Download KUHS MBBS 4th Year 307001 General Surgery I Question Paper

Reg. No.:........................

Third Professional MBBS (Part II) Degree Regular/Supplementary Examinations March 2023

General Surgery - I

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Time: 3 Hours

Max marks: 60

• Answer all questions to the point neatly and legibly. Do not leave any blank pages between answers
• Indicate the question number correctly for the answer in the margin space. Answer all parts of a single question together
• Leave sufficient space between answers. Draw table/diagrams/flow charts wherever necessary

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• Write section A and section B in separate answer books (32 Pages). Do not mix up questions from section A and section B.

QP Code: 307001 Section A - Surgery (GIT) Marks: 30

Structured Essay (5)

1. 46 year old male patient presented with diffuse pain in the abdomen since 3 days, with 3-4 episodes of vomiting, not passing flatus and stools since 2 days. On examination there is tachycardia, distended abdomen with no guarding and no rigidity, bowel sounds sluggish in nature.
   1. What is the most probable clinical diagnosis
   2. What are the relevant investigations

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   3. Briefly describe about the management of the condition (1+2+2)

Short essays (2x6=12)

2. Gastrointestinal Stromal Tumor (GIST)
3. Intussusception.

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Clinical Situation (3)

4. 50Y old male patient presented with vomiting about 1-1.5 hrs after consuming food since 3 months and tolerates only oral liquids and soft diet. History of significant weight loss and loss of appetite present. He also has history of peptic ulcer and is on treatment for the same since 2 years. No history of malena, no history of altered bowel habits. On examination, abdomen is distended, visible gastric peristalsis present.
   1. What is the clinical diagnosis
   2. What are the relevant investigations
   3. Describe briefly about the management of the condition

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Short notes (5x2=10)

5. Gall stones.
6. Crohn's disease.
7. Principles of laparoscopy.
8. Sigmoid volvulus.

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9. Hirschsprung's disease.

QP Code: 312001 Section B - Orthopedics Marks: 30

Essay (6)

1. Define osteomyelitis. Describe etiology, pathology, clinical and radiological features and management of chronic osteomyelitis.

Short essays (4x3=12)

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2. Monteggia fracture.
3. Carpal tunnel syndrome.
4. Charcot's joint.
5. Malunion.

Short notes (6x2=12)

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6. Cubitus varus
7. Radial nerve palsy
8. Skeletal traction
9. Gout
10. Foot drop splint

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11. Bursa around knee