All answers have been compiled above. Here is a quick navigation guide for the entire paper:
Summary of What Was Covered
Long Questions (3 options, attempt any 2):
- Q1 - Perforation Peritonitis: Full etiology list + clinical features of peptic perforation (3 stages) + management (Graham's patch, H. pylori eradication)
- Q2 - Venous Ulcer: Venous anatomy with diagram + pathophysiology (fibrin cuffs, white cell trapping) + management (compression + EVLA)
- Q3 - Carcinoma Breast T2N1M0: Breast lump classification + T2N1M0 = Stage IIB features + MRM vs BCS + adjuvant therapy by receptor status
Short Questions (5 options, attempt any 4):
- HPS: Projectile non-bilious vomiting, olive mass, metabolic alkalosis, Ramstedt's pyloromyotomy
- Phyllodes Tumor: Rapidly enlarging lump, 3 grades, wide excision with 1 cm margins
- VSD: Types, L→R shunt, pansystolic murmur at LLSE, patch closure
- DVT Prophylaxis: Virchow's triad, TED stockings + LMWH, extended duration for ortho/cancer
- Flail Chest: Paradoxical movement, pulmonary contusion, epidural analgesia + IPPV
Very Short Questions (12 options, attempt any 10): All 12 answered - Trendelenburg test, CLI, lipodermatosclerosis, rest pain, line of demarcation, ICD indications, peau d'orange, saphena varix, transmitted pulsations, compressible swelling, intermittent claudication, duplex scan
Orthopaedic Section: Osteomyelitis (types, sequestrum/involucrum pathology, sequestrectomy treatment) + Colles' fracture (dinner fork deformity, reduction + POP) + Indications for amputation (diabetes 60-80%, ischemia, infection, trauma, tumors)