GENERAL SURGERY PAPER I IMPORTANT INSTRUCTIONS

Transcription

1 Time : 3 hours Max. Marks : 100 PAPER I IMPORTANT INSTRUCTIONS SURG/J/16/12/I This question paper consists of 10 questions divided into Part A and Part B, each part containing 5 questions. Answer sheet(s) of Part A and Part B are not to be tagged together. Part A and Part B should be mentioned only on the covering page of the respective answer sheet(s). Attempt all questions in order. Each question carries 10 marks. Read the question carefully and answer to the point neatly and legibly. Do not leave any blank pages between two answers. Indicate the question number correctly for the answer in the margin space. Answer all the parts of a single question together. Start the answer to a question on a fresh page or leave adequate space between two answers. Draw table/diagrams/flowcharts wherever appropriate. Write short notes on: PART A 1. a) Arterial supply and lymphatic drainage of colon. b) Importance of arterial supply in resection of colon. 2. a) Difference between keloid and hypertrophic scar. b) How would you treat a presternal keloid in a young girl? 3. a) Classify skin flaps. b) Elaborate forehead flap for reconstruction of nose. 4. a) Methods of sterilization of surgical instruments. b) Prophylactic antibiotics in surgical practice. 5. a) Name the various plasma volume expanders. b) Types and indications of blood components therapy. (3+4)+3 P.T.O. -1-

2 PAPER I Please read carefully the important instructions mentioned on Page 1 PART B 6. a) What are the gases used for creating pneumoperitoneum? b) Pathophysiological changes that occur due to pneumoperitoneum. 7. a) Classify suture materials. b) Qualities of a good suture material Role of Stem Cell Therapy in surgical practice Name the various abdominal incisions with their advantages and disadvantages. 10. a) Enumerate the types of Research studies. b) How would you calculate the sample size for a proper statistical analysis? c) What is Peer review? ********************** -2-

3 Time : 3 hours Max. Marks : 100 PAPER II IMPORTANT INSTRUCTIONS SURG/J/16/12/II This question paper consists of 10 questions divided into Part A and Part B, each part containing 5 questions. Answer sheet(s) of Part A and Part B are not to be tagged together. Part A and Part B should be mentioned only on the covering page of the respective answer sheet(s). Attempt all questions in order. Each question carries 10 marks. Read the question carefully and answer to the point neatly and legibly. Do not leave any blank pages between two answers. Indicate the question number correctly for the answer in the margin space. Answer all the parts of a single question together. Start the answer to a question on a fresh page or leave adequate space between two answers. Draw table/diagrams/flowcharts wherever appropriate. Write short notes on: PART A 1. a) Enumerate the types of Neck Dissections. b) Management of chylus fistula following radical neck dissection. 2. a) Anatomical basis of Carpal Tunnel Syndrome. b) How would you manage a 40-year-old lady with this problem? 3. a) Complications of total thyroidectomy. b) How will you manage hypoparathyroidism following total thyroidectomy? 4. a) Enumerate the surgical causes of hypertension. b) How would you investigate a case of hypertension associated with an adrenal mass? 5. Management of 4x4cm sized malignant lump in the (L) breast of a 75 year old lady P.T.O.

4 PAPER II Please read carefully the important instructions mentioned on Page 1 PART B 6. a) Define flail chest. b) How would you manage a case of anterior flail? 7. Minimal invasive methods used in the treatment of varicose veins. 8. How would you manage a case of Branchial fistula in a 12 year child? 9. How would you diagnose and treat a case of compartment syndrome of leg following fracture both bones? 10. a) What is Necrotising Fascitis? b) What are the predisposing factors? c) What are its clinical signs? How would you manage such a case? (2+4) ********************** -2-

5 Time : 3 hours Max. Marks : 100 PAPER III IMPORTANT INSTRUCTIONS SURG/J/16/12/III This question paper consists of 10 questions divided into Part A and Part B, each part containing 5 questions. Answer sheet(s) of Part A and Part B are not to be tagged together. Part A and Part B should be mentioned only on the covering page of the respective answer sheet(s). Attempt all questions in order. Each question carries 10 marks. Read the question carefully and answer to the point neatly and legibly. Do not leave any blank pages between two answers. Indicate the question number correctly for the answer in the margin space. Answer all the parts of a single question together. Start the answer to a question on a fresh page or leave adequate space between two answers. Draw table/diagrams/flowcharts wherever appropriate. Write short notes on: PART A 1. a) Clinical features of an AV fistula in the thigh region. b) Diagnosis and management in such a case. 2. a) Classify fistula in-ano. b) Management of multiple perianal fistulae in a young man. 3. a) Enumerate the Scolicidal agents used in treatment of hydatid disease. b) How will you manage an 8x8 cm hydatid cyst of (L) lobe of liver in an 18-year-old girl? 4. a) Define Short Bowel Syndrome. b) What are its causes? c) Role of surgery in its management. 5. a) Enumerate causes of dysphagia in a young lady. b) Treatment of Corrosive injury of oesophagus. 4+(3+3) P.T.O. -1-

6 PAPER III Please read carefully the important instructions mentioned on Page 1 PART B 6. a) Enumerate the indications of surgery in Ulcerative Colitis. b) What are the complications of Pouch Construction for this disease? 7. a) Enumerate causes of intestinal obstruction. b) Management of a 60-year-old lady with sigmoid volvulus. 8. Complications of chronic pancreatitis and their management a) Enumerate the surgical procedures for Portal Hypertension. b) Outline the management of Portal Hypertension in a young girl. 10. a) Metabolic complications of Gastric Outlet Obstruction. b) How will you investigate such a case? 6+4 ********************** -2-

7 Time : 3 hours Max. Marks : 100 PAPER IV IMPORTANT INSTRUCTIONS SURG/J/16/12/IV This question paper consists of 10 questions divided into Part A and Part B, each part containing 5 questions. Answer sheet(s) of Part A and Part B are not to be tagged together. Part A and Part B should be mentioned only on the covering page of the respective answer sheet(s). Attempt all questions in order. Each question carries 10 marks. Read the question carefully and answer to the point neatly and legibly. Do not leave any blank pages between two answers. Indicate the question number correctly for the answer in the margin space. Answer all the parts of a single question together. Start the answer to a question on a fresh page or leave adequate space between two answers. Draw table/diagrams/flowcharts wherever appropriate. Write short notes on: PART A 1. a) Staging of carcinoma Penis. b) Outline the management of carcinoma Penis. 2. Diagnosis & management of Torsion Testis in an adolescent. 3. Investigation & management of a young man with calculus anuria. 4. a) How will you establish the diagnosis of carcinoma prostate? b) Outline the management of carcinoma prostate. 5. a) Pathophysiology of primary hydronephrosis. b) Outline surgical options available for primary hydronephrosis. P.T.O. -1-

8 PAPER IV Please read carefully the important instructions mentioned on Page 1 PART B 6. a) What are the components of Hypospadias? b) Management of a 2 year old child having peno-scrotal hypospadias. 7. a) Indications for pancreatic transplantation. b) Outline the surgical procedure for pancreatic transplantation c) What are the results of such a transplant? 8. a) Define morbid obesity. b) Work up and surgical options for morbid obesity. 9. a) What is VATS? b) Indications & complications of VATS (4+4) 10. Newer energy sources used for resection of prostate. 10 ********************** -2-