Dr. MGR University 2013 - 2015 Question Papers PAPER II EMERGENCY SURGERY

Dr. MGR University AUGUST 2013 Question Paper
Subject : PAPER II – EMERGENCY SURGERY

[LD 0212] Sub. Code: 1022

B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER II – EMERGENCY SURGERY
Q.P. Code: 801022
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Give an account of acute appendicitis and its management.
 2. Discuss in detail the treatment of urinary bladder tear in road traffic accident.
 3. Discuss the causes and treatment of Splenic injury.
II. Write notes on: (8 x 5 = 40)
 1. Causes and treatment of acute intestinal obstruction.
 2. Differences between superficial and deep burns and their management.
 3. Differences between Gastric and duodenal ulcer.
 4. Discuss treatment of tension pneumothorax.
 5. Diagnosis and treatment of Torsion Testis.
 6. Different types of wounds and principles of their management.
 7. Treatment of acute haematemesis.
 8. Write briefly about regional anaesthesia.
III. Short Answers on: (10 x 3 = 30)
 1. Calculus cholecystitis.
 2. Causes of acute pancreatitis.
 3. Radiological diagnosis of duodenal ulcer perforation.
 4. Treatment of corrosive oesophagitis.
 5. Complications of inguinal hernia.
 6. What is HEIMLICH MANEUVER?
 7. Different types of abdominal incisions.
 8. Diagnosis of acute diaphragmatic rupture.
 9. Treatment of renal colic.
10. Diagnosis of foreign bodies in oesophagus.
*******

Dr. MGR University FEBRUARY 2014 Question Paper
Subject : PAPER II – EMERGENCY SURGERY

[LE 0212] Sub. Code: 1022
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER II – EMERGENCY SURGERY
Q.P. Code: 801022
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Discuss etiology, symptoms, investigation and treatment of acute cholecystitis.
 2. Discuss in detail causes, diagnosis and treatment of acute diaphragmatic hernia.
 3. How do you treat the patient with acute massive haematemesis?
II. Write notes on: (8 x 5 = 40)
 1. Complications of Spinal Anaesthesia.
 2. Cleaning of Lacerated wound.
 3. Treatment of Electrical Burns.
 4. Aetiology of Peptic ulcer in duodenum.
 5. Symptoms and diagnosis of acute pancreatitis.
 6. Treatment of acute intestinal obstruction.
 7. Treatment of Torsion testis.
 8. Aetiology and treatment of acute renal colic.
III. Short Answers on: (10 x 3 = 30)
 1. Causes and treatment of Haemothorax.
 2. Layers of closure of midline abdominal incision.
 3. Causes of malena.
 4. Symptoms and Signs of Acute appendicitis.
 5. Treatment of Scalds.
 6. Causes of acute retention of urine.
 7. Treatment of acute, thrombosed, prolapsed pile mass.
 8. Uses of local anaesthesia.
 9. Indications for tracheostomy.
10. What is HEIMLICH MANEUVER?
*******

Dr. MGR University AUGUST 2014 Question Paper
Subject : PAPER II – EMERGENCY SURGERY

[LF 0212] Sub. Code: 1022
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER II – EMERGENCY SURGERY
Q.P. Code: 801022
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. 32 year old gentleman fell off bike in a road traffic accident. He was not wearing
 helmet. He was complaining of neck, left lower chest and left upper abdominal pain.
 What are the possible injuries? How will you assess, investigate and initially manage
 this patient?
 2. What are the indications for intercostal drain (ICD) in casualty. Describe the technique
 of placing intercostals drain. What are the complications of intercostals drain?
 3. 50 year old diabetic lady presents with three days history of right upper abdominal
 pain. What are the possible differential diagnosis? How do you investigate and
 manage a patient with acute calculus cholecystitis?
II. Write notes on: (8 x 5 = 40)
 1. Mention the common local anaesthetic agents used in Accident & Emergency care.
 Clinical indications of usage for each drug and their respective side affects.
 2. Describe the types of wound healing.
 3. How do you clean and dress a grossly contaminated ragged wound in the leg?
 4. Describe the initial management of electrical burns.
 5. 50 year old female complaints of throat pain after eating fish. What would you do?
 6. 25 year old man was stabbed in the upper abdomen towards the midline. What are all
 the possible organ injuries?
 7. Treatment of a patient with proven duodenal ulcer.
 8. Describe the investigations and initial management of acute pancreatitis.
III. Short Answers on: (10 x 3 = 30)
 1. 65 year old woman presents with rectal bleeding. What could be the causes?
 2. What are the causes of peptic ulcer?
 3. What are the types of cells in pancreas and what do they secrete?
 4. Clinical features of cardiac tamponade following chest trauma.
 5. What are the symptoms and signs of renal colic?
 6. What are the complications of tracheostomy?
 7. What are the causes of acute onset testicular pain?
 8. Describe the clinical features of acute appendicitis.
 9. Treatment options of chronic pancreatitis.
10. Clinical features of urinary bladder repture.
*******

Dr. MGR University AUGUST 2015 Question Paper
Subject : PAPER II – EMERGENCY SURGERY

[LH 0815] Sub. Code: 1022
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER II – EMERGENCY SURGERY
Q.P. Code: 801022
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Note on skin anatomy. Describe the classification of Burns and how will you manage
 a Burns patient in Emergency Department.
 2. 25 years old female patient with sudden onset abdominal pain, what are the differential
 diagnoses of this patient. How will you investigate and manage a ectopic pregnancy?
 3. Pathophysiology of wound healing.
 Describe the types of common wounds, cleaning of wound and its treatment.
II. Write notes on: (8 x 5 = 40)
 1. Investigation and Management of a patient with acute calculus cholecystitis.
 2. Difference between Gastric ulcer and duodenal ulcer.
 3. Acute appendicitis.
 4. List the Etiology of pancreatitis in adult.
 5. Possible differential diagnosis of a stab injury over the upper abdomen.
 6. Describe the life threatening emergencies of chest trauma.
 7. Paralytic ileus, clinical features, investigations and management.
 8. What are the complications of Tracheostomy?
III. Short Answers on: (10 x 3 = 30)
 1. Note on regional anaesthesia.
 2. Maneuvar for chocking.
 3. 50 years old female complaints of throat pain after eating fish. What would do?
 4. Treatment of corrosive oesophagitis.
 5. Clinical features of uretric colic.
 6. Diagnosis and treatment of testicular torsion.
 7. Treatment of acute haematamesis.
 8. Causes and treatment of splenic injury.
 9. Causes of rectal bleeding.
10. Initial approach to the patient with crush injury.
******* 

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