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The West Bengal University of Health Sciences
MBBS. 3rd Professional Part-II Examination, 2019
Subject: Surgery
Paper : I
Time: 2 ½ hrs.
Full Marks: 60
Attempt all questions. The figures in the margin indicate distribution of marks in each Question
Use separate answer script for each group
Group-A
1. Define shock. Give the etiological classification of shock. Describe the pathogenesis and the
management of the septic shock. 2+3+5+5
Group-B
2. a) A 45year old lady, known to be having USG evident cholelithiasis, admitted with the complaints
of severe pain abdomen radiating to the back, out of proportion to any of the signs present and her
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laboratory values showed a significant serum hyperamylasemia (3times the normal value). How
would you proceed to investigate further, prognosticate and manage (Principles only).
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b) A 54year old gentleman presents in the OPD with a history of dull, vague epigastric pain with
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persistently and steadily progressive yellow discoloration of eyes and urine for last 4months with
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intermittent rise of temperature with chills and rigor for last 15days. He also gives a history of
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recently developed anorexia and gross weight loss. On examination, his gall bladder is palpable as
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soft cystic swelling. How would you proceed to have a detailed work-up of the patient. prepare him
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for general anesthesia for a major operation and give the outline of his treatment(principles only
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including palliation). 5+5+5
Group-C
3. Write short notes on any three of the following : 3x5
a) Subphrenic abscess .
b) Complications of splenectomy.
c) Femoral Hernia.
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d) Adenomatous polyps of colon.
e) Tuberculous Cervical Lymphadenopathy.
Group-D
4. Write short notes on any three of the following: 3x5
a) Cubitus valgus.
b) Fracture healing.
c) Osteosarcoma.
d) Club foot.
e) Supracondylar fracture of humerus .
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