PAPER CODE: MB2019133
KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
WARANGAL, TELANGANA STATE ? 506 002
MBBS FINAL YEAR PART-II DEGREE SUPPLEMENTARY EXAMINATIONS: MAY, 2024
--- Content provided by FirstRanker.com ---
GENERAL SURGERY
PAPER ? I
Time: 3 Hours
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
Max Marks: 100
Note: Answer all questions
Give Diagrammatic representation wherever necessary
--- Content provided by FirstRanker.com ---
Multiple Choice Questions:--- Content provided by FirstRanker.com ---
10 X 1 = 10
1 Which colour of triage is given the highest priority.
--- Content provided by FirstRanker.com ---
a) Red
b) Green
c) Yellow
--- Content provided by FirstRanker.com ---
d) Black2 Commonest cause of AV fistula is
--- Content provided by FirstRanker.com ---
a) Congenitalb) Traumatic
c) Iatrogenic
--- Content provided by FirstRanker.com ---
d) Tumour erosion3 Hyper acute transplant rejection occurs in
--- Content provided by FirstRanker.com ---
a) Type 1 HSVb) Type 2 HSV
c) Type 3 HSV
--- Content provided by FirstRanker.com ---
d) Type 4 HSV4 Hypotension in acute spinal injury is due to:
--- Content provided by FirstRanker.com ---
a) Loss of sympathetic toneb) Loss of parasympathetic tone
c) Orthostatic hypotension
--- Content provided by FirstRanker.com ---
d) Vasovagal attack5 A 32-year-old male is receiving a blood transfusion after being involved in a road
traffic accident. A few minutes after the transfusion he complains of loin pain. his
--- Content provided by FirstRanker.com ---
observations show temperature 39o C, HR 130bpm and BP 95/40mm Hg. What is thebest test to confirm his diagnosis.
a) USG Abdomen
b) Direct coomb's test
--- Content provided by FirstRanker.com ---
c) Blood cultures
d) Sickle cell test
--- Content provided by FirstRanker.com ---
6 Which of the following is not scanned by e-FAST.a) Pericardium
b) Liver
--- Content provided by FirstRanker.com ---
c) Bowel
d) Spleen
--- Content provided by FirstRanker.com ---
7 True regarding benign mixed parotid tumour is:a) Slow growing and lobular
b) Firm and capsulated
--- Content provided by FirstRanker.com ---
c) 50% of parotid tumour.
d) All of the above
--- Content provided by FirstRanker.com ---
8 During rounds you have been asked to examine patient with ulcer over face. Which ofthe following feature will raise suspicion of it being squamous cell carcinoma
a) Everted edged
--- Content provided by FirstRanker.com ---
b) Inverted edgedc) Rolled out edged
d) Undermined edged
--- Content provided by FirstRanker.com ---
9 According to NICE criteria, CT is indicated immediate after mild head injury for which
of the following patient.
--- Content provided by FirstRanker.com ---
a) An episode of vomitingb) Ongoing headache
c) Loss of consciousness at the
d) Age over 65
--- Content provided by FirstRanker.com ---
time of injury
10 Claw hand occurs due to palsy of
--- Content provided by FirstRanker.com ---
a) Radial nerveb) Ulnar nerve
c) Saphenous nerve
d) Median nerve
--- Content provided by FirstRanker.com ---
Essay/ Long Answer Questions:
--- Content provided by FirstRanker.com ---
2 X 15 = 30
11. A 27-year-old female, weighing about 55 kgs, is brought to Emergency
room with 45% burns involving Chest and Extremities, sustained in kitchen.
--- Content provided by FirstRanker.com ---
Discuss:a. What is the Immediate care.
b. How is Body surface area assessed by 'Rule of nine'.
c. Pathophysiology of burns.
d. Calculate fluid management by Parkland formula
--- Content provided by FirstRanker.com ---
e. Mention two late complications.(4+3+4+2+2)
12. A 55 yr old male Security guard presents with prominent veins in his right
lower limb and pain that gradually increases at the end of the day. On
examination, dilated veins are found along the antero-medial aspect of the
--- Content provided by FirstRanker.com ---
affected limb and an active ulcer 4x3 cm, proximal to medial malleolus. Hewas advised Venous doppler which reported incompetence at Sapheno-
femoral junction and Multiple perforators in leg and Negative for Deep vein
thrombosis.
a. Classify the condition by CEAP.
--- Content provided by FirstRanker.com ---
b. Describe the risk factors and physiology associated.c. Describe some important clinical tests.
d. Describe the ulcer
e. Outline the Management of the ulcer and Varicose veins. (2+3+3+2+5)
Short Answer Questions:
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
7 X 6 = 4213. Clinical features and treatment of tetanus.
14. Spinal anaesthesia.
15. Malignant Melanoma.
--- Content provided by FirstRanker.com ---
16. Surgical audit.
--- Content provided by FirstRanker.com ---
17. Upper GI endoscopy.18. Amputation.
19. Immunosuppressive therapy.
Very Short Answer Questions:
--- Content provided by FirstRanker.com ---
6 X 3 = 18
20. Ranula.
21. Warthin's tumour.
--- Content provided by FirstRanker.com ---
22. Branchial cyst.23. Adson's test.
24. Cancrum oris.
25. Tumour markers.
--- Content provided by FirstRanker.com ---
*****