KUHS MBBS General Surgery Previous Question Paper - May 2025 (324001 2019 Scheme)

324001Kerala University of Health Sciences · General Surgery · 2025 · May · 2019 Scheme

Questions (30)

1.Describe the aetiopathogenesis, clinical features, investigations and principles of management of dislocation of the shoulder joint.
What is the primary pathophysiological mechanism causing the patient's symptoms a) Inflammation b) Obstruction c) Perforation d) Infection
What is the initial treatment approach in a stable patient a) Surgical exploration c) Fluid resuscitation and enema reduction b) Antibiotics d) Pain management
What is the most likely diagnosis a) Appendicitis b) Intussusception c) Volvulus d) Meckel's diverticulitis
What is the initial imaging modality to confirm your diagnosis a) Abdominal X-ray b) Abdominal CT scan c) Abdominal ultrasound d) Barium enema
What is a potential complication of the non-operative treatment a) Appendicitis b) Peritonitis c) Gastroenteritis d) Constipation
5 Marks
2.Assertion (A): Incisional hernias are a common complication of abdominal surgery Reason (R): They occur due to inadequate wound healing a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
1 Mark
3.Assertion (A): General anesthesia involves a reversible loss of consciousness Reason (R): It primarily works by blocking pain signals a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
1 Mark
4.Assertion (A): Undescended testis (cryptorchidism) increases the risk of infertility and testicular cancer Reason (R): The higher temperature in the abdomen impairs sperm development a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
1 Mark
5.Assertion (A): Dental caries is a preventable disease Reason (R): Regular oral hygiene and fluoride use are effective preventive measures a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
1 Mark
6.Assertion (A): Focused Assessment with Sonography for Trauma (FAST) is a rapid tool for detecting intra-abdominal free fluid Reason (R): It is highly accurate in identifying solid organ injuries a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
1 Mark
7.In the management of a child with acute appendicitis, the essential steps include: 1) Laxatives 2) Prompt surgical intervention, preoperative antibiotics 3) Managing pain 4) Adequate hydration a) 1 and 2 b) 1, 2, 3 and 4 c) 2 and 4 d) 1 and 3
1 Mark
8.Regarding the principles of informed consent, the crucial elements are: 1) Patient's signature and Doctor’s approval 2) Disclosure of risks and benefits 3) Patient's capacity to understand, and voluntary decision 4) Guarantee of a successful outcome, and family's approval a) 1 and 2 b) 2 and 3 c) 3 and 4 d) 1 and 4
1 Mark
9.Postoperative nausea and vomiting (PONV) can be minimized by: 1) Multimodal antiemetic prophylaxis 2) Prolonged fasting, minimal fluid intake and antiemetics only if symptoms develop 3) Adequate hydration and minimizing opioid use 4) Deep breathing exercises and opioid analgesics a) 1 and 3 b) 2 and 3 c) 3 and 4 d) 2 and 4
1 Mark
10.The advantages of laparoscopic surgery compared to open surgery typically include: 1) Smaller incisions and reduced blood loss 2) Faster recovery 3) Higher risk of complications, longer operative time 4) Similar recovery time but increased cost a) 1 and 2 b) 2 and 3 c) 3 and 4 d) 1 and 4
1 Mark
11.In the management of urinary stones, the following considerations are important: 1) Stone size 2) Location 3) Composition 4) Presence of infection a) 1 and 2 b) 1, 2 and 3 c) 3 and 4 d) 1, 2, 3 and 4
1 Mark
12.The characteristic finding in Barium swallow in a case of achalasia cardia is a) Bird beak appearance c) Lead pipe appearance b) Apple core appearance d) Leather bottle appearance
1 Mark
13.During a surgical procedure, a patient experiences a sudden drop in blood pressure. What is the immediate priority a) Continue the surgery without interruption b) Administer a large volume of fluids rapidly c) Identify the cause of the hypotension and take appropriate corrective measures d) Call for a psychiatric consultation
1 Mark
14.A patient requires long-term nutritional support following resection of more than 200 cm of gangrenous small bowel. What is the most appropriate access a) Peripheral intravenous catheter c) Butterfly needle b) Central venous catheter d) Feeding jejunostomy
1 Mark
15.A patient presents with a dislocated tooth. What is the best initial management a) Replant the tooth immediately if possible and seek dental consultation b) Leave the tooth as it is and advise rinsing with water c) Extract the tooth to prevent further damage d) Apply ice to the area and wait for it to heal
1 Mark
16.The most common long term complication of perineal abscess is a) Incontinence b) Perineal pain c) Tenesmus d) Fistula in ano
1 Mark
17.A 65-year-old male presents with painless jaundice which is progressive and there are scratch marks over body on examination a) Discuss the differential diagnosis b) Elaborate on the investigation algorithm including the role of imaging (ERCP, MRCP) c) Outline the patient preparation and surgical options with a brief mention of their complications d) Discuss the importance of palliative care in inoperable cases what are the palliative measures feasible
10 Marks
18.Describe the anesthetic considerations for a patient undergoing emergency laparotomy for a perforated peptic ulcer. a) Preoperative assessment and optimization. b) Intraoperative management, including fluid balance and monitoring. c) Postoperative pain management and potential complications.
10 Marks
19.Discuss the principles of management of a child with Hirschsprung's disease.
6 Marks
20.Explain the classification and management of vesicoureteral reflux (VUR) in children
6 Marks
21.Describe the complications of gastrectomy and their prevention.
6 Marks
22.List four causes of small bowel obstruction.
4 Marks
23.Describe in detail with examples - Conflicts in professional relationship
4 Marks
24.Outline the steps of the WHO Surgical Safety Checklist
4 Marks
25.Describe the aetiopathogenesis, clinical features, investigations and principles of management of dislocation of the shoulder joint.
6 Marks
26.Describe the clinical features, investigation and principles of management of Tuberculosis of the knee joint.
6 Marks
27.Describe the aetiopathogenesis, clinical features, investigations and principles of management of osteosarcoma of distal end of femur
6 Marks
28.Thomas splint
4 Marks
29.Scaphoid fracture
4 Marks
30.Arthrocentesis
4 Marks

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