Download KUHS MBBS 4th Year 2018 Aug General Surgery I Question Paper

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Reg. No.:

Third Professional MBBS (Part II) Degree Supplementary Examinations August 2018

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GENERAL SURGERY - I Max marks: 60

Time: 3 Hours

• 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

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Structured Essay (5)

1. A 65 years old male with history of chronic alcoholism is brought to casualty with 2 episodes of hematemesis. His pulse rate is 100/min. BP is 80 mmHg systolic. Examination of abdomen revealed hepatomegaly. Answer the following:
   • What is the most probable diagnosis
   • Mention relevant investigations
   • How will you manage the patient (1+2+2)

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Short essays (2x6=12)

2. Pseudo cyst of pancreas
3. Rectal prolapse

Clinical Situation (3)

4. A 45 years old male, has come to casualty with history of sudden onset of severe umbilical pain since 6 hours. On examination, he is febrile, has tachycardia and there is a 3 x 3 cm swelling in the umbilicus that is tender and irreducible with absent cough impulse. Answer the following:
   • What is the most likely diagnosis in this case

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   • How will you investigate this patient
   • Discuss regarding the management of this case

Short notes (5x2=10)

5. Intussusception

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6. Diagnostic peritoneal lavage
7. Richter's hernia
8. Pilonidal sinus
9. Courvoisiers law

Q P Code: 312001 Section B – Orthopaedics Marks: 30

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Essay (6)

1. A 55 year old lady slipped and fell in the washroom on an outstretched hand. She had severe pain in her right wrist, swelling and dinner fork deformity. Answer the following:
   • What is your clinical diagnosis
   • Outline investigations and treatment.
   • Enumerate the complications. (1+3+2)

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Short essays (4x3=12)

2. Describe radiological features of giant cell tumor.
3. Mention complications of chronic osteomyelitis.
4. Discuss skeletal traction.
5. Enumerate complications of supracondylar fracture of humerus.

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Short notes (6x2=12)

6. Enumerate stages of tuberculosis of hip joint
7. Deformities in club foot.
8. Discuss clinical features of Saturday night palsy.
9. Classification of fracture neck of femur.

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10. Principles of open fracture management
11. Diagnosis of fat embolism

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