III BDS GENERAL SURGERY - Evaluation & Model questions (Final after NMC meeting) - TU BDS Syllabus

Evaluation Scheme

BDS 3^rd Year

General Surgery Theory

Total Marks: 100

Internal Assessment Marks: 20

Theory Marks: 80

Questions should be made according to the following topics distribution:

Section	Type of question	No of questions	Topics	Time Allocation
A	MCQ (Multiple choice question)	30 Q’s (MCQ) x 1 mark each Total: 30 marks	·     All topics (Unit I & II) Unit I - 15 marks Wounds, Fluid/Electrolytes-4 Inflammation, Infections-4 Shock, Hemorrhage-2 Operative surgery-2 Trauma, Soft tissue injuries-2 Miscellaneous-1 Unit II - 15 marks Tumors, Cysts, Ulcers- 2 Lymphatics/Vascular- 2 Oral cavity, Salivary glands- 4 Larynx, Nasopharynx- 2 Nervous system- 1 Thyroid, Parathyroid-2 Anomalies of Face- 1 Swellings of jaw- 1	30 minutes
B	SAQ (Short answer question)	1Q (SAQ)  x   6 marks                         =  6 marks 2 Q’s (SAQ)  x  5 marks                         = 10 marks 3 Q’s (SN) x 3 marks  =  9 marks Total: 25 marks	Unit I - 25 marks Wounds, Fluid/Electrolytes-6 Inflammation, Infections-6 Shock, Hemorrhage-4 Operative surgery-3 Trauma, Soft tissue injuries-3 Misc-3	150 minutes
C	S AQ (Short answer question)	1Q (SAQ)  x   6 marks                         =  6 marks 2 Q’s (SAQ)  x  5 marks                         = 10 marks 3 Q’s (SN) x  3 marks  =  9 marks Total: 25 marks	Unit II - 25 marks Tumors, Cysts, Ulcers- 4 Lymphatics/Vascular- 4 Oral cavity, Salivary glands- 4 Larynx, Nasopharynx- 3 Nervous system- 3 Thyroid, parathyroid-4 Anomalies of Face, Swellings of jaw- 3

Evaluation Scheme

BDS 3^rd Year

General Surgery Clinical/Practical

Total Marks: 100

Internal Assessment Marks: 20

Practical Marks: 80

Specification Table for Practical Exam:

Viva	Log book	Spotters	Clinical Exercise	Total
20	10	20	30	80

I.                 Viva (20 marks)

II.               Log Book (10 marks)

III.              Spotters (20 marks): (10 questions × 2 marks each)

·        Instruments

–       Basic surgical instruments

–       Sutures/needles

–       Gauze, bandages, swabs

·        Drugs- Lignocaine/Bupivacaine, Antibiotics

·        X-rays

–       Chest- Pneumothorax, Pleural effusion, Rib fractures

–       Abdomen- obstruction, perforation

·        Skills

–       IV cannulation, IM injection

–       Urethral catheterization

–       Chest tube, NG tube

–       Airway management- Oropharyngeal airway, endotracheal tube

IV.             Clinical Exercise (30 marks): (Subdivided into)

a.      One Long case (20 marks)

b.     One Short case (10 marks)

·        Examination of swellings and ulcers

·        General examination

–  Pulse, BP

–  Lymph node examination- Cervical, Axillary

·        Abdominal examination

·        Chest/ CVS

·        Cranial nerves

–  Facial

–  Trigeminal nerve

·        Neck examination

–  Thyroid

–  Parotid

General Surgery

Model questions

Section A (MCQ’s)

1.      Father of antiseptic surgery is

a.      Lord Moynihan

b.     Joseph Lister

c.      William S Halsted

d.      Harvey Cushing

2.      One of the following is a cause of cardiogenic shock

a.      Cardiac tamponade

b.      Tension pneumothorax

c.      Myocardial infarction

d.      Vomiting

3.      According to traditional classification, class 3 shock signifies ( …?..) percent of total blood loss

a.      <15%

b.      15-30%

c.      30-40%

d.      >40%

4.      Gas gangrene is caused by

a.      Clostridium perfringes

b.      Clostridium tetani

c.      Bacillus anthracis

d.      Staphylococcus aureus

5.      What is the maximum dose of Lignocaine with adrenaline (1:200000) as a local anaesthetic?

a.      3 mg/kg

b.     7 mg/kg

c.      15 mg/kg

d.      20 mg/kg

Section B (SAQ’s)

1.      Classify shock and write the management of septic shock (2+4=6)

2.      Classify wound. Enumerate causes of non-healing of wound. (2+3=5)

3.      Discuss strategies of airway management in facial trauma. (5)

4.      Write short notes on (3 x 3)

a.      Tru-cut biopsy

b.      Complications of blood transfusion

c.      Classification of suture materials

Section C (SAQ’s)

1.      Define goiter. Enumerate causes of goiter. Describe how you will evaluate a patient with solitary thyroid nodule. (1+2+3=6)

2.      Classify Parotid tumors. Describe in brief the evaluation and management of Pleomorphic adenoma. (2+3=5)

3.      Describe in short the embryological basis of cleft lip and palate. (5)

4.      Write short notes on (3 x 3)

a.      Sialadenitis

b.      Branchial cysts

c.      Epulis