Download VNSGU MBBS Third Year Part II 2024 March-April 2306000104020202 S General Surgery Paper II Question Paper

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2306000104020202-S

EXAMINATION MARCH-APRIL 2024

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THIRD YEAR MBBS PART-2

GENERAL SURGERY - II LEVEL 2

[Time: As Per Schedule] [Max. Marks:100]

Instructions:

1. Fill up strictly the following details on your answer book
   1. Name of the Examination: THIRD YEAR MBBS PART-2

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   2. Name of the Subject: GENERAL SURGERY – II LEVEL 2
   3. Subject Code No: 2306000104020202-S
2. Sketch neat and labelled diagram wherever necessary.
3. Figures to the right indicate full marks of the question.

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4. All questions are compulsory.

SECTION-I

Q.1 Give answers in brief: (Any two out of three) 20

1. A 65 yr old lady presents with a history of constipation, blood in stools for a couple of months and abdominal distension for 3 days. On per rectal examination, she is found to have a polypoidal mass in rectum, which bleeds on touch.
   1. What is the most likely diagnosis? 2
   2. Which investigations will you advise to reach to a complete diagnosis? 3

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   3. What treatment options are available? Write about her immediate & long term management. 5
2. A 45yr mother of three who had three LSCS, comes with absolute constipation, vomiting and distension of abdomen. Ryle's tube drained 800 ml bilious fluid.
   1. What are the most likely diagnosis? 2
   2. What investigations may be needed to confirm this diagnosis? 3
   3. Write about the treatment plan of this patient, in brief. 5

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3. A 35 yr. male farm labourer, chronic alcoholic, presents in emergency with abdominal Pain, radiating to back and significant vomiting. On examination, he has big ill-defined lump in Upper abdomen.
   1. What are the most likely differential 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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Q.2 Write Short notes (Any three out of Four) 12

1. Clinical features and management of pyogenic liver abscess.
2. Achalasia cardia, diagnosis and management options.
3. Creating awareness about organ donation
4. Minimum components of prescription advised by NMC

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Q.3 Write in brief (Nine out of ten) 18

1. Indications of non-operative management of appendicitis.
2. List complications of colostomy performed in emergency
3. Umbilical hernia
4. Enumerate causes of paediatric intestinal obstruction

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5. Mucocele of gall bladder
6. Clinical presentation of child with Hirschsprung's disease
7. Treatment options for acute fissure in ano
8. Meckle's diverticulum
9. Patient's right to have a second opinion

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10. Enumerate Likely Complications of Laparoscopic surgery

Q.1 Write notes: [any 2] 14

1. Classify paediatric supracondylar fractures of Humerus (2 marks). Describe the management (3 marks) and complications (2 marks) of paediatric supracondylar humerus fractures.
2. Enumerate the common locations of Osteoarticular Tuberculosis (2 marks). Describe the clinical features (3 marks) and radiological investigations (2 marks) in Spinal Tuberculosis of Dorso-lumbar spine.
3. Write the functions of Vitamin D (2 marks). Describe the clinical features (3 marks) and management (2 marks) of Rickets in a 4-year-old child.

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Q.2 Write short notes on: [any 3] 12

1. Compartment syndrome
2. Monteggia fracture dislocation
3. Straight leg raising test
4. Carpal tunnel syndrome

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Q.3 Write short notes on (any 3) 12

1. Complications of regional anaesthesia
2. Barium swallow study
3. Principles of minimising radiation hazards in medical imaging.
4. Compare propofol and thiopentone as anaesthesia induction agent

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Q.4 Write in brief: (Any six) 12

1. Prevention of dental caries in children
2. Periapical abscess around tooth
3. Radiological findings in Rickets
4. Importance of regular documentation in patient care files.

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5. Dangers of general anaesthesia
6. Advantages of digital x-rays
7. Hyperbaric Lignocaine

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