Part 'B'
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Classify ulcers of tongue. Describe management of carcinoma tongue. (8)
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Describe the diagnosis, staging & management of carcinoma of breast. (8)
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Write short note on: (3x3=9)
- Glassgow coma score
- MEN syndrome
- Pleomorphicadenoma of salivary gand
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Part 'C'
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Write short notes on the following: (3x4=12)
- Tennis elbow
- Volkmann's ischemic contracture
- Ulnar paradox
- Osteoginic sarcoma
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Describe the clinical features and management of fracture neck of femur. (8)
MBBS III (Third) Professional Part-2 Examination 2016-17
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Roll No. Student's Name
Student's Signature Invigilator's Signature
Course Code: MBS404 Paper ID: 0314106
General Surgery - I
Part 'A'
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Time: 30 Minutes Max Marks: 15
Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 30 Minutes.
2. Please tick (√) correct one only. Cutting, overwriting or any other marking are not allowed.
3. For answering please use Ball- pen only.
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Q.1 Commonest site of basal cell carcinoma is:
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- Upper face
- Lower face& neck
- Abdomen
- Lower limb
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Q.2 Commonest complication associated with immunosuppression is:
- Graft rejection
- Infection
- Anaphylaxis
- None
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Q.3 Treatment of Parathyroid Hyperplasia is:
- Removal of all four glands
- Removal of one enlarged gland
- I.V. Calcium
- Preserving 50mg of one gland only removal of rest
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Q.4 Virchow's lymph node is located in:
- Axilla
- Left Supraclavicular region
- Inguinal region
- Popliteal region
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Q.5 Characteristic Malignant is:
- Histocytes
- Lymphocytes
- Reid Sternberg cell
- Reticular cell
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Q.6 Malignancy in a longstanding multinodular goitre is most often:
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- Anaplastic Carcinoma
- Follicular Carcinoma
- Medullary Carcinoma
- Papillary Carcinoma
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Q.7 Most severe and aggressive form of Malignant Melanoma is:
- Superficial spreading
- Acral Lentiginous
- Lentigo maligna
- Nodular infiltrating
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Q.8 Grossly contaminated wound presenting after 12 hours should be managed by:
- Cleaning & primary repair
- Thorough cleaning, debridement of all dead and devitalized tissue without primary repair
- Primary closure with a drain
- Immediate skin grafting
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Q.9 Eye signs are more common in:
- Primary thyrotoxicosis
- Secondary thyrotoxicosis
- Euthyroid goitre
- None of the above
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Q.10 A stove in chest is not:
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- Caused by a direct injury
- Associated with a paradoxical movement
- A burn from a heating appliance
- Ever reduced by positive pressure ventilation
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Q.11 A breast lump is safely left alone after aspiration if:
- Cytology shows atypical cells
- It is solid and not cystic
- There is blood staining of aspirate
- It is a cyst which does not refill subsequently
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Q.12 Cleft lip and palate affects all of the following except:
- Facial growth
- Vision of both eyes
- Dental development
- Speech and hearing
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Q.13 During Parotidectomy nerve at risk of injury is:
- IX th cranial nerve
- Xth cranial nerve
- VIth cranial nerve
- VII cranial nerve
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Q.14 Treatment of duct papilloma of breast is:
- Wait & watch
- Subcutaneous mastectomy
- Microdochectomy
- Modified radical mastectomy
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Q.15 Neck abscesses commonly demand emergency treatment due to the:
- Risk of airway obstruction
- Resistant bacteria that are usually involved.
- Progressive dysphagia dehydration
- Pain
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Q.16 Which of the following bursa produces symptoms in shoulder impingement syndrome:
- Subacromial bursa
- Subdeltoid bursa
- Bursa in relation of subscapularis tendon
- Bursa in relation to latissimus dorsi
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Q.17 What is the commonest complication of supracondylar fracture of humerus:
- Malunion
- Myositis ossificans
- Stiffness of elbow
- Volkmann's contracture
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Q.18 A collar and cuff bandage will be most suitable treatment for which of the following injury:
- Midshaft fracture of humerus
- Undisplaced fracture of neck of humerus
- Monteggia fracture
- Dislocation of elbow
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Q.19 Regarding fracture of clavicle which of the following statement is incorrect:
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- Fracture is commonest in medial third
- Non union is rare
- Most cases can be treated conservatively
- Fracture is common in middle third
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Q.20 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:
- Elevate the leg
- Infusion of low molecular weight dextran
- Elevate the leg after splitting the plaster
- Do operative decompression of facial compartment
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Q.21 MalunitedColles' fracture produces which of the following deformity:
- Garden spade deformity
- Dinner fork deformity
- Madelung deformity
- Swan neck deformity
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Q.22 In ankle sprain, the commonest ligament torn is:
- Tibio-talar ligament
- Posterior talo-fibular ligament.
- Calcaneo fibular ligament
- Anterior talo-fibular ligament
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Q.23 Which of the following injury is called "Aviator's fracture':
- Pott's fracture
- Fracture neck of metatarsal
- Subtalar dislocation
- Fracture of neck of talus
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Q.24 Best treatment for a sixty five yea year old patient with four week old intracapsular femoral neck fracture is:
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- Internal fixation
- Internal fixation with muscle pedicle graft
- Mc Murray osteotomy
- Hemireplacement arthroplasty
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Q.25 Which of the following fracture-eponym combinations is NOT correct:
- Tillaux fracture - avulsion fracture of tibia at inferior tibiofibular joint
- Essex-Lopresti - fractured radial head and dislocated distal radioulnar joint
- Hume fracture fractured distal radius with dislocation of distal radioulnar joint
- Bennet fracture - fracture dislocation at the base of the 1st metacarpal
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Q.26 Regarding Compartment Syndrome which bone fracture is MOST commonly implicated:
- Femur
- Radius
- Tibia
- Humerus
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Q.27 Which is NOT a principle of compound fracture treatment:
- No tendon repair
- Aggressive Antibiotic cover
- Wound debridement
- Immediate Wound closure
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Q.28 In transverse fracture of the patella, the treatment is:
- Excision of small fragment
- Wire fixation
- Plaster cylinder
- Patellectomy
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Q.29 Comonest type of dislocation of the hip is:
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- Anterior
- Posterior
- Central
- Dislocation with fracture of the shaft
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Q.30 Myositisossificans is commonly seen at which joint:
- Hip
- Knee
- Elbow
- Shoulder
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