SURGERY QUESTIONS ASKED IN

UNIVERSITY EXAM
(YEAR 2000-2018)

TOPIC DISTRIBUTION
PAPER-1

 General Surgery
 Salivary Gland
 Neck
 Thyroid
 Breast
 Neurosurgery
 Chest & Thorax
 Anaesthesia
 Laproscopy
 Day care surgery

PAPER-2
 GIT
 GUT
PAPER PATTERN

SECTION-1
 One Full Question of 6 mark (No option)
 Three short notes out of four of 3 marks

SECTION-2
 One Full Question of 6 mark (Option)
 Three short notes out of four of 3 marks

SECTION-3
 3 short notes of 5 marks

SECTION-4
 5 short notes of 3 marks

Section 3 & 4 of Paper-1 are from Ortho

 P.S Prelims Paper pattern is different.

General Surgery:

Wound and wound healing:

 Definition of wound
 Classification of wounds
 Phases of wound healing and factors affecting healing
 Management of wound
 Crush syndrome and compartment syndrome
 Keloid

Ulcer:

[Do read other types of ulcers as well as it is asked in detail in the practical]


 Trophic ulcer
 Vacuum assisted closure (VAC)
 Management of ulcer
 Meleneys ulcer
 Martoriell’s Ulcer
 Curling’s & Cushing’s Ulcer

Infection:

 Cellulitis
 Erysipelas
 Gas gangrene (Etio, C/f , Mx)
 Necrotising fasciitis
 Madura foot
 Nosocomial and opportunistic infections
 Carbuncle
 Potts puffy tumor
 Pyogenic abscess
 Tetanus
  Surgical site infection (Risk factor, Prevention, Def , Classifiaction )
 Mycosis Fungoidis
 Universal precautions in HIV

Swelling

(it is asked in detail in the practical)

 Lipoma
 Cyst
 Dermoid
 Ganglion

Electrolyte and nutrition:

 Hyponatremia
 Hypernatremia
 Hypokalemia
 Hyperkalemia
 Enteral nutrition
 Total parenteral nutrition

Shock:

 Definition, pathophysiology and stages of shock

 Hypovolemic shock
 Septic shock
 Assessment and management of shock
 SIRS
 Covert Compensated Hypovolemia &
 Overt Compensated Hypovolemia
 Mx of Endotoxic Shock

BT & HEMORRAGE

 Cx of BT
 Blood Fractions
  Blood Substitutes
 FFP

Burns:

 Classification of burn injuries

 Assessment of burn injuries
 Effects of burns
 Management of burn injuries
 C/f and Mechanism of Burns
 Fluid Resusucitation in Burns
 Mx of 40 kg adult male with 40% secondary burn
 Mx of 60 kg patient with 50% second dergree burn injury
 Contracture in burn wounds

Trauma

 Triage
 Early assessment and mx of trauma patient
 Damage Control Surgery (2018)
 Blast Injuries


Hand and foot diseases:

 Hand Infection
 Felon

Arterial diseases:

 Investigations done in arterial diseases

 Intermittent claudication
 Rest pain
 Berger's disease
 Raynaud's disease
 Treatment of arterial diseases
 Acute arterial occlusion (not frequently asked. Go through once)
  Aneurysm (not frequently asked. Go through once)
 Gangrene
 Diabetic foot
 Bed sores
 TAO of Lower Limb ( Etio, Dx, Mx, C/f, Ix)

Vascular Lesions

 Cirsoid Aneurysm
 cavernous hemangioma
 capillary hemangioma
-

Venous diseases:

 Anatomy of venous system

 DVT
 Varicose veins - definition, classification, clinical features, Investigations
and management
 Venous ulcer
 Method of Rx of Varicose Vein

Lymphatic system:

 Lymphoedema
 Hodgkin's disease

Skin tumors:

 Anatomy of skin
 Classification of skin tumors
 Squamous cell carcinoma
 Basal cell carcinoma (Rodent Ulcer)
 Marjolins ulcer

Skin grafting and flaps:

 Skin grafting - split skin graft and full thickness graft

  Flaps

Sarcoma

 Soft Tissur Sarcoma

Salivary glands

 Mixed Parotid Tumor {Pleomorphic} (Diagnosis and Mx)

 Anatomy of Parotid Gland


Neck

 Cervical Rib
 Cervical Lymph node anat,
 C/f, Mx of Cold Abscess
 Tuberculous Lymphedenitis
 Collar Stud Abscess
 Cystic Hygroma

Thyroid

 Anatomy & Physiology (2015,2016)

 Grave’s Dz (Etio, C/f, Dx, Mx)
 Solitary Thyroid Nodule (Etio, C/f, Dx, Mx)
 Autonomous Thyroid Toxic Nodule
 Thyroglossal Cyst
 Thyroid Storm
 Moeibius, Jofforey’s, Trosseus’s Sign
 Primary Thyrotoxicosis
 Classifiaction of Goitre
 Colloid Goitre
 Ca. Thyroid (PCT, MCT, FCT)
 c/f , Mx Toxic Multinodular Goitre
 Cx Thyroidectomy
Breast

 Sx Anat of Breast
 Anat of Axilla
 Lymphatic Drainage of Breast
 Fibroadenoma
 Benign Breast Dz (Dx & Rx)
 Physiology of Lactation
 Cystic Fibroadenosis / Cyclical Mastalgia with Nodularity
 Phyloides
 Causes of Nipple Discharge
 CA BREAST (Clinical types, Etio)
 Early Ca Breast (Etio, C/f,Mx ) and Mx of Stage-2
 TNM of Ca Breast
 Locally Advanced Ca Breast (LACB)
 Investigation of Ca Breast (Pg no. 541-545- SRB)
 Treatment of Ca Breast (Pg.545-553 & 559-Table-SRB)

Regional Surgery

Peritoneum

 Pelvic abscess
 Mesenteric Cyst


Abdominal TB

 Peritoneal TB
 Ileao-caecal TB

Liver:

 Amoebic liver abscess

 Hydatid cyst - PAIR
 Hepatoma (HCC)
  Portal hypertension (Etio, Dx, Mx)
 Esophageal varices

Gall Bladder:

 Anatomy of gall bladder (calots triangle - v.imp)

 Physiology of bile
 ERCP
 MRCP
 Percutaneous Transhepatic Cholangiography (PTC)
 OCG
 Choledocal Cyst
 Biliary atresia
 Empyema Gall Bladder
 Mucocele Gall Bladder
 Gallstones (Cx)
 CBD stone (Dx , Mx)
 Physiology of Bile
 Acute and chronic cholecystitis
 Courvoisier law
 Mercedes Benz Sign
 Murphy's law

 Carcinoma gall bladder
 Choledocholithiasis
 Obstructive jaundice (Def, Causes)
 Cholecystectomy - open and laproscopic

Spleen:

 Functions of spleen
 Spleenunculi
 Rupture spleen / Splenic Injury
 Indications of splenectomy
 Complications of splenectomy
  Causes of splenomegaly

Pancreas:

 Acute pancreatitis (Etio,c/f, Dx, Mx)

 Complication Acute pancreatitis
 Pseudocyst of pancreas
 Periampullary carcinoma (go through once. Read about Whipple's operation)

D/D of Mass Abdomen:

it is asked in detail in the practical

 Right hypochondrium
 Right lumbar region

Abdominal wall and Umbilicus:

 Omphalocele
 Umbilical granuloma
 Anomalies of vitellointestinal duct
 Burst abdomen
 Desmoid tumor
 Meleny’s Progressive Synergistic bacterial gangrene of abdominal wall

Hernia:

(Inguinal hernia is to be read from textbook but is asked in detail only in practical)

 Strangulated hernia
 Sliding hernia
 Pantaloon hernia
 Femoral hernia (2018 & before)
 Ventral hernia
 Incisional hernia
 Umbilical hernia
 Paraumbilical hernia
 Epigastric hernia
  Spigelian hernia

Esophagus:

 Physiology of deglutition (2018)

 Causes and diagnosis of dysphagia
 GERD
 Hiatus hernia
 Barretts esophagus
 Achalasia Cardia
 Mallory Weiss syndrome
 Plummer Wilson Syndrome
 Tracheo-esophageal fistula
 CA Esophagus

Stomach:

 Anatomy of stomach
 Physiology of gastric juice
 Upper GI Scopy
 H. Pylori
 Congenital hypertrophic pyloric stenosis
 Gastric ulcer
 Duodenal ulcer
 Perforated peptic ulcer
 Bleeding peptic ulcer
 Causes of hematemesis
 Trichobezoar (Rapunzle Synd)
 CA Stomach
 GIST

Small intestine:

 Meckles diverticulum
 Regional enteritis (Crohn’s)
 Complications of typhoid
  Carcinoid Tumor
 Non occlusive mesenteric arteritis (NOMA)

Large intestine :

 Aganglionic (congenital ) megacolon {Hirschprung’s Ds}

 Ulcerative colitis
 Colostomy
 CA Colon
 Capsule endoscopy

Intestinal obstruction :

 Classification and etiology of intestinal obstruction

 Dynamic obstruction of intestine
 Intussussception
 Sigmoid volvulus
 Paralytic ileus

Appendix:

 Anatomy of appendix
 Acute appendicitis
 D/d of Acute appendicitis in children, female, elderly
 Appendicular mass
 Appendicular abscess
 Mucocele of appendix
 Appendicectomy - open and lap

Rectum and anal canal:

 Anatomy of rectum and anal canal

 Sigmoidoscopy
 Colonoscopy
 Rectal cancer
 Rectal prolapse
 Pilonidal sinus
  Piles
 Anal fissure
 Anal fistula
 Sacrococcygeal teratoma

Kidney and ureter :

 IVU
 MCU
 Cystoscopy
 Foley’s Catheter
 Causes of Hematuria
 Horseshoe kidney
 Polycystic kidney disease
 Ureterocoele
 Kidney injury
 Renal tb
 Hydronephrosis
 Renal calculus
 Ureteric calculus
 Staghorn calculus
 Perinephric abscess
 Wilms tumor
 Renal cell carcinoma


*Urinary bladder :
 anatomy of urinary bladder
 Physiology of micturition
 Ectopia vesicae
 Bladder calculi
 Transitional cell carcinoma
 Urinary diversion
 Rupture bladder
  Bladder diverticula
 Vesicoureteric Reflux

Prostate :
 Anatomy of prostate
 PSA
 BPH
 Carcinoma prostate

*Urethra :
 Urethral injury
 Stricture urethra
 Retention of urine
 Extravasation of urine
 Hypospadias
 Epispadias


*Penis :
 Phimosis
 Paraphimosis
 Priapism (2018) 1 mark
 Circumcision
 Carcinoma penis


*Scrotum :
 Fournier's gangrene (can be asked in ppr 1)
 Hydrocele
 Spermatocele
 Varicocele
 Chronic Hematocoele

*Testis :
 Undescended testis
 Ectopic testis
 Torsion testis
 Carcinoma testis

Neurosurgery :
 Glasgow come scale
 extradural hemorrhage
 Lucid Interval
 subdural hemorrhage
 hydrocephalus
 meningocoele (2018) and myelomeningocele

Chest and thorax :

 - flail chest
 - pneumothorax (tension)
 - empyema necessitans
 - empyema thoracis
 Intercostal Tube Drainage

Anaesthesia :-
 - complications of general anaesthesia
 - endotracheal tube
 - nasogastric aspiration
 Regional Anaesthesia
 - local anaesthesia
 - spinal anaesthesia
 - epidural anaesthesia
 Post operative analgesia

Laparoscopy :
 advantages and disadvantages of laparoscopic surgery
 complications of laparoscopy
  lap cholecystectomy
 lap appendicectomy

Day care surgery

 *Sterilization in surgery (Techiniques of surgical instrument sterilization)
 *Clinical audit- definition

Compiled by,

Pankti Bhatt

Simran Thakkar

Yasir Nadir Merchant