Q.P. Code: 323001
Reg. no.: .....................
Third Professional MBBS Part II Degree Supplementary Examinations
October 2025
General Surgery Paper I
Time: 3 Hours
Total Marks: 100
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
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be answered only in the OMR sheet provided at page
No. 51 of the answer book (the inner portion of the back cover page (PART III)). Responses for MCQs
use X mark only
Question numbers i-v are case scenario-based questions
A 60-year-old male with a history of smoking and peripheral vascular disease presents with a non-healing
ulcer on his left foot. The ulcer which is located on the tip of the great toe, is deep with a pale base and has
foot over the edge of the bed.
i. What is the most likely diagnosis
a) Arterial ulcer
b) Diabetic ulcer
d) Infected ulcer
ii. Which of the following is the most significant risk factor for this condition
a) Obesity
b) Hypertension
d) Male sex
iii. What is the primary pathophysiological mechanism leading to this type of ulcer
a) Venous insufficiency
b) Atherosclerosis
d) Infection
iv. Which of the following investigations is most useful in confirming the diagnosis
a) Fasting lipid profile
c) Skin biopsy
d) Ankle-Brachial Pressure Index (ABPI)
v. What is the initial step in the management of this patient
a) Compression therapy
b) Antibiotic therapy c) Pain management d) Revascularization
questions by selecting the appropriate options given below
a) Both A and R are true, and R is the correct explanation of A
c) A is true, but R is false
b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
Reason (R): Empathy is "I feel how you feel"
vii. Assertion (A): Damage control surgery is a strategy employed in trauma patients with severe
physiological derangement.
Reason(R): The primary aim is to address all injuries definitively in the initial operation.
Reason(R): This approach ensures comprehensive care, including surgery, chemotherapy, and
radiotherapy.
ix. Assertion (A): Varicose veins is a common venous disorder.
Reason(R): Varicose veins is caused by the failure of venous valves.
Reason(R): The parotid gland is the most common site for salivary gland tumors.
Question numbers xi-xv are multiple response type questions. Read the statements and mark the
most appropriate answer
xi. Hyperthyroidism is associated with
4) Myxoedema
a) 1, 2 & 3 are correct
b) 1 & 2 are correct
c) 2 & 4 are correct
xii. Venous ulcers are typically,
1) On lateral aspect of leg
2) Having a sloping edge
3) Chronic non-healing type
a) 1, 2 & 3 are correct
b) 1 & 2 are correct
c) 2 & 4 are correct
d) 2, 3 & 4 are correct
xiii. Surgical site infections (SSIs) are a significant concern; the following factors collectively contribute to
their development
2) Major Surgery
3) Prolonged surgery
4) Immunosuppression
a) 1, 3 & 4 are correct
d) 2, 3 & 4 are correct
xiv. Traumatic brain injury can result in.
1) Epilepsy
2) Emotional disturbances
a) 1, 2 & 3 are correct b) 1, 3 & 4 are correct c) 1, 2, 3 & 4 are correct d) 2, 3 & 4 are correct
xv. Sinus formation is common in
1) COVID-19 infection 2) Tuberculosis 3) Hidradenitis Suppurativa 4) Pseudomyxoma peritoneii
a) 1, 2 & 3 are correct
c) 2 & 3 are correct
d) 2, 3 & 4 are correct
Question numbers xvi-xx are single response type questions
xvi. A patient is scheduled for elective surgery. Which of the following is the most important aspect of
a) Ordering routine blood tests
b) Taking a thorough patient history and physical examination
c) Ensuring the patient has fasted for 8 hours
d) Administering prophylactic antibiotics
a) Assessing neurological status
c) Taking `AMPLE' history
b) Splinting fractures
d) Managing airway, breathing, and circulation
a) Administering levothyroxine
c) Radioiodine therapy
b) Administering beta-blockers
d) Surgical resection of the thyroid
out deep vein thrombosis (DVT)
a) Duplex ultrasound
b) Venography
c) CT venogram
xx. A patient is diagnosed with a salivary gland tumor. What is the most important factor in determining the
treatment plan
a) Patient's age
b) Tumor size
d) Tumor location
Long Essays:
(2x10=20)
2. A 30-year-old female presents with a small swelling in the neck with recent onset sleeplessness and
revealed a diffuse goiter without nodules.
a) What is the probable diagnosis with reasons
b) Describe the effect of this disease in various body systems
c) How will you evaluate this patient
(1+3+2+4)
3. A 45-year-old female presents with a family history of breast cancer and complains of a newly
discovered hard lump in her breast.
a) Describe your approach to the clinical assessment
c) What are the management options for this patient
d) Discuss the importance of breast cancer screening and techniques for mass screening (2+3+2+3)
Short Essays:
(6x6=36)
5. Describe the classification of shock and outline the principles of its management.
6. Explain the pathophysiology and management of acute compartment syndrome of extremities.
7. Discuss the management of a patient with a traumatic head injury in the emergency department.
8. Describe the clinical features, diagnosis, management, preventive measures, complications and risk
9. Describe the various routes of enteral nutrition available for patients after major surgery. What are the
complications associated with each technique.
Short Answers:
(6x4=24)
11. List four complications of blood transfusion.
12. List Four indications for tracheostomy.
13. Describe the steps and procedure for obtaining consent for incision and drainage of an abscess in the
back of a 50-year-old diabetic male patient and prepare a model consent form in English for the same.
15. Outline the management of a patient with acute parotitis.
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Reg. no.: .....................
Third Professional MBBS Part II Degree Supplementary Examinations
October 2025
General Surgery Paper I
--- Content provided by FirstRanker.com ---
(2019 Scheme)Time: 3 Hours
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
Total Marks: 100
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
--- Content provided by FirstRanker.com ---
Draw table/diagrams/flow charts wherever necessary1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be answered only in the OMR sheet provided at page
No. 51 of the answer book (the inner portion of the back cover page (PART III)). Responses for MCQs
--- Content provided by FirstRanker.com ---
marked in any other part/page of the answer book will not be valued. For marking the correct responsesuse X mark only
Question numbers i-v are case scenario-based questions
A 60-year-old male with a history of smoking and peripheral vascular disease presents with a non-healing
ulcer on his left foot. The ulcer which is located on the tip of the great toe, is deep with a pale base and has
--- Content provided by FirstRanker.com ---
minimal bleeding on probing. The patient complains of severe pain at night, which is relieved by hanging hisfoot over the edge of the bed.
i. What is the most likely diagnosis
a) Arterial ulcer
b) Diabetic ulcer
--- Content provided by FirstRanker.com ---
c) Venous ulcerd) Infected ulcer
ii. Which of the following is the most significant risk factor for this condition
a) Obesity
b) Hypertension
--- Content provided by FirstRanker.com ---
c) Smokingd) Male sex
iii. What is the primary pathophysiological mechanism leading to this type of ulcer
a) Venous insufficiency
b) Atherosclerosis
--- Content provided by FirstRanker.com ---
c) Neuropathyd) Infection
iv. Which of the following investigations is most useful in confirming the diagnosis
a) Fasting lipid profile
c) Skin biopsy
--- Content provided by FirstRanker.com ---
b) Wound cultured) Ankle-Brachial Pressure Index (ABPI)
v. What is the initial step in the management of this patient
a) Compression therapy
b) Antibiotic therapy c) Pain management d) Revascularization
--- Content provided by FirstRanker.com ---
Question numbers vi-x consist of two statements - Assertion (A) and Reason (R). Answer thesequestions by selecting the appropriate options given below
a) Both A and R are true, and R is the correct explanation of A
c) A is true, but R is false
b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
--- Content provided by FirstRanker.com ---
vi. Assertion (A): A doctor should be able to feel how the patient feels and support them in their sicknessReason (R): Empathy is "I feel how you feel"
vii. Assertion (A): Damage control surgery is a strategy employed in trauma patients with severe
physiological derangement.
Reason(R): The primary aim is to address all injuries definitively in the initial operation.
--- Content provided by FirstRanker.com ---
viii. Assertion (A): In the management of breast cancer, a multidisciplinary approach is essential.Reason(R): This approach ensures comprehensive care, including surgery, chemotherapy, and
radiotherapy.
ix. Assertion (A): Varicose veins is a common venous disorder.
Reason(R): Varicose veins is caused by the failure of venous valves.
--- Content provided by FirstRanker.com ---
x. Assertion (A): Salivary gland tumors can present with varying clinical features.Reason(R): The parotid gland is the most common site for salivary gland tumors.
Question numbers xi-xv are multiple response type questions. Read the statements and mark the
most appropriate answer
xi. Hyperthyroidism is associated with
--- Content provided by FirstRanker.com ---
1) Weight loss 2) Heat intolerance 3) Moon face4) Myxoedema
a) 1, 2 & 3 are correct
b) 1 & 2 are correct
c) 2 & 4 are correct
--- Content provided by FirstRanker.com ---
d) 2, 3 & 4 are correctxii. Venous ulcers are typically,
1) On lateral aspect of leg
2) Having a sloping edge
3) Chronic non-healing type
--- Content provided by FirstRanker.com ---
4) Require multimodality carea) 1, 2 & 3 are correct
b) 1 & 2 are correct
c) 2 & 4 are correct
d) 2, 3 & 4 are correct
--- Content provided by FirstRanker.com ---
(PTO)xiii. Surgical site infections (SSIs) are a significant concern; the following factors collectively contribute to
their development
--- Content provided by FirstRanker.com ---
1) Obesity2) Major Surgery
3) Prolonged surgery
4) Immunosuppression
a) 1, 3 & 4 are correct
--- Content provided by FirstRanker.com ---
b) 1, 2 & 4 are correct c) 2 & 4 are correctd) 2, 3 & 4 are correct
xiv. Traumatic brain injury can result in.
1) Epilepsy
2) Emotional disturbances
--- Content provided by FirstRanker.com ---
3) Cognitive deficits 4) Language difficultiesa) 1, 2 & 3 are correct b) 1, 3 & 4 are correct c) 1, 2, 3 & 4 are correct d) 2, 3 & 4 are correct
xv. Sinus formation is common in
1) COVID-19 infection 2) Tuberculosis 3) Hidradenitis Suppurativa 4) Pseudomyxoma peritoneii
a) 1, 2 & 3 are correct
--- Content provided by FirstRanker.com ---
b) 1 & 2 are correctc) 2 & 3 are correct
d) 2, 3 & 4 are correct
Question numbers xvi-xx are single response type questions
xvi. A patient is scheduled for elective surgery. Which of the following is the most important aspect of
--- Content provided by FirstRanker.com ---
preoperative assessmenta) Ordering routine blood tests
b) Taking a thorough patient history and physical examination
c) Ensuring the patient has fasted for 8 hours
d) Administering prophylactic antibiotics
--- Content provided by FirstRanker.com ---
xvii. In a trauma scenario, what is the first prioritya) Assessing neurological status
c) Taking `AMPLE' history
b) Splinting fractures
d) Managing airway, breathing, and circulation
--- Content provided by FirstRanker.com ---
xviii. What is the most appropriate initial management of a patient with a suspected thyroid storma) Administering levothyroxine
c) Radioiodine therapy
b) Administering beta-blockers
d) Surgical resection of the thyroid
--- Content provided by FirstRanker.com ---
xix. A patient presents with a painful, swollen calf. What is the most appropriate initial investigation to ruleout deep vein thrombosis (DVT)
a) Duplex ultrasound
b) Venography
c) CT venogram
--- Content provided by FirstRanker.com ---
d) D-dimer assayxx. A patient is diagnosed with a salivary gland tumor. What is the most important factor in determining the
treatment plan
a) Patient's age
b) Tumor size
--- Content provided by FirstRanker.com ---
c) Tumor histologyd) Tumor location
Long Essays:
(2x10=20)
2. A 30-year-old female presents with a small swelling in the neck with recent onset sleeplessness and
--- Content provided by FirstRanker.com ---
anxiety of one month and one-week duration of watering of eyes with prolonged reading. Examinationrevealed a diffuse goiter without nodules.
a) What is the probable diagnosis with reasons
b) Describe the effect of this disease in various body systems
c) How will you evaluate this patient
--- Content provided by FirstRanker.com ---
d) Discuss the management of this condition(1+3+2+4)
3. A 45-year-old female presents with a family history of breast cancer and complains of a newly
discovered hard lump in her breast.
a) Describe your approach to the clinical assessment
--- Content provided by FirstRanker.com ---
b) Elaborately discuss the investigations with reasons for doing each testc) What are the management options for this patient
d) Discuss the importance of breast cancer screening and techniques for mass screening (2+3+2+3)
Short Essays:
(6x6=36)
--- Content provided by FirstRanker.com ---
4. Discuss the factors that affect wound healing and differentiate between keloids and hypertrophic scars.5. Describe the classification of shock and outline the principles of its management.
6. Explain the pathophysiology and management of acute compartment syndrome of extremities.
7. Discuss the management of a patient with a traumatic head injury in the emergency department.
8. Describe the clinical features, diagnosis, management, preventive measures, complications and risk
--- Content provided by FirstRanker.com ---
assessment of deep vein thrombosis in a patient undergoing major surgery.9. Describe the various routes of enteral nutrition available for patients after major surgery. What are the
complications associated with each technique.
Short Answers:
(6x4=24)
--- Content provided by FirstRanker.com ---
10. Classify surgical site infections.11. List four complications of blood transfusion.
12. List Four indications for tracheostomy.
13. Describe the steps and procedure for obtaining consent for incision and drainage of an abscess in the
back of a 50-year-old diabetic male patient and prepare a model consent form in English for the same.
--- Content provided by FirstRanker.com ---
14. Enumerate Four risk factors for the development of abdominal aortic aneurysm.15. Outline the management of a patient with acute parotitis.
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