|| OM NAMAH SHIVAY ||

SURGERY

III MBBS Part-II

By:
Dr. DHAVAL VORA

JUST DO IT Page 1
Dr. D B VORA
 || OM NAMAH SHIVAY ||
List of books recommended for the subject:
Standard book I m sure everyone must be aware of the
BAILEY and LOVE.
(use it as reference but writing answer is slightly less possible)
So I used to refer to MAKHANLAL SAHA. Though a clinical
book it can be used to make notes for all questions
SRB – its simple but vast
MANIPAL – danger*** but easy to just pass with it
For some topics REVIEW of SURGERY by AMIT ASHISH
latest edition is THE BESTT simple and complete.
For Passing: Exam Prep manual by RONAK DESAI
PRACTICAL:
All time needed: S DAS
And MAKHANLAL SAHA
Surgical anatomy : Mcgregor.
(I frankly dint like Shenoy sir’s notes its huge and very chindi
and very basic, so its upto you to refer)

JUST DO IT Page 2
Dr. D B VORA
 || OM NAMAH SHIVAY ||
Before I start the question bank and exam pattern I would like to
DEDICATE
This QUE BANK SPECIALLY to my TEACHERS for helping
me gain the maximum knowledge and TOP the subject.
EXAM PATTERN
Theory: (170)
Theory Paper 1 and Paper 2: 60m + 60m
Theory Viva: 20m

Theory internals: 30m

Practicals: (130)
Practicals: 100m

Practical internals: 30m

To PASS separately in THEORY and PRACTICALS.

Total: 300 Distinction: above 222.

JUST DO IT Page 3
Dr. D B VORA
 || OM NAMAH SHIVAY ||
Usually the syllabus for
III-I will be on GENERAL SURGERY
III-III will be on GIT and GU along with Breast and Thyroid

Prelims and FINALS

PAPER 1: GENERAL SURGEY, BREAST, THYROID and
ORTHOPEDICS

PAPER 2: GIT. GENITOURINARY along with Sn on

Anaesthesia, Radiology, CVTS and Plastic Surgery

The most important part to pass Surgery exam is to have a good

internals.
It’s very important to keep strong internals as it carries 60
marks of the total. Good internals will help both the extremes of
students to pass and to Top.
So let’s understand the marking system

JUST DO IT Page 4
Dr. D B VORA
 || OM NAMAH SHIVAY ||
THEORY INTERNALS:
(30 marks)
Third year (III/I) term exam: 50m
Final year (III/IV) term exam: 50m
Prelims (only THEORY paper 1 and Paper 2): 60+60= 120m
Total: 220m
Out of 220. Internals of 30 will be calculated.
This shows that (III/I) term exam and (III/IV) term exam are
very important. So don’t take them lightly
PRACTICAL INTERNALS:
(30 marks)
 ALLIED SUBJECTS 200m
ORTHO (50): usually its average of second year and
THIRD year endpost marks
(50+50)/2
Anaesthesia (50)
Radiology (50)
Casualty (50) as such there will be no endpost during
postings but in PRELIMS there will be a table on
CASUALTY viva
 PRELIMS PRACTICALS with Theory viva: 120m

JUST DO IT Page 5
Dr. D B VORA
 || OM NAMAH SHIVAY ||
 Final year end post: 50m
 Third year endpost: 50m
 Second year endpost:50m
Total: (200+120+50+50+50 = 470m)
Out of 470 internals of 30 will be calculated
This shows that every endpost of every year is EQUALLY
important for making good internals.
Don’t aim for getting qualifying/ passing internals, AIM for
maximum. As internals are the only marks which can save your
ass in FINALS to pass. TRUST ME!!!This is possible only if
you give all endposts SERIOUSLY and not miss anyone
PRACTICALS PATTERN
For FINALS and PRELIMS:
100m Practicals and 30 m INTERNALS
Surgery:
Long case = 50m
Short case 1 = 25m

ORTHO CASE= 25m

Surgery Long case: 50m

JUST DO IT Page 6
Dr. D B VORA
 || OM NAMAH SHIVAY ||
Cases will be allotted by chit system and one case will be
mentioned on it. You will have to take:
Case will be on either hernia, breast ca, varicose veins, ulcer
foot,
Usually 30 min will be give to be with the patient to examine
and take history.
Viva will be more on LOCAL EXAMINATION and
In Local examination they will see how perfectly you
PERFORM the test than asking questions. So master the method
of EXAMINATIONS
 SHORT case 1 25 marks:
Again on chit basis cases will be mentioned
You ll have to just take chief complaints and PERFORM the
EXAMINATION of the case mentioned in EACH chit.
Case can be:
Lipoma, dermoid cyst, sebaceous cyst, ulcer, umbilical hernia.
Viva will be examination related.
 ORTHO case 25marks

THEORY VIVA: (20m= 15 Surgery+ 5 Ortho)

JUST DO IT Page 7
Dr. D B VORA
 || OM NAMAH SHIVAY ||
Ortho table viva:
5m for INSTRUMENTS, Xray, BONE(femur, tibia, humerus),
OT procedure any 1.
SURGERY table viva:
5m: INSTRUMENTS, PROCEDURES chits
5m: PATHOLOGICAL SPECIMENS
5m: Xray.
Refer PICTURES and REVISION PICS of table viva before
exams.
Best book to refer: MAKANLAL SHAH
Ortho: UPADHAYAY.

THEORY
JUST DO IT Page 8
Dr. D B VORA
 || OM NAMAH SHIVAY ||
PAPER 1: GENERAL SURGEY, BREAST, THYROID and
ORTHOPEDICS

Theory Pattern: (for PRELIMS and FINALS)

Section A:
MCQ’s (20*1/2=10)
SECTION B:
LAQ 1: COMPULSORY GENERAL SURGERY 9m
LAQ 2: COMPULSORY from BREAST/ THYROID 9m
SN: any 4 out of 6 4*3m= 12m
PAPER 1: GENERAL SURGEY, BREAST, THYROID.

SECTION C: ORTHO
LAQ 3: COMPULSORY from ORTHOPEDICS 8m
SN: any 3 out of 4 (3*4= 12m)
All from ORTHO

JUST DO IT Page 9
Dr. D B VORA
 || OM NAMAH SHIVAY ||
PAPER 2: GIT. GENITOURINARY along with Sn on
Anaesthesia, Radiology, CVTS and Plastic Surgery

Theory Pattern: (for PRELIMS and FINALS)

Section A:
MCQ’s (20*1/2=10)
SECTION B: GIT
LAQ 1: COMPULSORY GIT 9m
LAQ 2: COMPULSORY GIT 9m
SN: any 4 out of 6 4*3m= 12m
PAPER 1: GIT

SECTION C:
LAQ 3: COMPULSORY from RENAL 8m
SN: any 4 out of 6 (4*3=12m)
PAPER 2: GENITOURINARY, Anaesthesia, Radiology,
Plastic Surgery/ CVTS.

JUST DO IT Page 10
Dr. D B VORA
 || OM NAMAH SHIVAY ||
PAPER 2
Section B is entirely on GIT. It’s very important and you have to
do it thoroughly.
GIT
LAQ: (2 compulsory LAQ)
1. Define HERNIA, surgical anatomy, C/f of strangulated
hernia and Principles of Management.
2. C/f of ACUTE PANCREATITIS and radiological
Investigations with TREATMENT
3. Causes of UPPER GI bleed . define PORTAL Htn, PS
anastomosis , Principles of management of ACUTE
variceal Bleeding
4. Causes, C/F and Manage Acute INTESTINAL
obstruction due to TB stricture/ IC stricture
5. C/f and Manage Acute CHOLECYSTITIS
6. C/f and Manage CHOLELITHIASIS (CBD stone)
7. Surgical anatomy of HepatoBILIARY tree, Obstructive
jaundice C/f and Manage due to CA PANCREAS head
(or) due to CBD stones.
8. ETIOPATH, sign and Symptoms, Manage CA esophagus
9. Surgical Anatomy of STOMACH : ETIOPATH, sign and
Symptoms (modes of presentation) , Manage CA stomach
10. ETIOPATH, sign and Symptoms, Manage CA
colon
JUST DO IT Page 11
Dr. D B VORA
 || OM NAMAH SHIVAY ||
11. ETIOPATH, sign and Symptoms, Manage
ACHALASIA CARDIA
12. Causes of Painless PR Bleed , ETIOPATH, sign
and Symptoms, Manage CA RECTUM
13. Sign and Symptoms, Manage PERFORATED
PEPTIC ULCER
14. Sign and Symptoms, Manage of Acute
appendicitis with complications
15. Sign and Symptoms, Manage of ENTERIC
PERFORATION
16. Sign and Symptoms, Manage SPLENIC
RUPTURE
17. Enumerate CYSTIC lesion in LIVER and Sign and
Symptoms, Manage AMOEBIC LIVER abscess or
Pyogenic LIVER abscess.

JUST DO IT Page 12
Dr. D B VORA
 || OM NAMAH SHIVAY ||
SN: (4/6) 40 sn

 UPPER ENDOSCOPY
 LOWER ENDOSCOPY
 APPENDICULAR LUMP (Causes of RIF Lump)
(Causes of RH Lump)
 APPENDICULAR ABSCESS
 GIST
 ANAL fistula
 Anal fissure
 Piles (prolapsed thrombosed)
 Pilonidal Sinus
Obstructed Hernia
Femoral Hernia
UMBILICAL hernia
EPIGASTRIC/ Lumbar Hernia
Pseudocyst Pancreas
Complication of Gall Stones
Intussusception
Murphy’s Triad
Perianal abscess
CHILDS criteria
Trichobezor
MRCP/ ERCP
 SPLENECTOMY : Indications/ complications (POSI)
JUST DO IT Page 13
Dr. D B VORA
 || OM NAMAH SHIVAY ||
 Colostomy
 Sigmoid volvulus
 Barret’s esophagus
 Charcot’s triad
 BURST ABDOMEN
 GERD
 COLONOSCOPY
 Gall stone Illeus
 Meckel’s Diverticulum
 Sangstaken Blackmore tube
 X ray of Acute IO
 Hiatus HERNIA
 Congenital H. Pyloric stenosis
 CEA
 Tumor markers
 Choledocal CYST
 PERITONITIS
 Endoscopic US.
 Digital RECTAL EXAMINATION

JUST DO IT Page 14
Dr. D B VORA
 || OM NAMAH SHIVAY ||

SECTION C
RENAL
LAQ: (1 compulsory)
1. Surgical ANATOMY OF URETER, Sign and Symptoms,
Manage upper ureteric STONE
2. Sign and Symptoms, Manage RENAL CELL CA
3. Sign and Symptoms, Manage RENAL TRAUMA
4. Sign and Symptoms, Manage URETHRAL
STRICTURE
5. Sign and Symptoms, Manage BPH
6. Define, Causes, Sign and Symptoms, Manage
HYDRONEPHROSIS
7. Types of RENAL stones, Sign and Symptoms, Manage
STAG HORN CALCULUS
8. Sign and Symptoms, Manage ACUTE RETENTION OF
URINE
9. Sign and Symptoms, Manage RENAL TB
10. Causes of HEMATURIA, INV and MANAGE
11. Sign and Symptoms, Manage CA Penis
12. Sign and Symptoms, Manage ca bladder.

JUST DO IT Page 15
Dr. D B VORA
 || OM NAMAH SHIVAY ||

SN:
GENITOURINARY, Anaesthesia, Radiology, Plastic Surgery/
CVTS.

 Manage cardiac ARREST

 CPCR
 Tracheostomy
 Intercoastal DRAINAGE
 ET intubation
Split skin grafting
Types of skin grafting
Flaps
Cleft Lip and Palate
 Spinal anaesthesia
 Pre op Preperations
 Epidural anaesthesia
 Muscle RELAXANT
 Ring block anaesthesia
 Pre anaesthetic Medications
 Universal precaution
 ERCP/ MRCP
 Xray – free gas under diaphragm
 FNAC
JUST DO IT Page 16
Dr. D B VORA
 || OM NAMAH SHIVAY ||
 Double CONTRAST
 Micturating CYSTOURETHROGRAPHY.
 Intravenous UROGRAPHY
 Diagnostic LAPROSCOPY
 Uses of USG
 PHIMOSIS
 Fourneir’s gangrene
 Undescended testis
 Lower ureteric stone
 URINARY DIVERSION
 CYSTOSCOPY
 Hypospidiasis
 Varicocele
 SEMINOMA TESTIS
 URETERIC injury
 Circumcision
 Retroperitoneal Fibrosis
 Ectopic testis
 Hydrocoele
 Torsion TESTIS
 Horse shoe kidney

********* ALL THE BEST*********

JUST DO IT Page 17
Dr. D B VORA
 || OM NAMAH SHIVAY ||

PAPER 1
SECTION B
GENERAL SURGEY, BREAST, THYROID.
LAQ:
1 LAQ compulsory from BREAST AND THYROID
 Surgical Anatomy of BREAST, Etiopathogenesis, C/f and
Manage EARLY Breast carcinoma (T1/2 N0M0) in 40 year
female.
 Surgical Anatomy of BREAST, Etiopathogenesis, C/f and
Manage ADVANCED Breast carcinoma (eg:T3N1M1) in
40 year female.
 Surgical Anatomy of THYROID, Etiopathogenesis, C/f
and Manage hypothyroidism (SOLITARY THYROID
NODULE).
 Surgical Anatomy of THYROID, Etiopathogenesis, C/f
and Manage THYROTOXICOSIS (DIFFUSE TOXIC
THYROID GOITRE).
General surgery LAQ:
1. Define WOUND, TYPES, phases of healing and factors
delaying

JUST DO IT Page 18
Dr. D B VORA
 || OM NAMAH SHIVAY ||
2. Define Ulcer, Classify, causes of non healing ulcer, C/f and
Manage DIABETIC FOOT ULCER.
3. Manage GREAT TOE GANGRENE in 30 year old chronic
smoker (TAO, burger’s disease)
4. Manage GREAT TOE GANGRENE in 60 year old chronic
smoker (DM/atherosclerotic)
5. Define tumor, TNM classification, modes of metastasis
6. Define TRIAGE, GCS , manage degloving injury in bomb
blast
7. Define necrosis, types with differences, intermittent
claudication with GRADING and Radiological inv in PVD
8. Acute arterial occlusion (embolism)
9. Etiopathogenesis, C/f and manage CERVICAL
LYMPADENOPATHY
10. Etiopathogenesis, C/f and manage EXTRADURAL
HEMATOMA (define Lucid interval)
11. Surgical Anatomy of LOWER LIMB VEINS,
Etiopathogenesis, C/f and Manage VARICOSE VEINS
12. Surgical Anatomy of LOWER LIMB VEINS,
Etiopathogenesis, C/f and Manage DVT.
13. Define BURN SHOCK, degree of burns manage
60% (40%) burn in 50kg person, dressings in burn,
EARLY and LATE complications.

JUST DO IT Page 19
Dr. D B VORA
 || OM NAMAH SHIVAY ||
14. Define WARFARE injury, high and low velocity
firearm injury, INV and Manage Blunt trauma in
ABDOMEN
15. Define Shock and manage HYPOVOLUMIC/
haemorrhagic shock.

SN:
CLW suturing
Ideal suture material
Flial chest
Autoclave
Chemical sterilization
Keloid and hypertrophic scar
Hypo/ hyperKalemia
Metabolic acidosis
ABG
 1* thyrotoxicosis
 Fibroadenoma breast
 Cystisarcoma phylloids
 Gynaecomastia
 Discharge from nipple
 Paget’s disease of nipple
 Peu d’orange

JUST DO IT Page 20
Dr. D B VORA
 || OM NAMAH SHIVAY ||
 Thyroid crisis
 ECTOPIC THYROID
 Retrosternal thyroid
 Thyroglossal cyst
 Dermoid cyst
 Sebaceous cyst
 Lipoma
 Carbuncle
 BCC
 Malignant melanoma
 DD of multiple cervical abscess
 Colar stud abscess
 Pleomorphic adenoma
 Hilton’s method of parotid abscess drainage
 Cystic hygroma
 Ideal AMPUTATION STUMP
 CVP
 Indications and TRANSFUSION REACTION
 GAS gangrene
 Types of BIOPSY
 Reactionary haemorrhage
 Inhalational burn
 Porphylaxis of DVT
 Tension penumothorax

JUST DO IT Page 21
Dr. D B VORA
 || OM NAMAH SHIVAY ||
 TPN
 rest pain
 color Doppler
 paronychia
 compound palmar ganglion
 cardiac tamponade
 Air embolism.
 Crush syndrome
 Phlegmasia cerulia dolens.

********** GOOD LUCK*********

Section C
ORTHOPEDICS
LAQ:
1. CLASSIFY, C/F and outline the Management of AVN of
Femoral head
2. CLASSIFY, C/F and outline the Management of open
fracture
3. CLASSIFY, C/F and outline the Management of
osteosarcoma
4. CLASSIFY, C/F and outline the Management of pott’s
spine .

JUST DO IT Page 22
Dr. D B VORA
 || OM NAMAH SHIVAY ||
5. CLASSIFY, C/F and outline the Management of spine
fracture. And enumerate the injuries due to fall from height
6. CLASSIFY, C/F and outline the Management of colle’s
farcture and DD of injuries from fall on outstretched hand.
7. CLASSIFY, C/F and outline the Management of
prolapsed IV Disc
8. CLASSIFY, C/F and outline the Management of fracture
of tibia fibula SHAFT
9. CLASSIFY, C/F and outline the Management of pelvic
fracture
10. CLASSIFY, C/F and outline the Management of
supracondylar fracture humerus
11. CLASSIFY, C/F and outline the Management of
acute OSTEOMYELITIS
12. CLASSIFY, C/F and outline the Management of
GAINT CELL TUMOR in tibia upper end
13. CLASSIFY, C/F and outline the Management of
intacapsular femoral neck fracture
14. Anatomy of BRACHIAL PLEXUS and c/f and
manage its injuries.

JUST DO IT Page 23
Dr. D B VORA
 || OM NAMAH SHIVAY ||

SN:
 Thomas splint
 Plaster of paris
 Tennis elbow
 CTEV
 Myositis ossificans
 Sequestrum
 Frozen shoulder
 De Quarian tenosynovitis
 Trigger finger
 Exostosis
 Potts fracture
Tb hip and knee
Plantar fasciitis
Carpel tunnel syndrome
RA criteria
Losser’s zone
GOUT
Ricket’s

JUST DO IT Page 24
Dr. D B VORA
 || OM NAMAH SHIVAY ||
Osteoporosis
Hypercalcemia
Cubitus varus
Calcitonin
Ingrowing toe nail
Spina ventosa. Tb of phalanges of the hand,affected
phalanx swells up like a balloon, x ray shows lytic
lesions distending the phalanx
John charnley
Intramedullary nail
TRENDELENBURG’S test
Dupytren’s contracture
Compartment syndrome
Malunion
Non union
Wrist drop
RADIAL NERVE PALSY
Foot drop. Foot remains in plantar flexion due to
weakness of the dorsiflexors. COMMON PERONEAL
NERVE PALSY
********** All The Best*********

JUST DO IT Page 25
Dr. D B VORA
 || OM NAMAH SHIVAY ||

A BIG THANK YOU to those who constantly supported,

always wished best and motivated me to complete all the QUE BANKS.

JUST DO IT Page 26
Dr. D B VORA