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PAEDIATRIC 10 years question paper for 3rd prof part2 WBUHS

PAEDIATRIC 10 years question paper for 3rd prof part2 WBUHS

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Recent Marks Distributions of WBUHS

❤ PAEDIATRICS including NEONATOLOGY

A. Theory examination 40 marks

Group-A

1) Long Question (Basic & Allied)

             1                      = 10 Marks
Group-B

2) Short answer type

         2 out of 3                      = 2 x 5 =10 Marks
Group-C

3) Short Notes

         3 out of 4                      = 3 x 4 =12 Marks
Group-D

4) Short problem based question

             1                      = 8 Marks
Total                      = 40 Marks

 

B. Practical Examination = 30 Marks [20+10]

  1. One long case = 20 marks
  2. One short case = 10 marks

 

C. Oral Examination = 10 Marks [5+5]

  1. X- rays ( Paediatric), other images (CT, USG, MRI )     = 5 marks
  2. ECG, charts, instruments                                                 = 5 marks

D. Internal Assessment = 20 Marks (theory 10 + practical 10)

 

 

TOTAL 100 Marks in PAEDIATRICS including NEONATOLOGY

 

 

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2018

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss the process of vitamin D absorption and metabolism. Mention the clinical and radiological features of Vitamin deficient Rickets. 5+5

Group-B

2. Write briefly on the following (any two): 2 x 5

a) ‘Warm chain’ in New born.

b) Differentiation of Jitteriness from convulsion in Neonate.

c) Clinical features and management of Acute Bronchiolitis in 6 months old infant.

Group-C

3. Write short notes on (any three) of the following: 3 x 4

a) Baby of days old, mother having chickenpox

b) MMR vaccine.

c) Febrile convulsion.

d) Indications of renal biopsy in Nephrotic syndrome.

Group-D

4. A two year old child presented in the emergency room with history of sudden onset of difficulty in breathing. What is the probable diagnosis? How will you diagnose and manage such case? 2+6

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2017

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the functions of the different parts of a nephron. Mention the laboratory diagnosis of Nephrotic Syndrome. 7 +3

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Late onset of Neonatal sepsis.

b) Developmental milestones of a normal child of one year.

c) Management of Hypothermia in Neonate.

Group-C

3. Write short notes on (any three) of the following: 3 x 4

a) Management of foreign body in Respiratory tract.

b) Initial steps of resuscitation of a new born.

c) IPV.

d) Features of HIV in children.

Group-D

4. A three year old boy has been brought to the emergency with convulsion persisting for more than 30

minutes. 2+6

a) What is the probable diagnosis?

b) Outline the management of such a patient.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2016

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the functions of the different parts of a nephron. Mention the laboratory diagnosis of Nephrotic Syndrome. 7 +3

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Late onset of Neonatal sepsis.

b) Developmental milestones of a normal child of one year.

c) Management of Hypothermia in Neonate.

Group-C

3. Write short notes on (any three) of the following: 3 x 4

a) Management of foreign body in Respiratory tract.

b) Initial steps of resuscitation of a new born.

c) IPV.

d) Features of HIV in children.

Group-D

4. A three year old boy has been brought to the emergency with convulsion persisting for more than 30 minutes. 2+6

a) What is the probable diagnosis?

b) Outline the management of such a patient.

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2015

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Name the common causes of generalised oedema in children. Describe the pathophysiology of oedema in children. 2+8

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Phototherapy in neonates.

b) Write your plan of feeding of a premature very low birth weight new born baby.

c) Developmental milestones achieved at 9 months of age.

Group-C

3. Write short notes on (any three) of the following: 3 x 4

a) M.M.R vaccine.

b) Kangaroo mother care.

c) Skeletal changes in Rickets.

d) Treatment of infected Scabies.

Group-D

4. A 3 year old child presented in emergency room with history of fever and cough for 3 days and respiratory distress for one day. Enumerate the common differential diagnosis for the case. How will you approach the case to arrive at a definite diagnosis? 3+5

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2014

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the formation and circulation of CSF in brain. Describe the clinical features of raised intracranial pressure of a 6 years old child. Give an outline of treatment of such a patient. 3+3+4

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Hypoglycemia in neonate.

b) Haemorrhagic disease of new born.

c) Enumerate the vaccines that can be given to an unimmunized 2 years old child.

Group-C

3. Write short notes on (any three): 3 x 4

a) Modified Jones Criteria.

b) Pneumatocele.

c) Common causes and laboratory diagnosis of iron deficiency anaemia in children.

d) Causes and clinical features of hyponatremia.

Group-D

4. A 6-year-old girl child is admitted with hematuria, moderate oedema and headache. Mention the possible differential diagnosis. How will you evaluate such a case to reach to a definite diagnosis? 2+6

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2013

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Pathophysiology of large VSD and the future changes in haemodynamics if remain untreated. Mention the complications of VSD. Outline the treatment of VSD with CCF. 5+3+2

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Kangaroo Mother Care.

b) Clinical features and laboratory investigation of Dengue fever in children.

c) Neonatal Sepsis screening.

Group-C

3. Write short notes on (any three): 3 x 4

a) Utility of growth chart.

b) Rabies Prophylaxis.

c) Miliary tuberculosis in children

d) Pulse polio immunization.

Group-D

4. A 4 years old child prescribed with h/o lever for 7 days and recurrent convulsion for last two days and headache. How will you proceed for diagnosis clinically and by laboratory investigations? 4 + 4

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2012

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss briefly the synthesis of Thyroid hormones. Outline the clinical features and treatment of Cretinism. 5+3+2

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Management of Cyanotic Spell in Tetralogy of Fallot.

b) Prevention of Hypothermia in Newborn.

c) Diagnosis of Rheumatic Arthritis.

Group-C

3. Write short notes on (any three): 3 x 4

a) Pulsus-Paradoxus.

b) Complications of acute glomerulonephritis.

c) Biochemical change in Rickets.

d) Milestones of development in a one year old child.

Group-D

4. A 4 years old child presented with pallet, fever, gum bleeding and 1.5 cm. palpable spleen. Mention the diagnostic possibility and investigations to confirm diagnosis. 3+5=8

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2011

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe formation, circulation, absorption and composition of C.S.F. of a normal child. Give outline of management of Tubercular Meningitis of 2 years old child. 11/2+11/2+11/2+11/2+4

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Bell’s palsy.

b) Kangaroo-mother carer.

c) Sepsis screen of newboms.

Group-C

3. Write short notes on (any three): 3 x 4

a) Laboratory diagnosis of Acute Glomerulonephritis.

b) Febrile convulsion.

c) Diet of one year old infant.

d) Head-circumference.

Group-D

4. A two years old child has presented with fever for 20 days. Examination revealed some pallor, hepato-splenomegaly and purpuric spots all over the body. 5+3

a) Write the differential diagnosis.

b) Suggest investigations to reach the final diagnosis.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2010

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Outline the Metabolism of iron in the body. Compare the laboratory findings of iron deficiency Anemia and Thalassemia. 4+6

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Breast milk versus Cow’s milk.

b) Developmental milestones of one year old child.

c) Urinary findings of acute post streptococcal glomerulonephritis.

Group-C

3. Write short notes on (any three): 3 x 4

a) Transient Tachypnea of new born.

b) Clinical presentation and management of Acute Bronchiolitis.

c) OPV versus IPV.

d) Photo Therapy.

Group-D

4. A seven year old with History of exchange transfusion in neonatal period, presents with Haematemesis . Physical examination is unremarkable except for splenomegaly (6 cm).

What is your differential Diagnosis? Describe the steps to the management of this child. 1+7

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2009

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Give an outline of bilirubin metabolism. Describe the underlying mechanism for physiological jaundice in the new-born. 6+4

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Causes of failure of breast feeding?

b) Routine care of newborn in the delivery room.

c) Clinical features and treatment of scabies in children.

Group-C

3. Write short notes on (any three): 3 x 4

a) Rheumatic chorea.

b) Laboratory evaluation of ascites of a child.

c) Tuberculin test.

d) Vascular purpura.

Group-D

4. A four years old child has been brought to the emergency with convulsion persisting for more than 30 minutes. How you will diagnose the case? Briefly narrate the management of the case.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2008

Subject: Paediatrics including Neonatology

Time: 2 hrs. Full Marks: 40

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What is glomerular filtration? How it is affected in acute Post streptococcal glomerulonephritis? Describe the underlying pathogenic mechanism for the clinical picture of acute PSGN? l+3+6

Group-B

2. Write briefly on the following (any two): 2 x 5

a) Give an outline of the clinical features of neonatal sepsis.

b) Describe briefly the Complications of low birth weight (LBW) babies.

c) Write in short the indications and complications of phototherapy.

Group-C

3. Write short notes on (any three): 3 x 4

a) Dietary management of severe Protein Emergency Malnutrition (PEM).

b) Congenital hypothyroidism.

c) Clinical features of pyogenic meningitis in children.

d) Complications of Ventricular Septal Defect (VSD).

 

Group-D

4. A 4 years old boy was presented at the emergency room with acute onset of cough and respiratory distress. He has no fever. His father also suffers from recurrent episodes of similar problem. The child was admitted three times with similar complications in the preceding one year. What is your most probable diagnosis? How will you manage the condition? 1+7

SURGERY 10 years question paper for 3rd prof part2 WBUHS

SURGERY 10 years question paper for 3rd prof part2 WBUHS

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Recent Marks Distributions of WBUHS
❤ surgery

A. Theory examination 120 marks (2 paper1st paper 60 marks + 2nd paper 60 marks)

Surgery Paper I:
1. General Surgery
2. Gastro-intestinal including Colo-rectal surgery. Abdominal Wall & Hernia, Hepatobiliary System, Pancreas, Spleen, Peritoneum Retroperitonent.
3. Breast
4. Head Neck surgery
5. Orthopaedics

Surgery Paper II:
1. General Surgery including venous, arterial & lymphatic diseases.
2. Genitourinary System.
3. Endocrinology
4. Anaesthesiology
5. Radiology & Radiotherapy
6. Dental Surgery
7. Special Surgery – Paediatric Surgery, Cardio-Vascular Surgery, Neurosurgery, Plastic Surgery and Traumatology

Questions in Both Papers:
1) Group-A Long Question (Basic & Allied) 1 = 15 Marks
2) Group-B Long Question- clinical problem 1 out of 2 = 15 Marks
3) Group-C Short Notes 3 out of 5 = 3 x 5 =15 Marks
4) Group-D Short Question 3 out of 5 = 3 x 5 =15 Marks
Total = 60 Marks

B. Practical Examination = 100 Marks [60+30+10]
1. One long Case = 60 (Marks History Taking = 15 Marks + Demonstration = 30 + Marks Discussion = 15 Marks)
2. One Short Case = 30 Marks
3. Spot Cases 2 Subjects to be given 5+5 = 10 Marks
C.  Oral Examination = 20 Marks

D. Internal Assessment = 60 Marks (theory 30 + practical 30)

TOTAL 300 MARKS IN SURGERY

 

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2018

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. A 40 years old man presents with a nonhealing ulcer over the lower part of his inferior extremity. What are the causes? How will you investigate the case? What are the surgical considerations of diabetic foot ulcer? (No operative details). 3+7+5

Group B

2. A 25 years old female, recently married, presents with sudden pain over the right lower abdomen. How will you take up the case to come at a diagnosis? Outline the management of acute appendicitis (No operative details). 10+5

OR

b) What are the causes of intra abdominal lump in the region of epigastrium? Discuss the management of Hydatid cyst of the liver. 5+10

Group-C

3. Write short notes on (any three) of the following: 3×5

a) Diagnostic peritoneal Lavage.

b) Colostomy.

c) Molecular subtypes of Breast carcinoma.

d) Intussusception.

e) Amoebic Liver Abscess.

Group-D

4. Answer in brief on any three of the following: 3×5

a) Myositis ossificans.

b) Fracture patella.

c) Complications of colles’ fracture.

d) Pathological fracture.

e) Giant cell tumour.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2018

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What are the different forms of Renal Calculi? Discuss the clinical presentation end its management of a stone in the Renal pelvis. 5+10

Group B

2. a) What is ANDI to classify benign lesions of the Breast? Discuss the management of discharge from the nipple. 7+8

OR

b) Classify Thyroid neoplasm. Discuss the management of solitary thyroid nodule. 3 cm in size of 30 years old female. 5×10

Group-C

3. Answer in brief on any three of the following: 3 x 5

a) Lucid interval.

b) Thyroid storm.

c) Ranula.

d) E.R.C.P.

e) Testicular torsion.

Group-D

4. Write short notes on (any three): 3 x 5

a) PSA.

b) Brachytherapy.

e) Biomarkers.

d) Triage.

e) Regional anesthesia

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2017

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the signs, symptoms, prevention and treatment of tetanus. 15

Group-B

2. Answer any one of the following:

a) Discuss the investigations of a 50 years old male presented with obstructive jaundice and palpable gall bladder. Give outline of management of patient. How will you prepare liver for operation if needed? 5+5+5

b) Discuss the pathophysiology of acute intestinal obstruction. How will you manage a case of intussuception? 5+10

Group-C

3. Write short notes on any three: 3 x5

a) Sentinel node biopsy.

b) Alvarado score.

c) Parotid abscess.

d) Mesenteric cyst.

e) Gastrinoma (ZE syndrome).

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Volkman’s ischaemic contracture.

b) Pathological fracture.

c) Congenital talipes equinovarus.

d) Radial nerve injury due to fracture.

e) Perthes disease.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2017

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss the causes of haemoperitoneum and its management. 5+10

Group-B

2. Answer any one of the following:

a) What are the clinical features of renal cell carcinoma? How will you investigate and treat a case of renal cell carcinoma? 8+4+3

b) Discuss the clinical features, investigations and management of Pheochromocytoma. 4+5+6

Group-C

3. Answer in brief on any three of the following: 3 x 5

a) Myocutaneous flap.

b) Autotransfusion.

c) PCNL.

d) Subdural haemorrhage.

e) Complications of spinal anaesthesia.

Group-D

4. Write short notes on any three of the following: 3 x 5

a) Tongue ulcers.

b) Pulmonary embolism.

c) DVT.

d) ABPI.

e) Ludwig’s angina.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2016

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Classify haemorrhage. Discuss briefly the management of haemorrhagic shock. Mention complications of blood transfusion. 5+5+5

Group-B

2. Answer any one of the following:

a) A 50 year old man presents with alternate constipation and diarrhoea. He has a lump in left iliac fossa. How would you investigate and diagnose the case. Outline the treatment of such case. 6+4+5

b) A 45 year old man presented with a recently discovered lump in the epigastrium with rapidly developing anorexia, asthenia, anaemia and increasing vomiting. How would you investigate to arrive at diagnosis? Outline the management of the case. 8+7

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a) Hydatid cyst of liver.

b) Pancreatic pseudocyst.

c) Femoral hernia.

d) Liver abscess.

e) Marjolins ulcer.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Carpal tunnel syndrome.

b) Tardy ulnar nerve palsy.

c) Supra condylar fracture of humerus.

d) Giant cell tumour.

e) Trendelenberg test for hip joint.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2016

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Enumerate the causes of painless haematuria. Discuss the investigation and treatment in a patient of 65 years presented with painless heamaturia. 5+5+5

Group-B

2. Answer any one of the following:

a) Classify thyroid cancer. Discuss the management of F.N.A.C. proved follicular neoplasm of (R) lobe of thyroid in a lady of 45 years. 5+10

b) What are the aetiologies of pancreatitis? How will you investigate and treat a case of acute pancreatitis? 5+5+5

Group-C

3. Answer in brief on any three of the following: 3 x 5

a. Epidural anaesthesia.

b. Venus ulcer lower leg.

c. Spina bifida.

d. M E N syndrome.

e. Principle of skin grafting.

Group-D

4. Write short notes on any three of the following: 3 x 5

a. Bleeding from gum.

b. Hydrocephalus.

c. Post burn contracture.

d. Ionising radiation.

e. Hamartoma.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2015

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Describe the biological process of wound healing. What are the factors affecting wound healing? Treatment options for presternal keloid. 5+5+5

Group-B

2. Answer any one of the following:

a. A 45 yrs. old gentleman presents with intractable anaemia and a painless lump in the right iliac fossa for 3 months duration. How would you investigate the case to confirm the diagnosis. Briefly outline a comprehensive management of the problem. 8+7

b. A 50 year old male patient comes to you with painless progressive jaundice and on clinical examination the gall bladder is palpable. How would you investigate the patient to come to a diagnosis? Describe the preoperative preparations of jaundiced patient. 10+5

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a. Ludwig’s angina.

b. Oestrogen and progesterone receptors.

c. Types of anorectal abscess.

d. Appendicular lump.

e. MODS.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a. Ring sequestrum.

b. Exostosis of bone.

c. Volkmann’s ischaemic contracture.

d. Pathological fracture.

e. Ideal ampulation stump.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2015

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Classify goitre. How will you investigate and treat a 50 yrs. old man with a clinically discrete nodule of 3 cm diameter in right lobe of thyroid. 5+5+5

Group-B

2. Answer any one of the following:

a) Classify renal injury. Discuss clinical features and management of a patient having injury to left kidney following blunt trauma in left loin. 4+5+6

b) Discuss the clinical features, complications and management of undescended testis. 2+4+9

Group-C

3. Answer in brief on any three of the following: 3 x 5

a) Breast abscess.

b) Meconium ileus.

c) Basal cell carcinoma.

d) Premalignant conditions of penile carcinoma.

e) Acute pancreatitis.

Group-D

4. Write short notes on any three of the following: 3 x 5

a) Glasgow Coma Scale.

b) Radiofrequency ablation of tumours.

c) Tension pneumothorax.

d) Epulis.

e) Complications of spinal anaesthesia.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2014

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Classify shock. Discuss the patho-physiology and management of septic shock. 3+6+6

 

Group-B

2. Answer any one of the following:

a) Describe the clinical features, investigations and management of carcinoma of stomach. 4+4+7

b) A 50 years male patient presents with bleeding per rectum. How will you investigate and manage the patient? 7+6

 

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a) Breast Biopsy.

b) Incarcerated Hernia.

c) Blood Substitutes.

d) Volvulus Neonatoram.

e) Amoebic Liver Abscess.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Fractures occurring due to fall on outstretched hand.

b) Osteochondroma.

c) Greenstick fracture.

d) Fracture of Patella.

e) Spine Bifida.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2014

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss the clinical features, investigation and treatment of Thyrotoxicosis. 5+5+5

 

Group-B

2. Answer any one of the following:

a) Describe the pathophysiology of BHP. Mention the medical and surgical management of BHP. 6+4+5

b) Classify testicular tumours. Discuss investigation necessary to plan the treatment for a suspected testicular tumour. What are the treatment options available? 5+5+5

 

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a) Paget disease of nipple.

b) Electric burns.

c) Dentigerous cyst.

d) Lucid interval.

e) Fistula in ano.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Penile carcinoma.

b) Muscle Relaxant.

c) Flail Chest.

d) Epidural Anaesthesia.

e) Compartment Syndrome.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2013

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Discuss assessment of Burn wound. Write in short pathophysiology of Burn injury. How would you treat 30% burn in 50 kg. body weight female patient. 3+6+6

 

Group-B

2. Answer any one of the following:

a) Classify colonic tumours. How will you manage a 60 years old man presenting with fresh bleeding per rectum? 5 + 10

b) Describe the clinical features, diagnosis and management of Choledocholithiasis. 4+4+7

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a. Causes and treatment of metabolic acidosis.

b. venous ulcer.

c. Fourier’s gangrene.

d. Anorectal Malformation.

e. Torticollis.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a. Volkmann’s ischaemic Contracture.

b. Ewing’s tumour.

c. Core needle biopsy.

d) Colles Fracture.

e) Bone graft.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2013

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define Hydronephrosis. Discuss the causes and management of unilateral hydronephrosis. 2+5+8

 

Group-B

2. Answer any one of the following:

a) Describe Lymphatic drainage of breast. Mention the risk factors of breast carcinoma. How to manage a 52 year old female patient with locally advanced breast carcinoma? 4+3+8

b) A 50 year old gentleman presented with painless hematuria. What may be the possible causes? How would you investigate the case? Give an outline of the management. 5+5+5

Group-C

3. Write short notes on (any three) of the following: 3 x 5

a) Cleft lip.

b) Thyroglossal Cyst.

c) Spinal Anaesthesia.

d) Types of Skin graft.

a) Role of ERCP in obstructive Jaundice.

Group-D

4. Answer in brief on any three of the following: 3 x 5

a) Oral submucous fibrosis.

b) Wax bath.

c) Subdural haematoma.

d) Intussusception.

e) Marjolins’ ulcer.

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2012

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. What are the types of haemorrhage? What are the methods of determining acute blood loss? How would you treat haemorrhage? 3+6+6

Group-B

2. Answer any one of the following:

a) Middle aged patient presented with a big tense cystic lump in the upper abdomen following an attack of acute abdomen. How would you investigate the patient and plan the management? 8+7

b) What are the causes of benign biliary strictures? Discuss management of retained stone in common bile duct. 5+10

Group-C

3. Write short notes on (any two) of the following: 2 x 5

a) Post-operative pain management.

b) Creating Pneumoperitoneum in Lap. Surgery (procedures only).

c) Burst Abdomen.

d) Decubitus ulcer.

Group-D

4. Answer in brief on any five of the following: 5 x 5

a) Fracture clavicle.

b) Tennis Elbow.

c) Supra condylar fracture of Humerus.

d) Dupytren’s contracture.

e) Ruptured Tendoachilles.

f) Mallet finger.

g) Pyogenic Osteomyelitis.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2012

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. (a) Classify Thyroid Neoplasms. Write clinical features, investigations and management of papillary carcinoma of the Thyroid gland (A lady of 25 years old). 3+4+3+5

OR

(b) A 40 years old gentleman presented with bilateral knobby Renal Lump in the abdomen. How do you investigate and treat such a patient (Operation details not required). 7+8

Group-B

2. Write short notes on (any three): 5×3

a) Breast Biopsies.

b) Causes of Haematuria.

c) Antegrade Pyelography.

d) Stress gastritis.

e) P.S.A.

Group-C

3. Write short notes on (any three): 5×3

a) Paraphimosis.

b) Lucid interval.

c) Chest Drain.

d) Torsion of Testes.

e) Tissue Expansion.

Group-D

4. Write short notes on (any three): 5×3

a) Anaesthetic monitoring devices.

b) Radiotherapy in treatment of Carcinoma Breast.

c) Ameloblastoma.

d) Transluminal U.S.G.

e) Short Wave Diathermy.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2011

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define and classify wound. Discuss factors influencing wound healing. Write in brief management of Diabetic ulcer affecting foot, in a middle aged man. 4+5+6

Group-B

2. Answer any one of the following:

a) A forty five years old lady presents with acute upper abdominal pain. Discuss the differential diagnosis and management of such a patient. 7+8

b) Enumerate the common causes of intestinal obstruction in an infant. Write the clinical features. investigations and management of intussusception in a 7 months old child. 3+4+3+5

Group C

3. Write short note on any two

(a) Pre-operative preparation of case of obstructive Jaundice.

(b) Epigastric Hernia.

(c) D.V.T.

(d) Active immunisation against Tetanus.

Group D

4. Write in brief on any five of the following

Trigger finger.

Ewing’s Tumour.

Mechanism of fracture patella.

Brodie’s Abscess.

Carpal tunnel syndrome.

Shoulder dislocation.

 

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2011

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. (a) Classify Carcinoma of Breast. How will you investigate and manage a case clearly Carcinoma of Breast in a 40 years old lady? 4+5+6

OR

(b) Classify renal neoplasms. How will you diagnose and manage a case of renal Cell Carcinoma? 4+5+6

Group B

2. Write short notes on (any three): 5×3

a) Flail chest.

b) Post operative Pyrexia.

c) Brain Death.

d) Split thickness skin graft.

e) Omphalocele.

Group C

3. Write short note: on any three:

a) Retrosternal goitre.

b) Parotid abscess.

c) Alvarado Score of Acute Pancreatitis.

d) T.U.R P.

e) Oxalate stone.

Group-D

4. Write than note: on any three

a) Wax bath.

b) Epulis.

c) M.R.I. scan in Surgery.

d) Radiation Dermatitis.

e) Spinal Anaesthesia.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2010

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

l. What are coagulation factors? Write in detail about the mechanism of hemostasis. 5+10

 

Group-B

2. Answer any one of the following:

a) What are the all causes of upper GI bleed? How will you manage acute variceal bleeding? 8+7

b) What are the causes of obstructive jaundice? Write about the management of carcinoma head of pancreas? 5+10

Group C

3. Write short note on (any two): 2×5

a) Hemangioma.

b) Carotid body tumour.

c) Bronchial sinus.

d) Carcinoid tumour.

Group-D

4. Write in brief on any five of the following: 4×5

a) Exostosis.

b) Brown tumour.

c) Ewing’s sarcoma.

d) Spondylolisthesis.

e) Bone scan.

f) TB spine.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2010

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Answer any one or the following:

a) What are the functions of thyroid? Write in detail about clinical features, investigations and treatment of hyperthyroidism. 3+4+4+4

(b) Give differential diagnosis of scrotal swelling. Write in detail about management of testicular tumour. 5+10

Group B

2. Write short note on (any three): 3×5

a) Ectopia vesicae.

b) Neurofibromatosis.

c) Paget’s disease of nipple.

d) Fistula in ano.

e) Varicocele.

Group C

3. Write short note on (any three): 3×5

a) Subdural hematoma.

b) Muscle relaxant.

c) I14 scan.

d) Congenital hypertrophic pyloric stenosis.

e) Lumbar puncture.

Group-D

4. Write short notes on (any three): 3×5

a) Ludwig’s angina.

b) Meningomylocele.

c) Empyma thoracis.

d) Referred pain.

(e) Patent ductus arteriosus.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2009

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define and classify wounds. Discuss various factors influencing wound healing. Discuss in brief management of “Diabetic foot”. 5+5+5

Group-B

2. Answer any one of the following:

a) A middle aged male patient presents with an epigastric lump. Discuss the differential diagnosis. How would you investigate to come to a diagnosis? 8+7

b) What are the causes of weeping umbilicus? Discuss the problems related to vitello-intestinal duct and their remedy. 5+5+5

Group-C

3. Write short notes on (any two): 2 x5

a) Arteriovenous fistula.

b) Basal Cell Carcinoma.

c) Pre operative preparation of a patient of Pyloric stenosis.

d) Auto transfusion.

Group-D

4. Write in brief on any five of the following: 5 x 4

a) Myositis ossification.

b) Pathological fracture.

c) Carpal tunnel syndrome.

d) Fracture neck femur – types and complications.

e) Aetiopathogenetic of acute osteomyelitis.

f) Spina bifida.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2009

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. A 35 yeas old lady presents with a Solitary thyroid nodule in right lobe. How would you come to a diagnosis and manage such a patient? 8+7

OR

b) Classify kidney tumours. Mention different modes of presentation of Renal Adeno Carcinoma. Outline the management of such a patient. 3+5+7

Group-B

2. Write short notes on (any three): 3 x 5

a) Salivary Calculi.

b) Fournier’s gangrene.

c) Breast abscess.

d) MEN. syndrome.

e) Complications of undescended testis.

Group-C

3. Write short notes on (any three): 3 x 5

a) Anorectal malformations.

b) Extradural haematoma.

c) Cardiopulmonary resuscitation (CPR).

d) MRI.

e) Complications of Radiotherapy.

Group-D

4. Write in brief on any three of the following: 3 x 5

a) Fat embolism.

b) Odontoma.

c) Short wave diathermy.

d) Tension pneumothorax.

g) Hypokalemia.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2008

Subject: Surgery Full Marks: 60

Paper: I Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. Define and classify shock. How will you assess and treat a case of haemorrhagic shock ? Mention the complications of blood transfusion. 2+2+5+3+3

Group-B

2. Answer any one of the following questions:

a) Enumerate the causes of bleeding per rectum. Mention how it is diagnosed. Outline the management for bleeding haemorrhoids. 5+5+5

b) What are the causes of obstructive jaundice? How do you establish the diagnosis? Discuss the various options in the management of choledocholithiasis. 5+5+5

Group-C

3. Write short notes on (any two): 2 x 5

a) Methods of sterilisation.

b) Biochemical abnormality in Pyloric Stenosis.

c) Universal precaution.

d) Nipple discharge.

Group-D

4. Write briefly on (any five): 5 x 4

a) Frozen shoulder.

b) Complication of supracondylar fracture of humerus.

c) Sequestrum.

d) Volkman’s contracture.

e) Talipe’s equinus.

f) Bladder problem in spinal paraplegia.

The West Bengal University of Health Sciences

M.B.B.S. 3rd Professional Part –II Examination, 2008

Subject: Surgery Full Marks: 60

Paper: II Time: 2½ hrs.

Use separate answer scripts for each group

Attempt all questions. The figures in the margin indicate full marks.

Group-A

1. a) Enumerate the causes of haematuria. How will you confirm the diagnosis? What will you do for a patient diagnosed to have carcinoma of the urinary bladder? 5+5+5

OR

b) Discuss the pathogenesis of multinodular goitre. Mention the complications of such a goitre. How do you manage such a patient? 5+5+5

Group-B

2. Write short note on (any three): 3×5

a) Venous ulcer.

b) Epididymal cyst.

c) Tetany.

d) Thyroglossal cyst.

e) Dermoid cyst.

Group-C

3. Write short notes on (any three): 3×5

a) Exomphalos.

b) Skin grafting.

c) Spinal anaesthesia.

d) Double contrast enema.

e) Brachytherapy.

Group-D

4. Answer briefly on (any three): 3×5

a) Dental cyst.

b) Flail chest.

c) Glasgow coma scale.

d) Therapeutic use of ultrasound.

e) Patent ductus arteriosus.

Cyclopia – One Eyed Baby – Proboscis above eyes

Cyclopia – One Eyed Baby – Proboscis above eyes

Cyclopia is a rare form of holoprosencephaly. The synonyms for Cyclopia are cyclocephaly or synophthalmia.

Cyclopia is a congenital birth defect and a rare one,occurring in an incidence of 1 in 200 miscarriages. Cyclopia is not confined only to the human species but may occur in animals too (1 in 16,000 born animals).

Presentation –

The baby usually has one eye (commonly called as One-eyed baby) located in the forehead at the site of what should have been the root of the nose. There’s a missing nose or a small non-functional nose called Proboscis (a tubular appendage) present above the eye on the forehead or on the back . Most such embryos get naturally aborted or are stillborn upo

Cyclopia
Cyclopia

Causes –

Genetic causes or toxins can misdirect the embryonic forebrain dividing process. One such alkaloid toxin thought to be responsible is Cyclopamine, found in the plant Veratrum californicum (false hellebore).

Cyclopamine Drug Causing Cyclopia
Cyclopamine Drug Causing Cyclopia

Humans may ingest this plant by mistake considering it as hellebore which is an unrelated plant and recommended as a natural treatment for vomiting,cramps and poor circulation quite common in the early months of pregnancy .
Certain proteins are inappropriately expressed causing the brain to stay whole rather than dividing into two separate hemispheres. This leads to the foetus having one optic lobe and one olfactory lobe resulting in the typical malformations of Cyclopia.

Cyclopia
Cyclopia

Genetic basis –

The sonic hedgehog (SHH) gene regulator is involved in the separation of the single eye field into two bilateral fields. Mutation of the SHH gene results in Cyclopia, a single eye in the center of the face .

A baby Having Cyclopia
A baby Having Cyclopia

Holoprosencephaly is a cephalic disorder in which the prosencephalon (the part from which the forebrain develops) fails to completely separate into two hemispheres. Normally the forebrain develops and the face also begins to form around the fifth and sixth weeks of human pregnancy. If the embryo’s forebrain fails to divide to form bilateral cerebral hemispheres (the left and right halves of the brain), it results in defects in the development of the face and in brain structure and function. In very severe cases of prosencephaly , the malformations turn out to be so serious that the babies usually die before birth . However in less severe cases,the baby may be born with almost normal brain development but there are defects in the development of face i.e., eyes,nose or lip.

Some cases of Cyclopia have been found in farm animals such as horses, sheep, pigs and even in some chickens. In such cases, the nose and the mouth fail to form or the nose grows from the roof of the mouth causing obstruction to the airflow after birth.

Recommended Anatomy books list MBBS free medical ebooks and pdfs

Recommended Anatomy books list MBBS free medical ebooks and pdfs

Recommended anatomy books for MBBS undergraduate students. These are the recommended books for anatomy.

Textbook of Anatomy : Vishram Singh

Snell clinical anatomy

Clinically oriented anatomy KLM:

Snell neuroanatomy:

Di fiore atlas of histology:

Grays clinical anatomy

Netter atlas of human anatomy

Langman embryology

BRS Anatomy

High Yield Embryology

BD Chaurasia All Books

Grant’s Atlas of Anatomy

Manual of Practical Anatomy

Last’s Anatomy Clinically Oriented Anatomy By Keith L Moore

TEXTBOOK OF CLINICAL NEUROANATOMY VISHRAM SINGH