Firstranker's choice
C 24417
(Pages: 2 + 2 + 1 = 5)
--- Content provided by FirstRanker.com ---
Name:................................................................................................................................
Reg. No:.............................................................................................................................
FINAL M.B.B.S. DEGREE EXAMINATION, MARCH 2003
Part II
--- Content provided by FirstRanker.com ---
Paper I-GENERAL SURGERY
Section A GIT AND ORTHOPAEDICS
(New Scheme)
Answer Sections A and B in separate answer-books.
Draw diagrams wherever necessary.
--- Content provided by FirstRanker.com ---
Answer all questions.
Section A
Maximum: 30 Marks
I. Multiple Choice Questions. Single response type-10 (on attached sheet). (10 x 1/2 = 5 marks)
II. Match the following. Single response type-4 (on attached sheet). (4 x 1/2 = 2 marks)
--- Content provided by FirstRanker.com ---
III. Draw and label:
Parts of the stomach. (1 mark)
IV. Short answer questions : (3 x 1 = 3 marks)
- What are the histological types of liver malignancy?
- What are the types of biliary stones?
- What is annular pancreas?
--- Content provided by FirstRanker.com ---
V. Write short notes on: (2 x 2 = 4 marks)
- Sliding hernia.
- Traumatic splenic rupture.
Section B
--- Content provided by FirstRanker.com ---
VI. Read this paragraph and answer the following questions :-
You are seeing a surgeon doing a needle liver biopsy for a case of hepatomegaly in male of 65 years old who is jaundiced.
- What precautions should have been taken before the procedure to prevent undue bleeding and risk of infection?
- Which area of the abdomen is chosen for the needle biopsy and why?
- What are the types of liver biopsy needles you know?
- To enhance the chance of targeting the truly representative sample, what other investigation may be combined with this.
- What is hepato renal syndrome?
--- Content provided by FirstRanker.com ---
(5 x 1 = 5 marks)
C 24417
VII. Short answer questions: (4 x 1 = 4 marks)
--- Content provided by FirstRanker.com ---
- What is lateral sphincterotomy and what is the condition for which it is done?
- What is the principal purpose of Herniorrhaphy?
- What is Mayo's operation?
- What is the function of gastric mucus?
VIII. Write short notes on:
--- Content provided by FirstRanker.com ---
- Explain the phases of secretion of gastric juice.
- What are the sites of anastomoses between the portal and systemic venous systems and what are the names of the vessels that are involved in each site.
- What are the resuscitative measures to be done in a patient who has perforative peritonitis of 12 hours duration? www.FirstRanker.com (3 × 2 = 6 marks)
Firstranker's choice
--- Content provided by FirstRanker.com ---
C 24417
Paper I-GENERAL SURGERY
Section A-GIT AND ORTHOPAEDICS
--- Content provided by FirstRanker.com ---
I. MULTIPLE CHOICE QUESTIONS
Note.-(1) Do not write anything on the question paper.
(2) Write your register number on the answer-sheet provided.
(3) Select the appropriate answer and encircle the alphabet against each question in the answer-sheet provided.
(4) In the answer-sheet enter the total number of your answers in the appropriate box provided.
--- Content provided by FirstRanker.com ---
(5) Each question carries ½ mark.
1. Which segment of bowel seen to be characterless on plain X-ray of abdomen ?
(A) Ileum. (B) Duodenum.
(C) Colon. (D) Jejunum.
2. Carcinoma situated just to the left of hepatic flexure is best treated by:
--- Content provided by FirstRanker.com ---
(A) Right hemicolectomy. (B) Left hemicolectomy.
(C) Transverse colectomy. (D) Extended right hemicolectomy.
3. Presence of Meckel's diverticulum is best identified pre-operatively in a patient with gastrointestinal bleed by :
(A) Technetium 99 pertechnetate scan. (B) Technetium 99 immunodiacetic acid scan.
(C) Barium meal. (D) Ultrasound scan.
--- Content provided by FirstRanker.com ---
4. Which of the following is not helpful in assessing the viability of a strangulated bowel at surgery?
(A) Duration of obstruction. (B) Bright red colour.
(C) Transmission of peristalsis. (D) Pulsation in the adjacent mesentery.
5. Which is the most prominent symptom in acute fissure in ano?
(A) Bleeding. (B) Discharge.
--- Content provided by FirstRanker.com ---
(C) Constipation. (D) Pain.
6. Which of the following surgeries is associated with increased risk of formation of gall stones ?
(A) Right hemicolectomy. (B) Vagotomy.
(C) Cholesystojejunestomy. (D) Anterior resection.
7. Which is the only living part of a simple hydatid cyst?
--- Content provided by FirstRanker.com ---
(A) Endocyst. (B) Ectocyst.
(C) Cyst fluid. (D) Pseudo cyst.
8. Amoebic liver abscess ruptures most commonly into:
(A) Pleural space. (B) Peritoneal cavity.
(C) Pericardial space. (D) Right lung.
--- Content provided by FirstRanker.com ---
9. Charcot's triad indicates :
(A) Acute hepatitis. (B) Acute cholecystitis.
(C) CBD stone. (D) Acute pancreatis.
10. A pile mass that protrudes on defaecation and gets spontaneously reduced is :
C 24417
--- Content provided by FirstRanker.com ---
(A) Secondary pile.
(B) Second degree pile.
(C) Second grade pile.
(D) Second stage pile.
www.FirstRanker.com (10 x 1/2 = 5 marks)
--- Content provided by FirstRanker.com ---
Firstranker's choice
C 24417
--- Content provided by FirstRanker.com ---
Paper I-GENERAL SURGERY
Section A-GIT AND ORTHOPAEDICS
II. Match the following :-
| 1 | Leather bottle stomach | (a) | Colonic diverticular disease. |
| 2 | Tea pot stomach | (b) | Carcinoma stomach. |
| 3 | Saw tooth appearance | (c) | Volvulus of sigmoid colon. |
| 4 | Bent car tube appearance | (d) | Chronic gastric ulcer. |
--- Content provided by FirstRanker.com ---
(4 x 1/2 = 2 marks)