Download JNTU Hyd B-Tech Sem Final Year 2025 May 324001 General Surgery Paper II 2019 Scheme Question Paper

Reg. no.: .....................
III Professional MBBS Part II Degree Regular/Supplementary Examinations
May 2025
General Surgery Paper II

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(2019 Scheme)
Time: 3 Hours

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Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
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

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Write section A (52 pages) and section B (32 pages) in separate answer books. Do not mix up questions form
section A and section B
Q.P. Code: 324001

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Max. Mark: 70
Section A ? General Surgery including Anaesthesiology, Radio diagnosis
1. Multiple Choice Questions
(20x1=20)

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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 are case scenario-based questions
A 7-year-old boy is brought to the emergency department with a 2-day history of severe colicky

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abdominal pain, vomiting, and drawing up his legs. On examination, he is mildly dehydrated, and there is
a sausage-shaped mass palpable in the right upper quadrant
i. What is the most likely diagnosis
a) Appendicitis
b) Intussusception

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c) Volvulus
d) Meckel's diverticulitis
ii. What is the initial imaging modality to confirm your diagnosis
a) Abdominal X-ray
b) Abdominal CT scan

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c) Abdominal ultrasound
d) Barium enema
iii. What is the primary pathophysiological mechanism causing the patient's symptoms
a) Inflammation
b) Obstruction

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c) Perforation
d) Infection
iv. What is the initial treatment approach in a stable patient
a) Surgical exploration
c) Fluid resuscitation and enema reduction

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b) Antibiotics
d) Pain management
v. What is a potential complication of the non-operative treatment
a) Appendicitis
b) Peritonitis

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c) Gastroenteritis
d) Constipation
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): Incisional hernias are a common complication of abdominal surgery

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Reason (R): They occur due to inadequate wound healing
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): General anesthesia involves a reversible loss of consciousness

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Reason (R): It primarily works by blocking pain signals
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
viii. Assertion (A): Undescended testis (cryptorchidism) increases the risk of infertility and testicular cancer

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Reason (R): The higher temperature in the abdomen impairs sperm development
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
ix. Assertion (A): Dental caries is a preventable disease

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Reason (R): Regular oral hygiene and fluoride use are effective preventive measures
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
(PTO)

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x. Assertion (A): Focused Assessment with Sonography for Trauma (FAST) is a rapid tool for detecting
intra-abdominal free flui
d
Reaso
n (R): It is highly accurate in identifying solid organ injurie

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s
a) Both A and R are true, and R is the correct explanation of
A
c) A is true, but R is fals
e

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b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is tru
e
Question numbers xi-x
v are multiple response type questions. Read the statements and mark the
most appropriate answer

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xi. In the management of a child with acute appendicitis, the essential steps include
:
1
) Laxative
s

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2) Prompt surgical intervention, preoperative antibiotic
s
3) Managing pai
n
4) Adequate hydratio

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n
a) 1 and
2
b) 1
, 2

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, 3 and
4
c) 2 and
4
d) 1 and 3

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xii.
Regarding the principles of informed consent, the crucial elements are:
1) Patient's signature and Doctor's approva
l

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2) Disclosure of risks and benefit
s
3) Patient's capacity to understand, and voluntary decisio
n
4) Guarantee of a successfu

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l outcome, and family's approva
l
a) 1 and
2
b) 2 and

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3
c) 3 and
4
d) 1 and
4

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xiii. Postoperative nausea and vomiting (PONV) can be minimized by
:
1) Multimodal antiemetic prophylaxis
2) Prolonged fasting, minimal fluid intake and antiemetics only if symptoms develo
p

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3) Adequate hydration and minimizing opioid us
e
4) Deep breathing exercises and opioid analgesics
a) 1 and
3

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b) 2 and
3
c) 3 and
4
d) 2 and

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4
xiv. The advantages of laparoscopic surgery compared to open surgery typically include
:
1) Smalle
r incisions and reduced blood lo

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ss
2) Faster recover
y
3) Higher risk of complications, longer operative time
4) Similar recovery time but increased co

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st
a) 1 and
2
b) 2 and
3

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c) 3 an
d
4
d) 1 and
4

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xv. In the management of urinary stones, the following considerations are important
:
1) Stone siz
e
2) Locatio

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n
3) Compositio
n
4) Presence of infectio
n

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a) 1 and
2
b) 1
, 2 and
3

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c) 3 an
d
4
d) 1
, 2

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, 3 and
4
Question number
s xvi-xx are single response type questions
xvi. The characteristic finding in Barium swallow in a case of achalasia cardia is

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a) Bird beak appearanc
e
c) Lead pipe appearanc
e
b) Apple core appearanc

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e
d) Leather bottle appearan
ce
xvii. During a surgical procedure, a patient experiences a sudden drop in blood pressure. What is the
immediate priorit

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y
a) Continue the surgery without interruptio
n
b) Administer a large volume of fluids rapidl
y

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c) Identify the cause of the hypotension and take appropriate corrective measure
s
d) Cal
l for a psychiatric consultatio
n

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xviii. A patient requires long-term nutritional support following resection of more than 200 cm of gangrenous
small bowel. What is the most appropriate access
a) Peripheral intravenous cathete
r
c) Butterfly needl

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e
b) Central venous cathete
r
d) Feeding jejunostom
y

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xix. A patient presents with a dislocated tooth. What is the best initial managemen
t
a) Replant the tooth immediately if possible and seek dental consultatio
n
b) Leave the tooth as it is and advise rinsing with wate

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r
c) Extract the tooth to prevent further damag
e
d) Apply ice to the area and wait for it to hea
l

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xx. The most common long term complication of perineal abscess is
a) Incontinenc
e
b) Perineal pai
n

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c) Tenesmu
s
d) Fistula in an
o
(PTO

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)

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Long Essays:
(2x10=20)
2. A 65-year-old male presents with painless jaundice which is progressive and there are scratch marks
over body on examination

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a) Discuss the differential diagnosis
b) Elaborate on the investigation algorithm including the role of imaging (ERCP, MRCP)
c) Outline the patient preparation and surgical options with a brief mention of their complications
d) Discuss the importance of palliative care in inoperable cases what are the palliative measures
feasible

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(1+2+4+3)
3. Describe the anesthetic considerations for a patient undergoing emergency laparotomy for a perforated
peptic ulcer.
a) Preoperative assessment and optimization.
b) Intraoperative management, including fluid balance and monitoring.

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c) Postoperative pain management and potential complications.
(3+4+3)
Short Essays:
(3x6=18)
4. Discuss the principles of management of a child with Hirschsprung's disease.

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5. Explain the classification and management of vesicoureteral reflux (VUR) in children.
6. Describe the complications of gastrectomy and their prevention.
Short Answers:
(3x4=12)
7. List four causes of small bowel obstruction.

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8. Describe in detail with examples - Conflicts in professional relationship
9. Outline the steps of the WHO Surgical Safety Checklist.

Q.P. Code: 325001

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Max. Marks: 30
Section B ? Orthopaedics Including Physical Medicine and Rehabilitation
Short Essays

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(3x6=18)
1. Describe the aetiopathogenesis, clinical features, investigations and principles of management of
dislocation of the shoulder joint.
2. Describe the clinical features, investigation and principles of management of Tuberculosis of the knee
joint.

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3. Describe the aetiopathogenesis, clinical features, investigations and principles of management of
osteosarcoma of distal end of femur
Short Answers

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(3x4=12)
4. Thomas splint

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5. Scaphoid fracture
6. Arthrocentesis
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