Download MBBS KUHS Final Year 2018 February General Surgery I Previous Question Paper

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Third Professional MBBS (Part II) Degree Examinations February 2018

GENERAL SURGERY-1

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Time: 3 Hours Max marks: 60

Answer all questions

Write section A and section B in separate answer books (32 Pages). Do not mix up questions from section A and section B.

Q P Code: 307001 Section A - Surgery (GIT) Marks: 30

Structured Essay (5)

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1. A 60 years old male patient has come to surgical OPD with history of yellowish discolouration of eyes and urine for the past one month which is intermittent. He also gives history of passing dark coloured urine and clay coloured stools. On examination the patient has icterus with no other significant abdominal findings. Answer the following:
   • What are the probable differential diagnosis in this case scenario
   • What are the investigations to be done for proceeding in this case.
   • Discuss briefly upon the management of this case (1+2+2)

Short essays (2x6=12)

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2. Prolapse rectum
3. Post gastrectomy syndrome

Clinical Situation (3)

4. A 35 years old male who consumes alcohol was brought to casualty with h/o of sudden onset of severe epigastric pain since 1 day. On examination he was febrile, had an anxious and sick look and was having tachycardia (+) with board like rigidity of abdomen. Answer the following:
   • What is the most likely diagnosis in this case.
   • How will you proceed to investigate this patient

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   • Describe briefly upon management of this case

Short notes (5x2=10)

5. Phyto Bezoar
6. Gall stone Ileus

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7. Mallory weiss syndrome
8. Familial adenomatous polyposis (FAP)
9. Amoebic liver abscess

QP Code: 312001 Section B - Orthopedics Marks: 30

Essay (6)

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1. A 7 year old boy had fallen on out stretched hand in the school ground while playing in a swing. He had severe pain in the right elbow. On examination he has swelling and tenderness around the elbow and 3 point bony relationship is maintained. Answer the following:
   • What is your clinical diagnosis - Outline investigations and treatment.
   • Enumerate the complications. (1+3+2)

Short essays (4x3=12)

2. Myositis ossificans.

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3. Management of developmental dysplasia of hip
4. Management of acute osteomyelitis
5. Carpal tunnel syndrome

Short notes (6x2=12)

6. Game keepers thumb.

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7. Thomas splint
8. Sudeck's osteodystrophy
9. Exostosis
10. Rheumatoid factor
11. Plantar fascitis.

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