2. Causes of nipple discharge in post-menopausal lady
3. Treatment of congenital hernia

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4. Enumerate investigations for diagnosing a solitary thyroid nodule in 30 yr euthyroid lady
5. Treatment options for ingrowing toe nail
6. Segregation of biomedical waste
7. Principles of triaging in mass casualty.
8. Management of Breast abscess in lactating woman

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9. Clinical presentation spectrum of Grave's disease.
10. Principles of management of foot lesions in a diabetic

SECTION – II

1. A 30 yr male, with his 26 yr wife has presented in OPD with inability to conceive. They want to undergo investigations.
   1. What is the first investigation for the husband? 2
   2. Enumerate further investigations for the husband. 3

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   3. Discuss various treatment options for male factor infertility. 5
2. A 60 yr male, has presented in OPD with painless hematuria off & on for last 15 days.
   1. What is the most likely diagnosis? 2
   2. Enumerate management steps in emergency room to treat this patient. 3
   3. Long term management plan of this patient. 5

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3. A 4yrboypresented with history of blood in urine and on examination is found to have large lump in left flank, bimanually palpable.
   1. What is the most likely diagnosis? 2
   2. What investigations would be needed to reach a diagnosis? 3
   3. Outline management plan of this patient. 5

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1. Modes of spread of testicular tumors and management of the same.
2. Evaluating Semen analysis report
3. Treatment options for stricture of male urethra.
4. Importance of communication with patient's relatives in ICU setting

1. Phimosis

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2. Criteria for brainstem death
3. Tuberculous epididymitis
4. Non scalpel Vasectomy
5. Causes of acute retention of urine in children.
6. Informed consent for performing procedures in surgical practice

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7. Causes of bilateral hydronephrosis
8. Role of doctor as leader of health care team
9. Treatment for young lady with burning micturition
10. Sterilisation of heat sensitive urology endoscopes

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