Download KUHS MBBS Final Year 2025 May 323001 General Surgery I 2019 Scheme Question Paper

Q.P. Code: 323001
Reg. no.: .....................
III Professional MBBS Part II Degree Regular/Supplementary Examinations
May 2025

--- Content provided by‍ FirstRanker.com ---

General Surgery I
(2019 Scheme)
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers

--- Content provided by‍ FirstRanker.com ---

Indicate the question number correctly for the answer in the margin space
Answer all parts of a single question together ? Leave sufficient space between answers
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)

--- Content provided by FirstRanker.com ---

The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).
Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i-v case scenario-based questions
A 58-year-old obese woman presents to the surgery OPD with complaints of chronic leg swelling, skin

--- Content provided by FirstRanker.com ---

discoloration, and a non-healing ulcer near the medial malleolus of her right leg for the past 3 months. On
examination, she has prominent, tortuous varicosities along the distribution of the great saphenous vein,
hyperpigmentation and induration of the skin in the gaiter area, and a shallow ulcer with irregular margins
and granulating base. Duplex ultrasound reveals saphenofemoral junction incompetence and multiple
incompetent perforators in the lower leg, with normal deep venous flow.

--- Content provided by​ FirstRanker.com ---

i. What is the most likely cause of the ulcer in this patient
a) Arterial insufficiency
c) Neuropathic ulcer
b) Pressure sore
d) Venous hypertension due to valvular incompetence

--- Content provided by FirstRanker.com ---

ii. Which is the best definitive treatment strategy for this patient's condition
a) Oral antibiotics and zinc dressings
b) Compression therapy alone
c) High ligation and stripping of the long saphenous vein with perforator ligation
d) Hyperbaric oxygen therapy

--- Content provided by‌ FirstRanker.com ---

iii. Which of the following features would most suggest an ulcer is arterial rather than venous in origin
a) Shallow ulcer with irregular margin
b) Located near the medial malleolus
c) Presence of surrounding skin hyperpigmentation
d) Pale base with punched-out appearance and absent distal pulses

--- Content provided by‍ FirstRanker.com ---

iv. Which of the following best describes the mechanism of action of sclerotherapy in the treatment of
varicose veins
a) Thermal ablation of the venous wall
b) Mechanical removal of the vein
c) Chemical irritation leading to endothelial damage and vein sclerosis

--- Content provided by FirstRanker.com ---

d) Compression of the vein using external bandages only
v. Which of the following is a recognized complication of great saphenous vein stripping
a) Deep vein thrombosis
c) Pulmonary fibrosis
b) Myocardial infarction

--- Content provided by FirstRanker.com ---

d) Stroke due to carotid artery injury
Question numbers vi-x consist of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
vi. Assertion (A): Sentinel lymph node biopsy is done in breast cancer.
Reason (R): It helps in assessing the distant metastasis of the disease.

--- Content provided by‍ FirstRanker.com ---

a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true but R is not the correct explanation of A
d) A is false but R is true
vii. Assertion (A): A patient post-thyroidectomy complains of hoarseness of voice. Injury to the recurrent

--- Content provided by‍ FirstRanker.com ---

laryngeal nerve should be suspected.
Reason (R): The recurrent laryngeal nerve supplies all intrinsic muscles of the larynx including the
cricothyroid.
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false

--- Content provided by FirstRanker.com ---

b) Both A and R are true but R is not the correct explanation of A
d) A is false but R is true
(PTO)

---

viii. Assertion (A): Fluid resuscitation is crucial in the management of major burns.

--- Content provided by‌ FirstRanker.com ---

Reason (R): Extensive burns lead to increased capillary permeability and fluid loss into the
interstitial space.
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true but R is not the correct explanation of A

--- Content provided by FirstRanker.com ---

d) A is false but R is true
ix. Assertion (A): A high cervical spine injury can cause respiratory arrest.
Reason (R): The diaphragm is supplied by the phrenic nerve, originating from C3?C5.
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false

--- Content provided by​ FirstRanker.com ---

b) Both A and R are true but R is not the correct explanation of A
d) A is false but R is true
x. Assertion (A): Sialolithiasis occurs more frequently in the submandibular gland than in the parotid
gland.
Reason (R): Submandibular saliva is more mucous and alkaline and its duct opens against gravity.

--- Content provided by‌ FirstRanker.com ---

a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true but R is not the correct explanation of A
d) A is false but R is true
Question numbers xi-xv are multiple-response type questions. Read the statements & mark the

--- Content provided by‌ FirstRanker.com ---

answers appropriately.
xi. Features of peritonitis include
1) Abdominal pain that increases on movement 2) Fever 3) Guarding 4) Increased bowel sounds
a) 1, 2 and 3
b) 1 and 2

--- Content provided by‍ FirstRanker.com ---

c) 2 and 3
d) 1, 2, 3 and 4
xii. Following are features of venous ulcer
1) Sloping edge
2) Occurs at pressure site

--- Content provided by​ FirstRanker.com ---

3) Venous hypertension
4) Surrounding skin pigmentation
a) 1, 2 and 3
b) 1 and 2
c) 2 and 3

--- Content provided by⁠ FirstRanker.com ---

d) 1, 3 and 4
xiii. Which of the following is true regarding Gas Gangrene
1) Caused by clostridium tetani
2) Occurs in immunocompromised patients
3) Antibiotic prophylaxis is necessary

--- Content provided by​ FirstRanker.com ---

4) Gas in soft tissue
a) 1, 2 and 3
b) 1 and 2
c) 2, 3 and 4
d) 1, 3 and 4

--- Content provided by FirstRanker.com ---

xiv. Preoperative plan for better surgical outcomes include
1) Optimize patient condition
2) Informed consent
3) Document relevant information
4) No need to correct anaemia

--- Content provided by​ FirstRanker.com ---

a) 1, 2 and 3
b) 1 and 2
c) 2, 3 and 4
d) 1, 3 and 4
xv. Which of the following are features of primary hyperparathyroidism?

--- Content provided by‍ FirstRanker.com ---

1) Hypercalcemia
2) Hypophosphatemia
3) Tetany
4) Renal calculi
a) 1 and 2

--- Content provided by⁠ FirstRanker.com ---

b) 3 only
c) 1, 2 and 4
d) 3 and 4
Question numbers xvi-xx are single-response type questions
xvi. Mr. Suresh has to undergo prostatectomy, at present he is on dual antiplatelet therapy containing

--- Content provided by⁠ FirstRanker.com ---

Clopidogrel and aspirin. Which of the statement is correct regarding continuation and discontinuation of
drug.
a) Dual antiplatelet therapy should be continued
b) Clopidogrel should be continued and aspirin should be stopped
c) Clopidogrel should be stopped and aspirin can be continued

--- Content provided by‌ FirstRanker.com ---

d) Clopidogrel should replace with ticagrelor
xvii. A 56 year old patient suffering from alcoholic cirrhosis receives a healthy liver from his biological son.
What is this type of transplant known as
a) Autograft
b) Allograft

--- Content provided by⁠ FirstRanker.com ---

c) Xenograft
d) Isograft
xviii. 24 years old male patient presented to emergency after a road traffic accident. All are the
parameters of damage control surgery EXCEPT
a) Hypothermia less than 340C

--- Content provided by‌ FirstRanker.com ---

c) Systolic blood pressure <90mmhg for >30 minutes
b) Acidosis < 7.2
d) Blood Pressure < 70 mmhg
(PTO)

--- Content provided by FirstRanker.com ---

---

xix. A construction worker came to OPD complaining of white fingers. He has been working in cement and
concrete industry and has been working on heavy machinery with drills for last 20 years. Identify the
etiology of his condition
a) Candidal infection of fingers due to continuous exposure to water

--- Content provided by​ FirstRanker.com ---

b) Exposure to thinners and paints
c) Continuous exposure to cement and concrete
d) Continuous exposure to drills and machines
xx. A trauma patient has a Glasgow Coma Scale (GCS) score of 6 on arrival. What is the most appropriate
immediate step

--- Content provided by⁠ FirstRanker.com ---

a) Start IV fluids
c) Arrange for an urgent CT brain
b) Insert a nasogastric tube
d) Secure the airway with endotracheal intubation
Long Essays:

--- Content provided by​ FirstRanker.com ---

(2x10=20)
2. A 45 year old lady presents with a painless lump of 2cm x 2 cm size to start within the right breast and has
doubled the size in 6 months
a) What other history is needed
b) What is your differential diagnosis

--- Content provided by⁠ FirstRanker.com ---

c) How do you investigate
d) Add a note on management of early breast carcinoma
(2+2+3+3)
3. 40 Year man presented with pain in right calf while walking for the last six months. He has noticed change
in colour of second toe of right foot

--- Content provided by​ FirstRanker.com ---

a) What further history would you like to take
b) What is the probable diagnosis
c) Relevant investigation to be done
d) Add a note on thrombo angiitis obliterans
(2+2+3+3)

--- Content provided by​ FirstRanker.com ---

Short Essays:
(6x6=36)
4. Systemic inflammatory response syndrome
5. Enumerate indications and complications of blood transfusion
6. Classify parotid tumors

--- Content provided by‌ FirstRanker.com ---

7. Carotid body tumor
8. Sub dural Haemorrhage
9. Thyroglossal Cyst
Short Answers:
(6x4=24)

--- Content provided by​ FirstRanker.com ---

10. Hydatid cyst
11. Tension pneumothorax
12. Complications after thyroid surgery
13. Pre operative check list
14. Trophic Ulcer

--- Content provided by‍ FirstRanker.com ---

15. Parklands Formula
**********************

---