May 2004

New Regulations MBBS Exam syllabus.

Surgery paper I - Question Bank

QUESTION BANK .

ESSAY and PBL QUESTIONS:

1. General Principles.
a. Types of wound healing. Management of non healing ulcer dorsum of
foot.
b. Elderly female with diabetes mellitus and low BP and tachycardia and
cellulites left leg. Discuss management.
c. 50kg male with 25 % second degree burns is brought to the hospital.
Discuss management.

d. Discuss factors affecting wound healing. Discuss management of a 2 day

old trauma wound.
e. Discuss wound healing. Discuss management of non healing traumatic
ulcer over the foot of a 75 year old man.
f. Define and classify shock. Discuss clinical features and management of
haemorrhagic shock.
.

2. Vascular Surgery.
a. Elderly man with rest pain in lower limb – discuss management.
b. Discuss etiology, clinical features, complications and management of long
saphenous varicosity.
c. An elderly diabetic man comes with gangrene of the first 2 toes and
adjacent fore foot. Discuss management.
d. Define and classify aneurysma. Describe clinical features and
complications of aneurysms. Discuss management of a 6 cm infrarenal
abdominal aortic aneurysm.
e. Upper limb ischaemia – question may be designed with symptoms of
any of thoracic outlet syndrome.
3. Lymphatics.
a. Discuss pathol;ogy, clinical features and management of Hodgkin’s
lymphoma.
b. 20 year old female comes with loss of weight and lymphadenopathy of left
cervical group of nodes.Discuss management.
 c. A 30 year old female comes with right cervical node enlargement and
palpable liver. Discuss management.
d. A 20 year old Indonesian maid has low grade fever with loss of weight.
On examinations a few discrete lymph nodes are detected in the right
cervical region. Discuss management.
e. A 50 year old female comes with painless palpable left axillary group of
nodes.There is loss of weight and fever. Discuss management.

4. Breast.
a. Clinical features of carcinoma breast. Discuss spread. Discuss
management of T4N1 M0 lesion in premenopausal lady.
b. Lymphatic drainage of breast, clinical features and management of
T2N0M0 case.
c. Management of stage I to Stage IV breast carcinomas.

5. Hernias.
a. A 40 year old male comes with a painful tender right groin swelling. The
swelling was previously reducible. Discuss evaluation and management.
b. A 50 year old female with diabetes mellitus had hysterectomy 4 years ago.
She now has a sometimes painful but reducible swelling beneath the scar.
Discuss causes and management.

6. Infections.
a. A 30 year old male presents with trismus. He gives history of trauma to
left foot few days ago. Discuss management.

SHORT NOTES:
Inflammation :
Nosocomial Infections
Cold Abscess
Pelvic Abscess
TB Peritonitis
Carbuncle
Gas Gangrene
Meconium peritonitis
Acute abscess
TB Lymphadenitis
Acute lactational mastitis
Wet gangrene and management
Principles of treatment of peritonitis.
Clinical features of peritonitis.
Mesenteric adenitis.
Burns:
Complications of Burns.

Fluid and Electrolytes:

Hypokalaemia
Metabolic alkalosis
Fluid replacement in burns
Metabolic disturbances in pyloric stenosis

X-Rays:
Aortogram
Mammogram

Wound Healing:

Skin Grafting

Operative Surgery:

Tracheostomy
Abdominal incisions.

Paediatric Surgery:

Gastroscisis
Examphalos

Hernia:

Complications
Umbilical Hernia
Maydl’s hernia

Anatomy:

Subdiaphragmatic Spaces
Femoral canal
Inguinal canal

Shock:
Treatment of septic shock
Types of haemorrhage
Tumours:
Retroperitoneal tumours
Umbilical adenoma
Phylloides Tumour
Staging of Hodgkin’s.
Fibroadenoma
Neurofibroma
Gynaecomasia
Haemangioma

Surgical Oncology:

Staging of Malignancy
Staging of Carcinoma Breast
FNAC
Duct papilloma

Ulcers:

Venous ulcer

Lymphatics:

Cystic Hygroma
Lymphoedema
Lymphangioma

Miscellaenous:

Desmoid Tumour.
Persistence of fistula
Complications of Blood Transfusion.
Clinical Features of Internal Haemorrhage.
Antibiotics in Gastrointestinal Surgery.
Mesenteric cyst
Dermoid cyst
Epidermoid cyst (sebaceous cyst).
Complications of varicose veins
Clinical features of aneurysm
Intermittent claudication

DVT
Superficial thrombophlebitis
CVP
. SURGERY - PAPER II Question Bank

A.Essay and problem based questions.

1. GI Tract.
a. Esophagus.

Dysphagia D/D .Management of ca. esophagus.

Management of Achalasia.
Ca, of lower third esophagus, c/f and management.

b. Stomach and Duodenum.

i. (chronic duodenal ulcer, -clinical features ., & management.)

ii. complications of duodenal ulcer and treatment of perforated
duodenal ulcer. Adult pyloric obstruction. C/f. and
management. Carcinoma stomach, c/f and management.
iii. UGI bleed . management of each. –d/d management of cause
D/D of epigastric mass and management of ca. stomach.
Discuss the management when pt. Comes with ca. stomach.
Discuss haemetemisis. How will you evaluate the patient..
What is malena. Discuss d/d of malena.

c. Small Intestine.

Small bowel obstruction c/f and management of adhesions.

Comlications of Meckels diverticulum evaluation and management.

d. Appendix.

e. Mass R.I.F, dd and management

Acute appendicitis. Pathology c/f and management.
Acute RIF pain - evaluation and management.
Tender mass RIF evaluation and management.

f. Colon.

Bleeding per rectum.d/d and management.

Management of carcinoma colon at various sites.
Case of altered bowel habits and nodular liver. Evaluation and
management.

g. Rectum and Anal canal.

 Anaotomy of anal canal. C/f and management of anorectal abscess.
Classification of perianal abscess.
Pathology c/f and management of Ca rectum.

h. Liver and Gallbladder.

Case of pain R.H.C, jaundice and pruritis. Discuss evaluation and

management. Etiology of gall stones. C/f and management.
C/f and management of cholicystis.
C/f and managements of each causes of obstructive jaundice.
Hydatid cyst of liver. C/f , management.
Management of nodular hepatomegaly..
Case of RHC pain Discuss the D/D and management.
Discuss the c/f and management of cholidocholithiasis.
Female patient with pain RHC. Discuss evaluation and management.
Mass RHC ( old man) and jaundice, discuss the evaluation and
management.
Discuss the etiology and c/f of hepatocelluar carcinoma.

i. Pancreas.

Carcinoma head of pancreas. C/f . and management.

Pseudocyst pancreas – c/f and management.
C/F periampullary Ca and management.
Complications of acute pancretitis and management of pseudocyst.

2. Endocrines

a. Thyroid. Solitary thyroid nodule. Evaliation and management

b. Toxic multinodular goiter- pathology. C/f and management.,
c. Midline neck swelling with nodes - evaluation and management.
d. Classify Thyroid tumours. Discuss clinical features of papillary carcinoma
thyroid.
e. Classify goitres. Discuss c/f and management of nodular goiter.
f. Classify thyroid malignancy. Discuss the management of any one
malignancy.

3. Neurosurgery
a. Case of unilateral papillary dialation after head injury. Discuss
management.
b. Extradural haematoma. Discuss evaluation and management.
c. Chronic subdural haematoma. Discuss aetiology and management.
d. Extradural haematoma, Discuss etiology, clinical features and
management.
 4. Urology
a. Haematuria. Discuss etiology and investigations
b. Case of painless haematuria of 2 months. Discuss, evaluation and
management.
c. Colicky pain loin to groin. – discuss evaluation and management.
d. Old man with retention of urine hesitancy and poor stream .Discuss
evaluation and management.
e. Boy with acute scrotal pain. Discuss d/d, evaluation and management.
f. Testicular tumor classification. Evaluation and management of
testicular tumour.
g. Case of mass epigastrium with undesended testis. Discuss evaluation
and management.
h. Recent onset varicocele. Discuss evaluation and management.
i. Adult with painless swelling of right scrotum. Discuss evaluation and
management.
j. Old man with bilateral inguinal hernia and poor stream of urine.-
Discuss evaluation and management.
k. Case of calculus mid ureter. Discuss evaluation and management.

5. Paediatric surgery

6. Head and Neck.

Eteiology and c/f and management of carcinoma tongue.
Classify salivary gland tumors. Discuss the clinical features and
management of parotid tumors.
Classify salivary gland tumors, discuss the clinical features and management
of pleomorphic adenoma.

B. Short Notes

7. General.
a. Branchial cyst
b. Cervical TB adenitis
c. Metabolic abnormality in Gastric Outlet Obstruction and treatment.
d. Helicobacter Pylori.
e. Pilonidal sinus.
f. Vaginal Hydrocoel.
g. Fournier’s gangrene.
8. Surgical Oncology.
a. Palliation in carcinoma esophagus.
b. Palliative treatment of Carcinoma Stomach.
c. Evaluation of operability in Carcinoma stomach.
d. Leukoplakia.
e. Spread of carcinoma Stomach.
 f. Duke’s staging.
9. GI Tract.
a. Pharyngeal Diverticulum.
b. Palliative procedures for carcinoma Esophagus.
c. Barrett’s Oesophagus.
d. Non operative treatment of esophageal varices.
e. Pharmacological treatment of esophageal varices.
f. Surgical treatment of bleeding esophageal varices.
g. Achalasia cardia
h. Management of Achalasia cardia.
i. Mellory Weiss tear,
j. Hiatus hernia.
k. Gastric volvulus.
l. Treatment of Bleeding Duodenal Ulcer.
m. Complications of peptic ulcer.
n. Lymphatic drainage of stomach.
o. Ranson’s Criteria.
p. Clinical features of acute pancreatitis.
q. Complications of acute pancreatitis.
r. Management of uncomplicated Pseudocyst head of Pancreas.
s. Hydatid cyst liver.
t. Complications of amoebic liver abscess.
u. Complications of amoebic liver abscess.
v. Clinical features of ruptured spleen.
w. Complications of splenectomy.
x. Calot’s triangle.
y. Appendicular abscess
z. Appendicular mass.

aa. Oschner Scherren regime.

bb. Complications of appendicectomy
cc. Meckel’s Diverticulum
dd. Complications of Meckel’s Diverticulum
ee. Carcinoid syndrome.
ff. Paralytic ileus
gg. Complications of colonic diverticulitis.
hh. Sigmoid volvulus.
ii. Complications of ulcerative colitis.
jj. Anatomy of anal canal.
kk. Treatment of haemorrhoids
ll. Haemorrhoidectomy.
mm. Treatment of fissure in ano.
nn. Fistula in ano.

10. Vascular surgery.

11. Endocrines
a. MEN Syndrome.
b. Hashimoto’s Thyroiditis.
 c. Differential diagnosis of Solitary Thyroid nodule.
d. Clinical features of Malignant parotid Tumour.
e. Physiology of Thyroid Hormone secretion.
f. Thyroglossal cyst.
g. Investigations and treatment of toxic nodular goiter.
h. Management of medullary carcinoma Thyroid.
12. Breast

13. Neurosurgery
a. Glasgow Comma Scale.
b. Intracranial abscess
c. Brain abscess.
d. Depressed fracture skull.
e. Acute subdural haemeatoma.
f. Extradural haemorrhage.

14. Urology
a. Causes of haematuria.
b. Treatment of carcinoma prostate.
c. Perinephric abscess.
d. Torsion of testis.
e. Phimosis.
f. Paraphimosis.
g. Management pf BPH.
h. Surgical treatment of varicocoel.
i. Causes of unilateral hydronephrosis.
j. Treatment of stricture urethra.
k. Horseshoe kidney.
l. Clinical features of Polycystic Kidney.
m. TB Kidney.
n. TB epididymo-orchitis.
o. Symptoms of Carcinoma Prostate.
p. Treatment of chronic urinary retention.
q. Management of enlarged inguinal nodes in carcinoma penis.

15. Paediatric surgery

a. Clinical features of Intussusception in infants.
b. Meningocoel
c. Malrotation of gut.
d. Volvulus neonatorum
e. Duodenal atresia.
f. Undescended testis.
g. Torsion of testis.
h. Rectal prolapse in children.
i. Hypospadias.

16. Thoracic surgery

a. Empyema Thoracis.
 b. Tension Pneumothorax.
c. Flail chest.
d. Cervical rib.
e. Clinical features of cervical rib.
f. SVC Syndrome.

17. Plastic Surgery

a. Cleft lip.
18. Head and Neck
a. Pleomorphic adenoma of parotid.
b. Warthin’s tumpor.
c. Branchial cyst.
d. Evaluation of patient with cervical node secondaries.
e. Parotid abscess.
f. Lymphatic drainage of oral cavity.

19. Operative Surgery

a. Gastrostomy.
b. Amputation of penis.
c. Complications of Total Thyroidectomy.
d. Orchidectomy.
e. Preoperative preparation of pyloric stenosis.
f. Assessment of operability in carcinoma stomach.
g. Billroth II gastrectomy.
h. Complications of Cholecystectomy.
i. Complications of splenectomy.
j. Circumcision.
k. Complications of appendicectomy.
l. Colostomy.
m. Complications of thyroidectomy.
20. Anaesthesiology
a. Epidural anaesthesia
b. Spinal anaesthesia
c. Xylocaine in anaesthesia.
21. Imaging.
a. Radiological evidence of ulcerative colitis.
b. Inverogram
c. Radiological findings in Intestinal Obstruction.
d. PTC
e. T – Tube cholangiogram.
f. Barium Swollow.

22. Investigations.
a. Investigations for dysphagia.
b. Role of 1131 in thyroid diseases.
23. Procedures and Endoscopy.
a. OGDS
b. ERCP.
c. PEG.
d. Intercostal drainage.
e. Sangstaken Blakemore Tube.
f. Proctoscopy
g. PR examination.
h. Endoscopic management of variceal bleed.
i. Sigmoidoscopy.