Reg. no.: …………………
Third Professional MBBS (Part II) Degree Supplementary Examinations,
February 2018
GENERAL SURGERY-1 (GIT)
Time: 3 Hours Total Marks: 60
• Answer all questions
• Draw diagrams wherever necessary
Structured Essay (5)
1. A 60 years old male patient has come to surgical OPO with
history of yellowish discoloration of eyes and urine for the past one month
which is intermittent. He also gives history of passing dark coloured urine and
clay coloured stools. On examination the patient has icterus with no other
significant abdominal findings. Answer the following:
- What are the probable differential diagnosis in this case scenario
- What are the investigations to be done for proceeding in this case.
- Discuss briefly upon the management of this case (1+2+2)
Short essays (2x6=12)
2. Prolapse rectum
3. Post gastrectomy syndrome
Clinical Situation (3)
4. A 35 years old male who consumes alcohol was brought to
casualty with h/o of sudden onset of severe epigastric pain since 1 day. On
examination he was febrile, had an anxious and sick look and was having tachycardia
(+) with board like rigidity of abdomen, Answer the following:
- What is the most likely diagnosis in this case.
- How will you proceed to investigate this patient
- Describe briefly upon management of this case
Short notes (5x2=10)
5. Phyto Bezoar
6. Gall stone Ileus
7.Mallory weiss syndrome
8. Familial adenomatous polyposis (FAP)
9. Amoebic liver abscess
