GENERAL SURGERY 9TH SEMESTER SORTED QUESTIONS

GENERAL TOPICS
• Classify wounds.what are the factors that modify wound healing?what are the methods available for apposing of wound
margin?what is meant by healing by fast intension and healing by 2nd intension.enumerate the different stages of wound
healing.(3+5+2+3+2) (SDMC)
• Define gangrene .mention different types of gangrene.how willyou manage a young male of 35 yrs with dry gangrene on his right
great toe.(2+5+8) (NBMC)
• Mention briefly the different blood products available and their indications for transfusion.how would you manage a case of
acute haemorrhagic shock.(7+8) (Murshidabad)
• Describe briefly the physiological principles of wound healing. Mention the different factors influencing wound healing.Classify
suture materials used in surgery for wound closer with a brief menti0n about their biological characteristics.(6+4+5)
(Murshidabad)
• Define shock.How will you monitor and manage case of hypovolaemic shock.(3+5+7)(KPC)
• Define Shock.What is septic shock.Describe the etiology,clinical features and outline the management of septic
shock.(2+3+3+3+4)(IQ)
• What are the factors that affect wound healing?What are the types of wound closure and healing?How will you manage
compartment syndrome?(6+4+5)(ESI)
• Define burns.Mention different types of burns.Describe management of 40% 2nd Degree burns.(3+5+7) (BSMC)
• What is an ulcer & how would you classify it?How would you proceed to examine an ulcer thoroughly step by step?Give the
clinical differentiating features of different chronic ulcer,commonly encountered clinically.Give an outline of a comprehensive
management of a chronic ulcer with special reference to the management of Diabetic Foot Ulcer(DFU).(1+2+4+4+4) (PG)
• Classify wounds.Describe management of Lacerated wound following Road Traffic Accident.(5+10) (CNMC)
• Define gangrene.Describe the management of a 30yrs old youngpatientpresented withdry gangrene on his left foot.(3+12) (RGK)
• Discuss clinical features of tetanus & measures taken for its prevention.How will you manage a case of established
tetanus.(5+3+7) (MCK)

GASTRO INTESTINAL
• Describe the aetiology & stages of perforative peritonitis.Discuss the diagnosis & management of peptic perforation.(3+3+4+5)
(MCK)
• Classify hernias of abdomen & discuss in brief the aetiology & manage ment of incisional hernia in a 30yrs old female patient in a
midline lower abdominal incision following Caesarean Section.(4+4+7) (MCK)
• Describe the clinical features,investigations,& management of duodenal ulcer perforation.(4+3+8) (RGK)
• Describe the clinical features,investigations & management of carcinoma caecum.(3+4+8) (RGK)
• A 54yrs old gentleman presents in the OPD with a history of dull,vague epigastric pain with persistently & steadily progressive
yellowish discoloration of eyes & urine for last 4months with intermittent rise of temperatures with chills & rigors for last
15days.He also gives history of recently developed anorexia & gross weight loss.On examination,his gall bladder is palpable as a
soft cystic swelling.How would you proceed to have a detailed work-up of the patient(give the diagnostic algorithm?How would
you prepare this patient for a major surgery under general inhalation anaesthesia?Enumerate the surgical & endoscopic
procedures for his treatment & palliation.(Give the outlines only) (5+5+5) (PG)
• What are the common causes of acute intestinal obstruction?What is strangulation?How willyoumanage a case of acute simple
mechanical intestinal obstruction?(5+5+5) (NRS)
• A 45yrs old patient attends OPD with recent onsetloss of apetite & weight loss.Discuss how you will proceed to investigate & treat
the patient.(6+9) (MCK)
• Describe pathogenesis,clinical features,complications & management of Acute Appendicitis.(4+3+3+5) (CNMC)
• Describe Etiopathogenesis & management of Hydatid cyst of Liver.(7+8) (CNMC)
• Define and classify intestinal obstruction. How will you diagnose and treat small intestinal obstruction?(5+5+5) (Malda)
• Enumerate the cases of bleeding per rectum.mention how it is diagnosed.outline the management of bleeding
haemaroids.(5+5+5) (Malda)
• A male patient of 40yrs of age presented with an epigastric lump, mention the probable cause and management.(7+8) (BSMC)
• Describe the clinical features,diagnosis and management of choledocolithiasis?(4+4+7)(ESI)
• What are the causes of bleeding per rectum?How will you confirm your diagnosis?What is the management of bleeding
haemorrhoids?(5+5+5)(ESI)
• Describe the pathology,clinical features and management of carcinoma of stomach.(5+5+5)(IQ)
• Describe the etiology,pathology,clinical features,management of hydatid cyst of liver.(3+4+4+4)(IQ)
• A 50yrs old man presented with vomiting of old food materials and a lump in the epigastrium.How will you diagnose and treat the
patient(8+7)(KPC)
• What are the cause of upper GI haemorrhage?How will you investigate and manage a case of haematemesis and
melaena?(5+10)(Midnapore)
• What are the functions of Spleen?Classify spleenic injuries and outline their management.(5+5+5)(Midnapore)
• A 60 yr old paitent presents with persistent and progressive jaundice of 2 months duration.How would you clinically evaluate the
patient and investigate?Mention the principles of management of obstructive stone jaundice.(10+5) (Murshidabad)
th
General Surgery 9 semester sorted questions “An NRSMC SU initiative” Page no: 1

• Enumerate comm0on cause of bleeding per rectum.how will you investigate and treat a 60yr old man presenting with bleeding
per rectum.(5+5+5) (NBMC)
• Discuss the investigation of 50yr old male presented with jaundice and palpable gall bladder. Give outline of management of the
patient.how will you prepare him for operation,if needed. (5+5+5) (NBMC)
• Enumerate the causes of portal hypertension.describe the clinical features of portal hypertension.how will you grade esophageal
varices? Give an outline of management of esophageal varices.(3+4+3+5) (SDMC)
• Describe the clinical presentation of carcinoma of stomach.how will you prove your diagnosis of carcinoma of stomach? How will
you investigate a case of carcinoma of stomach.Describe the surgical principle of carcinoma of stomach at different sites of
stomach.features of irresectibility of carcinoma of stomach.(4+3+3+3+2) (SDMC)

UROLOGY
• Enumerate the differential diagnosis of acute scrotral swellings. Describe the etiology ,signs and symptoms , differential diagnosis
and management of testicular torsion.write down a brief note on fournier’s gangrene.(5+6+4) (Murshidabad)
• Classify testicular tumors.Describe the investigation and management of testicular tumors. (5+5+5) (SDMC)
• A 65yrs old male patient comes to outpatient’s with complains of blood in urine.Discuss the probable causes & how you will plan
the management of the patient.(5+10) (MCK)
• Describe the clinical features,investigations & management of Benign Hypertrophy of Prostate.(4+4+7) (RGK)
• Outline the causes of haematuria.Briefly discuss the clinical features,investigations & treatment of Benign Prostatic
Hyperplasia.(5+3+2+5)
• What are the different types of haematuria and enumerate the causes of painful haematuria? Describe the etiological factors in
the formation of renal calculi and give in detail the management of stones in the upper urinary tracts.(3+3+4+5) (PG)
• Enumerate the cases of painless haematuria.discuss the investigations and treatment in a paitent of 65 yrs presented with
painless haematuria.(5+5+5) (Malda)
• A 60yr old man presented with retention of urine.How will you manage the patient.(15)(KPC)
• What are the changes that take place in urinary bladder,ureter,and kidney in a case of BHP?Mention meticulously the steps of
per-urethral catheterization.(6+9)(Midnapore)
• What are the common causes of haematuria? Briefly discuss the clinical features and management of renal carcinoma.(5+5+5)
(NBMC)
• A 25yrs old male sustained pelvic injuries following RTA.Patient is unable to pass urine since the accident.How will you
manage.(5+10) (SDMC)

BREAST
• Enumerate causes of Benign Breast Swelling.How will you manage a young lady presenting with a 5cmx5cm sized fixed breast
swelling with no axillary nodes?(5+10) (CNMC)
• What is a sentinel node & define the role of sentinel node biopsy in breast cancers.How would you prognosticate a patient with
Early Breast Carcinoma with with negative axilla ,on its receptor status? Give the indications and contraindications of breast
conservation surgery.enumerate the complications of modified radical mastectomy with axillary lymph nodal
dissections.(MRM+ALND)and highlight the advantages of BCS compared to the MRM and ALND. (1+2+3+2+2+3+2) (PG)
• What is the “triple “ assessment of breast lump? Give outlines of management of a Malignant breast lump of size 2cmx2cm in a
50yr old female. (5+10) (NBMC)
• What is ANDI.How will you proceed to investigate a clinically suspected case of ANDI in 35yrs old female patient.Give a short
outline of its management.(3+6+6) (SDMC)

THYROID
• Describe the clinical features,investigations & management of Grave’s disease.(4+4+7) (RGK)
• Briefly discuss the various types of Thyroid swellings & outline the management protocol of multinodular Thyroid Goitre.(5+10)
(CNMC)
• What are the important points in the history of the paitent with a thyroid nodule that suggest the possibilities of A
malignancy?how would u proceed to investigate such a case of thyroid nodule (give the diagnostic algorithm)?how would stratify
the risk involved in such a case? Enumerate the reasons for undertaking total thyroidectomy mandatorily for high risk
differentiated thyroid cancer.(3+4+4+4) (PG)
• A 35 years old lady presents with a solitary nodule in right lobe of thyroid gland.how would you come to diagnosis and manage
such paitents.(8+7) (Malda)
• Classify Goitre.Give an outline of investigation management of solitary thyroid nodule.(6+9) (BSMC)
• Discuss the clinical features,investigation and treatment of multinodular goitre(5+5+5)(ESI)
• Discuss the diagnosis and treatment of solitary thyroid nodule.(7+8)(KPC)
• Describe the clinical features and management of a case of toxic thyroid nodule in a lady of 45yrs of age(5+10)(MIdnapore)
• Classify goitre.discuss briefly the management of toxic goitre in a female patient of 35 yrs. (5+10) (NBMC)

MISCELLANEOUS
• Define & classify varicose veins & discuss the investigations & the various modalities of management of varicose vein.(2+3+3+7)
(MCK)
• Write the indications of admission patient with a head trauma.How do you manage it?(5+10) (NRS)
th
General Surgery 9 semester sorted questions “An NRSMC SU initiative” Page no: 2

ORTHOPEDICS SHORT NOTE
• Colies fracture (BSMC)
• Supracondylar fracture of humerus in • TB hip- stages and clinical features (BMC)
children • Osteosarcoma- management (BMC)
• Acute septic arthritis • Fracture patella (BMC)
• GCT • CTEV- management (BMC)
• Exostosis • Colles fracture complications (BMC) (PG)
• Bier’s block • Non-union of fracture(CNMC)
• PET scan • Sequestrum (CNMC)
• Osteomyelitic jaw • Types of fracture (CNMC)
• Hirschsprung’s disease • Radiological feature of osteosarcoma (CNMC)
• Immunotherapy • Management of pelvic fracture (CNMC)
• Hypospadias • Osteochondroma (ESI)
• Gout • Wrist drop (ESI)
• Crush syndrome • Pulled elbow (ESI)
• Psoas abcess • Pathological fracture (ESI)
• Green stick fracture • VIC (ESI)
• Ponseti method of CTEV management • Tension band principle (ESI)
• Antirheumatic drug classification • Involucrum (ESI)
• Clinical test and management of recurrent • Functional position of hip (PG)
dislocation of shoulder • Hip spacia (PG)
• Codmans triangle • Fracture disease (PG)
• Dinner fork deformity • Bohler braun splint (PG)
• Trendelenberg sign • Anti-TB drugs (PG)
• Ewing’s tumor • Cold abcess (PG)
• Genu valgum • Ganglion (BSMC)
• Cubitus varus • Carpal tunnel syndrome (BSMC) (CNMC)
• Osteoarthritic knee • Tennis elbow (BMC)
• Myositis ossificans • Complications of fracture neck femur (BMC)
• Supracondylar fracture (BSMC) • Resistant TEV (PG)
• Caries spine (BSMC)

SHORT NOTES: SURGERY
GENERAL TOPICS
• Arteriovenous fistula (BMC) • Phlegmasia caerulea dolens
• Hemangioma (BSMC) • Gastroschisis & exomphalos (PG)
• Glasgow coma scale (BMC) • Intrathecal & epidural anaesthesia (PG)
• Hyponatermia (BMC) • Principles of orthodontic and orthognathic surgery
• Ganglion (BMC) (PG)
• Dentigerous cyst (BMC) (CNMC) • Surgical emphysema & traumatic pneumothorax (PG)
• Cystic hygroma (BMC) • Gas gangrene
• Types of haemorrhage (CNMC) • Cystic hygroma
• Day care surgery (CNMC) • Rodent ulcer
• Cleft lip (CNMC) • Secondary haemorrhage
• Epulis (ESI) • Bedsore
• Stove in chest (BMC) • Arterial ulcer
• Acute paronychia (CNMC) • Parotid fistula
• Tension pneumothorax (CNMC) (ESI) • Ulnar claw hands
• Neo-adjuvant chemotherapy (CNMC) • Ameloblastoma
• Therapeutic uses of ultrasonography (ESI) • Adamantinoma
• Marjolin ulcer • Chemical sterilisation in surgical practice
• Reactionary haemorrhage • Compartment syndrome
• Burn injury complications • Sudeck’s osteodystrophy
• Paradoxical respiration • Osteoarthritis
• Hodgkin’s lymphoma • Sentinel node biopsy
• Keloid • Dermoid cyst
• Ranula • Superficial parotidectomy
• Short wave diathermy • Malignant melanoma
• SEPS • Flail chest
th
General Surgery 9 semester sorted questions

“An NRSMC SU initiative” Page no: 3

GASTRO INTESTINAL
UROLOGY
• Desmoid tumor (BMC)
• Ectopic testis (BMC)
• Gall stone ileus (CNMC)
• Hypospadius (BMC)
• Complications pf acute pancreas (CNMC)
• Stag-horn calculus (BMC)
• Radiological findings of intestinal obstruction (CNMC)
• PCNL (BMC)
• Liver abcess (BSMC)
• Fournier’s gangrene (BMC)
• Upper GI endoscopy (BMC)
• Ectopic testis (ESI)
• Carcinoid Tumor (BSMC)
• Paraphimosis
• Pilonidal Sinus (BSMC)
• Peyronie’s disease
• Fissure in ano (ESI)
• Investigations of chronic urine retention
• Alvarado score (ESI)
• Carcinoma penis treatment
• Preoperative preparation in a case of obstructive jaundice
• Hypospadias
(ESI)
• Hematuria causes
• MR & ER cholangiogram (PG)
• ESWL
• Segmental anatomy of liver (ESI)
• MEN1 syndrome
• USG in hepatobiliary disease BREAST
• Omphalocele • Breast abcess (BMC)
• Cahrcot’s triad • Tripple assessment (BMC)
• Discharge from umbilicus • Gynaecomastia
• Strangulated inguinal hernia • Pagets disease of nipple (ESI)
• MRCP
THYROID
• Colostomy
• Thyroglossal cyst (BMC)
• Anorectal malformation
• Radioactive iodine in thyroid disorder
• Symptoms & signs of carcinoma tongue
management (ESI)
• Sigmoid volvulus
• Branchial cyst (ESI)
• Mesenteric cyst
• Lingual thyroid
• Spigelian hernia
• Post thyroidectomy- acute hypocalcemia
• Pancreas divisum

• Trichobezoar
• Pyloric stenosis in infant
• Splenectomy complications

MISCELLANEOUS
• MRI (BMC)
• Types of skin grafting (ESI)
• Skin grafting
• Skin grafting (CNMC)
• Burr hole (CNMC)
• Varicose ulcer (BMC)
• Spinal anaesthesia (BMC) (CNMC) (ESI)
• Epidural hematoma (BMC)
• Extradural & subdural hematoma (PG)
• Lucid interval
• Meningomyelocele
• Types of peripheral nerve injury
• PDA
• Free flaps and axial flaps (PG)
• Care of paraplegic patient
• Chronic subdural hematoma (ESI)
• Z plasty
• Principles and goals of physiotherapy and rehabilitation of a postoperative patient (PG)
• Cleft palate

th
General Surgery 9 semester sorted questions “An NRSMC SU initiative” Page no: 4