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MBBS III (Third) Professional Part-2 Examination 2015-16
Course Code: MBS404
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Paper ID: 0314106
General Surgery - I
Time: 2 Hours 30 Minutes
Max Marks: 45
Note: Attempt all questions. Draw proper diagrams to support your answer.
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Part 'B'
- Define and classify goiter. Describe management of solitary thyroid nodule. (8)
- Classify Haemorrhage. Describe its pathophysiology and management. (8)
- Write short note on: (3x3=9) - Cystic Hygroma
- Venous ulcer
- Systemic inflammatory Response syndrome
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Part 'C'
- Write short notes on the following: (3x4=12) - Ulnar nerve injury at elbow: clinical features and diagnostic tests
- Osteoblastoma
- Chronic osteomyelitis
- Congenital talipes equinovarus [CTEV]: describe deformity and conservative management techniques
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- Describe the clinical features, management and complications of supracondylar fracture humerus in children. (2+2+4)
Roll No.
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Student's Signature
MBBS III (Third) Professional Part-2 Examination 2015-16
Student's Name
Invigilator's Signature
Course Code: MBS404
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Paper ID: 0314106
General Surgery - I
Part 'A'
Time: 30 Minutes
Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 30 Minutes.
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2. Please tick (√) correct one only. Cutting, overwriting or any other marking are not allowed.
3. For answering please use Ball- pen only.
-  Q.1 The commonest source of post-operative infection is: - Skin
- Respiratory tract
- Urinary tract
- Wound
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-  Q.2 Most abundant extracellular electrolyte is: --- Content provided by FirstRanker.com --- - Sodium
- Potassium
- Chloride
- Albumin
 
-  Q.3 Sodium depletion causes all of the following except: - Results in the urine containing little or no chloride
- Can follow prolonged gastric aspiration combined with unlimited intake of water
- Causes subcutaneous tissues to feel lax
- Occurs during the first 24 hours after operation
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-  Q.4 The following statement is true about Keloid: - More common in whites than blacks
- Local recurrence is common after excision
- Malignant change occurs
- Does not extend into normal skin
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-  Q.5 A decubitus ulcer is: - Venous ulcer
- An ulcer in the region of face
- A pressure sore
- An ulcer of tongue
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-  Q.6 Most important HLA for organ transplant-ation and tissue typing is: - HLA- A
- HLA-B
- HLA-C
- HLA-D
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-  Q.7 A clean incised wound heals by: --- Content provided by FirstRanker.com --- - Excessive scarring
- Primary intention
- Secondary intention
- None of the above
 
-  Q.8 A portwine stain (naevus flammeus) is a: - Permalignant lesion of skin
- Type of brusing of skin
- Type of haemangioma
- Type of melanoma
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-  Q.9 A superficial partial thickness burn of skin: - is insensitive
- will separate as slough in 2-3 weeks
- requires a free flap graft
- Is sensitive
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-  Q.10 A white leg is due to: - Femoral vein thrombosis
- Lymphatic obstruction
- Femoral vein thrombosis and lymphatic obstruction
- Muscles
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-  Q.11 Causative organism of gas gangrene is all of the following except: - Clostridium welchi
- Clostridium oedematiens
- Clostridium septicum
- Mycobacterium tuberculosis
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-  Q.12 Immunocompetent cells all of the following except: --- Content provided by FirstRanker.com --- - T lymphocytes
- B lymphocytes
- Reed Sternberg cell
- Reticulocytes
 
-  Q.13 In Tetanus infection: - The toxin travels along nerves to the central nervous system
- Active immunity is conferred by giving human anti- tetanus globulin
- A child under one year age has an inborn immunity to the disease
- Causative organism is clostridium difficile
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-  Q.14 In carcinoma of breast: - Medullary carcinoma feels stony hard
- The atropic scirrhous type occurs in younger women
- Peau d'orange is a late sign of carcinoma
- Malignant cells does not transgress the internal elastic lamina of a duct
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-  Q.15 The best site for an intramuscular injection is the: - Forearm
- Inner lower quadrant of the buttock
- Outer upper quadrant of the buttock
- Abdomen
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-  Q.16 Toe extension in foot is mainly function of nerve root: - L3
- L4
- L5
- S1
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-  Q.17 Positron emission tomography uses: --- Content provided by FirstRanker.com --- - Glucose
- Iron
- Calcium
- Technicium 99
 
-  Q.18 Which of the following statement is not true about fracture of patella: - Even undisplaced fractures require patellectomy
- Quadriceps expansion may be intact in direct injury
- Quadriceps expansion is ruptured when gap is palpable between patellar fragments
- Knee cannot be actively extend if quadriceps expansion is ruptured
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-  Q.19 Stability of hip joint depends mainly on: - Bony configuration
- Ischio-femoral ligament
- Pubo-femoral ligament
- Transverse acetabular ligament
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-  Q.20 For a distended knee joint following position is most comfortable: - Full extension
- 30° flexion
- 60° flexion
- 90° flexion
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-  Q.21 Preferable treatment for six weeks old intrascapular fracture of femoral neck in a thirty five year old man: - Hemi replacement arthroplasty
- Crif with or without valgus Osteotomy
- Smith Peterson Nailing
- Moore's pin fixation
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-  Q.22 Regarding fracture of clavicle which of the following statement is incorrect: --- Content provided by FirstRanker.com --- - Fracture is commonest in medial third
- Non union is rare.
- Most cases can be treated conservatively
- Fracture usually occurs due to indirect injury
 
-  Q.23 Malunited Colles' fracture produces which of the following deformity: - Dinner fork deformity
- Madelung deformity
- Swan neck deformity
- Boutonniere deformity
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-  Q.24 A patient develops compartment syndrome (swelling, pain and numbness) following manipulation and plaster for fracture of both bones of leg. What is the best treatment: - Split the plaster
- Elevate the leg
- Infusion of low molecular weight dextran
- Do operative decompression of facial compartment
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-  Q.25 Bumper fracture is the name given to: - Fracture of lateral tibial condyle
- Fracture of patella
- Fracture of lateral femoral condyle
- Fracture of tibial spine
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-  Q.26 What is the most serious disadvantage of external fixator: - Pin tract infection
- Loosening of pins
- Fracture cannot be compressed
- Another fracture can occur through pin tract
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-  Q.27 Which is the strongest ligament: --- Content provided by FirstRanker.com --- - Ilio-femoral ligament
- Tendons and Menisci
- Ligaments
- Muscles
 
-  Q.28 First treatment priority in patient with multiple injuries is: - Airway maintenance
- Bleeding control
- Circulatory volume restoration
- Splinting of fractures
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-  Q.29 Commonest cause of failure of internal fixation is: - Infection
- Corrosion
- Metal reaction
- Stress fracture of implant
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-  Q.30 Bone graft works by providing: - Bone induction factor
- Osteogenic cells
- Living osteoblasts
- Mineral scaffold for vascular proliferation
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