Date: 03-02-2025
0225 E555
Final Year MBBS Examination
III MBBS Part 2 Surgery Paper 2
Time: 3 hours

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Max Marks: 100
Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each

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section.
4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1
1. Structured Long Question (anyone)

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10
a) What are the indications of transfusion
of blood and its components. Write down the
complications of blood transfusion (10)
b) Write down precipitating factor and

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premalignant conditions for carcinoma

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tongue. How will you manage a T1NOMO
malignant ulcer over the lateral margin of the
tongue.
2. Case based scenario/Agolied short

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notes (any two)
12
a) One lady of 70kg weight having 50%
body surface area burn injury brought to
emergency.(i) How will you calculate

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percentage of burns.(ii) How will you
resuscitate this patient. (12)
b) One 30 years old lacy from tow
socioeconomic group came te OPD with
complain of lumps over her neck associaied

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with low grede fever, anorexia and weight
loss. On examination multiple matted
lymphnode were found on either side of her
neck. How will you investigate and treat this
patient?

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c) One 45 years old gentleman came to OPD
with comalain of vomiting since 4 months.
He had history of periodic pain over upper
abdomen in empty stomach since 10 years

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and one episode of hemetmesis, The

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vomoting is projectile in nature and vomitus
contains old food particles. What is your
provisional diagnosis and how will you
manage this case?
3. Write short notes on any three

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18
a) Tetanus prophylaxis
b) Lipoma
c) Tension pneumothorax
d) Universal precaution

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4. Write short answer within 2/3
sentences (any five)
5X2=10
a) Clinical feature of Keloid (10)
b) Treatment of infectious sebaceous cyst

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c) Dealing with media during management of
mass casulaty
d) Salmon patch
e) Clinical features of Ranula
f) Relation of hyoid bone with thyroglossal

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fistula.

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Section 2
5. Structured Long Question (any one)
10
a) Ciassify fracture. Describe the nealing

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of fracture. Write down the basic princiale of
management of fracture.
b) Describe the clinical feature, investigation
and treatment of giant cell tumour of bone.
3+3+4=10

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6. Case based scenario/applied shart
notes (any two)
2X6=12
a) One 45 years old lady oresenied in
emergency room with pain, swelling and

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deformity Of right wrist joint following fall
on an outstretched hand. Gn examination
there is tenderness and dinner fork deformity
of wrist. How will you manage this case?
What are the complications of such iniury?

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(12)
b) A 15 years cla boy presented in OPD with
complain of discharging sinus on lower part

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of nis thigh. The patient has a history of
acute pain over the same site associated with

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fever about 16 years back. On examination
the lower part of femur was found thickened,
the sinus track is fixed to underlying bone.
(i)What is provisional diagnasis? (ii) What
is the radiological findings in such case? (iii)

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What is the surgical treatment of this
patient?
c) A 30 vears aid lady was posted for
excision of sebaceous cyst under local
anaesthesia. After infiltration of lignocaine

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the lacy develops tingling, numbness,
tinnitus and muscle twitching and
convulsion. On examination the pulse was
found irregular and low volume. i) What is
your diagnosis? (ii)How will you manage

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this situation?
7. Write short notes on any three
18
a) Nonunited fracture
b) Volkman's ischemic contracture

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c) M.R.C.P.

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d) Contraindications and compli of spinal
anesthesia.
8. Write short answer within 2/3
sentences (any five)

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5X2=10
a) Differential diagnosis of radio opaque
shadow in right hypochondrium in plain
Xray (10)
b) Use of propofol in anesthesia

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c) Therapeutic use of E.R.C.P.
d) Radiological feature of osteosarcoma
e) Golfer's elbow
f) Stress fracture

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