18 SURGERY (02) MS (Surgery) Part II Examination
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1 18 SURGERY (02) MS (Surgery) Part II Examination 01. July March July July July January February July January January August January August February August February July February July February July February August February July February July February July February July 2007
2 JULY, 1990 Date: 16 th July 1990 Time: 2.00p.m p.m. PAPER I 1. Discuss the collection, storage and transfusion of blood and blood components. Outline the problems encountered in massive blood transfusion. 2. Discuss the initial management of a twenty-year-old patient with an acute thoraco lumbar spinal injury. Discuss briefly the rehabilitation of this patient. 1
3 JULY, 1990 Date: 17 th July 1990 Time: a.m. PAPER II Answer each question in a separate book. 1. Discuss the role of external drainage in surgery. 2. Write short notes on: a) Rupture of the membranous urethra. b) Leukoplakia of the tongue and cheek. c) Hiatus hernia. d) Extra-dural hemorrhage. 2
4 MARCH, 1991 Date: 25 th March 1991 Time: p.m. PAPER I 1. Discuss the management of crush injury of the pelvis in a 25-year-old man. 2. Discuss the management of intermittent claudication in a 50-year-old man. 3
5 MS (SUERY) PART II EXAMINATION MARCH, 1991 Date: 26 th March 1991 Time: 9.00a.m a.m. PAPER II Answer each question in a separate book. 1. Discuss the options available for biliary drainage in obstructive jaundice. 2. Write short notes on: (a) Anterior dislocation of the shoulder (b) Colonic polyps (c) (d) Medullary carcinoma of the thyroid Torsion of the testis. 4
6 JULY, 1991 Date: 22 nd July 1991 Time: 2.00p.m p.m. PAPER I 1. Discuss the measures one would use to minimize infections in surgical wounds. 2. A 50-year-old man who presented with a first single bout of haemetemesis is diagnosed as having portal hypertension. Discuss the management of this patient. 5
7 POSTGRADUATE INSTITUTIE OF MEDICINE JULY, 1991 Date: 23 rd July 1991 Time: 9.00a.m a.m. PAPER II Answer each question in a separate book. 1. Discuss the principles of management of burns of the skin and the complications in the adult. 2. Write short notes on a) Pain relief in cancer b) Lumps in the breast c) Anal fissure d) Colles' fracture 6
8 POSTGRADUATE INSTITUTIE OF MEDICINE JULY, 1992 Date: 20 th July 1992 Time: 2.00p.m p.m. PAPER I 1. Discuss your management during the first 24 hours, of a young man admitted with a compound fracture of the right femur. 2. Discuss the detection and management of early cancer of the breast. 7
9 POSTGRADUATE INSTITUTIE OF MEDICINE JULY, 1992 Date: 21 st July 1992 Time: 9.00a.m a.m. PAPER II Answer each question in a separate book. 1. Discuss the health hazards to the surgeon in the operating theatre. 2. Write short notes on: a) Parotitis b) Carpal tunnel syndrome c) Acute urinary retention d) Angioplasty. 8
10 POSTGRADUATE INSTITUTIE OF MEDICINE JULY, 1993 Date: 19 th July 1993 Time: 2.00 p.m p.m. PAPER I 1. Discuss the pathology and management of intra-abdominal abscess. 2. Discuss the role of imaging in the evaluation and management of biliary tract disease. 9
11 POSTGRADUATE INSTITUTIE OF MEDICINE JULY, 1993 Date: 19 th July 1993 Time: 9.00 a.m a.m. Answer each question in a separate book. PAPER II 1. Discuss the pathology and treatment of carcinoma of the oesophagus. 2. Write short notes on, (a) (b) (c) (d) post operative pain control sigmoid volvulus Paget's disease of bone cervical rib 10
12 MS (SURGERY) PART II (ADDITIONAL) EXAMINATION JANUARY, 1994 Date: 17 th January 1994 Time: 2.00 p.m p.m. PAPER I Each question to be answered in a separate book, 1. Discuss the management of an acutely injured patient following a road traffic accident, with obvious injuries to the head and chest and a fracture of the pelvis. 2. Discuss the management of obstructive lesions of the urinary tract in adults. 11
13 MS (SURGERY) PART II (ADITIONAL) EXAMINATION JANUARY Date: 18 th January 1994 Time: 9.00 a.m a.m. PAPER II Answer each question in a separate book. 1. Describe and discuss the role of the surgeon in the management of patients with malignant disease. 2. Write notes on, 2.1 Talipes equinovarus 2.2 Arrest of gastrointestinal hemorrhage 2.3 Vomiting in infants 2.4 Treatment of gall stones 12
14 MS (SURGERY) PART II (ADDITIONAL) EXAMINATION FEBRUARY, 1995 Date: 6 th February 1995 Time: 2.00 p.m p.m. PAPER I 1. Describe the management of an adult admitted with a 35% body surface area burn involving the face. 2. Discuss the management of an adult male admitted with a history of blunt trauma to the abdomen. 13
15 POSTGR ADUATE INSTITUTE OF MEDICINE FEBRUARY, 1995 Date: 7 th February 1995 Time: 2.00 p.m p.m. PAPER II 1. Discuss the management of neonatal intestinal obstruction. 2. Write short notes on, 2.1 Use of laparoscope in general surgery 2.2 Causes and clinical features of ulnar nerve injury 2.3 Management of pigmented cutaneous lesions. 2.4 Diagnosis and assessment of leg ulcers, excluding treatment 14
16 POSTGR ADUATE INSTITUTE OF MEDICINE JULY, 1995 Date: 17 th July 1995 Time: 2.00p.m. 4.00p.m. PAPER I 1. Discuss the initial management of a patient with a compound comminuted fracture of the tibia. 2. Discuss the presentation and management of chronic pancreatitis. 15
17 JULY, 1995 Date: 18 th July 1995 Time: 9.00 a.m a.m. PAPER II Answer each question in a separate book. 1. Discuss the role of endoscopy in the management of surgical patients. 2. Discuss the management of recurrent breast cancer. 16
18 JANUARY 1996 Date: 15 th January 1996 Time: 2.00p.m p.m. PAPER I 1. Discuss the role of imaging in the evaluation and management of urinary tract disease. 2. Discuss the diagnosis and management of intracranial hemorrhage. 17
19 JANUARY 1996 Date: 16 th January1996 Time: 9.00a.m a.m. PAPER II Answer each question in a separate book. 1. Discuss the management of acute infections of the hand. 2. Write short notes on, a. Complications of acute pancreatitis b. Congenital dislocation of the hip c. Spontaneous pneumothorax d. Scrotal swellings in the adult 18
20 JANUARY 1997 Date: 6 th January 1997 Time: 2.00 p.m p.m. PAPER I 1. A young male is admitted to hospital with a stab injury of the trunk. Discuss the management of this patient. 2. Describe the steps that may be taken to help prevent complications of surgery. 19
21 JANUARY 1997 Date: 7 th January 1997 Time: 9.00 a.m a.m. PAPER II Answer each question in a separate book. 1. Discuss the management of carcinoma of the rectum. 2. Write short notes on, 2.1 The management of a skin defect. 2.2 Supracondylar fracture of the humerus in children 2.3 Diagnosis of thyroid carcinoma 20
22 AUGUST, 1997 Date: 19 th August 1997 Time: 9.00 a.m a.m. PAPER I Answer each question in a separate book. 1. Discuss the complications of a closed fracture. 2. Write short notes on, (a) (b) (c) Solitary thyroid nodule Prevention of wound infection Ultrasound in urological investigation 21
23 AUGUST, 1997 Date: 19 th August 1997 Time: 2.30 p.m p.m. Answer each question in a separate book. PAPER II 1. Discuss the management of complications of peptic ulcer. 2. Discuss multiple organ failure 22
24 MS (SUYRGERY) PART II EXAMINATION JANUARY 1998 Date: 19 th January 1998 Time: 2.00p.m p.m. PAPER I Answer each question in a separate book. 1. Discuss the management of Choledocholithiasis. 2. Discuss the role of radioisotopes in surgery. 23
25 MS (SURGERY) PART II EXPMINATION JANUARY 1998 Date: 20 th January 1998 Time: 9.00 a.m a.m. PAPER II Answer each question in a separate book. 1. Discuss the management of a trap gun injury, which has also damaged the popliteal artery in a young adult male. 2. Discuss the diagnosis, investigations and management of acute lumbar.sc prolapse. 24
26 AUGUST 1998 Date: 17 th August 1998 Time: 2.00 p.m p.m. PAPER I 1. Discuss the types, features and management of pain in all aspects of surgical practice. 2. A 50 year- old Engineer who continues to consume alcohol is admitted with a history of haemetemesis for the third time in 2 months. He has splenomegaly. Discuss the management of this patient. 25
27 AUGUST 1998 Date: 18 th August 1998 Time: 9.00 a.m a.m. PAPER II 1. Write short notes on 1.1 Management of a high velocity missile injury of soft tissue where the neuro-vasctilar bundle is intact. 1.2 Principles of screening for disease. 1.3 Surgical diathermy 2. Discuss the management of a patient who has sustained a traumatic injury to the spine at the thoraco-lumbar junction. 26
28 UNIVIERSITY OF COLOMBO FEBRUARY, 1999 Date: 8 th February 1999 Time: 2.00 p.m p.m. PAPER I 1. Discuss the advantages and disadvantages of the different methods of management of inguinal hernia. 2. Discuss nutrition in surgical patients. 27
29 FEBRUARY, 1999 Date: 9 th February 1999 Time: 2.00 p.m p.m. PAPER II 1. Discuss the management of a patient with a crush injury of the pelvis. 2. Write notes on, 2.1 Abdominal emergencies in the new born 2.2 Finger ulceration of one hand 2.3 Complications following thyroidectomy 28
30 AUGUST 1999 Date: 9 th August 1999 Time: 2.00 p.m p.m. PAPER I 1. Discuss the complications of laparoscopic cholecystectomy. 2. Discuss the management of early breast cancer. 29
31 AUGUST, 1999 Date: 10 th August 1999 Time: 9.00 a.m a.m. PAPER II 1. Discuss the diagnosis and management of deep vein thrombosis. 2. Write a structured assay on small intestinal obstruction due to adhesions. 30
32 FEBRUARY, 2000 Date: 7 th February 2000 Time: 2.00 p.m p.m. PAPER I 1. Discuss the presentation, diagnosis and management of secondary tumors of bone. 2. A 55-year-old postman complains of pain in his left calf and thigh on walking a distance of 50 yards over the last one week. Discuss the management of this patient. 31
33 FEBRUARY, 2000 Date: 8 th February 2000 Time: 9.30 a.m a.m. PAPER II 1. Discuss on an aetiological basis the management of gastric outlet obstruction in all ages. 2. Write notes on, 2.1. Basal cell carcinoma 2.2. False aneurysm 2.3. Gas gangrene 32
34 UNIVERSITY OP COLOMBO JULY 2000 Date: 24 th July 2000 Time: 2.00 p.m p.m. PAPER I Answer each question in a separate book. 1. Write an essay on "Prevention in surgical conditions". 2. How would you minimize morbidity and mortality in acute peritonitis? 33
35 JULY, 2000 Date: 25 th July 2000 Time: 9.30 a.m a.m. PAPER II Answer each question in a separate book. 1. Discuss the presentation, diagnosis and management of common bone and joint infections. 2. Write short notes on, a) Tumor markers. b) Modern management of common bile duct stones. c) Undescended testicle d) Vomiting in neonates. 34
36 FEBRUARY 2001 Date: 5 th February 2001 Time: 2.00p.m. 4.00p.m. PAPER I 1. Write an essay on the management of foreign materials (implants and foreign bodies) in surgical patients. 2. Discuss the differential diagnosis and management of a 36-year-old woman presenting with a mass in her right iliac fossa. 35
37 FEBRUARY 2001 Date: 6 th February 2001 Time: 9.30 a.m a.m. Answer each question in a separate book. PAPER II 1. Discuss the advantages and disadvantages of minimal access surgery. Outline its use in urology. 2. Write short notes on, a. Congenital Talipes Equino Varus (CTEV) b. Anomalies of the thyrogossal tract c. Volvulus of the sigmoid colon 36
38 JULY, 2001 Date: 23 rd July, 2001 Time :2.00 p.m p.m. PAPER I 1. A 35 year old man steps on an antipersonnel mine. He has a traumatic disarticulation at the level of the ankle joint. He has no other injuries. Discuss the. management of this patient. ' 2. Write notes on : 2.1 Principles of management of hand infections The nutrition of a patient who requires long term ventilatory support. 37
39 JULY, 2001 Date: 24 th July, 2001 Time :9.30 a.m a.m. PAPER II 1. Discuss the place of endoscopy in the management of diseases of the digestive tract. 2. Discuss the management of stones in the renal tract. 38
40 FEBRUARY, 2002 Date: 11 th February, 2002 Time :2.00 p.m p.m. PAPER I 1. Discuss how the evaluation and management of surgical disease is affected by the facilities and infrastructure available. Illustrate your answer with examples from the fields of breast cancer, head injuries, and symptomatic prostatic enlargement. 2. Write notes on, 2.1 Hirschsprung's disease 2.2. Delayed union of fractures. 2.3 Parathyroid adenoma. 39
41 FEBRUARY, 2002 Date: 12 th February, 2002 Time :9.30 a.m a.m. PAPER II '" 1. Discuss the pathogenesis and management of ulcers of the lower limb. 2. Discuss the management of a patient admitted in hypovolaemic shock following blunt upper abdominal trauma. 40
42 JULY, 2002 Date: 22 nd July, 2002 Time :2.00 p.m p.m. PAPER I 1. Discuss the management of intrathoracic infections from a surgical perspective. 2. Discuss the management of a 48 year old woman with a 1.6 cm mass in the lower medial quadrant of the left breast. 41
43 JULY, 2002 Date: 23 rd July, 2002 Time :9.30 a.m a.m. PAPER II 1. Discuss the management of a 65 year old man with an obstructing lesion of mid sigmoid colon. 2. Write notes on 2.1 Traction in orthopaedic and trauma management. 2.2 Early management of cut injuries to the hand. 2.3 Presentation and investigation of carcinoma of the prostate. 2.4 Indications and complications of splenectomy. 42
44 FEBRUARY, 2003 Date: 10 th February, 2003 Time :2.00 p.m p.m. PAPER I 1. Discuss the management of trauma to the cervical spine. 2. Discuss the causes of bleeding in the surgical patient, and describe how they may be minimised. 43
45 FEBRUARY, 2003 Date: 11 th February, 2003 Time :9.30 a.m a.m. PAPER II 1. Discuss the aetiology and management of strictures. 2. Write notes on, 2.1. Paraphimosis Limping in a 10 year old child 2.3 Randomised controlled clinical trials. 44
46 AUGUST, 2003 Date: 4 th August, 2003 Time :2.00 p.m p.m. PAPER I 1. Discuss the difficulties encountered by the surgeon in the diagnosis and management of acute appendicitis. 2. Discuss the management of a compound fracture of the middle 1/3 rd of the tibia. 45
47 AUGUST, 2003 Date: 5 th August, 2003 Time :9.30 a.m a.m. PAPER II '" 1. A 70 year old smoker is on oral hypoglycaemic agents, and on warfarin as he has atrial fibrillation. He had a myocardial infarction 9 months ago and now needs a transurethral resection of the prostate, having developed acute urinary retention. How should this patient be managed? 2. Write notes on the treatment of : intussusception in infants. 2.2 pyonephrosis 2.3 acute cholecystitis 46
48 FEBRUARY, 2004 Date: 9 th February, 2004 Time :2.00 p.m p.m. PAPER I 1. Discuss the management of a 60 year old patient presenting with pain in the region of the knee. 2. Give an account of bile duct injuries with emphasis on aetiology, presentation and management. 47
49 FEBRUARY, 2004 Date: 10 th February, 2004 Time :9.30 a.m a.m. PAPER II 1. Discuss the management of a patient with a solitary nodule in the thyroid gland. 2. Discuss the Surgical importance of diabetes mellitus. 48
50 JULY, 2004 Date: 19 th July, 2004 Time :2.00 p.m p.m. PAPER I 1. Discuss the management of a 30 year old patient who has gunshot injuries of the left lower limb. 2. Write an essay on 'Intestinal obstruction associated with intra-abdominal malignancy'. 49
51 JULY, 2004 Date: 20 th July, 2004 Time :9.30 a.m a.m. PAPER II 1. Write notes on, 1.1. closed management of fractures 1.2. abscesses 1.3. specific complications of superficial conservative parotidectomy. 2. Discuss the role of the surgeon in the management of hypertension. 50
52 FEBRUARY, 2005 Date: 7 th February, 2005 Time :2.00 p.m p.m. PAPER I 1. Discuss the oncological principles that influence the surgical treatment of cancer. 2. Write short notes on : 2.1. the use of prophylactic antibiotics in surgery 2.2. compartment syndromes of the leg 2.3. extradural haemorrhage 2.4. hepato-renal syndrome 51
53 FEBRUARY, 2005 Date: 8 th February, 2005 Time :9.30 a.m a.m. PAPER II 1. How would you classify abdominal incisions? Discuss the advantages and disadvantages of each type. 2. Discuss the causes, diagnosis and management of injuries to the urinary tract. 52
54 JULY, 2005 Date: 18 th July, 2005 Time :2.00 p.m p.m. PAPER I 1. Enumerate the congenital abnormalities that are related to the umbilicus. Describe briefly their embryological basis. Write notes on each abnormality and its complications including its management. 2. Discuss the management of thyrotoxicosis 53
55 JULY, 2005 Date: 19 th July, 2005 Time :9.30 a.m a.m. PAPER II 1. A 65 year old man presents with acute backache and paraparesis following a minor fall. Discuss the management. 2. Write notes on: 2.1. Cardiac tamponade 2.2. Incisional hernia 2.3. Carpal tunnel syndrome " 2.4. Chronic subdural haemorrhage 54
56 FEBRUARY Date: 6 th February 2006 Time: 2.00 p.m p.m. PAPER 1 1. Describe the management of a 50 year old woman presenting with an enlarged nodular liver. 2. Discuss how co-morbidity in the patient influences the outcome of surgery. 55
57 FEBRUARY, 2006 Date: 7 th February 2006 Time: 9.30 a.m a.m. PAPER II 3. Discuss the pathogenesis and management of abdominal intestinal fistulae. 4. Write notes on. a) Decompression of the obstructed urinary tract. b) Investigation and management of a six week old infant boy who presents with projectile vomiting. c) Non-union of a fractured long bone. 56
58 JULY, 2006 Date: 17 th July, 2006 Time :2.00 p.m p.m. PAPER I 1. Discuss the management of a patient brought unconscious to the accident service following a road traffic accident. 2. Discuss the management of chronic calcific pancreatitis. 57
59 JULY, 2006 Date: 18 th July, 2006 Time :9.30 a.m a.m. PAPER II 1. Discuss the management of a 65 year old man who presents with an acutely ischaemic lower limb. 2. Write short notes on : a. indication for and methods of urinary diversion. b. Complications of laparoscopic cholecystectomy. c. Congenital dislocation of hip. 58
60 MS (SURGERY) PART 11 EXAMINATION FEBRUARY 2007 Date : 5 th February 2007 Time : 2.00 p.m p.m. PAPER 1 Please answer both questions. Answer each question in a separate book. 1. What is interventional radiology? Discuss its use in surgical practice. 2. Discuss the principles of management of cancer of the middle third of the rectum and measures that have been shown to be effective in minimizing local recurrence after curative operation. 59
61 MS (SURGERY) PART 11 EXAMINATION FEBRUARY 2007 Date : 6 th February 2007 Time : 9.30 am am PAPER 11 Please answer both questions. Answer each question in a separate book. 1. Discuss the management of extra-pulmonary tuberculous infections (T.B.) with special emphasis on spinal TB. 2. Write short notes on the following; 2.1 Undescended testis. 2.2 Principles of management of a stab injury to the chest. 2.3 Malignancy of the thyroid gland. 60
62 JULY 2007 Date : 16 th July 2007 Time : 2.00 p.m p.m. PAPER I Please answer both questions. Answer each question in a separate book. 1. Discuss the principles of management of advanced urological malignancies. 2. Discuss the management of acute wounds. 61
63 JULY, 2007 Date : 17 th July 2007 Time : 9.30 a.m a.m. PAPER II Please answer both questions. Answer each question in a separate book. 3. Discuss the pre operative management of medical co-morbidities. 4. Write short notes on 4.1. chronic subdural haematoma jaundice following cholecystectomy essential features of an operating table. 62
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