GENERAL SURGERY PAPER 1- MARCH 2017- 4TH MBBS KUHS

Reg. no.: …………………

Third Professional MBBS (Part II) Degree Supplementary Examinations,

March 2017

GENERAL SURGERY-1 (GIT)

Time: 3 Hours                                          Total Marks: 60

• Answer all questions

• Draw diagrams wherever necessary

           Q P Code: 307001                                                                             Marks: 30

1. A 40 years old female attends the surgical casualty with H O recurrent upper abdominal pain. Now she has severe pain in upper abdomen with fever, chills and rigor. O/E patent is febrile with tachycardia and guarding over the right hypochondrium. Answer the following;

• What is the probable diagnosis
• What are the investigations done to diagnose the disease
• Discuss the management (1+2+2=5)

Short essays (2x6=12)

2. Amoebic liver abscess

3. Sigmoid volvulus

Clinical Situation (3)

4. A young male is brought to casualty with H/O blunt injury abdomen. O/E PR-100/mt. BP- 80/60 mmHg. There is tenderness and guarding in the left hypochondrium.

• What is the likely diagnosis.
• How will you investigate.
• Mention briefly the management.

Short notes (5x2=10)

5. Ileal peroration

6. Chylolymphatic cyst

7. Fistula in ano

8. Pseudocyst of pancreas

9. Premalignant conditions of carcinoma stomach