Download MBBS KUHS Final Year 2006 June General Surgery Paper I Question Paper

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THIRD PROFESSIONAL M.B.B.S. DEGREE EXAMINATION, JUNE 2006

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Part II

Paper I-GENERAL SURGERY INCLUDING GIT AND ORTHOPAEDICS

(New Scheme)

Time: One Hour and a Half Maximum: 30 Marks

Answer all the questions.

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Draw diagrams wherever necessary.

MCQs should be answered first in the response sheet provided.

Section A

I. Multiple Choice Questions: Single Response Type – 10 (On attached sheet). (10 × ½ = 5 marks)

II. Match the following: (On attached sheet). (4 × ½ = 2 marks)

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III. Draw and label (Internal Herniations). (1 mark)

IV. Short answer questions:

1. How do you investigate surgical jaundice?
2. What are the causes of bleeding per rectum?
3. What is the treatment of Chronic Duodenal Ulcer? (3 × 1 = 3 marks)

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V. Write short notes on:

1. Ranson's criteria.
2. Volvulus. (2 × 2 = 4 marks)

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VII. Short answer questions:

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1. What are the Surgical conditions which produce pathological involvement of bones?
2. How will you manage Colle's fracture in a 60 year old lady?
3. What is the pathogenesis of Tuberculosis of hip joint?
4. What are the complications of Supracondylar Fracture of the Humerus? (4 × 1 = 4 marks)

VIII. Write short notes on:

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1. Claw hand.
2. Rickets.
3. Pathological fracture. (3 × 2 = 6 marks)

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Paper I-GENERAL SURGERY INCLUDING GIT AND ORTHOPAEDICS

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I. MULTIPLE CHOICE QUESTIONS

Note.-(1) Do not write anything on the question paper.

(2) Write your register number in the answer-sheet provided.

(3) Select one most appropriate response and encircle the corresponding alphabet against each question number in the answer-sheet provided.

1. Galeazzi fracture is:
   1. Lower end of radius.

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   2. Lower end of ulna.
   3. Upper end of radius.
   4. Upper end of ulna.
2. Commonest cause of recurrent shoulder dislocation is:
   1. Shallow glenoid labrum.

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   2. Bankart's lesion.
   3. Weak subscapularis muscle.
   4. Injury to humeral head.
3. Treatment of choice for old ununited fracture of shaft of femur is:
   1. Compression plating.

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   2. Bone grafting.
   3. Nailing.
   4. Compression plating with bone grafting.
4. Treatment of chronic cases of club foot is:
   1. Triple arthrodesis.

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   2. Dorsomedial release.
   3. Amputation.
   4. Tendon transfer.
5. "Onion peel" appearance in X-ray is seen in:
   1. Ewing's sarcoma.

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   2. Osteomyelitis.
   3. Chondrosarcoma.
   4. Osteogenic sarcoma.
6. Vertical striations on vertebral bodies are seen in:
   1. Haemangioma.

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   2. Paget's disease.
   3. Vertebral metastasis.
   4. Osteoporosis.
7. IN Kanavel's sign the area of greatest tenderness is over that part of the ulnar bursa:
   1. Lying directly under flexor retinaculum.

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   2. Between proximal and middle crease of little fingers.
   3. Between middle and distal crease of little finger.
   4. Lying between the transverse palmar creases.

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8. Pain in the distribution of median nerve is called:
   1. Claw hand.
   2. Carpal Tunnel syndrome.
   3. Saturday night palsy.
   4. Ollier's disease.

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9. Syme's amputation is done:
   1. Through ankle joint.
   2. Just below ankle joint.
   3. Just above ankle joint.
   4. Above knee amputation.

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10. Tinel's sign is positive in:
    1. Tendon injury.
    2. Muscle injury.
    3. Ligament injury.
    4. Nerve injury. (10 × ½ = 5 marks)

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Paper I-GENERAL SURGERY INCLUDING GIT AND ORTHOPAEDICS

II. Match the following:-