Download Calicut University MBBS 2005 December Surgery Paper II Previous Question Paper

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THIRD PROFESSIONAL M.B.B.S. DEGREE EXAMINATION, DECEMBER 2005

Part II

GENERAL SURGERY-Paper II (INCLUDES WHOLE OF SURGERY EXCLUDING G.I.T.)

Time: Three Hours

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[New Scheme]

Answer Sections A and B in separate answer books.

Draw diagrams wherever necessary.

Answer all questions.

Section A

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Maximum: 60 Marks

I. Multiple Choice Questions. Single response type-20 (separate sheet attached). (20½ = 10 marks)

II. Match the following. Single response type-6 (separate sheet attached). (6×2/3 marks)

III. Draw and label:

1. Types of Thyroidectomy.

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2. Types of Renal Trauma.

IV. Short answer questions: (2x1½ = 3 marks)

1. What are the complications of rupture urethra ?
2. How will you manage stricture urethra ?
3. How do you classify parotid swellings?

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4. What are the features which indicate malignant change in mixed parotid tumour?
5. What are the complications of mixed parotid tumour?

V. Write short notes on: (5x1½ = 7½ marks)

1. Carcinoma Kidney.
2. Duct Papilloma.

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3. Palliation for Ca Breast.
4. Examination of breast swelling.
5. Sterilisation of instruments.

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Section B

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VI. Read this paragraph and answer the following questions:

A 45-year-old lady attends the OP with a complaint of bleeding from the nipple. On examination there is a vague lump in the lower inner quadrent. The patient is nulliparous.

1. What are the causes of bleeding from the nipple in this patient?
2. Discuss microdochectomy.
3. Detail the relevance of Bloom and Richardson's grading.

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4. What are the investigations for confirming the diagnosis ?
5. How will you treat this patient?

(1+2+2+2+3 = 10 marks)

VII. Short answer questions: (10 x 1 = 10 marks)

1. How do you classify vascular lesions?

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2. How will you investigate a testicular swelling?
3. What are the clinical features of intracranial bleeding?
4. What are the types of gangrene?
5. What are the investigations for a case of peripheral limb ischaemia ?
6. What are the clinical tests performed to assess varicose veins of legs?

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7. How do you treat Varicose veins of short saphenous system?
8. What are the complications of varicose veins ?
9. What is the differential diagnosis of lymph nodular masses?
10. How will you classify lymphomas?

VIII. Write short notes on: (5x2= 10 marks)

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1. Spinal anaesthesia.
2. Aneurysm.
3. Wound healing.
4. Sterilization.
5. Malignant melanoma.

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1. Select one most appropriate response and encircle the corresponding alphabet against each question number in the answer-sheet provided.
2. In the answer sheet, enter the total number of your responses in the appropriate boxes provided.
3. Each question carries ½ mark.

1. Coffee bean sign is usually seen in:
   1. Volvulus.
   2. Pyloric obstruction.

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   3. Intussusception.
   4. Intestinal obstruction.
2. Heller's operation is done in :
   1. Achalasia cardia.
   2. Pyloric stenosis.

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   3. Hirschsprung's disease.
   4. Crohn's disease.
3. Which of the following is radiolucent:
   1. Calcium phosphate.
   2. Calcium oxalate.

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   3. Uric acid.
   4. Cystine.
4. All the following predispose to gastric carcinoma except:
   1. Achlorhydria.
   2. O blood group.

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   3. Pernicious anaemia.
   4. H/O gastrectomy.
5. Commonest site of thromboangitis obliterans is:
   1. Femoral artery.
   2. Pedal vessels.

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   3. Iliac artery.
   4. Pelvic vessels.
6. Widening of C loop is seen in:
   1. Carcinoma head of pancreas.
   2. Periampullary carcinoma.

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   3. Chronic pancreatitis.
   4. All the above.
7. Commonest presentation of bilateral ureteric stones is:
   1. CRF.
   2. UTI.

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   3. Pain.
   4. Haematuria.
8. Tinel's sign indicates:
   1. Atrophy of nerves.
   2. Neuroma.

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   3. Injury to nerves.
   4. Regeneration of nerves.
9. Which is a non-absorbable suture:
   1. Polypropylene.
   2. Polyglycolic acid.

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   3. Vicryl.
   4. Catgut.
10. The principal route of occupationally acquired HIV infection in health care workers in :
    1. Skin perforation with a hollow needle containing HIV infected blood.
    2. Solid needle skin perforation.

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    3. Extensive splashing of mucous membrane and skin in spillage of pack of blood.
    4. Air-borne.
11. Which of the following will not regress spontaneously:
    1. Strawberry angioma.
    2. Portwine stain.

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    3. Salmon patch.
    4. None of the above.
12. Hypertension may lead to:
    1. Bazin's ulcer.
    2. Marjolin's ulcer.

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    3. Martorell's ulcer.
    4. Arterial ulcer.
13. Plexiform neurofibromatosis usually occurs in the distribution of the :
    1. 6th nerve.
    2. 7th nerve.

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    3. 10th nerve.
    4. 5th nerve.
14. Of the following comments on meningocoele which is false :
    1. Congenital.
    2. Translucency.

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    3. Tense.
    4. No impulse on cough.
15. "Saw tooth" X-ray appearance is seen in :
    1. Ulcerative colitis.
    2. Diverticulitis.

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    3. Crohn's disease.
    4. Periampullary carcinoma.
16. The commonest sites for carcinoid tumour are:
    1. Small intestine and appendix.
    2. Large intestine and appendix.

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    3. Large and small intestines.
    4. Colon and large intestine.
17. Astler Coller staging is utilised for:
    1. Carcinoma Stomach.
    2. Carcinoma Rectum.

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    3. Carcinoma Bladder.
    4. Carcinoma Gall Bladder.
18. Hydrocoele is an example for a :
    1. Retention cyst.
    2. Distention cyst.

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    3. Exudation cyst.
    4. Traumatic cyst.
19. "Bag of worms" feeling is encountered in:
    1. Varicocoele.
    2. Lymphvarix.

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    3. Saphenavarix.
    4. Spermatocoele.
20. The following is secreted in excess in Carcinoid tumour:
    1. Tryptophan.
    2. 5-HIAA.

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    3. VMA.

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(20½ = 10 marks)

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GENERAL SURGERY-Paper II (INCLUDES WHOLE OF SURGERY EXCLUDING G.I.T.)

II. Match the following:-

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1. Lucid intervel.
2. Sjogren's syndrome.
3. DeQuervain's disease.
4. Paget's test.
5. Chemodectoma.

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6. Cholesterol crystals.

1. Salivary glands.
2. Common carotid artery.
3. Extradural haematoma.
4. Dentigerous cyst.

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5. Fluctuation.
6. Thyroiditis.

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(6×2/3 marks)

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