General Surgery Paper-1 (Main), 2020 MBBS Batch ABVMU Lucknow

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, LUCKNOW
MBBS DEGREE EXAMINATION - III rd PROFESSIONAL - PART - II - FEB 2025
GENERAL SURGERY - PAPER - I

SECTION A - Multiple Choice Questions (MCQs)
SET : A

PAPER CODE : 2511130012

Note: Choose one correct answer in the OMR sheet provided. No overwriting should be done.

Time: 20 Minutes
(20 x 1 = 20 MARKS)

1. Green discharge from nipple is most commonly seen with:
   a) Fibroadenosis
   b) Breast cyst
   c) Duct ectasia
   d) Duct papilloma

2. Investigation of choice for discrete thyroid swelling is:
   a) FNAC
   b) USG neck
   c) Thyroid profile
   d) Isotope scanning

3. In Full thickness burn all are seen except:
   a) No capillary return
   b) Painful
   c) Leathery skin
   d) Thrombosed vein can be seen under the skin

4. In Surgical ethics duty of surgeons include all except:
   a) Obtain informed
   b) Respect patient privacy
   c) Respect autonomy of patients
   d) Take decision in doctors’ best interest

5. Phaeochromocytoma arises from:
   a) Extra-adrenal
   b) Extra-adrenal sympathetic ganglia
   c) Adrenal cortex
   d) Neuroectodermal tissue of Adrenal medulla

6. Stensen’s duct opens in buccal cavity at the level of:
   a) Upper second molar tooth
   b) Lower second molar tooth
   c) Upper second premolar tooth
   d) Lower second premolar tooth

7. In surgical stress all hormones is increased except:
   a) Glucagon
   b) ACTH
   c) Insulin
   d) Cortisol

8. Medical treatment for Filariasis is:
   a) Benzodiazepine
   b) Diethylcarbamazine
   c) Carbamazepine
   d) Cetirizine

9. All are parameter for nutritional assessment of a patient except:
   a) Arm length
   b) MAMC
   c) Serum Albumin
   d) C-reactive protein

10. Approximate volume of water required for daily maintenance in a healthy adult is:
    a) 10 ml/kg per day
    b) 20 ml/kg per day
    c) 30 ml/kg per day
    d) 40 ml/kg per day

11. Most important prognostic factor in carcinoma breast is:
    a) Size of tumor
    b) Skin involvement
    c) Involvement of muscles
    d) Axillary lymph node involvement

12. False for FFP is:
    a) Shelf-life is 2 years
    b) Stored at 4 degree C
    c) It is rich in coagulation factor
    d) First line therapy in coagulopathic hemorrhage

13. Treatment for sebaceous cyst is:
    a) Enucleation
    b) Excision
    c) Wide local excision
    d) Incision and drainage

14. A boil is due to staphylococcal infection of:
    a) Hair follicle
    b) Sweat gland
    c) Subcutaneous tissue
    d) Epidermis

15. In tubercular ulcer, edge is:
    a) Punched out
    b) Sloping
    c) Everted
    d) Undermined

16. Gas gangrene is caused by:
    a) Cl. botulinum
    b) Cl. difficile
    c) Cl. tetani
    d) Cl. perfringens

17. Veress needle is used for:
    a) Port closure in after laparoscopy
    b) For creating pneumoperitoneum
    c) Spinal anesthesia
    d) Suturing

18. All are true about Capsule endoscopy except:
    a) Able to visualize entire small bowel
    b) Indicated in patient of Crohn’s disease
    c) Biopsy cannot be taken
    d) Indicated in pt with known small bowel stricture

19. In a patient of RT Buccal mucosa tumor who has 3 cm Primary lesion with ipsilateral single cervical lymph node of 3cm size and FNAC-negative with no evidence of metastasis, what will be TNM Staging.
    a) T1 N1 M0
    b) T2 N1 M0
    c) T3 N2 M0
    d) T2 N2 M0

20. Complications of total thyroidectomy include all except:
    a) Hoarseness
    b) Hemorrhage
    c) Airway obstruction
    d) Hypercalcemia

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, LUCKNOW
MBBS DEGREE EXAMINATION - III rd PROFESSIONAL - PART- II FEB 2025
GENERAL SURGERY - PAPER - I

TIME : 3 Hrs
Max. Marks : 100 Marks (80 Theory + 20 MCQs)

NOTE:

• Attempt all questions.

• This question paper consists of two sections: Section A - Multiple Choice Questions and Section B - Theory Questions.

• Both the sections have different paper codes. Write the correct paper code on the respective sheet.

• Write the correct MCQ paper set on the OMR sheet.

• Answer MCQs on the provided OMR sheet and theory questions on the provided answer booklet.

SECTION B - THEORY QUESTIONS

PAPER CODE : 2511230012

Q.1 Long Answer Question (15 MARKS)

i) Define shock and write its classification. (5 marks)
ii) Describe pathophysiology and clinical presentation of shock. (5 marks)
iii) How do you manage a patient of Hemorrhagic shock? (5 marks)

Q.2 Clinical Case Scenario-based Structured Question (15 MARKS)

A 40-year-old female presented with a lump in her left breast for 2 months. There was no associated pain. Patient is a working woman.
i) What are the D/D for the above patient? (2 marks)
ii) How will you confirm the diagnosis? Discuss in detail. (3 marks)
iii) Write down TNM staging for carcinoma breast? (5 marks)
iv) What is the treatment for early invasive breast carcinoma? (5 marks)

Q.3 Short Note Question (Approx 500 Words) (5 x 6 = 30 MARKS)

i) Liver hydatid disease
ii) Cleft lip
iii) Thyroglossal cyst
iv) Hemothorax
v) Crush injury and syndrome

Q.4 Short Answer Questions (Within 100 Words) (5 x 4 = 20 MARKS)

i) Universal precaution
ii) Rose’s position
iii) Hyperkalemia
iv) Types of wound healing
v) Assessment of area of a burn wound

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