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1. Case: 35 years old male patient operated for intestinal obstruction and given bowl diversion at that time. Patient come in emergency dep
Questions
Q.1 Identify the procedure done in this case.
Q.2 How to manage this patient?
(4)
Q.3 Indications and complications of this
procedure. (4)

2. Case5year old boy came in emergency department with difficulty in swallowing and history of
coin ingestion , see the image and answer the question.
Questions Marks
Q.1 Identify the procedure done in this case. (3)
Q.2 What are the other treatment option for above showed condition? (2)
Q.3 Complication of above mentioned procedure (3)
Q.4 What is full form of POEM? (2)

3. Case: A 4o years old male patient came with history of perianal bleeding and
something coming out from perianal region since last 3 days. Image of perianal region
shown below
Questions Marks
Q.1 What are the probable diagnosis of this patient? (1)
Q.2 Management options in this case. (2)
Q.3 Complications of above shown condition? (2)

4. Case: 60 years old male patient presented with complaint of abdominal pain since last 1
month. Patient is anemic and his stool for occult blood is positive. In this case below shown
procedure performed.
Questions Marks
Q.1 Identify the procedure done in this case. (1)
Q.2 Identify the structure pointed out in above shown image. (1)
Q.3 Plan of management in this case. (2)
Q.4 Enumerate drugs used in H.Pylori infection. (1)

5. Case: A 65 years old male patient came in emergency department with complain of difficulty in breathing and
swelling and discoloration of right upper limb since last 2 days. Image of patient is shown below.
Questions Marks
Q.1 What are the probable diagnosis of this case? (1)
Q.2 What is the plan of management in this case? (2)
Q.3 Difference between dry and wet gangrene. (2)

6. Case: 17 years old male patient of thalassemia had gone under surgery for persistent anemia. The
specimen retrieved from the surgery shown in the figure.
Questions Marks
Q.1 Identify the organ shown in the picture. (1)
Q.2 Complications of surgery done in this case. (2)
Q.3 Difference between thalassemia major & minor. (2)

7. Case: A 14-year-old boy presented to the emergency department with a 24h history of increasing abdominal
pain. The pain localized to the right iliac fossa and a diagnosis of acute appendicitis was made. At operation the
appendix was found to be normal and the anomaly shown in Fig. 10.1 was found in a loop of small bowel.
Questions Marks
Q.1 What is the diagnosis? (1)
Q.2 What are the characteristics of this anomaly? (1)
Q.3 How can this present? (1)
Q.4 How would you deal with this intra-operative finding? (2)

8. Case: A 43-year-old woman presents to the vascular clinic with cramping pain and numbness in the left hand. This
morning she has noticed a black patch on the tip of her thumb and index finger. She is a heavy smoker and is on
medication for hypertension.
Questions Marks
Q.1 What abnormality can be seen in the X-ray? (1)
Q.2What is the differential diagnosis? (1)
Q.3 What further investigations may be helpful? (1)
Q.4 How can the symptoms and signs be explained? (2)