28-05-2025
III-MBBS (Part-II)
(This paper consist of pages)
1421AI+1
Third Professional M.B.B.S. Part-II

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(Supp) Exam. (New Scheme)
May-2025
General Surgery
Paper-1
Time: Three Hours Maximum Marks: 100

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Attempt all questions in both sections.
Section-A
Q.1 Fill in the blanks
a. The initial metabolic response to injury is
mediated by the release of __________.

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b. The most common type of surgical site
infection is __________.
c. Universal precautions are essential to prevent
__________ transmission.

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d. In case of massive transfusion, the most

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common electrolyte disturbance is
__________.
e. During CPR, chest compression should are
given at a rate of __________ per minute.
f. The most common site of breast carcinoma

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is __________ quadrant.
Q.2 Multiple choice questions
I. The earliest indicator of hypovolemia is :
a. Hypotension
b. Tachycardia

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c. Decreased urine output
d. Cold clammy skin
II. The most reliable method to confirm
endotracheal intubation is :
a. Chest rise

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b. Caprography
c. Fogging of tube
d. Auscultation
III. The gold standard investigation for brain
death

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a. CT scan
b. EEG
c. MRI
d. PETCT
IV. The safest method of an disposed of

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biohazardous waste is :
a. Open burning

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b. Deep burial
c. Autoclaving
d. Dumping on landoll

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Q.3 A 75 year old male is brought to emergency
following a road traffic accident. He is drowsy,
hypotensive and has bruises over chest and
abdomen.
a. How will you assess and stabilize the patient?

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b. What imaging and investigations would you
order?
c. Describe fluid and wood management in
trauma.
d. Mention these common complications of

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blunt trauma abdomen.
Q.4 Write short notes on any five:
a. Phase of wound healing
b. Indication for articles of blood transfusion
c. manageent in surgical practice

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d. Ethical principles in surgical of practice
e. Triple assessment in breast lump
Q.5 Write about the following. Attempt any
three:
a. Types of shock

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b. Indications and complications of blood

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components therapy.
c. Clinical features of Graves' disease.
d. Complications of enteral nutrition.
Section-B

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Q.6 A 60 year old male, suffered progress with
dithetic, difficulty swallowing and weight loss
a. What are the differential diagnoses?
b. How would you evaluate the case?
c. Describe the surgical options for carcinoma

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tongue.
d. What is role of radiotherapy in caremona
tongue.
Q.7 Write briefly on any five:
a. Management of DVT

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b. Branchial evst
c. Squamous papilloma
d. Necrotising Fascitis
e. Pneumothorax
f. Ameloblastma

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Q.8 Write short notes on any fou
a. Principles of medical ethics in surgical
practice
b. Management of thyroid nodule

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c. Surgical management of adrenal tumor

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d. Sentinel lymph node biopsy in breast cancer
e. Biohazard waste disposal protocol
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