0124 E585
Final Year MBBS Examination
III MBBS Part 2 Surgery Paper 2
Time: 3 hours
Date: 04-01-2024 Max Marks: 100

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Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each
section.

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4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1
1. Write in detail (Any one out of two)
(10)

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a) What is shock? Enumerate types of

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shock and describe management of septic
shock
b) Enumerate methods of nutritional support
in surgical patients. Describe methods of

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administrations indications, merits and
demerits of each.
2. Case based scenario/ Applied Short
notes (Any two out of three)
(12)

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a) A 50 year old man, known tobacco
chewer. comes with an ulcer on the inner
surface of right cheek, It is painless and
about 1 cm in diameter and oblong in shape.
located on the buccal mucosa in the premolar

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region 1 cm away from bucco gingival
sulcus. There is a swelling noted in the right
side middle of the neck 2 cms in size. hard
but mobile. A) What is a probable
diagnosis? B) Which diagnostic and other

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relevant investigations will you order? C)
List the curative treatment options for a

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malignant disease.
b) A 30 year old woman comes with the
history of accidental burns due to clothes

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catchingfire during cooking. Her weight is
50 Kgs. The half of the front torso. half of
the backand upper half of left arm seems to
have burnt.A) Calculate the percentage of
burns B) Write the prescription for initial

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management. C) How will you distinguish
between superficial and deep burns"
c) A 50 year old diabetic patient with end
stage renal failure hus been advised to
undergo a kidney transplantation, He is a

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rich person and is planning to get the kidnes
from servant by giving him good
remuncration. Although the servant is scared
he is willing to do as it as it is going to help
his family financially A) Is this plan ethical?

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Which ethics principle js involved? B) Is this
plan legal? Which act applies in this case C)
What will you advise the patient and his

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family?
3. Write short notes (Any three out of

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four)
(18)
a) Uses of LASERS in Surgery
b) Magnetic Resonance
Cholangiopancreatography

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c) PET CT scan
d) Tumour Markers
4. Answer only in 2-3 sentences
(10)
a) Dermoid eyst types

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b) Hypokalemia
c) Cock's peculiar tumour
d) Define Sterilization(of surgical
instruments)

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e) Strawberry haemangioma

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f) Superficial parotidectomy
Section 2
5. write i in detail (Any one out of two)
(10)
a) Discuss classification clinical

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features and management of fracture of
patella
b) Discuss Clinical features and
management of perthe's disease
6. Case based scenario/ Applied Short

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notes (Any two out of three)
(12)
a) A 50 year old male with alcoholism came
in outdoor department with history of severe
pain in left great toe which appeared

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suddenly in late night. i)What is your
diagnosis & what is the pathology in this s
condition? (1 Mark) ii) How will you

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clinically evaluate this patient? "(2 Marks)
iii). What is the management of this

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condition? (3 Marks)
b) A 55 year old female with no comorbid
condition is complaining of chronic dull
aching pain in bilateral, knees, aggravated by
walking, stairs climbing and squatting. i)

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What is your diagnosis and what is the
pathology in this condition? 2 Mark). ii)
What are the differential diagnosis & how
will you clinically evaluate this patient? (2
Marks) iii) How will you manage this

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patient?(Marks)
c) Describe margins and content of scarpa's
triangle(3 Marks) and Describe its clinical
importance(3 Marks)
7. Write short notes (Any 'three- out

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of four)
(18)
a) Discuss aneurysmal bone cyst.

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b) Enumerate uses and side effects of
rifampicin.

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c) Discuss role of skin traction in
Orthopedics.
d) Classify Supracondylar humerus fracture
and it's clinical features
8. Answer only in 2-3 sentences (Any

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five out of six)
(10)
a) Barlow test
b) Enumerate DMARD,
c) Pseudoparalysis in child

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d) Boxer' fracture.
e) Triple deformity of knee
f) Enumerate Complications of colle's
'Feicture

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