<p>Supplementary MBBS III (Third) Professional Part-2 Examination 2013-2014</p><p>Course Code: MBS404 Paper ID: S314106</p><p>General Surgery - I </p><p>Time: 2 Hours 30 Minutes Max Marks: 45</p><p>Note: Attempt all questions. Draw proper diagrams to support your answer. Part ‘B’</p><p>1. What is Hypovolemic Shock? How will you manage of a case of 70% Burn injury? (8)</p><p>2. Classify thyroid swellings and discuss the management of papillary thyroid carcinoma. (8)</p><p>3. Write short note on: (3x3=9) a) Stage of tubercular lymphadenitis b) Flail chest c) Pneumothorax </p><p>Part ‘C’</p><p>1. Discuss clinical features and management of Fracture Neck of femur. (10)</p><p>2. Write short notes on the following: (2.5x4=10) a) Cubitus varus b) CTEV b) Osteoclastoma c) Colles’ fracture Supplementary MBBS III (Third) Professional Part-2 Examination 2013-2014</p><p>Roll No. Student’s Name</p><p>Student’s Signature Invigilator’s Signature</p><p>Course Code: MBS404 Paper ID: S314106 General Surgery - I Part ‘A’ Time: 30 Minutes Max Marks: 15 Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 30 Minutes. 2. Please tick (√) correct one only. Cutting, overwriting or any other marking are not allowed. 3. For answering please use Ball- pen only.</p><p>Q.1 Cystic hygroma a brilliantly transilluminable c) Low degree swelling presenting in childhood is commonly d) High degree found at: a) Base of neck Q.8 The status of hydration can be best assessed by: b) head a) Urine output c) Inguinal Hernia b) Skin elasticity d) All of above c) Tongue hydration d) Intake of fluids Q.2 Role of warfarin in Patients of DVT is: a) Remove clot from blocked vein Q.9 In severe head injury the Glass gow coma (GCS ) b) Prevention of venous thrombosis is: c) Minimize risk of pulmonary embolism a) 13-15 b) 9-12 d) All of the above c) 6-8 d) 1-4</p><p>Q.3 Injection scelrotherapy is best used for Q.10 Most common pathogens causing infection of management of: central venous and pulmonary artery catheter is: a) Small varices a) Βeta haemolytic streptococus b) Varicose vein b) Staphylococcus aureus c) Large Varices c) Staphyloepidermidis d) All of the above d) Streptococcus pyogenous Q.11 Phaechromocytoma arises in: Q.4 Most wound infection became evident after a a) Adrenal cortex b) Medulla period of: c) Thyroid gland d) Kidney hilum a) 1-2 day b) 2-3 day c) 3-4 day d) 5-6 day Q.12 Tetany is seen in: a) Hypothyroidism Q.5 Sentinel lymph node biopsy is done for tumor of: b) Hyperthyroidism a) Lung b) Bone c) Hypoparathyroidism c) Breast d) Tonsil d) Hyperparathyroidism</p><p>Q.6 In blunt trauma of abdomen most common organ Q.13 Dark green or black discharge from nipple is seen to be injured is: in: a) Liver b) Kidney a) Duct Papilloma c) Spleen d) Pancreas b) Duct Ectasia c) Tubercular Mastitis Q.7 Polypropylene causes tissue reaction of: d) Glactocele a) Moderate degree b) Mild degree P.T.O. Q.14 Features of hypovolcenic shock are all except: Q.23 Potts Puffy Tumor is: a) Oligourea a) Infected Sebaceous Cyst b) Low BP b) Tubercular Infection of Skull c) Bradycardia c) Lipoma of skull d) Acidosis d) osteomyelitis of skull</p><p>Q.15 Repair of cleft lip is done preferably at: Q.24 Bleeding from trocar site in Laparoscopic Surgery a) 3-6 months is usually by: b) 6-12 mnths. a) Mesentric vessel c) 1 year b) Epigastric Vessel d) More than 1 year c) Falciform Ligament d) All of Above Q.16 The abbreviation FAST stands for: a) First assessment of spinal trauma Patients Q.25 Surgical suture lines no longer requires dressing b) Focused assessment of the sonographic once the process of epithelization is completed exam of the trauma patients which takes: c) First Assess then start treatment a) 1-2 day b) 2-3 days c) 4-6 days d) 8-10 days Q.17 The drug of choice in the treatment of Elephantiasis (Filariasis) is: Q.26 As per Wallace rule in burns the area of hand a) Albendazole represents: b) Diethlycarbmazine a) 1% of TBSA b) 9% of TBSA c) Doxycyclin c) 14% of TBSA d) 3% of TBSA d) Ivermectol Q.27 Most common cause of primary Q.18 Fluid of choice for initial resuscitation of shock is: hyperparathyroidism is: a) Colloids a) Associated with chronic renal failure b) Crystalloids b) Parathyroid Carcinoma c) Whole blood c) Parathyroid adenoma d) Any of the above d) Autonomous Parathyroid</p><p>Q.19 Earliest sign of hyperkalemia on ECG is presence Q.28 Dentigerous cyst arises in: of: a) Erupted teeth a) Prolonged QT interval b) Unerupted permanent tooth b) Elevation of ST segment c) Mandible c) Depressed T wave d) Gum d) Tall tented T waves Q.29 Most important complication of spinal Anesthesia Q.20 Spontaneous bleeding may be seen after the is: platelet count of less than: a) Hypotension a) 20000/mm3 b) 60000/mm3 b) Hypertension c) 80000/mm3 d) 1 Lakh/mm3 c) Respiratory depression d) Retention of urine Q.21 Factor which are depleted earliest in stored blood are: Q.30 Hydrocephalous is often associated with /or may a) Factor II & Platelet follow operation for: b) Factor V&VIII a) Meningocoel c) Christmas factor b) Meningomyelocoel d) Factor XI & Platelet c) Both A&B d) None of the above Q.22 Commonest site of Thyroglossal cyst is: a) Supra hyoid b) Sub Hyoid. c) In the region of thyroid cartilage d) Beneath foramen cecum </p>