“GNIQUE'S COCR ( Chapterwise University Questions ) fe) h Website :- www.uniquepublications.ce eX ~ir’ M.B.B.S. (Part-ll) with Solved MUHS MCQs__(I Edition) by UNIQUE PUBLICATIONS ~ “ PREFACE A sincere attempt has been made in this book to present a thorough exposition of MUHS questions (MCQ's, SAQ's, and LAQ's), along with CHAPTERWISE DISTRIBUTION OF UNIVERSITY QUESTIONS AS PER INDEX OF STANDARD BOOKS. Extensive coverage of previous university questions have added beauty of the book, Contents :- MUHS MCQ Question papers and answers. Chapterwise distribution of University Questions according to INDEX OF STANDARD BOOKS. MVHS Syllabus. MUUHS Question papers from 1999 to SUMMER 2017. Other University Question papers for reference. ‘The authors, editors, contributors and the publisher have as far as possible, taken care to ensure that the information given in the book.is accurate and uptodate. It is not possible for the 6ooR,to be entirely free from human errors, some inaccuracies, ambiguities and topographical mistakes. We would welcome feedback,and suggestions from teachers and students for Surther improvement of the book, AML the Best for Exams !! Unique Publications widB.B.S. (Part-ll) with Solved MUHS MCQs_ (I Edition) by UNIQUE PUBLICATIONS NSS a UL EEERGEGARDN | CHAPTERWISE DISTRIBUTION QUESTIONS GENERAL SURGERY PART ONE : PRINCIPLES Ch. Chapter Name No. . 1, Metabolic response to injury. 1 2, Shock and blood transfusion. 1 3. Wounds, tissue repair and scars. 4 4, Basic surgical skills and anastomoses. 5 5, Surgical infection... 6 6. Surgery in the tropics. 8 7. Principles of laparoscopic and robotic surge 10 8. Principles of paediatric surge 10 9. Principles of oncology... 1 10. Surgical audit and clinical research. 12 11. Surgical ethics and law. 13 12. Patient safety.. 13, F PART TWO’: INVESTIGATION AND DIAGNOSIS 43. Diagnostic imaging... 13, 44, Gastrointestinal endoscopy, 14 15. Tissue diagnosis 14 PART THREE : PREOPERATIVE CARE 16. Preoperative preparation 15 . 17. Anaesthesia and pain’relie 15 18. Caie in the operating room. 16 19. Perioperative management of the high risk surgical patient. 17 20. Nutrition and fluid therapy 21. Postoperative care... 22. Day case surgery... PART FOUR : TRAUMA 23. Introduction to trauma... 24. Early assessment and management of traum 25. Emergency neurosurgery... 26. Neck and spine. 27. Maxillofacial trauma.. 28. Torso trauma.. 29. Extremity traum 30. Burns...........+. . Plasti¢ and reconstructive surge!Ur? M.B.B.S. (Part-I) with Solved MUHS MCQs 3: . Disaster surgery... PART FIVE LECTIVE ORTHOPAEDICS. . History taking and clinical examination in musculoskeletal 34. 35. 36, 37. 38. 39. 40. 41. 42. 43. 46. 47 48. 49. 50. 51. 52. 53. 55. 56. 57. 58. 60. 61 . The eye and orbit 45. 59. 62. , 63. disease. 28 Sports medicine and sports injuries 28 The spine. 28 Upper limb - pathology, assessment and management. 29 Hip and knee. Foot and ankle. Musculoskeletal tumours... Infection of the bones and joints. Paediatric orthopaedics... PART SIX : SKIN AND SUBCUTANEOUS. Skin and subcutaneous tissue PART SEVEN : HEAD AND NECK. Elective neurosurgery. Cleft lip and palate : mouth and jaws... The nose and sinuses. The ear... Pharynx, larynx and neck. Oropharyngeal cancer... Disorders of the salivary glands. PART EIGHT : BREAST AND ENDOCRINE. The thyroid and parathyroid glands. The adrenal glands and other abdominal endocrine disorders The breast. abnormalities of the face, The thorax... PART TEN : VASCULAR. Arterial disorders. Venous disorders. Lymphatic disorders PART ELEVEN History and examination of the abdomen, Abdominal wall, hernia and umbilicus... The peritoneum, omentum, cee) and retroperitoneal space. The oesophagus... Stomach and duodenu (Edition) by UNIQUE PUBLICATIONS!iit! M.B.B.S. (Part-Il) with Solved MUHS MCQs__ (I Edition) by UNIQUE PUBLICATIONS. . Deformities and Their Management. . Bariatric surget wy * 65. The liver. _ 66. The spleen 75 67. The gall bladder and bile ducts. 77 68. The pan >as 83 69. The small and large intestines. 86 70. Intestinal obstruction. 90 93 95 . The vermiform appendi: . The rectum... . The anus and anal canal.......... PART TWELVE : GENITOURINARY. . Urinary symptoms and investigations. 98 |. The kidneys and ureters. . The urinary bladder... . The prostate and seminal vesicles. . Urethra and penis . Testis and scrotum. . Gynaecology... PART THIRTEEN : TRANSPLANTATION. . Transplanatation Appendix 1 : Common instruments used in general surgery.. .. Miscellanous.. oe CHAP” |UTION QUESTIONS. ORTHOPAEDICS - BY J. Maheshwari Orthopaedic Trauma : Introduction. Anatomy of Bone and Fracture Healing.. Treatment of Fractures : General Principle: Splints and Tractions.. Recent Advances in the Treatment of Fracture: Approach to a Patient with Limb Injury. Complications of Fractures... af Injury to joints : Dislocation and Subluxation... Fractures in Children. . Peripheral Nerve Injurie: . Treatment of Orthopaedic Disorders : A General Review. . Injuries Around the shoulders, Fracture Humerus. . Injuries Around the Elbow.. . Injuries of the Forearm and Wrist . Hand Injuries.iif M.B.B.S. (Part-Il) with Solved MUHS MCQs__(1 Edition) by UNIQUE PUBLICATIONS 2 17. Pelvic Fractures... y 18. Injuries Around the Hip. 19. Fractures Shaft of Femu 20. Injuries Around the Knee... 21, Injuries to the Leg, Ankle and Foot. 22. Infections of Bones and Joints. 23. Tuberculosis of Bones and Joints 24. Infections of the Hand. 25. Congenital Talipes Equino Varus (CTEV). 26. Congenital Dislocation of the Hip and other Malformations. 27. Poliomyelitis and Other Neuromuscular Disorders... 138 28. Bone Tumours. 29. Prolapsed Intervertebral Dis: 30. Approach to a Patient with Back Pain 31. Spinal Injuries... 32, Traumatic Paraplegia. 33. Scoliosis and other Spinal Detomites! 34. Arthritis and Related Diseases.... 35. Degenerative Disorders. 36. Affections of the Soft Tissues. 37. Metabolic Bone Disease...... 38. Miscellaneous Affections of the Bone. 39. Miscellaneous Regional Disease... 40. Amputations, Prosthetics and Orthotics. 41. Arthroscopic Surgery. 42. Joint Replacement Surgery. 43. Miscellaneous. GENERAL SURGERY.| MUHS QPS OF SECTION - (B & C)..... GENERAL SURGERY.II MUHS QPS OF SECTION - (B & C).. CHAPTERWISE DISTRIBUTION QUESTIONS of GENERAL MEDICINE Diseases of Blood...... f Diseases of the Respiratory System Immunological Factors in Dieases. Diseases of the Skin... Diseases of the Nervous System Diseases of the Liver and Biliary System Diseases of Cardiovascular System... Diseases of the Gastrointestinal System... Diseases of the Connective Tissues and Joints. 0. Acute Poisoning and Environmental Emergencies... hee —-—— iv}. BODNOTEYNSue M.B.B.S. (Part-ll) with Solved MUHS.MCQs__(I* Edition) by UNIQUE PUBLICATIONS A . Nutritional Factors in Disease. ; Psychiatry, 256 | +3. Oncology. 260 j 14. Genetics and Disease: : 261 ‘ 15. Disturbances in Water, Electrolyte and Acid-Base Balance. 263 16. Diseases of the Kidneys and Genitourinary System. 17. Diseases Due to Infections... 18. Endocrine and Metabolic Diseases. 19. Miscellaneous... MEDICINE & ALLIED SUBJECTS- | MUHS QPS (Section - B & C) MEDICINE & ALLIED SUBJECTS-II MUHS QPS (Section - B & C)... CHAPTERWISE DISTRIBUTION 1 QUESTIONS OF OBSTETRICS : Anatomy of Female Reproductive Organs. Fundamentals of Reproduction... The Placenta and Fetal Membranes. The Fetus. Physiological changes during pregnanc Endocrinology in relation to reproduction. Diagnosis of pregnano The fetus-in-utero.... Fetal Skull and Maternal Pelvis... 10. Antenatal care, Pre-conceptional counselling and care. 11. Antental assessment of fetal well being 12. Normal Labour... 13. Normal Puerperium. 14. Vomiting in pregnancy... 15. Haemorrhage in early pregnancy. 16. Mutiple pregnancy, Hydramnios and Abnormalities of Placenta and cord 17. Hypertensive disorders in pregnancy 18. Antepartum Haemorthage.... 19. Medical and Surgical illness complicating pregnancy. 20. Gynaecological disorders in pregnancy...... 21. Preterm labour, Preterm rupture of the membranes, postmaturity, intrauterine fetal death 22. Special cases........... ; 23. Contracted pelvis... 24. Abnormal Uterine Action. 25. Malposition, Malpresentation and cord prolase y, 26. Prolonged labour, Obstructed labour, Dystocia caused by... = WW) = PENMAN PoON>aUF! M.B.B.S. (Part-ll) with Solved MUHS MCQs__(P* Edition) by UNIQUE PUBLICATIONS r Fetal Anomalies... Complications of the third stage of labour. Bs Injuries of the birth canal. 29. Abnormalities of the puerperium. 30. The term newborn infant... 31. Low birth weight baby... 32. Diseases of the fetus and the newborn. 33. Pharmacotherapeutics in obstetrics.. 34. Induction of labour. 35. Population dynamics and contro of conceptior 36. Operative Obstetrics... 37. Safe Motherhood, Epidemiology of Obstetrics. 38. Special topics in Obstetrics. 39. Current Topics in Obstetrics 40. Imaging in Obstetrics, Amniocentesis and Guides to clinica Tests... 41. Practical Obstetrics. CHAPTERWISE DISTRIBUTION QUESTIONS OF GYANAECOLOGY 1, Anatomy. 373 2. Normal Histology. 375 3. Physiology... 375 4, Paediatric Gynaecology, Adolescent Problems and Puberty......._ 376 5. Perimenopause, Menopause, Premature Menopause and 377 Postmenopausal Bleeding 6. Gynaecological Diagnosis... 7. Malformations of the Female Generative Organs. 8. Sex and Intersexualit 9. Diseases of the vulva 10. Diseases of the vagina. 11. Sexually Transmitted Diseases in the female. 12. Tuberculosis of the genital tract. 13. Injuries of the female genital tract. 14. Injuries to the intestinal tract... 15. Diseases of the urinary system. 16. Genital Fistulae and stress urinary incontinenc 17. The Pathology of conception 18. Birth control and medical termination of pregnancy. 19. Gestational trophoblastic neoplasias or diseases. 20. Ectopic Gestation... a Disorders of Menstruation.en ik? M.B.B.S. (Part-ll) with Solved MUHS MCQs__(I" Edition) by UNIQUE PUBLICATIONS Po. Menorrhagia and dysfunctional uterine bleeding. “ 23. Hormonal thepary in gynaecology... 24. Inflammation of the uterus and the cervi 25. Genital Prolapse... 26. Displacements... 27. Fibromyomas of the uterus ‘and uterine polyps. 28. Disorders of the ovary and benign tumou 29. Gynaecologic Oncolog: 2 30. Radiation therapy and chemotherapy for Gynaecologic cancer.. 406 31. Pelvic Inflammatory Disease. 32. Acute and Chronic Pelvic Pain. 33. Disorders of Broad Ligament, Fallopian Tubes and Parametrium.... 34. Endometriosis and Adenomyosis. 35. Breast... . 408 36. Endoscopy in Gynaecology... . 409 37. Imaging Modalities in Gynaecology. . 409 38. Re-Surgery.... 409 OBSTETRIC & GYNAECOLOGY-| MUHS QPS of Section - (B & C)... OBSTETRIC & GYNAECOLOGY-II MUHS QPS of Section - (B &.C)... CHAPTERWISE DISTRIBUTION QUESTIONS|PEDIATRICS \ 1. Introduction of Pediatrics. .. 439 2. Normal Growth and its Disorder: 439 3. Development... . 440 4. Adolescent Health and Development 441 5. Fluid and Electrolyte Disturbances . 442 6. Nutrition... , . 442 7. Micronutrients in Health and Diseas . 444 8. Newborn Infants..... 446 9. Immunization and Immunodeficiency. . 451 10. Infections and Infestations... . 452 11. Diseases of Gastrointestinal System and Liver. 456 12, Hematological Disorder: 458 13. Otolaryngology..... 461 14. Disorders of Respiratory System 462 15. Disorders of Cardiovascular System: . 464 16. Disorders of Kidney and Urinary Tract. 467 , 17. Endocrine and Metabolic Disorders 470 : @ os : Son : a AUr M.B.B.S. (Part-ll) with Solved MUHS MCQs__(I* Edition) by UNIQUE PUBLICATIONS a 474 475 476 Pi. Central Nervous System. 19. Neuromuscular Disorders. Childhood Malignancies. 21. Rheumatological Disorder 22. Genetic Disorders... 476 23. Inborn Errors of Metabolism. 477 24. Eye Disorders... 477 25. Skin Disorders. 478 26. Poisonings, Injuries and Accidents 478 27. Pediatrics Critical Care... 478 28. Common Medical Procedures.. 478 29. Rational Drug Therapy..........- 479 30. Integrated Management of Neonatal and childhood liness, 479 31. Rights of Children... 479 PAEDIATRIC MUHS QPS of SECTION - (B&C). . 480 oO oSI M.B.B.S. (Part-I) with Solved MUHS MCQs__ (I Edition) by UNIQUE PUBLICATIONS PART ONE : PRINCIPLES 1. Metabolic response to injury. MCQ None SAQ None LAQ None 2. Shock and blood transfusion. McQ 1) Complications of massive transfusion include all of the following except (M-03)(W-16) a)Acidosis _b)Coagulopathy c) Hypothermia __—_d) Hypercalcemia 2) Most suitable fluid for initial resuscitation in hypovolumic shock is (M-03) a)Ringerlactate b)5% dextrose _c)Normal Saline _d) Colloids. 3) _ Features of Hypo volumic shock are all EXCEPT (N-04) a) Oliguria b)Bradycardiac)LowBP —_d) Acidosis, 4) Weighing of swabs post operativelyis a method to assess (N-08) a) Coagulation disorder b) Packed cell volume c) Blood loss d) Acidosis 5) The measurement of Central Venous Pressure(CVP)is useful in distinguishing between (N-08) a) Anaphylactic and vasovagal shock b) _Cardiogenic and hypovolemic shock c) Psychogenic and septic shock d) _ Neurogenicand bums shock 6) Secondary haemorrhage occurs (N-09) a)Atthe time of surgery b) Within 24 hours of surgery ¢)7-14 days following surgery _d) None of the above 7) Secondary haemorrhage usually occurs at the following duration of time in relation to surgery (N-10) a)Atthe time of surgery b) Within 24 hours ¢) Within 72 hours d)7 to 14 days after surgery 8) Preoperative Transfusions are considered EXCEPT (W-11) a) Major surgery. b) Haemoglobin level less than 8g dt". c) Surgery in rare blood group patient. ——ure M.B.B.S. (Part-ll) with Solved MUHS MCQs_(I" Edition) by UNIQUE PUBLICATIONS d) Haemoglobin levels are 10gd1*. _y 9) _ Reactionary haemorrhage occurs within (S-42) a) 1-2 days b)2-7days )<24hours —_d)Ater 7 days 410) The skinis warm and dry in (S-13) a) Septic shock b) Burn shock c) Anaphylactic shock d) Haemorthagic shock 41) External Bleeding in an injured patient is best controlled by (8-13) a) Direct pressure b) Tourniquet ¢) Adrenaline spray d) Limb elevation 42) Which of the following is NOT an example of distributive shock ?(W-13) a) Anaphylaxis b) Sepsis ¢) Massive Pulmonary Embolus d) Spinal cord injury 43) Decompensation of circulatory system occurs when loss of circulating volume is more than. (W-13) a) 20-30% b) 30-40% c) 40-50% d) 50-60% 1) The commonest site of fracture of mandibles (N-10) a) Condyiar | neck b) Coronoig Process ©) Angle of mandible 4) Through canine fossa 2) Best view of mandible is (W-1: 5) a) Anterio-posterior b) Lateral Oblique 4) Orthopentogram 3) Patient complaints of inability to close his mouth after ®pisode of yawning, He is suffering from ($16) a) masseter spasm, 5) tetanus, c) Fracture of temporomancibular joint, qd) Subluxation of temporomandibularjoint, SAQ None LAQ None 28. Torso Trauma. McQ 1) ~ Bleeding from cystic artery is best controlled by the maneuver of (N-03) a) Pringle b)Trendelenbug —¢) Fowler 4d) Moynihm 2) Weighing of swabs post operatively is a method toassess (N-08) @) Coagulation disorder ) Packed cell volume ©) Blood loss d) Acidosis 3) _ Investigation of choice for blunt abdominal trauma in an unstable Patients (N-09) a) X-ray abdomen b)MRI ¢)CT Scan 4) Portable USG 4) Pringle's manoeuvres to Stop bleeding from (N-09) a) Gastric artery b) Hepatic artery ©) Splenic artery ) Superior mesenteric artery 8) Most common organ to rupture following blunt abdominal trauma is (M-10) 2)Spleen_b) Mesentery ¢)Kidney dy Rectum 8) _ Kehr's signs associated wth (N-10) a) Liver trauma ©) Splenic rupture ©) Head injury 4) Renal trauma 7) Tachypnoea, dyspnoea and neck veins distension constitutes the clinical Presentation of (M11) a) Flail chest 5) Tension Pheumothorax ©) Haemothorax 9) Open pneumothorax 8) Pericardial aspiration is usually done through (M-11) a) Subxiphoid region 5) Subcostal region ©) Left fourth intercostal 9) Left second intercostal Space 9) Allars indications of urgent ‘horatotomy EXCEPT (W-11)‘M.B.B.S. (Part-ll) with Solved MUHS MCQs__(?* Edition) by UNIQUE PUBLICATIONS ; a) _ Initial drainage more than 1500 ml blood : b) Ongoing haemorrhage of 200 mi/hr for 3 - 4 hours ¢) 150ml blood in the Pleural Space d) Massive haemothorax 10) The diagnosis of flail chest is done by (W-13) a) Clinical examination b) X-rays c)CT scan 4) MRI 11) The boundaries of triangle of safety for insertion of intercostal drain does NOT include (W-13) a) Anterior to posterior axillary line. b) Anterior to midaxillary line. c) Above the level of nipple. 4) Lateral to pectoralis major muscle. 12) Amanis brought to casualty with multiple rib fractures with paradoxical movement of chest. The managements (S-15) a) Tracheostomy b) Consult cardiothoracic surgeon c) Strapping d) Intermittent positive pressure Ventilation 13) Manohar met with RTA and had blunt trauma of abdomen. On arrival in causalty he had tachycardia, hypotension and pallor. He must be having (S-16) a) splenic injury b) kidney injury c) rectal injury d) mysentric injury 14 50 year old man brought to casualty with shock, on investigation, he has. hemoperitoneum. Emergency laparotomy shows lacerations at three sites on spleen, the better option is (S-16) a) splenoraphy. b) _ splenectomy. c) packing with sponge. d) haemostasis of spenic injury with electro cautery/heamostatic agents. 15) Pringle manoeuvre is used during surgical management of traumatic injury of the (W-16) a) Pancreas b) Liver c)Spleen —_d) Rectum 16) Kehr's sign in splenic rupture is (W-16) a) Pain over left shoulder d) Pain in right scapula c) Periumbilical pain d) Pain at renal angle SAQ 1) Flail chest. (M-11)(S-12,16) 2) Osteochondroma. (W-13) 3) Tension pneumothorax. (S-17) 4) Flailchest- whatis N, Desc. Mx. (O-79,91,92, A-90,95) 5) Pneumothorax. (A-96,91, 0-99) 6) Haemothorax. (0-93) 7) Cardiac Tamponade. (0-95) 8) _Burstabdomen. (0-96) LAQ a Whatis flail chest? Describe management of flail chest ? (0-02) .mt M.8.B.S. (Part-ll) with Solved MUHS MCQs__(I* Edition) by UNIQUE PUBLICATI Z ) Describe the clinical features & management of Splenic Rupture (M-08)(A-2000) 3) _ Describe the mechanism and pathophysiology of blunt trauma abdomen. How will you manage a 27 yr young patient presented to you in casualty with history of injury to abdomen one hour back due to turning turtle of autorickshaw if his BP and Pulse rate is 90/60 mm of Hg and 120/min respectively ? (W-13) 4) Describe the clinical manifestations complications, and management of non- penetrating trauma to the chest. (A-85) 5) Discuss investigations and management of bluntabdominal trauma (O-75,83, 4-93) 8) _ Discuss clinical features and management of penetrating abdominal-trauma. (A-95) 7) Describe various injuries of thorax & their management. (A-73, 0-83) 8) Describe diagnosis, management & treatment ina case of pneumothorax (0-84) 9) Management of haemothorax. (A-88) 29. Extremity Trauma. McQ None SAQ None LAQ None 30. Burns. McQ 1) Burns involving the front of chest and abdomen in an adult account for (M-03) a)9% — b) 18% ©) 27% d) 36% 2) Third degree burns are characterised by (M-04) a) Erythema without blisters b) Red moist skin with blisters ¢) Savior pain and hyperasthesia d) Loss of sensations and anaesthesic 3) Frostbite is caused by (N-08) a) Poisonous snake bite b) Scorpion bite ¢) Exposure toextremecold —_d) insect bite 4) Burns involving the head and neck in a child aged 1 year accounts for the following percentage of body surface area (N-10) a) 9% b) 12% ©) 18% d) 27% 5) Different types of surgical dressings are (M-11) a) Bead dressing, polymeric films b) Hydrocelluloids, fibrous polymers c) Hydrogeles and foams i d) All of the above —M.B.B.S, (Part-ll) with Solved MUHS MCQs__(I" Edition) by UNIQUE PUBLICATIONS 6) Following is NOT major determinant of outcome of Burns case (W-11) oo a) H/o suicidal/Homocidal Bums b) Percentage surface area involved c) Depth of Burns 4d) Presence of inhalation injury 7) Inthe early local management of burns (S-12) a) _ superficial burns should never be left exposed to atmosphere b) wounds should be meticulously cleansed and devitalized tissue excised c) _ partial-thickness burns require early split skin grafting d) dressings should be occlusive, nonabsorptive and changed ona daily basis 8) Which of the following is NOT the indication of hospitalisation ? (S-13) a) 5% burns in child b) 15% deep burns c) 10% scald in a child d) Electrical burns 9) Curlings ulcer is seen in (S-13) a) Burn patient b) Patient with head injury c)Analgesicdrugabuse _d) Alcoholics. 10) Most Common cause of death due to burn in early period is (S-13) a) Hypovolemic shock b)Sepsis __c) Both d)None 11) Whatis the most important aspect of management of Burn injury in first 24 hours ? (S-15) a) Fluid resussciation b) Dressing c) Escharotomy ) Antibiotics 12) Rule of nine to estimate surface area of burnt patient was introduced by (8-15) a) Martiz Kaposi b) Alexander Wallace c) Joseph Lister d) Thomas Barclay 13) Late death in bums is due to (W-15) a)Sepsis —_b)Hypovolemia_—c) Contracture —_-d) Neurogenic 14) Parkland formula, used for calculation of fluid requirement in burn patients is (W-16) a) Total percentage body surface area burned x weight (kg) x 4= volume (ml). b) Total percentage body surface area burned x weight (kg) x 3 = volume (m)) c) Total percentage body surface area burned x weight (kg) x 2 = volume (m\), 4) Total percentage body surface area burned x weight (kg) x 1 = volume (m). SAQ 1) Whatis the surgical management of deep burns ? (M-06) 2) Whats surgical management of deep burns. (J-06) 3) _ Fluid calculation in 50 % burn patient weighing 60 kg. (S-17) 4) Electric burns. (0-92) 5) Fluid replacement in burns. (A-93) — @ wdMH M.8.8.S. (Part-I) with Solved MUHS MCQs (" Edition) by UNIQUE PUBL s 8) Complications of bums. (A-87) wa 7) Post burn contracture. (0-94) LAQ 1) _ Describe types and pathophysiology of Bums. How you will manage a patient of 40% bums ? (M-07) 2) _ Describe the pathophysiology of bums. Discuss management of 15% deep burns in 35 yr. old male. (N-07) 3) _ Describe pathophysiology of burn injury. Discuss early management of 60 % burns in 50 kg adult male. (N-08) 4) Classify bums. Describe in brief clinical features, investigations and management of 50% superficial thermal bums. (S-16) > 5) Describe the management of burns, (0-73,84) 8) Manage 30% bums case involving extremities, (0-81) 7) Discuss the management of 40% bums. (A-95) 8) Manage patient with 50% burns. (0-86) ®) Discuss the pathophysiology and focal management of Burns. (A-2000) 10) Management of 60% bums in 50 kg adult female upto lweek. (M-03). 11) Describe types and pathophysiology of Bums, How you will manage a patient 0 40% burns ? (M-07) ¢ 31. Plastic and reconstructive surgery. mcq- 1) Graft taken from another individual of the same species is a(M-03) a)Autograft b) Allograft c)|sograft.d). Xenograft 2) Partial thickness graft is not taken up on following (N-03) a)Exposedbone b)Muscle _c) Granulation tissue d) Rawarea 8) Wolfe's graftis a type of skin graft which is (N-1 0) 2)Partial thickness __b) Intermediate thickness ¢) Full thickness d) Pedicle graft 4) Who said “Skin is the best dressing” ? (N-10)(W-14) a) Joseph Lister b)John Hunter c) James Paget d) McNeill Love 5) Within 48 hours of skin grafting, the graft survives due to(N-10) @) _ Saline poured over the graft during surgery. b) Plasma inhibition. ©) New vessels growing from donor site. 4) None ofthe above. 6) Split skin graft consists of (W-11) a) Epidermis only. 5) Epidermis and variable amount of dermis. ©) Dermis only. 4d) _ Epidermis and whole of dermis. 7) Split skin graftcan be applied over ($-13) a)Muscle —_b) Bone ©) Cartilage d) Tendon ihpores: UF? M.B.B.S. (Part-ll) with Solved MUHS MCQs__(I" Edition) by UNIQUE PUBLICATIONS - £5) Wolfs graftis (S-13) ™ a) Split thickness graft b) Full thickness graft Bt c) Muscle flap d) Pedicle flap oe .. is the best dressing. (W-13) a)Amnion —_b) Skin c) Tullegrass d) Povidone iodine P 10) Abbey Estlander flap is used in the reconstruction of (W-14) Fs a) Buccal mucosa b)Lip c)Tongue —d) Palate , 11) Split skin graft for first 48 hrs survives on. (S-16) Ent a) neoangiogenesis b) inflammatory reaction c) wet dressing 4) plasma imbibitions SAQ 1) Distinguish between partial thickness skin graft and full thickness skin graft. (M-04,06) 2) _ Indications and types of skin grafting, (M-08) 3) _Splitthickness skin graft. (S-14) 4) Partial thickness skin graft. (O-2000) nt 5) Types of flaps & mention one indication of each. (0-02) 6) Types of flaps in reconstructive surgery. (S-15) 7) Skin Grafting. (W-16)(S-17) 8) Skin grafts and its types. (A-79,91,0-85,86,88,89,98) 9) Pedicle graft. (0-88, A-93) 10) Myocutaneous flaps. (0-94) LAQ None 32. Disaster Surgery. McQ 1) Hyperbaric oxygen is useful in treatment of (M-10)(W-12) a) Tetanus b) Gas gangrene c) Frost bite d) Vincent's angina 2) _ Intriage Red color lable indicates the case requiring (M-11) a) Urgent medical help b) Nonurgent medical help c) Immediate medical help _d)Nonsalvagable 3) Gas gangrene can be caused by (S-13) a) Clostridium welchii (perfringens) —_b) Clostridium histolyticum c) Clostridium novyi d)Allof above 4) Alkalization of urine is indicated in (W-13) a) Second degree burns b) Crush syndrome c) Necrotizing fascitis d) Spreading cellulitis 5) _ Series of stress waves produced due to impact of blast pressure wave is likely to cause injury to following organs, EXCEPT (W-13) a)ear b) lung c)GIT ) bone 6) _Commonest organ injured in blast injury is. (W-16) a) Liver b) Lung c) Spleen d) Pancreas Sn —® —_——d lierIt? M.B.B.S. (Part-ll) with Solved MUHS MCQs_— (P* Edition) by UNIQUE PUBLICATION: f SAQ 3 1)__Crush Syndrome. (W-13) LAQ 1) _ Discuss the metabolic response of body following a major surgical trauma (0-96) 2) Describe the aetiology, clinical features, investigations and management of Gas Gangrene of foot. (0-99) PART FIVE : ELECTIVE ORTHOPAEDICS 33. History taking and clinical examination in musculoskeletal disease. McQ 1) Winging of scapula indicates injury to which of the following nerves ?(S-14), a) Axillary nerve b) Long thoracic nerve c) Radial nerve d) Median nerve 2) _ Intennis elbow the pain is localized near(S-14) a) The medial epicondyle of humerus. b) Thelateral epicondyle of humerus. c) Near the shaft of humerus. d) Onthe cubital fossa 3) Allen test (W-14) a) Thoracic outlet compression _b) Presence of cervical rib ¢) Intergrity of palmer arch d) Digital blood flow SAQ None LAQ a None 34. Sports medicine and Sports injuries. McQ None SAQ None LAQ None 35. The spine. McQ 1) Most common type of spina bifida is (M-03) a)Meningocele —_b) Myelomeningocele c) Myelocele 4) Spina bifida occulta Q 1) Spina bifida. (0-2000) LAQ