Download Calicut University MBBS 2004 December Surgery Paper I Previous Question Paper

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Name.................................................................... Reg. No......................................................

(Pages: 2+2+1 = 5)

THIRD PROFESSIONAL M.B.B.S. DEGREE EXAMINATION, DECEMBER 2004

Part II

Surgery

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Paper I-GENERAL SURGERY Including GIT AND ORTHOPAEDICS

Time: One Hour and a Half (New Scheme) Maximum: 30 Marks

Answer Sections A and B in separate answer-books.

Draw labelled diagrams wherever necessary.

Question I should be answered first in the Response Sheet for M.C.Qs.

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Section A

I. Multiple choice questions. Single response type-10 (on attached sheet). (10×.25 marks)

II. Match the following (on attached sheet). (4x.5 = 2 marks)

III. Draw and label Branches of abdominal aorta. (1 mark)

IV. Short answer questions: (3x1⅓ marks)

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1. What are the causes of intestinal obstruction ?
2. What is the differential diagnosis of epigastric lump ?
3. What is the differential diagnosis of acute abdomen ?

V. Write short notes on: (2x2 = 4 marks)

1. Paralytic ileus.

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2. Portocaval anastomosis.

Section B

VI. Read this paragraph and answer the following questions : (5x1= 5 marks)

A 45 year old male is brought to the casualty with history of severe vomiting of blood of six hours duration. He is in shock with a blood pressure of 60 systolic. There is history of alcoholism.

1. What are the possible conditions to be considered in diagnosis ?

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2. Discuss the pathology of any one condition.
3. How will you investigate the patient ?
4. Detail the different types of treatment of the most common condition.
5. How will you resuscitate the patient in the casuality?

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VII. Short answer questions: (3x1⅓ marks)

1. How will you diagnose acute intussusception in a 10 month old baby?
2. What is the treatment of carcinoma stomach?
3. What are the clinical features of acute pancreatitis ?

VIII. Write short notes on: (3x2 = 6 marks)

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1. Gastrostomy.
2. Fissure in ano.
3. Signe de dance.

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Directions : Maximum: 5 Marks

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1. Do not write anything on the question paper.
2. Write your Register Number in the answer-sheet provided.
3. Select one most appropriate response and encircle the corresponding alphabet against each question number in the answer-sheet provided.
4. In the answer-sheet, enter the total number of your response in the appropriate boxes provided.

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5. Each question carries ½ mark.

1. Commonest site of congenital atresia of the intestine is:

1. Duodenum.
2. ileum.
3. Jejunum.

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4. Ascending colon.

2. Treatment of choice for acute variceal bleeding is:

1. Vasopressin.
2. Balloon tamponade.
3. Endoscopic sclerotherapy.

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4. Emergency portocaval shunt surgery.

3. Commonest malignant tumour of the liver is :

1. Hepatocellular carcinoma.
2. Hepatoblastoma.
3. Metastatic liver tumour.

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4. Cholangiocarcinoma.

4. Which is the most useful investigation in the diagnosis of gall stones ?

1. Oral cholecystography.
2. IV cholangiography.
3. Ultrasonography.

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4. HIDA scan.

5. In Budd Chiari syndrome the obstruction is in the :

1. Portal vein.
2. IVC.
3. Hepatic vein.

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4. Sinusoids.

6. Commonest cause of portal hypertension in adult is:

1. Portal vein thrombosis.
2. Cirrhosis liver.
3. Hepatic vein thrombosis.

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4. Carcinoma of pancreas.

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7. Conjugated hyperbilirubinaemia is due to :

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1. Biliary obstruction.
2. Hepatocellular disease.
3. Abnormal bilirubin excretion.
4. All of the above.

8. Pouch of Douglas is situated between :

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1. Uterus and rectum.
2. Uterus and urinary bladder.
3. Urinary bladder and rectum.
4. Urinary bladder and anterior abdominal wall.

9. Diverticular disease commonly affects :

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1. Transverse colon.
2. Splenic flexure.
3. Sigmoid colon.
4. Descending colon.

10. Gall stone ileus is caused by:

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1. Chemical irritation of gallstone breakdown products.
2. Toxaemia.
3. Mechanical obstruction.
4. All of the above.

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(10 x .25 marks)

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D 1769

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Paper I-GENERAL SURGERY including GIT AND ORTHOPAEDICS

II. Match the following: (4 x .5 = 2 marks)

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