Download MBBS TMU Final Year 2020 MBS404 General Surgery II Question Paper

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) TMU (Teerthanker Mahaveer University) Final Year (4th Year) 2020 MBS404 General Surgery II Previous Question Paper


MBBS III (Third) Professional Part-2 Examination

2019-20

Course Code: MBS404 Paper ID: 03119407

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.

Describe the pathogenesis, clinical features, grading and
management of internal hemorrhoids. (8)

2.

Describe the pathogenesis, clinical features, investigation
and management of Chronic Pancreatitis. (8)

3.

Write short note on: (3x3=9)

a)

Describe the etiology of UGI bleed

b)

Investigations of UGI Bleed

c)

Surgical management of UGI bleed

Part `C'

1.

Describe the etiopathogenesis, clinical features,
investigations and management of Renal stones. (8)

2.

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

a)

Definition of ERCP

b)

Indications of ERCP

c)

Advantages of ERCP over MRCP

d)

Therapeutic role of ERCP

MBBS III (Third) Professional Part-2 Examination 2019-20

Roll No.

Student's Name



Student's Signature

Invigilator's Signature



Course Code: MBS404



Paper ID: 03119407

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

Couinaud's segments of liver are:
a)

6

Q.11

The most common type of Intussusception in

b)

7

children is:

c)

8

a)

Ileocolic

b)

Ileoileal

d)

9

c)

Colocolic

d)

ileoileocolic


Q.2

Gall stones are complications of:

Q.12

The usual twist in Caecal volvulus is:

a)

Truncal Vagotomy

a)

Anticlockwise

b)

Selective Vagotomy

b)

Clockwise

c)

Highly selective Vagotomy

c)

Any way

d)

All of the above

d)

Transverse

Q.3

The most common site of GIST is:

Q.13

The most common site of atresia in neonates is:

a)

Duodenum



a)

Colon

b)

Stomach

b)

Ileum

c)

Rectum

c)

Duodenum

d)

Colon

d)

Jejunum

Q.4

Absolute indication for Splenectomy is:

P.T.O.

a)

Hereditary Spherocytosis

Q.14

Sign's described in acute appendicitis are all

b)

Sickle cell anemia

except:

c)

Porphyria

a)

Pointing sign

d)

Gaucher's Disease

b)

Boas sign

c)

Psoas sign

Q.5

The finding suggestive of Acute Cholecystitis in

d)

Obturator sign

HIDA scan is:
a)

Oedematous gall bladder

b)

Gall stones

c)

Presence of Gall bladder

Q.15

Carcinoid tumors are most commonly seen in:

d)

Absence of Gall bladder

a)

Rectum

b)

Liver

Q.6

Standard number of ports in laparoscopic

c)

Spleen

cholecystectomy are:

d)

Appendix

a)

3

b)

4

c)

5

d)

6

Q.16

Delorme's Procedure is done in:
a)

Ca. Rectum

Q.7

The number of Sphincters in the Sphincter of

b)

Internal haemorrhoids

Oddi complex are:

c)

Rectal prolapsed

a)

1

b)

2

d)

Fistula in ano

c)

3



d)

4

Q.17

The most premalignant polyp of colon is:

Q.8

The surgical reconstruction after Whipple's

a)

Familial adenomatous polyposis

operation are all except:



b)

Villous adenoma

a)

Gastrojejunostomy

c)

Hyperplastic polyps

b)

Jejunojejunostomy

d)

Tubular adenoma



c)

Hepaticojejujunostomy

d)

Pancreaticojejunostomy

Q.18

Third degree internal haemorrhoids is:
a)

Bleeding only no prolapse

Q.9

The most common site for GI tuberculosis is:

b)

Prolapsed but can be manually reducible

a)

Duodeneum

c)

Permanently prolapsed

b)

Jejunum

d)

Prolapsed but reduces spontaneously

c) Ileum

Q.19

Boerhaave's syndrome is perforation of

d)

Rectum

oesophagus due to:
a)

Endoscopy

Q.10

The most common site of Colorectal

b)

Carcinoma

adenocarcinoma is:

c)

Foreign body

a)

Rectum

d)

Barotrauma

b)

Sigmoid colon

c)

Caecum

Q.20

The most common site of oesophageal tear in

d)

Transverse Colon

Mallory weiss syndrome is:

a)

Squamocolumnar junction

a)

Left hemicolectomy

b)

Above Squamocolumnar junction

b)

Caecectomy

c)

Below Squamocolumnar junction.

c)

Right hemicolectomy

d)

Midoesophagus

d)

Extended right hemicolectomy

Q.21

`POEM' is done in:
a)

Achalasia cardia

b)

Sliding hiatus hernia

c)

Para-oesophageal hernia

d)

Ca. oesophagus

Q.22

The most common site of adenocarcinoma of
small bowel is:
a)

Jejunum

b)

Duodenum

c)

Ileum

d)

Appendix

Q.23

The components of Hypersplenism are all except:
a)

Pancytopenia

b)

Asplenia

c)

Bone marrow hyperplasia

d)

Splenomegaly

Q.24

Accessory cystic artery is usually a branch of:
a)

Cystic artery

b)

Splenic artery

c)

Left gastric artery

d)

Gastroduodenal artery

Q.25

All are components of "caterpillar turn /
Moynihan's hump" anomaly except:
a)

Accessory cystic artery

b)

Short cystic artery

c)

Tortuous common hepatic artery

d)

Tortuous right hepatic artery

Q.26

Double duct sign in MRCP is seen with:
a)

Choledocholithiasis

b)

Klastkin's tumour

c)

Ca. Gall bladder

d)

Periampullary carcinoma

Q.27

Endoscopic ultrasound is best indicated in:
a)

CBD stones around ampulla

b)

Gall stones

c)

Acute pancreatitis

d)

Chronic pancreatitis

Q.28

The treatment of choice in obstructing annular
pancreas is:
a)

Gastrojejunostomy

b)

Duodenoduonestomy

c)

Excision of pancreatic tissue

d)

Conservative management

Q.29

Mesenteric angina is seen with:
a)

Crohn's disease

b)

GI tuberculosis

c))

Small intestinal ischemia

d)

Celiac disease

Q.30

Treatment of choice in carcinoma caecum is:

This post was last modified on 17 February 2022