Kaloji Narayana Rao University of Health Sciences Bachelor of Medicine and Bachelor of SurgeryGeneral Surgery Previous Year Question Papers

Sigmoid Volvulus.

Discuss in detail the classification of Breast cancer.

Hydronephrosis

Achalasia Cardia.

Define and enumerate the causes of Lower GI Bleeding.

Carcinoid tumour.

Multiple Endocrine Neoplasia (MEN).

Paraphimosis.

Kehr’s sign.

Barret’s Oesophagus.

Secondary Hydrocele.

Phimosis.

Charcot’s triad.

Pheochromocytoma.

Post Vagotomy Complications.

Appendicular Mass.

Subphrenic abscess.

Vesical Calculus.

Amoebic liver abscess.

Allen’s test is useful in evaluating A) Thoracic outlet compression B) Integrity of palmar arch C) Presence of cervical rib D) Digital blood flow

The complication not common in colle's fracture is a) malunion b) non union c) Sudeck's atrophy d) Stiffness of wrist

In transverse fracture of the patella, the treatment is a) Excision of small fragment b) Wire fixation c) Plaster cylinder d) Patellectomy

Tennis elbow is characterized by A) Tenderness over medial epicondyle B) Tendinitis of common extensor origin C) Tendinitis of common flexor origin D) Painful flexion and extension of Shoulder

The most common cause of a sprained ankle is injury of a) Deltoid ligament b) lateral ligament c) Inferior tibiofibular ligament d) Anterior Talofibular ligament.

March fracture affects a) Neck of 2nd metatarsal b) Body of 2nd Metatarsal c) Neck of 1st metatarsal d) Fracture of lower end of tibia

Commonest complication of extracapsular fracture of neck of femur is A) Non-Union B) Ischemic necrosis C) Malunion D) Pulmonary complications

Commonest type of dislocation of the hip is a) Anterior b) Posterior c) Central d) Dislocation with fracture of the shaft

Enameloplasty is done when there is………of the thickness of enamel. a) 1/3rd b) 1/4th c) 1/10th d) 1/2

Myositis ossificans is commonly seen at the ….. joint A) Knee B) Elbow C) Shoulder D) Hip

Which of the following nerves should be blocked for an operation at the medial aspect of the lower leg? a) Femoral b) Sciatic c) Common peroneal d) Tibial

You are an intern posted in the ICU. While taking a blood sample for ABG, which of the following steps would you not do? a) Normal ph can't rule out acid base disorder b) Add 0.5 ml Heparin to the syringe before taking blood c) If modified Allens test is negative, alternate site is chosen d) Radial artery is the preferred site.

Bone metastasis in males commonly arise from the following malignancy A) Prostate B) Kidney C) Colon D) Lung

Sclerotic dentin under reflected light appears as: a) Light b) Dark c) Opaque d) Transparent

A middle-aged man is posted for an open cholecystectomy. He has a medical history of hypercholesterolemia. The pre-anesthetic evaluation revealed abnormal liver function tests and mild hepatomegaly. Which of the following muscle relaxants can be safely used in this patient? a) Vecuronium b) Atracurium c) Pancuronium d) Rocuronium

Describe the mechanism of injury, clinical features and management of Colle’s fracture.

Discuss about incidence, mechanism of injury, risk factors, clinical features, diagnosis and management and general, local complications of Intracapsular fracture of neck of femur in Adults.

Describe the mechanism of Injury, clinical features and management of fracture neck of Femur.

Clinical features of shoulder dislocation.

Osteo arthritis of Knee.

Monteggia Fracture.

Management of Chronic osteomyelitis.

CTEV (Congenital Talipes Equinovarus).

Giant Cell Tumour.

Splints in orthopaedics.

Ewing’s Sarcoma.

Congenital Talipes Equino Varus (CTEV).

Epulis

Ultrasound Therapy.

Colle’s Fracture.

Sequestrum.

Radiological features of Ewings Sarcoma

Sudeck’s osteodystrophy.

Dietary habits which leads to dental caries.

Branchial Plexus Block.

Radiological features of Osteosarcoma.

Radiological features of Chronic Osteomyelitis

Management of Mandible Fracture.

Clinical features and treatment of tetanus.

Total Parenteral Nutrition (TPN).

Basal cell Carcinoma.

Which colour of triage is given the highest priority. a) Red b) Green c) Yellow d) Black

Most common benign tumors in Parotid gland a) Pleomorphic adenoma b) Warthins tumour c) Pheochromocytoma d) Sialoblastoma

The most common cause of fat embolism is a) Weight gain b) Weight loss c) Bone fracture d) Infection

Commonest cause of AV fistula is a) Congenital b) Traumatic c) Iatrogenic d) Tumour erosion

Which of the following associated with Xerostomia, Except a) Antidepressants b) Sjogrens syndrome c) Chronic anxiety d) Cholenergic medications

In triage green colour indicates a) Ambulatory patient b) Dead or Moribund c) High priority treatment or transfer d) Medium priority or transfer

Hyper acute transplant rejection occurs in a) Type 1 HSV b) Type 2 HSV c) Type 3 HSV d) Type 4 HSV

All of the following are naturally available Suture Material Except a) Catgut b) Silk c) Thread d) Vicryl

Gas used in Laparoscopy a) Oxygen b) Nitric dioxide c) Carbon dioxide d) Nitrous oxide

Hypotension in acute spinal injury is due to: a) Loss of sympathetic tone b) Loss of parasympathetic tone c) Orthostatic hypotension d) Vasovagal attack

Match the following: Colour Codes Injury 1. Red A. Tension pneumothorax 2. Yellow B. Severe brain damage 3. Green C. Compound fracture 4. Black D. Simple fracture a) 1-A, 2-C, 3-D, 4-B b) 1-A, 2-D, 3-C, 4-B c) 1-A, 2-B, 3-C, 4-D d) 1-D, 2-C, 3-B, 4-A

First line management in Hypovolemic shock is a) Vasopressors b) Blood transfusion c) IV Crystalloids d) Steroids

A 32-year-old male is receiving a blood transfusion after being involved in a road traffic accident. A few minutes after the transfusion he complains of loin pain. his observations show temperature 39o C, HR 130bpm and BP 95/40mm Hg. What is the best test to confirm his diagnosis. a) USG Abdomen b) Direct coomb's test c) Blood cultures d) Sickle cell test

Most common organ injured in blunt trauma abdomen a) Stomach b) Spleen c) Pancreas d) Kidney

Which of following will be most important prognostic indicator in patient with stage 1 melanoma. a) Site b) Stage c) Lymph node d) Depth of melanoma

Which of the following is not scanned by e-FAST. a) Pericardium b) Liver c) Bowel d) Spleen

Massive blood transfusion is defined as a) whole blood volume in 24 hrs b) half blood volume in 24 hrs c) 40 percent blood volume in 24 hrs d) 60 percent blood volume in 24 hrs

60-year-old farmer had renal transplant 15 years ago presents with rapidly growing lump on dorsum of his hand for past 6 months. It is painless but has recently become ulcerated with discharge and bleeding. It has not responded to usual wound care and dressing. what is diagnosis. a) BCC b) Fungal infection c) SCC d) CMV infection

True regarding benign mixed parotid tumour is: a) Slow growing and lobular b) Firm and capsulated c) 50% of parotid tumour. d) All of the above

compensatory mechanism in a patient with hypovolemic shock a) increased renal blood flow b) Decrease in cortisol c) Decreased in vasopressin d) Decreased cutaneous blood flow

Nasogastric tube length is measured by a) Nose to ear to midpoint between xiphisternum and umbilicus b) Nose to ear to xiphoid process c) Nose to umbilicus d) Nose to ear to pubic symphysis

During rounds you have been asked to examine patient with ulcer over face. Which of the following feature will raise suspicion of it being squamous cell carcinoma a) Everted edged b) Inverted edged c) Rolled out edged d) Undermined edged

All are Acyanotic Congenital Heart disease except a) ASD b) Tetralogy of Fallot c) PDA d) VSD

The standard Triple therapy of Immunosuppression in organ transplantation includes all except a) Calcineurin inhibitors b) Anti proliferative agents c) Steroids d) mTOR inhibitors

According to NICE criteria, CT is indicated immediate after mild head injury for which of the following patient. a) An episode of vomiting b) Ongoing headache c) Loss of consciousness at the time of injury d) Age over 65

Most important HLA marker for Organ rejection after transplantation a) HLA - A b) HLA - B c) HLA - DR d) HLA - C

Which of the following parts of the body is not affected by leprosy a) Testes b) Ovary c) Nasal Mucosa d) Axilla

Claw hand occurs due to palsy of a) Radial nerve b) Ulnar nerve c) Saphenous nerve d) Median nerve

Most commonly used gas in Laparoscopic Surgery a) Helium b) N2O c) Oxygen d) CO2

Cock's peculiar tumour is a) Papilloma b) Infected sebaceous cyst c) Cylindroma d) Squamous cell carcinoma

A 27-year-old female, weighing about 55 kgs, is brought to Emergency room with 45% burns involving Chest and Extremities, sustained in kitchen. Discuss: a. What is the Immediate care. b. How is Body surface area assessed by 'Rule of nine'. c. Pathophysiology of burns. d. Calculate fluid management by Parkland formula e. Mention two late complications.

A 35-year-old male, heavy smoker, is seen for cramping pain in both calves after walking for 500 mts, which is relieved by rest. On examination of ankle and foot region, pulses are diminished and there is hair loss with brittle nails. Discuss the: a. Probable condition. b. Pathophysiology. c. Radiological evaluation. d. Principles of management

A 25-year-old male is seen in emergency room for a laceration over right hand following a fall from bike on the road. a) How the wounds can be classified. b) What are the types of wound healing. c) What are the three stages of wound healing. d) What are the local general factors affecting wound healing.

A 55 yr old male Security guard presents with prominent veins in his right lower limb and pain that gradually increases at the end of the day. On examination, dilated veins are found along the antero-medial aspect of the affected limb and an active ulcer 4x3 cm, proximal to medial malleolus. He was advised Venous doppler which reported incompetence at Sapheno- femoral junction and Multiple perforators in leg and Negative for Deep vein thrombosis. a. Classify the condition by CEAP. b. Describe the risk factors and physiology associated. c. Describe some important clinical tests. d. Describe the ulcer e. Outline the Management of the ulcer and Varicose veins.

Define Shock, describe pathophysiology, classification and management of Hypovolaemic Shock.

A 45-year-old male, smoker, is seen for a painless progressive swelling 2 X 2 cm, in the right parotid region, since one year. On examination, it appears to be a nodule arising from parotid gland. Discuss: a) What is the probable diagnosis. b) Clinical features of malignant transformation. c) Importance of oral cavity examination. d) Relevant investigations and management.

Hyperkalaemia.

Classify burns based on depth. Calculate the fluid volume for 60 kg weight and 30 % deep burn surface area, based on Parkland Formula.

Tubercular Lymphadenitis.

Malignant Melanoma.

Massive Blood transfusion and its complications.

Surgical audit.

Complications of Blood Transfusion.

Explain the compensatory mechanisms that occur in the body for Metabolic acidosis and alkalosis, with one example each.

Upper GI endoscopy.

General and Local factors effecting wound healing.

Amputation.

Tetanus-Clinical features and Management.

Immunosuppressive therapy.

Complications of undescended testis.

Ranula.

Metabolic Acidosis.

Venous Doppler for Varicose Veins.

Warthin’s tumour.

Dermoid cyst.

Types of skin grafts and advantages of any one.

Branchial cyst.

Horner’s syndrome.

Imaging for thoracic injury.

Adson’s test.

Carbuncle.

Intermittent claudication.

Cancrum oris.

Para Phimosis.

Cleft Lip.

Tumour markers.

Felon.

Three examples of Day care surgery.

Triad associated with Retroperitoneal Fibrosis a) Beck’s Triad b) Carney’s Triad c) Galezia Triad d) Sandblom Triad