0225 E552
Final Year MBBS Examination
III MBBS Part 2 Surgery Paper 1
Time: 3 hours
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Max Marks: 1001. 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. Structured Long Question (anyone) 10
(10)
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a) Describe the anatomy of parotidgland. Write down the clinical feature
and treatment of parotid abscess.
5+2+3=10
b) What are the types of gall
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stone? Mention the effects andcomplications of gail stone. Write down
in brief the treatment of acute
cholecystitis.
2+3+5=10
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2. Case based scenario/Applied shortnotes (Any two)
2X6=12
(12)
a) One 30 years gentleman presented in
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emergency with complain of acuteabdominal pain associated with
vomiting and abdominal distension.. On
examination the abdomen was found
distended with one irreducible swelling
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on his right groin. i) what is yourprovisional diagnosis? ii) How will you
manage the case?
b) One 60 years gentleman came to
SOPD with complain of severe
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weakness, anorexia and weight loss. Ongeneral examination the person was
found severely pale. i) what is your
provisional diagnosis? ii) How will you
investigate to reach a diagnosis?
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c) One 40 years lady came to breastclinic with complain of pain on her both
breast which has no relation with her
menstruation. On examination diffuse
lumpiness was found in upper and outer
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quadrant of her both breast which weretender. i) What are the component of
tripie assessment related to this? ii)
Write down the treatment pratocal in
such cases.
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3. Write shart notes on (any three)3X6=18
(18)
a) Breaking bad news.
b) investigation of solitary thyroid
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nodule.c) Complications of imperfect descend
of testis.
d) Surgical option available for
treatment of haemorrhoids..
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4. Answer in two or three sentences (AnyFive)
10
a) Layers of hydatid cyst of liver.
b) Component of MEN TyoeZA.
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c) Basic aims of treatment of earlybreast carcinoma.
d) Three abdominal signs of perforative
peritonitis.
e) Gridiron incision for appendicectomy
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(describe skin incision only)f) Relation of food intake with gastric
and duadenal ulcer.
Section 2
5. Structured Long Question (any onc) 10
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(10)a) Write down the clinical features,
investigation and treatment of renal cell
carcinoma.
4+3+3=10
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b) Write down the clinical feature,investigation of gangrene. How will you
manage a case of diabetic gangrene.
3+3+4=10
6. Case based scenario/Applied
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short notes (Any two)2X6=12
(12)
a) One 25 years young man brought to
emergency room with history of blunt
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injury in his right temporal region. Onexamination the patient was found
unconscious, haematoma over right
mastoid region, bradycardia and
constricted right pupil.i) what is your
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diagnosis? ii) How will you manage the
case?
b) one 70 years gentle man brought to
emergency with complain of no passage
of urine for last 20 hours. The person
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had a history of frequency, narrowstream, dysuria, urge incontinence for
last 10 years. i) what is your diagnosis?
ii) How clinically will you differentiate
retention of urine from anuria?
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c) One 30 years gentle man brought toemergency room with lacerated injury
involving right leg following road
traffic accident. Howwill you manage
this case?
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7. Write short notes on any three of thefollowings -
3X6=18
(18)
a) Stag horn calculus.
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b) Neurotmesis.c) Diagnostic Peritoneal Lavage.
d) Covert injuries.
8. Write short answer within 2/3
sentences (any five)
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5X2=10(10)
a) What do you mean by
G2V4M4(GCS)
b) Clinical finding in aortoiliac artery
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obstruction.c) Simple renal cysts.
d) Signs of rupture bulbus urethra.
e) Treatment of paraphimosis.
f) Causes of bilateral hydronephrosis.
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