Download Gujarat University MBBS Final Year 0424 E009 Surgery Paper II Apr 2024 Question Paper

Date: 09-04-2024
0424 E009
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.Write in detail (Any one out of two)

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(10)
1x10=10 marks
a) Classify salivary gland tumours.
Discuss clinical features and
management of pleomorphic

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Adenoma of Parotid gland.
b) Enumerate the causes of upper

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Gl bleeding. How will you manage
a case of 30 year old man with
hematemesis due to oesophageal

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varices?
2.Case based scenario/Applied short
notes (Any two out of three) (12)
2x6-12 marks
a) A 50-year-old man, chronic

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smoker presented with cramp like
pain in rt lower limb. Clinical dia
nosis of peripheral vascular
disease is made. i) Enumerate
signs of ischaemia. ii) Discuss

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investigation and treatment?
b) A 40 year old female patient is
brought to casualty with burns
involving 50% of body surface
area. Her weight is 60kgs.

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Describe the management of this
patient.
c) Systemic Inflammatory response
syndrome
3.Write short notes (Any three out of

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four)
(18)

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a) Premalignant conditions of oral
cavity
b) Flail chest

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c) Complications of blood
transfusion
d) informed consent
4. Answer only in 2-3 sentences (Any
five out of six)

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(10)
a) MarjolinaTMs ulcer
b) Collar stud abscess
c) Ludwig's angina
d) Cock?'s peculiar tumour

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e) Core needle biopsy
f) Gas sterilization
Section 2
5.Write in detail (Any one of two) (10)
1x 10 = 10 marks

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a) Discuss the etiopathogenesis,
management and complications of
posterior dislocation of hip joint
b) Discuss the etiopathogenesis,
management and complications of

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Potts spine

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6.Case based scenario/Applied short
notes (Any two of three) (12)
2x 6 =12 marks
a) A 30 year female known diabetic

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presents with pain in her left
medial heel since last 10 days. The
pain is worst in morning and after
periods of rest and improves with
walking. Tenderness is present at

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medial calcaneal tubercle i) Most
likely Diagnosis (1 mark) ii)
Possible etiological factors (2
marks) iii) Management (3 marks)
b) A 65 year male patient with

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history of trivial fall in bathroom
same day followed by inability to
stand and walk comes to
emergency room. There is
tenderness in his right Scarpas

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triangle with right lower limb
externally rotated and shortened 1
cm. Active SLR is not possible.
Trochanteric borders are non
tender and comparable both sides.

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i) Most likely Diagnosis (1 mark) ii)

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Investigations to be performed(1
mark) iii) Management (4 marks)
c) A 65 year old female presented
with history of fall on outstretched

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hands followed by pain swelling
and tenderness on her left wrist.
There is a classical dinner fork
deformity of wrist on Clinical
examination. Finger movements

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are normal i) Most likely Diagnosis
(1 mark) ii) Investigations to be
performed (1 mark) iii)
Management (4.marks)
7.Write short notes on (Any 3 out of

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4) (18)
3x 6-18 marks
a) Sequestrum
b) Claw hand
c) Cubitus Varus

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d) Fracture Clavicle
8. Answer only in 2-3 sentences (Any
5 out of 6) (10)
5 x2=10 marks
a) Braces for Club foot

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b) Plaster materials in orthopaedics
c) Clinical features in a child with

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rickets
d) DEXA scan
e) Stages of fracture healing

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f) Arthroscopy

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