Download MBBS TMU Final Year 2019 MBS404 General Surgery II Question Paper

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) TMU (Teerthanker Mahaveer University) Final Year (4th Year) 2019 MBS404 General Surgery II Previous Question Paper


MBBS III (Third) Professional Part-2 Examination

2018-19

Course Code: MBS404 Paper ID: 03118407

General Surgery - II

Time: 2 Hours 30 Minutes

Max Marks: 45

Note: Attempt all questions. Draw proper diagrams to support

your answer.

Part `B'

1.

Classify tumours of stomach. Describe management of
carcinoma of stomach. (8)

2.

Describe etiopathogenesis, clinical features, investigation
and treatment of acute pancreatitis. (8)

3.

Write short note on: (3x3=9)

a)

Management of haemorrhoids

b)

Strangulated inguinal hernia

c)

Management of Hydatid cyst

Part `C'

1.

Describe etiology, types and management of renal
calculus. (8)

2.

Write short notes on the following: (3x4=12)

a)

Neoadjuvant chemotherapy

b)

Causes of Hydronephrosis

c)

Classification and clinical features of testicular tumour

d)

Differential diagnosis of Penile ulcers

MBBS III (Third) Professional Part-2 Examination 2018-19

Roll No.

Student's Name



Student's Signature

Invigilator's Signature



Course Code: MBS404



Paper ID: 03118407

General Surgery - II

Part `A'



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.
Q.1

Vermooten's sign is present in complete rupture of:

b)

There is congenital absence of intramural

a)

Membranous urethra

ganglion cells

b)

Penile urethra

c) It never involves beyond rectum and

c)

Bulbous urethra

sigmoid colon

d)

Prostatic urethra

d)

Is treated medically only


Q.2

Carcinoma prostate commonly arises from:

Q.10

McBurney's point is junction of:

a)

Periurethral transition zone of Submucous

a)

Lateral 2/3rd and medial 1/3rd of spinoumbilical line

glands

b)

Lateral 1/4th and medial 3/4th of spinoumbilical line

b)

Peripheral zone of Prostatic gland proper

c)

Midway between spinoumbilical line

c)

Urethral glands

d)

Lateral 1/3rd and medial 2/3rd of spinoumbilical line

d)

None of the above

Q.11

The length of tubular part of St. Mark's hospital
proctoscope is:

Q.3

TIPSS procedure is used in the management of:

a)

3 cm

b)

15 cm

a)

Anal fistula

c)

7 cm

d)

20 cm

b)

Bronchiectasis

c)

Hepatocellular carcinoma

Q.12

In superficial second degree burn all are true

d)

Variceal bleeding and Ascites in Portal

except:

hypertension

P.T.O.

a)

Blisters are present

Q.4

Cannon balls in chest xray is due to:

b)

Heals without scaring

a)

Tuberculosis

c)

Is painless

b)

Metastatic deposits

d)

Involves whole dermis

c)

Bronchiectasis

d)

Multiple foreign bodies

Q.13

In congenital Hypertrophic pyloric stenosis there
is:

Q.5

In case of uretero-sigmoidostomy biochemical



a)

No visible gastric peristalsis

changes are:

b)

No lump felt on abdominal palpation

a)

Hypochloraemic, Hypokalaemic metabolic

c)

Vomiting is projectile and nonbilious

acidosis

d)

No electrolyte imbalance

b)

Hyperchloraemic, Hyperkalaemic metabolic
acidosis

Q.14

In Goodsall's rule all are true except:

c)

Hyperchloraemic, Hypokalaemic metabolic

a)

This applies to fistula- in ?ano

acidosis

b)

It guides about position of internal

d)

Hyperchloraemic, hypokalaemic metabolic

opening

alkalosis

c)

Whether tract is straight or curved

d)

It is of no use

Q.6

Meckel's diverticulum is remanent of:
a)

Wolffian duct

Q.15

Spermatocele:

b)

Stensen's duct

a)

Is unilocular

c)

Omphalomesentric duct

b)

Is Multilocular

d)

Mullerian duct

c)

Arises from sperms of testis

d)

Is tense cyst which does not

Q.7

Kehr's sign is:

transilluminates

a)

Pain in right shoulder

b)

Is present in cases of intestinal injury

Q.16

Gas under right dome of diaphragm is x-ray

c)

Is present in injury to right kidney

finding in:



d)

Is present in splenic injury

a)

Trauma to Pancreas

b)

Trauma to liver

Q.8

Following are indications of performing

c)

Renal injury

thoracotomy after blunt injury of chest except:

d)

Perforation of hollow viscus

a)

Rib fracture

b)

Continuous bleeding through intercostals

Q.17

The number of renal calyces are:

drainage tube of more than 200ml/hr

a)

Five

b)

Seven

c)

One litre drainage after placement of

c)

Four

d)

Two



intercostals tube

Q.18

All of the following are weight reducing surgery

d)

Cardiac tamponade

except:

Q.9

In Hirschprung's disease:

a)

Rouxein ?y gastric by pass

a)

Diagnosis is confirmed clinically

b)

Sleeve gastrectomy

c)

Gastric banding

d)

Gastric mucosal resection and vagotomy

d)

Gall stones commonly enters intestines

Q.19

In Courvoisier's law positive case:

through cholecystoduo-denalfistula

a)

Gall bladder is fibrotic

Q.29

Helicobacter Pylori is the causative organism for:

b)

Patient is not jaundiced

a)

Regional Ileitis

c)

Is present in carcinoma head of pancreas

b)

Ulcerative Colitis

d)

Is present in Cholelithiasis

c))

Gram negative Septicaemia

d)

Peptic ulcer

Q.20

Regarding presentation of B.P.H:
a)

Impotency is the rule in early stages

Q.30

In Barret's Oesophagus all are true except:

b)

The patient has to strain to pass urine

a)

It is metaplastic change in mucosa of

c)

In acute retraction , the urine is always

oesophagus

infected.



b)

The squamous epithelium is replaced with

d)

The urine dribbles constantly from

columnar epithelium

beginning

c)

There is increased incidence of carcinoma

Q.21

Cardiospasm is:

d)

Features of gastrroesphageal reflux

a)

Due to coronary artery spasm

disease is not present

b)

Due to oesophageal web

c)

Due to Carcinoma of oesophagus

d)

Due to functional obstruction of
Oesophagus

Q.22

A Wilm's tumour is a type of:
a)

Retinoblastoma

b)

Ganglioneuroma

c)

Nephroblastoma

d)

Hypernephroma

Q.23

Foaming liver is seen in:
a)

Organophosphorous poisoning

b)

Actinomycosis

c)

Gas gangrene

d)

Anthrax

Q.24

Infantile hydrocele:
a)

Is limited to scrotum

b)

Extends upto internal ring

c)

Extends upto external ring

d)

None of the above

Q.25

Normal portal vein pressure is between:
a)

0-4 mm Hg

b)

5-6 mm Hg

c)

6-8 mm Hg

d)

8-12 mm Hg

Q.26

Bismuth classification is for:
a)

Ureteric stricture

b)

Biliary Stricture

c)

Oesophageal stricture

d)

Intestinal Stricture

Q.27

Parkland Formula is:
a)

% of burn x weight(Kg) x4 ml/24 hrs

b)

% of burn x weight (Kg)x 9 ml/24hrs

c)

% of burn x weight (kg)x 2 ml/24hrs

d)

None of the above

Q.28

In gall Stone Ileus all are true except:
a)

It is intestinal obstruction due to gall
stones

b)

Gall stones enters intestine through
common bile duct

c)

Presence of air in biliary tree in erect
posture

This post was last modified on 17 February 2022