Kerala PSC Tutor in Surgery Examinations 1991

 Maximum: 100 marks    Time :2 hours

1. Write briefly on
(a) Classification of goiter.
(b) Causes of post-operative fever.
(c) Gastroschisis.
(d) Anatomy of Stensen’s duct.
(e) A young adult male is brought to the casualty with fracture pelvis. There is Perineal Haematoma and blood at the external meatus. How will you manage the case?                                     (5X4=20marks)

2. What is meant by:

  • (a) Saint’s triad; (d) String sign of Kantor; and
  • (b) Troissier’s sign; (e) Fallot’s tetralogy?
  • (c) Canal of Nuck;                                                                         (5xX 1 = 5 marks)

3. (a) What is the size of endotracheal tube to be used for a one-year old child ?
(b) What is the concentration of oxygen and carbon dioxide in expired air?
(c) What the drug used for spinal anesthesia ?
(d) What is the fluid requirement per kg.t/24 hrs of a 2 days old baby without excess fluid loss?
(e) What is the treatment of respiratory arrest due to respiratory alkalosis?               (5X1=5marks)

4. (a) Having explored, confirmed and dealt with a testicular torsion, what should you do next?
(b) What are the different types of hypospadias?
(c) What will you do when you see a middle-aged man with a sudden onset aricocoele on the left side?
(d) What is the superficial inguinal pouch?
(e) What are the precancerous. conditions affecting the penis?                                (5X1=5marks)

5. (a) What is the surgical treatment of a small primary Carcinoma of the anterior third of the tongue with involvement of a unilateral lymph node?
(b) Which parotid tumours tend to spread perineurally?
(c)  Which is the commonest type of sarcoma child ?
(d) Carcinoma of the upper, middle or lower the rectum—which has the best prognosis ? Why?
(e) What is meant by Occult Carcinoma of the breast?                                       (5 X 1 = 5 marks)

6. (a) What are the complications of Amoebic Colitis?
(b) Name the pancreatic anomaly which causes duodenal obstruction.
(c). What is the organism which causes Fulminant Parotitis?
(d) What is the commonest of the upper renal tract? –
(e) What is aihum?                                                                                           (5X1=5marks)

7. (a) Which aspect of gastric function is measured by insulin test?
(b) What is the fatal complication peculiar to highly selective vagotomy?
(c) Which benign tumour of the stomach may ulcerate through the mucosa giving the appearance of malignancy?
(d) Which type of gastric carcinoma has a 75% five-year survival?
(e) What may be the cause of G.LT. bleeding in a patient with severe burns? (5 X 1 = 5 marks)

8. (a) How many calyces are seen in each kidney in LV.P.?
(b) What is the commonest cause of a renal mass in neonates?
(c) What is the usual major complication associated with a horse-shoe kidney?
(d) Name the two benign neoplasms of the kidney?
(e) Why is vesicoureteric reflux commoner in children than adults?                        (5 X 1 = 5 marks)

9. (a) Which endocrine glands are involved in multiple endocrine adenomatosis type 1
(b) Which type of Carcinoma thyroid is commoner in areas of endemic goitre?
(c) Where are the crypts of Luscbka found?
(d) Majority of Meckel’s diverticulum that bleed do so in which age group?
(e) What is the condition predisposing to sympathetic ophthalmia ?                          (5X1=5marks)

10.(a) What are the bony deformities found in a supracondylar fracture of the humerus?
(b) What are the complications of posterior dislocation of hip?
(c) What is Bennett’s fracture?
(d) What is enchondroma?
(e) What is a bunion?                                                                              (5 X 2 = 10 marks)

11.(a) Why does blood not clot in the pleural cavity?
(b) What is the site of election of amputation humerus?
(c) What are the types of intestinal polyps that are definitely premalignant?
(d) Which bacteria may produce the clinical picture of acute appendicitis, but at laparotomy the appendix appears to be normal?
(e) In acute pancreatitis when does the serum calcium level generally fall?         (5 X 1 = 5 marks)
12.(a) What is the sex ratio of congenital hypertrophic pyloric stenosis?
(b,) Define Keloid?
(c) Where do you expect to find splenunculi
(d) What are the indication for surgery in ureteric calculus ?
(e) Meconium ileus is the neonatal manifestation of which disease ?                     (5X1=5marks)

13. (a) What is a cholesteatoma?
(b) What is meant by neurolysis?
(c) Where is a Spigelian hernia felt?
(d) What is the prognosis of sacrococcygeal tumour?
(e) What is white bile?                                                                                  (5X1=5marks)

14.(a) Is a male or female child more likely to develop a strangulated inguinal hernia? (1 mark)
(b) Which foramen does the middle meningeál artery traverse? (1 mark)
(c) At similar clinical stages which is more sinister—Melanotic or Amelanotic Melanoma?(1 mark)
(e) What is Well’s operation for prolapse rectum? (4 marks)

15.Select the correct answer:                                                      (5×1=5)
(1) The five-year survival fate after treatment of all varieties of carcinoma of the tongue is:
(a) 10 %; (b) 15 %; (c) 25 %; (d) 40 %.

(2) Proud flesh is the term used to describe:
(a) Muscle protruding through a skin wound.
(b) Hypertrophy of the nose.
(c) Excessive granulation tissue.
(d) Hypertrophy of the tongue.

(3) If hepatitis follows blood transfusion it occurs
(a) One week later.
(b) One month later.
(c) Three months later.
(d) Six months later.

(4) Operative control of bleeding from wounds of the scalp is best achieved by
(a) Direct pressure applied to the ski
(b) Diathermy to bleeding vessels.
(c) Eversion of galea aponeurotica.
(d) Applying several forceps to the bleeding points.

(5) The weight of patients subsisting entirely on parenteral fluids should:
(a) Gain 1O0-200 gm /day-
(b) Lose 100 – 200 gm /day
© keep weight steadily
(d) Loose 300-500 gm./day

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