Surgery : Past Year Univ Questions

• General Surgery
  • Anaesthesia and pain management
  • Acute life support and critical care: fluid, electrolyte and acid–base balance and blood transfusion
  • Nutrition
  • Wounds, tissue repair and scars
  • Wound infection
  • infections
  • Acquired immunodeficiency syndrome
  • Transplantation & Blood Transfusion
  • Cysts, ulcers and sinuses
  • Principles of oncology
  • Burns
  • Accident and emergency surgery
  • Warfare injuries
  • Craniocerebral trauma
  • Disorders of the salivary glands
  • The thyroid gland and the thyroglossal tract
  • Parathyroid and adrenal glands
  • The breast
  • Thorax
  • Cardiac surgery
  • Arterial disorders
  • Venous disorders
  • Lymphoedema
• Gastrointestinal Surgery
  • The oesophagus
  • Stomach and duodenum
  • The liver
  • The spleen
  • The gall bladder and bile ducts
  • The pancreas
  • The peritoneum, omentum, mesentery and retroperitoneal space
  • The small and large intestines
  • Intestinal obstruction
  • The vermiform appendix
  • The rectum
  • The anus and anal canal
  • Hernias, umbilicus and abdominal wall
• Urology
  • Urinary symptoms, investigation of the urinary tract and anuria
  • The kidneys and ureters
  • The urinary bladder
  • The prostate and seminal vesicles
  • The urethra and penis
  • Testis and scrotum
• Postoperative care

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• Classify the shock. Describe the clinical features and management of hemorrhagic shock. (2+5=7) PaperI May 2003

• Short note: Fluid replacement in burns. Method of calculation. (4) PaperI Dec 2002

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• Short note: Metabolic acidosis (4) PaperI May 2004

• Short note: Burst abdomen - causes and treatment. (4) PaperI May 2003

• Short note: Wound debridement (4) PaperI Dec 2002

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• What is tetany? Describe the clinical features. (4) PaperII May 2004

• Short note: Nosocomial infections (4) PaperI May 2004

• Define cellulitis. Describe in detail the clinical features and management of cellulitis of lower limb in a diabeteic patient. (2+5=7) PaperI Nov 2003

• Write on aetiology and pathogenesis of tetanus (4) PaperI Dec 2002

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• Short note: Complications of blood transfusion. (4) PaperI May 2004

• Write about blood groups and thier importance. (4) PaperI Dec 2002

• Write on Brachial fistula (aetiology, clinical features and management) (4) PaperII May 2004

• A 65 year old smoker comes with a history of an ulcer on the lateral border of the tongue with raised everted edges and a palpable mass in the neck. What is the likely diagnosis? Discuss in detail the management of this particular patient. (1+6=7) PaperII Nov 2003

• A 40 year old policeman presents with a bleeding ulcer above left medial malleolus. give possible diagnosis. What clinical test will you do? How will you investigate the case? Discuss the treatment. (1+2+2+2=7) PaperI May 2003

• Short note: Pathology of hydatid cyst (4) PaperII May 2003

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• In a case of Hodgkin's Lymphoma, discuss the pathology, clinical features, staging and management. (2+2+3=7) PaperI May 2004

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• Short note: Management of Burns wounds. (4) PaperI May 2004

• A 30 year old female weighing 50 kg presents with 40% burns. Discuss the immediate management in this case. How will you manage burns wound? Enumerate the complications of burns. (3+2+2=7) PaperI Nov 2003

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• Short note: Extradural hematoma (5) PaperII July 2004

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• Signs of malignancy in a parotid tumour. (4) PaperII May 2004

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• Write a short note on Thyroid storm (4) PaperII May 2004

• A 50 year old female presents with a 3cm solitary nodule of thyroid. How will you evaluate and manage this patient? (15) PaperII July 2004

• A 23 year old female presents with solitary thyroid nodule. Discuss the differential diagnosis. Discuss the management of a solitary toxic nodule. (3+4=7) PaperII May 2003

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• Describe the patholog, clinical features and investigations and treatment of primary hyperparathyroidism. (2+2+3=7) PaperII Nov 2003

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• Short note: Tension Pneumothorax (5) PaperII July 2004

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• A patient presents with ischemic right lower limb. Describe the symptoms and signs. Describe the management of a patient with Thromboangitis obliterans. (3+4=7) PaperI Dec 2002

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• A 40 year old policeman presents with a bleeding ulcer above left medial malleolus. give possible diagnosis. What clinical test will you do? How will you investigate the case? Discuss the treatment. (1+2+2+2=7) PaperI May 2003

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• A 45 year old lady presents wih dysphagia to liquids. What is the likely diagnosis? Discuss the clinical features of this condition. Describe its management. (1+2+4=7) PaperII May 2004

• Pharmacological treatment of oesophageal variceal bleeding (5) PaperII July 2004

• Management of achalasia cardia (5) PaperII July 2004

• Enumerate four common causes of dysphagia. Describe aetiology, clinical features and management of carcinoma of lower third oesophagus. (2+2+3=7) PaperII May 2003

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• A 70 year old man comes with the chief complaint of feeling a lump in the epigastrium of four months duration. What are the possible causes? Discuss the clinical features of carcinoma of the stomach. Describe its management. (2+2+3=7) PaperII May 2004

• What are the complications of chronic duodenal ulcer? Describe the clinical features and management of anyone of them. (15) PaperII July 2004

• Write short note on ERCP (5) PaperII July 2004

• In a chronic duodenal ulcer, Enumerate the comlications. Describe the clinical feature of a bleeding duodenal ulcer. Discuss its management. (2+2+3=7) PaperII Nov 2003

• Short note: Zollinger-Ellison syndrome. (4) PaperII Nov 2003

• In carcinoma of the stomach describe the following: Pathology, Clinical features, Management. (2+2+3=7) PaperII May 2003

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• In a patient with hydatid cyst of the liver. Discuss the pathology, clinical features and management. (2+2+3=7) PaperII May 2004

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• Complications of splenectomy (5) PaperII July 2004

• Write about clinical signs of splenic rupture. (4) PaperII Nov 2003

• Short note: Complications of splenectomy (4) PaperII May 2003

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• Murphy's and Boas's sign. (4) PaperII Nov 2003

• Short nore: Courvoisier's law (4) PaperII May 2003

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• Short note: Aetiology of acute pancreatitis. (4) PaperII Nov 2003

• Short note: Insulinoma (4) PaperII May 2003

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• Write on causes and clinical features of acute bacterial peritonitis. (4) PaperI Nov 2003

• Mesenteric cysts: Classification and clinical features. (4) PaperI Nov 2003

• Short note: Pelvic abscess. (4) PaperI May 2003

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• Write about Colostomy: Types and indications. (4) PaperII May 2004

• A 65 year old female presents with the mas in the right iliac fossa. How will you evaluate and manage this patient? (15) PaperII July 2004

• A new born child presents with vomiting, failure to pass Meconium and abdominal distension. Enumerate 4 common causes. Discuss diagnosis of Hirschsprung's disease. Discuss its management. (2+2+3=7) PaperII May 2003

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• Short note on conservative treatment of acute appendicitis (4) PaperII May 2004

• Clinical features of acute pancreatitis (5) PaperII July 2004

• A patient with history of recent appendicectomy comes with subdiaphragmatic abscess. Discuss clinical features and management. (3+4=7) PaperI May 2004

• A 22 year old female presents with acute pain of 8 hours duration in the right iliac fossa. Discuss the differential diagnosis. How will you investigate such a case? Discuss the management of appendicular mass. (2+2+3=7) PaperII Nov 2003

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• Short note: Proctoscopy (4) PaperII May 2004

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• Write a short note on Fistula in ano. (4) PaperII May 2004

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• Complications of an inguinal hernia (4) PaperI Nov 2003

• Write a short note on Exomphalos. (4) PaperI Nov 2003

• Short note: umbilical hernia in children. (4) PaperI May 2003

• Short note: Femoral hernia - Anatomy and treatment. (4) PaperI May 2003

• A 55 year old female presents with a left femoral hernia. Describe the anatomy of femoral sheath and femoral canal. Describe the differential diagnosis of femoral hernia. Discuss the management of femoral hernia. (2+3+2=7) PaperI Dec 2002

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• What are the causes of Hematuria? Discuss the clinical features and management of left Renal Cell carcinoma. (15) PaperII July 2004

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• Enumerate the causes of hydronephrosis. Discuss the clinical features and management of hydronephrosis due to pelviureteric junction obstruction. (2+2+3=7) PaperII May 2004

• Short note: Horse shoe kidney (5) PaperII July 2004

• Write short note : Carcinoma kidney - Atypical presentations (4) PaperII Nov 2003

• Write on management of ureteric stone - middle third. (4) PaperII Nov 2003

• Write on Intravenous pyelogram (indications and technique) (4) PaperII May 2003

• Write on management of lower 3rd ureteric stone. (4) PaperII May 2003

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• Short note: Hypospadias (4) PaperII Nov 2003

• Short note: Phimosis (4) PaperII May 2003

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• Short note: Epididymoorchitis (4) PaperII Nov 2003

• Short note: undescended testis (4) PaperII May 2003

• Define a lipoma. What are the various types of lipoma? Describe the clinical features. Enumerate the complications. How will you treat a lipoma? (1+2+2+1+1=7) Paper I May 2002
• A 40 year old man presents with previosly reducible swelling which is associated with pain abdomen and vomitting. Discuss the diagnosis. Describe the management of this case. (2+5=7) Paper I May 2002
• Write short note on: Factors affecting wound healing. Paper I May 2002
• Write short note on: Clinical features of Hemorrhagic shock Paper I May 2002
• Write short note on: Indications for blood transfusion. Paper I May 2002
• Write short note on: Metabolic acidosis. Paper I May 2002

• Describe Splenic ruptture unfder the following headings: Clinical features, Investigations, Treatment of such patients (2+2+3=7)
• A 45 year old man presents with history of bleeding per rectum. What are the various causes? Describe clinical features of carcinoma of rectum. Discuss the management of carcinoma recto sigmoid junction. (2+2+3=7) Paper II May 2002
• Write short note on: Lymphatic drainage of the stomach Paper II May 2002
• Write short note on: Complications of duodenal ulcer Paper II May 2002
• Write short note on: Sigmoid volvulus Paper II May 2002
• Write short note on: Gastrostomy Paper II May 2002
• Describe the aetioloy, clinical features and management of carcinoma of penis. (1+2+4=7) Paper II May 2002
• A 32 year old chinese female presents to the clinic with history of weight loss despite a good appetite of 4 months duration and noticing a swelling in the anterior aspect of the neck of 1 month duration. What is the likely diagnosis? What are the clinical features of this condition? How will you investigate and treat her? (1+3+3=7) Paper II May 2002

• A 60 year old male presents with dyspepsia, malena and palpable mass in the epigastric region. Discuss the evaluation and management. (7+8=15) Paper II June 2005
• Discuss the clinical features management and complications of acute cholecystitis. (5+5+5=15) Paper II June 2005
• Write short notes on: Apendicular mass Paper II June 2005
• Write short notes on: Proctoscopy Paper II June 2005
• Write short notes on: Treatment of Haemorrhoids Paper II June 2005
• Write short notes on: complications of colonic divertuculosis. Paper II June 2005
• Discuss the clinical features and management of left sided renal cell carcinoma (15) Paper II June 2005
• A 55 year old comes with the swelling in preauricular reigon of 15 years duration. Discuss the differential diagnosis and management of this patient. (7+8=15) Paper II June 2005
• Write short notes on: Tension Pneumothorax Paper II June 2005
• Write short notes on: Extradural hemorrhage Paper II June 2005
• Write short notes on: Investigations for dysphagia Paper II June 2005
• Write short notes on: Spinal anesthesia Paper II June 2005