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

Reg. no.: …………………

Third Professional MBBS (Part II) Degree Supplementary Examinations,

September 2017

GENERAL SURGERY-1 (GIT)

Time: 3 Hours                                          Total Marks: 60

• Answer all questions

• Draw diagrams wherever necessary

           Q P Code: 307001                                                                             Marks: 30

Structured Essay (5)

1. A 35 years old alcoholic male patient is admitted with upper abdominal pain and vomiting. O/E patient has tachypnea, tachycardia, hypotension, upper abdominal guarding and rigidity. Answer the following:

• What are the probable diagnosis
• Mention relevant investigations
• How will you manage

Short essays (2x6=12) 

2. Pancreatic carcinoma

3. Carcinoid in appendix

Clinical Situation (3)

4. A 30 years old male came to OP with H/o habitual constipation and painless bleeding P/R of 3 months duration. General examination revealed pallor. Answer the following:

• What is the most likely diagnosis
• How will you investigate
• Mention briefly the treatment options.

Short notes (5x2=10)

5. Tumor markers in Gl cancers

6. Self-expanding metallic stents

7. Solitary rectal ulcer

8. Diverticulitis

9. Choledochal cyst