Rajiv Gandhi University of Health Sciences Bachelor of Medicine and Bachelor of SurgeryGeneral Surgery Previous Year Question Papers

Which of the following is NOT part of the anaesthetic triad used during surgery? A. Unconsciousness B. Pain relief C. Amnesia D. Muscle relaxation

Branchial cyst , following is TRUE A. Sequestration dermoid B. Presents at the upper end of neck C. Seen at lower end of the neck D. Develops from third branchial cleft

What is the most common cause of Cushing’s syndrome? A. Widespread use of corticosteroids for other conditions B. Ectopic ACTH production C. Primary bilateral adrenal hyperplasia D. Adrenocortical Carcinoma

A patient who was admitted after a road traffic accident is put on mechanical ventilation. He opens his eyes on verbal command and moves all four limbs spontaneously. Calculate his GCS A. Eyes - 2, Verbal - 1, Motor -5 B. Eyes - 2, Verbal - NT, Motor -5 C. Eyes - 3, Verbal - 1, Motor -6 D. Eyes - 3, Verbal - NT, Motor -6

Gas Gangrene, following is true EXCEPT A. Caused by Clostridium tetani B. Occurs in immunocompromised patients C. Antibiotic prophylaxis is necessary D. Gas in soft tissue

Metabolic response to trauma and sepsis include all except A. Decrease in counter-regulatory hormones like adrenaline and cortisol B. Increased energy requirements C. Increased nitrogen requirements D. Insulin resistance and glucose intolerance

Standard upper GI endoscopy includes examination of all EXCEPT A. Pharynx B. Esophagus C. Duodenum D. Jejunum

Mondor’s disease is A. Infection of scalp B. Spontaneous thrombophlebitis of veins of leg C. Spontaneous thrombophlebitis of veins of breast D. Infection of the cheek

Horner's syndrome, all are true EXCEPT A. Miosis B. Anhydrosis C. Ptosis D. Exophthalmos

In remodeling phase of wound healing it is characterized by maturation of collagen in type 1 collagen is replaced by A. Type III B. Type II C. Fibro-blasts D. Type IV

Metabolic response to trauma includes all EXCEPT A. Increased energy requirement B. Decreased energy requirement C. Increased nitrogen requirement D. Increased gluconeogenesis

Young woman who underwent a total thyroidectomy in the morning rapidly becomes agitated and complains increasing difficulty in breathing by 5.00 pm on the same day. Her pulse rate rises are central cyanosis is noticed on examination; her neck found to be tensely swollen beneath the stitches. The most appropriate management in this case would be: A. Intranasal oxygen B. Passing an endotracheal tube in the ward C. Removing sutures from all layers in the ward an evacuation of hematoma D. Immediate transfer of the patient to the operation theatre for tracheostomy

Fasciotomy is indicated in Compartment Syndrome ,if compartment pressure is higher than A. 20 mmhg B. 22 mmhg C. 25 mmhg D. 30 mmhg

Complication of blood transfusion includes all EXCEPT A. Febrile reaction B. Allergic reaction C. AIDS D. Leukemia

The inferior parathyroid glands and the thymus develop from the A. First pharyngeal pouch B. Second pharyngeal pouch C. Second branchial arch D. Third pharyngeal pouch

Which virus is associated with naso pharyngeal carcinoma? A. Epstein barr virus B. Varicella Zoster C. HPV 6 and 11 D. Rhinovirus

Cleft palate occurs due to A. Abnormal development of median nasal process B. Abnormal development of maxillary process C. Failure of fusion of palatine shelves D. Failure of fusion of nasal bones

Glomus tumours are seen in the A. Nail bed B. Cerebellum C. Retina D. Gall bladder fossa

Which solution is preferred in the initial management of hypovolemic shock? A. Normal Saline B. Ringer Lactate C. Albumin D. Blood

Preoperative plan for better surgical outcome includes all EXCEPT A. Optimize patient condition B. Informed consent C. Document relevant information D. No need to correct anaemia

Fogarty’s catheter is used for A. Urethral catheterization B. Removal of blood clots from the arteries C. Bladder drainage D. TPN

Malignancy arising from a chronic scar is called ……………. A. Meleney’s ulcer B. Melanoma C. Marjolin’s ulcer D. Rodent ulcer

Postoperative complications include all EXCEPT A. Hypotension B. Chronic obstructive pulmonary disease C. Pneumonia D. Renal failure

The exception about enteral nutrition is A. It preserves gut mucosal barrier and immunity B. Prevents gut atrophy C. Has increased infection rates D. It is cheaper than parenteral nutrition

Meckel’s Diverticulum

Choledochal cyst

Acute Appendicitis

Abdominal tuberculosis

Flail chest

Complications of blood transfusion

2. Sigmoid volvulus

Thyroglossal cyst.

Pseudo-pancreatic cyst

Basal cell carcinoma

Benign prostatic hypertrophy.

Torsion Testis

Mesenteric cyst.

Achalasia cardia

Intussusception.

Appendicular mass.

Fistula – in – ano

Principles of laparoscopy

Ulcerative colitis

Enumerate the clinical features and management of pancreatic pseudocyst

1. Embryology, Clinical features and management of Horse-shoe kidney

Enumerate Indications and Complications of Blood transfusion.

Benign breast disease

Sub dural hemorrhage.

Extra dural hemorrhage.

Hydronephrosis

Congenital hypertrophic pyloric stenosis

Enumerate clinical features and add a note on management of Achalasia cardia

Hydatid cyst liver.

Enumerate types of shock and principles of resuscitation

Rectal prolapse

Gastric outlet obstruction States of TB Lymphadenitis

Lefort’s fracture. Congenital hydrocele

2. Etiopathogenesis and management of Venous ulcer

Surgical site infections

30 year old female suffered 60% burns due to gas cylinder explosion. Write about fluid and wound management of this patient.

Colonic diverticulosis

Flail chest Ochsner Sherren regimen

Tracheoesophageal fistula

Wrist drop.

Hydatid cyst of liver

Write clinical features and management of inguinal hernia

Prophylaxis to prevent deep vein thrombosis in patients

Advantages and disadvantages of minimally invasive surgery

Retro mammary abscess.

Types and management of Hydrocoele

Embryology, clinical features and management of Lingual thyroid

Define Ranula. What are the clinical features? How do you treat the same?

Aetiopathology of gall stones

Venous leg ulcers

Complications of duodenal ulcer

Types of Gall stones.

Pancreatic pseudocyst.

Deep vein thrombosis

Secondaries in liver

Indications for splenectomy and complications of splenectomy

List the differential diagnosis for haematuria and elaborate on investigations

Enumerate clinical features and write a note on management of parathyroid adenoma

Sigmoid volvulous Complications after Thyroid surgery

Vesical calculus.

Write the surgical management of Chronic calcific pancreatitis

Universal precautions

What is Surgical audit? Enumerate the steps in audit cycle.

Hydrocele

Femoral hernia

Epidural Anaesthesia

Gastro intestinal stromal tumour.

Gastro Oesophageal Reflux Disease

Spinal anaesthesia.

Enumerate clinical features and write a note on management of tension pneumothorax

Aetiology of ileal perforation

Clinical features and management Fibroadenoma of the breast

Enumerate preoperative investigations in patient with SOLITARY NODULAR GOITRE

Diabetic foot

Pseudocyst of pancreas

Clinical features of ruptured spleen.

Management of Appendicular mass

Minimal access surgery.

Carcinoma penis

Hypocalcaemia following total thyroidectomy

Enumerate clinical features and management of malignant melanoma

Glasgow coma scale score

Volvulus of sigmoid colon

Ureteric calculi.

Renal cell carcinoma

Clinical features and management of Pleomorphic adenoma

Undescended testis

Indications and complications of Split skin grafting

Enumerate clinical features and management of papillary thyroid carcinoma

Inguinal Hernia

Pleomorphic adenoma Pictorial demonstration of blood supply of large bowel

Sliding inguinal hernia

Management of carcinoma prostate.

Ischio-rectal abscess

Types of renal calculi.

Seminoma of testis

Familial Adenomatous Polyposis.

Investigations of a surgical patient

Indications and modes of administration of Enteral nutrition

Write in detail about types, clinical features and management of tetanus.

Varicocele.

Carcinoid Tumour

Tuberculosis of kidney.

Rupture of urethra

Upper GI endoscopy.

Subdural haematoma

Dumping syndrome.

Stages of tuberculous lymphadenitis

Peptic Ulcer

Intussusceptions in children

Teratoma of testis

Ectopia vesicae.

Prolapse rectum

Bladder outlet obstruction.

Subdiaphragmatic abscesses

CECT (Contrast Enhanced CT).

Antibiotic prophylaxis

Congenital hydrocele.

Premalignant conditions in Cancer Penis

Fistula in ano and its types.

Tension pneumothorax

Post operative adhesions

Paralytic ileus.

Phimosis

Fissure in Ano

Wilm’s tumour

Imperforate anus.

Sebaceous cyst

Desmoid tumour

Calot’s triangle.

Branchial cyst.

Amoebic liver abscess

Crohn’s disease

Dietl’s crisis.

Goodsall’s rule

Hirschsprung’s disease

Torsion of testis

Vasectomy

Pilonidal sinus

Enumerate components of Charcot’s triad

Horse-shoe kidney

Haemorrhoids Ranula

Components of Charcot’s Triad

Leukoplakia

Differential diagnosis for mediastinal tumors

Goodsall’s law

Pelvic abscess Trophic Ulcer

Surgical management of Umbilical hernia

Enumerate complications of splenectomy

Reynold’s pentad

Mesenteric Ischaemia Parklands Formula

Surgical procedures for Phimosis

Ranula

How to diagnose torsion testis?

Richter’s hernia

Gastro-oesophageal reflux disease Management of Basal Cell carcinoma

Surgical anatomy of Circle of Willis

Differential diagnosis for Right iliac fossa mass. Enumerate the components of Ochsner Sherren regimen

Laparoscopic Cholecystectomy Complications of hernia

Indications for Endoscopic Retrograde Cholangio Pancreaticogram

Write a note on Metabolic surgeries

Factors affecting wound healing

Immunosuppressant drugs post renal transplant

Discuss clinical features and management of Acute Paronychia

Clinical manifestation of Multiple endocrine neoplasia type 1

Mention the components MEN1 and MEN2 syndrome

Annular pancreas

Stove in chest

Oschner-Sherren regimen.

Pneumoperitoneum

Courvoisier’s law.

Ranson’s criteria

Patent ductus arteriosus

Cold abscess.

Glasgow coma scale in head injuries

Split skin grafting

Paraphimosis.

Rule of nine

An HIV positive patient is posted for hernia surgery. What are the universal precautions to be followed?

Duke’s staging for carcinoma rectum

Branchial cyst DVT (Deep Vein Thrombosis)

Barret’s oesophagus

Chylolymphatic cyst.

Duke’s staging

Caroli’s disease.

Complications of Vasectomy

Indications for liver transplantation.

Principles of organ transplantation

Prostate specific antigen.

Marjolin’s ulcer

Describe the steps of informed written consent

Charcot’s triad and its significance

Haemangioma

Vagotomy

Tamoxifen

Alpha-feto protein.

Helicobacter Pylori

Sister joseph’s nodule

Ethics in general surgery

Isotope renogram.

Differentiate between hypertrophic scar and keloid

Budd – chiari syndrome

Rodent ulcer

Hourglass stomach.

Radiological features of sigmoid volvulus.

Complications of hydrocele

Endoscopic Retrograde Cholangio Pancreatography (ERCP)

Duct papilloma.

Indications for daycare surgery

Incisional Hernia

Uses of Foley’s catheter

Enumerate various factors affecting wound healing

Intestinal Amoebiasis

Ultrasound scanning in abdominal trauma

Zollinger Ellison syndrome

Ischiorectal abscess.

Colostomy

Alvarado scoring.

Types of mesenteric cyst

Enumerate clinical features of cystic hygroma

Gynaecomastia

Chimney sweeper cancer.

Indications for use of Fresh frozen plasma

Complications of superficial parotidectomy

Skin grafting

Appendicular abscess

Complications of peptic ulcer

Tuberculous epididymo-orchitis.

ABPI (Ankle Brachial Pressure Index).

How do you arrive at a diagnosis of squamous cell carcinoma of skin?

Pleomorphic adenoma

Murphy’s syndrome.

Enumerate principles of organ transplantation

Local anaesthesia

Extra corporeal shock wave lithotripsy

Pinhole meatus.

Complications of inguinal hernia

Clinical signs of testicular torsion.

Symptoms of Benign Prostatic Hypertrophy (BPH)

Secondary varicose vein causes.

Immunological basis of transplantation

Ranson’s score for acute pancreatitis

External hemorrhoids.

Use of carbon dioxide in operative surgery

Enumerate components of triage

Enteral nutrition

Watering can perineum.

Serum Amylase

Charcot’s Triad

Complications of Thyroidectomy.

Parkland formula for burns

String sign of Kantor.

Types of edges of ulcers

Glasgow coma scale

Diathermy in surgery

Ramstedt’s operation

Paraneoplastic syndromes in renal cell carcinoma.

Murphy’s sign

Fournier’s gangrene.

Causes of paralytic ileus

Hypospadias

FNAC (Fine Needle Aspiration Cytology).

Tongue tie

Mallory Weiss tear.

Circumcision

Above knee amputation

Triple assessment

Carotid body tumor.

Peyronie’s disease

Ectopic testis.

Types of urinary calculi

Whipple’s triad.

Triad of GERD.

60 year old diabetic male came with H/o ulcer in left leg for 1 month, H/o fever, oliguria, drowsiness for 2 days. On examination Temp-102F, PR-110/min, BP-70/40mmHg, RR- 25/min, Spo2 – 85% at room air, left leg- 8*6 cm ulcer with copious purulent foul smelling discharge with pitting edema in left lower limb. a) Classify various types of shock. b) Write in detail Pathophysiology, clinical features and Management of this patient.

Enumerate aetiopathology, clinical features and investigations for renal calculi – write about management of STAG HORN Calculus.

Define Shock. Discuss the various types of shock, describe the management of hypovolaemic shock

Classify gall stones. Discuss aetiopathogenesis and management of acute calculous Cholecystitis.

Describe the etiology, pathogenesis, clinical features, diagnosis and management of Locally Advanced Breast Carcinoma.

Describe pathophysiology, clinical features and management of carcinoma oesophagus.

Describe the etiology, pathogenesis, clinical features, diagnosis and management of early breast carcinoma

Define Shock. Enumerate classification of shock. Discuss clinical features and management of septic shock.

Discuss clinical features and management of indirect inguinal hernia.

Describe Pathology, etiology, clinical features and management of acute pancreatitis.

40 year man presented with pain in the right calf while walking for the last six months. He also noticed change in colour of the second toe of right foot. a) What is the probable diagnosis? b) What other history would you like to take? c) Relevant investigation to be done d) Add a note on management of thrombo angitis obliterans

Describe the etiopathogenesis, clinical features and management of primary thyrotoxicosis.

What are the predisposing factors for testicular torsion? Describe the clinical presentation of testicular torsion. How will you manage a 18 year old boy with a right testicular torsion?

45 year old lady presents with a painless lump of 2x2 cm size to start within the right breast and has doubled the size in 6 months a) What other history is needed? b) What is your differential diagnosis? c) How do you investigate? d) Add a note on management of early breast carcinoma

Enumerate causes of Dysphagia – write about aetio-pathology, investigations and management of carcinoma of oesophagus.

A forty-five-year-old male, is brought to the casualty with the complaint sudden onset of severe abdominal pain and vomiting. He had taken a few analgesic tablets for musculoskeletal pain earlier. On examination he is dehydrated, PR 102/minute, his abdomen is rigid and liver dullness is obliterated. Discuss the probable aetiology, evaluation and treatment options for his condition Define surgical site infections, risk factors for development of SSI and its prevention and management.

Describe the etiology, pathogenesis, clinical features, diagnosis and management of Toxic multi nodular goiter.

Enumerate the differential diagnosis of a right iliac fossa mass. How do you manage a patient with an Appendicular Mass?

Define shock. What are the different types of shock? Discuss the management of a 32 year old male patient presenting to the Emergency Room, in shock following a Road Traffic Accident

40 yr old female came with painless rapidly progressive lump in left breast for 4 months. On examination 3*3 hard lump with Peau d orange appearance with 1*1 cm hard lump in level 1 axilla. Stage the condition. Write in detail risk factors, investigations and management of this patient.

Discuss aetiology, clinical features and management of small bowel obstruction.

Describe the aetiology, clinical features, evaluation and principles of treatment of thyrotoxicosis 70yrs old man with irreducible groin swelling. Types of inguinal hernia, complications, management for this patient.

Describe the clinical features and management of Hydronephrosis.

Describe the etiopathogenesis, clinical features, diagnosis and management of Hydatid cyst of liver.

Discuss causes of Acute Retention of Urine. Discuss management of Benign Prostatic Hypertrophy.

Describe the etiopathogenesis, clinical features, diagnosis and management of cholelithiasis.

Enumerate cause of peripheral vascular disease. Discuss clinical features, investigations and management of a case of Buerger’s disease.

Describe the etiopathogenesis, clinical features and management of Amoebic Liver Abscess.

Discuss briefly etiology, clinical features and management of acute intestinal obstruction.

Describe the risk factors for carcinoma breast: clinical features, investigations and principles of management of carcinoma breast.

40 year old lady presents with swelling in the front of the neck of 10 years duration, gradually increasing in size a) List the differential diagnosis b) Symptoms of hyperthyroidism c) Complications of multinodular goitre d) Investigations for multinodular goitre

Enumerate groin hernia. Write about management of femoral hernia.

A fifty-five-year old male attends the surgical OPD with the complaints of abdominal pain, loss of appetite, progressive jaundice and itching. Discuss the probable causes, evaluation and treatment options for his condition Describe etiopathogenesis, clinical features and management of oral malignancies.

Describe the types, etiology, clinical features, diagnosis and management of Non Seminomatous Germ Cell Tumours of testis.

25 year old lady presents with anxiety, palpitations, weight loss with increased appetite- a) What is your diagnosis? b) How will you investigate this patient? c) What are the medical and surgical management of this patient?