V & VI Semester Questions - Surgery

Sanju · 08:18 PM

Department of Surgery
Kathmandu Medical College Teaching Hospital

V semester, 11th December, 2006 Time: 2:00 hours

Section A
1. What is Enteral nutrition? What are the routes? How do you assess nutritional requirements? (3+4+5)
2. A) Describe metabolic response to trauma. (6)
B) How do you calculate the daily fluid requirement? (5)
3. Short notes: (4x3)
a. Hyperkalemia
b. Sinus
c. Metabolic acidosis

Section B
1. What is peritonitis? Classify it and mention aetiological factors. Describe the management in brief. (2+4+6)
2.
a. Define fistula. What are the causes of non-healing of fistula? (3+3)
b. Describe wound healing. (5)
3. Short notes: (4x3)
a. ANDI
b. Water intoxication
c. Hypoxia

V Semester, 2005

Section A
1. Define and classify haemorrhage. What are the complications of blood transfusion? Discuss the management of mismatch blood transfusion. (1+2+4+5)
2.
a. What are the different phases of trauma care? Discuss triage. (3+3)
b. Give an account to metabolic response to surgery. (5)
3. Short notes: (4x3)
a. Enteral nutrition
b. Hyperkalemia
c. Glasgow Coma Scale

Section B
1. Define and classify shock. Discuss its pathophysiology. How will you approach a case of septicaemic shock? (3+4+5)
2.
a. Classify benign breast diseases. What is ANDI? (3+3)
b. Differentiate between hypertrophic scar and keloid. (5)
3. Short notes: (4x3)
a. Fistula
b. Metabolic acidosis
c. Port Wine stain

VI semester 6th December, 2006

Section A
1. Define and classify haemorrhage. What are the complications of blood transfusion? Discuss the management of mismatch blood transfusion. (3+3+6)
2. What is haematemesis? What are the causes of Upper GI bleeding? How will you manage a case of oesophageal varices? (3+3+5)
3. Short notes: (4x3)
a. Total Parenteral Nutrition
b. ERCP
c. Flial chest

Section B
1. Define and classify shock. Discuss its pathophysiology. How will you approach a case of septicaemic shock? (3+3+6)
2. Discuss the clinical features and sequelae of acute appendicitis. Illustrate the principles of management of appendicular lump. (5+6)
3. Short notes: (4x3)
a. Embolism
b. Hyperkalemia
c. SIRS

Khushboo · **Re: V adn VI Semester Qestions - SURGERY -** 16-10-2007, 06:48 PM

Thanx a lot Sanju.

Hope most of the student will be benifitted from this......

Sanju · 08:23 PM

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.