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 Bin 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 (2x6=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 analgesics for a long time. His plain x-ray
abdomen shows free gas under right dome of diaphragm. What is your diagnosis.
How will you investigate the case and mention briefly the treatment
Short notes (5x2=10)
5.Ischio-rectal
abscess
6. Appendicular mass
7. Desmoid tumour
8. Complications of splenectomy
9. Choledochal cyst
Q P Code: 312001
Section B — Orthopaedics Marks: 30
Essay (5)
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 (4x3=12)
2. Myositis
ossificans
3. Osteoid
osteoma
4. Fracture
scaphoid
5. Neuropathic arthritis
Short notes (6x2=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
