307001 April 2015 GENERAL SURGERY – I
Reg. No.: ???????
Third Professional MBBS (Part II) Degree Examinations, April 2015
GENERAL SURGERY – I
Time: 3 Hours Max marks: 60
? Answer all questions
? Write section A and section B in separate answer books (32 Pages). Do not
mix up questions from section A and section B.
Q P Code: 307001 Section A ? Surgery (GIT) Marks: 30
Structured Essay (5)1. A 45years old man presented to causality with severe pain in the epigastrium with radiation to
back. He gives the history of consumption of alcohol on previous night. What is the most
probable diagnosis. Mention the relevant investigations to confirm the diagnosis. How will you
manage the case.
Short essays (2×6=12)2. Hydatid cyst liver
3. Intussusception
Clinical Situation (3)4. A 65 years old person is referred to you with abdominal pain of two days duration. He gives
history of intake of analgesies for a long time. His plain x-ray abdomen shows free gas under
right dome of diaphragam. What is your diagnosis. How will you investigate the case and
mention briefly the treatment
Short notes (5×2=10)5. Ischio-rectal abscess
6. Appendicular mass
7. Desmoid tumor
8. Complications of splenectomy
9. Choledochal cyst
Q P Code: 312001 Section B ? Orthopaedics Marks: 30
Essay (6)1. An 18 years old girl presents with a 3 months history of painful swelling of the distal thigh.
She is ill looking and examination reveals a firm tender swelling localized to the distal
metaphysis of the femur. Discuss: Possible differential diagnosis. Diagnostic workup
Treatment of the likely cause (2+2+2=6)Short essays (4×3=12)2. Myositis ossificans
3. Osteoid osteoma
4. Fracture scaphoid
5. Neuropathic arthritis
Short notes (6×2=12)6. First aid in suspected cervical spine injury
7. Classification of peripheral nerve injuries
8. ?Pointing? index
9. Diagnosis of hip dysplasia in newborns
10. Congenital muscular torticollis
11. Complications of Colles fracture
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