[Sanju]

Department of Surgery
Kathmandu Medical College Teaching Hospital

V Semester, 2002

1. Discuss the metabolic response to trauma. How can it be modified?(9+6=15)

2.
a. What are the causes of acute abdomen? How will you proceed to manage a case of acute abdomen?(5+5=10)
b. What are the complications of peptic ulcer? How will you manage a case of Peloric stenosis?(5+5=10)

3.
a. Classify wounds and outline its principles of management.(5+5=10)
b. Outline the principle of management of mass causality in Accident and Emergency department.(10)

4. Short notes on:
a. Pre-renal and renal failure.(5)
b. Differentiate between oxygenation and ventilation failure.(5)
c. Differential diagnosis of right iliac fossa mass.(5)


V Semester
1.
a. Enumerate factors influencing wound healing.(3)
b. What are the types of wound healing with examples?(4)
c. How do you classify wounds with examples.(3)

2.
a. Define and classify ulcer.(2)
b. Write down the causes of persistence of sinus or fistula.(3)
c. Define varicose vein and its management.(5)

3.
a. List scrotal swelling in 35 yrs old male?(3)
b. What are the causes of hydrocele?(2)
c. Describe the causes of femoral hernia?(1)
d. How will you manage the patient of 75 yrs with strangulated inguinal hernia?(4)

4. What are the difference between Omphalocele and Gastrochisisc & their management.(10)

5. What are the complications of Cryptoorchidism & management of undescended testis.(10)

6.
a. Enumerate the risk factors for gastric carcinoma.