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RGUHS General Surgery Question Papers (2025 to 2021)

RGUHS General Surgery is the Final Year theory and clinical paper covering surgical principles, gastrointestinal surgery, hepatobiliary surgery, breast, thyroid, vascular surgery, urology, orthopaedics, burns, and trauma. GeckoMed provides the complete RGUHS General Surgery question paper archive from 2025 to 2021, with topic-wise analysis, exam pattern breakdown, and links to condition guides and study material.

Sourced from official RGUHS exam archives.
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All RGUHS General Surgery Question Papers

2025

Year

2025

Paper

RGUHS General Surgery Question Paper 2025

Subject

General Surgery

Phase

Final Year MBBS

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2024

Year

2024

Paper

RGUHS General Surgery Question Paper 2024

Subject

General Surgery

Phase

Final Year MBBS

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2023

Year

2023

Paper

RGUHS General Surgery Question Paper 2023

Subject

General Surgery

Phase

Final Year MBBS

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View

2022

Year

2022

Paper

RGUHS General Surgery Question Paper 2022

Subject

General Surgery

Phase

Final Year MBBS

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2021

Year

2021

Paper

RGUHS General Surgery Question Paper 2021

Subject

General Surgery

Phase

Final Year MBBS

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RGUHS General Surgery Exam Pattern

RGUHS General Surgery is a 100-mark theory paper examined in the Phase 3 Part 2 (Final Year) professional examination under the NMC CBME format. The paper duration is 3 hours. It is written alongside General Medicine, Obstetrics and Gynaecology, and Paediatrics in the Final Year examination sitting.

The paper follows the NMC CBME structure of long essay questions (LEQ), short essay questions (SEQ), and short answer questions (SAQ). LEQs test in-depth applied knowledge of a surgical condition or principle. SEQs cover a broader range of topics at intermediate depth. SAQs test factual recall — surgical anatomy, clinical signs, operative steps, or classification systems. The specific mark allocation and question count for each section are visible in the full papers available above.

RGUHS General Surgery also has a separate clinical practical examination. This includes a long-case clinical assessment, short-case examination of lumps and swellings, instrument identification, and a viva conducted by the external examiner. The short-case component tests clinical examination of hernia, thyroid swelling, breast lump, lymph node enlargement, and peripheral vascular disease — conditions that overlap with the theory paper's high-yield topics.


Topic-wise Analysis: RGUHS General Surgery (2021 to 2025)

The following topic areas recur across RGUHS General Surgery papers from 2021 to 2025. Frequency classification is based on review of papers in the GeckoMed archive.

Topic Area

Hernia — inguinal (direct vs indirect), femoral, strangulation, repair

Exam Relevance

Core — theory and short-case

Topic Area

Carcinoma breast — TNM staging, MRM, breast-conserving surgery, hormone receptors

Exam Relevance

Core — theory and short-case

Topic Area

Burns — Rule of Nines, depth classification, fluid resuscitation

Exam Relevance

Core

Topic Area

Wound healing — primary vs secondary intention, keloid vs hypertrophic scar

Exam Relevance

High-yield

Topic Area

Jaundice — obstructive jaundice workup, Courvoisier's sign, ERCP

Exam Relevance

High-yield

Study Resource

Jaundice Topic Guide

Topic Area

Appendicitis — Alvarado score, McBurney's point, complications

Exam Relevance

High-yield

Topic Area

Thyroid swelling — evaluation, investigations, goitre classification, thyroidectomy complications

Exam Relevance

High-yield

Topic Area

Cholecystitis — acute vs chronic, Murphy's sign, choledocholithiasis, cholecystectomy

Exam Relevance

High-yield

Topic Area

Peptic ulcer complications — perforation, haemorrhage, pyloric stenosis

Exam Relevance

High-yield

Topic Area

Varicose veins — Trendelenburg test, CEAP classification, treatment

Exam Relevance

Recurring

Topic Area

Shock — classification (hypovolaemic, septic, cardiogenic), fluid resuscitation principles

Exam Relevance

Recurring

Topic Area

Fractures — principles of management, union vs non-union, Colles fracture

Exam Relevance

Recurring

Topic Area

Peripheral arterial disease — Buerger's test, arterial vs venous ulcer, Fontaine classification

Exam Relevance

Recurring

Note: Frequency data is based on GeckoMed's analysis of RGUHS General Surgery papers from 2021 to 2025. Full question paper content is available in the papers above.


Study Tips for RGUHS General Surgery

Revise surgical anatomy alongside clinical topics. RGUHS General Surgery examiners frequently ask anatomy-based questions within surgical topics — the anatomical layers of the inguinal canal in a hernia question, the blood supply of the breast in a carcinoma question, the triangle of Calot in a cholecystectomy question. Reviewing the surgical anatomy of each high-yield condition while you revise the condition itself doubles the return on study time.

Learn to draw operative diagrams. Long essay questions on procedures (modified radical mastectomy, cholecystectomy, appendicectomy) earn significantly more marks when accompanied by correctly labelled diagrams. Practise drawing incision sites, anatomical relationships, and step-by-step operative sequences for the four or five most commonly asked procedures in the RGUHS archive.

Treat hernia as two topics, not one. RGUHS papers regularly ask about both the clinical anatomy (direct versus indirect inguinal hernia, femoral hernia) and the complications (strangulation, obstruction, irreducibility) separately. Revising hernia as a single topic risks under-preparing the anatomy sub-questions that appear in the short answer section.

Burns and fluid resuscitation together. Burns questions at RGUHS typically ask for the classification of burn depth, Rule of Nines calculation for a given scenario, and the fluid resuscitation formula. These are three distinct components of one topic. Revise all three in a single session so you can answer a multi-part burns LEQ without breaking flow.

Use the 2021 paper to identify recurring anchors. Topics that appear in both the 2021 paper and the 2025 paper are the most stable long-term examination topics. Start with 2025 and work forward to identify recent trends, then check 2021 to identify anchors that have persisted across the full archive.

Prepare short-case presentations as written answers. The clinical practical short-case format — examine and present a lump, swelling, or vascular case — uses the same clinical knowledge as the written paper. Revising thyroid swelling evaluation, breast lump examination, and hernia assessment as written case presentations builds both practical and theory performance simultaneously.


Frequently Asked Questions

Are RGUHS General Surgery question papers free to download on GeckoMed?

Yes. All RGUHS General Surgery question papers from 2021 to 2025 are free to view on the GeckoMed website. The GeckoMed app provides offline access and PDF download after a 4-day free trial, followed by an annual subscription.

What years are covered in the RGUHS General Surgery archive on GeckoMed?

The RGUHS General Surgery archive covers 2025, 2024, 2023, 2022, and 2021 — five papers spanning the NMC CBME examination period. This range is sufficient to identify recurring topic patterns and understand the current exam format.

Does the RGUHS General Surgery paper follow the NMC CBME pattern?

Yes. RGUHS conducts General Surgery examinations under the NMC Competency Based Medical Education framework. The theory paper includes long essay questions, short essay questions, and short answer questions as per the CBME format for Final Year subjects.

Is the clinical practical exam separate from the theory paper?

Yes. The RGUHS General Surgery assessment has two components: a 100-mark theory paper and a separately scheduled clinical practical examination. The practical includes a long case, short-case assessment of specific lumps and swellings, instrument identification, and a viva. Both components must be cleared to pass General Surgery.

Are these papers useful for students at other universities?

Yes. The NMC CBME framework sets a common General Surgery syllabus across all Indian medical universities. Topics recurring in RGUHS papers — hernia, carcinoma breast, intestinal obstruction, burns, thyroid — appear across KNRUHS, TNMGRMU, and other universities as well. However, question phrasing and paper structure vary, so students at other universities should also review their own university's papers.

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