FINAL EXAM NATIONAL BOARD OF EXAMINATIONS DECEMBER … · 2016-10-29 · final exam national board...

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS DECEMBER 2015

-1- POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE

EXAMINATION HALL.

GENERAL SURGERY

PAPER – I SURG/D/15/12/I

Time : 3 hours Max. Marks : 100

IMPORTANT INSTRUCTIONS

This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part containing 5 questions.

Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged separately.

Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not be evaluated.

Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together. Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer

sheet(s). Attempt all questions in order. Each question carries 10 marks. Read the question carefully and answer to the point neatly and legibly. Do not leave any blank pages between two answers. Indicate the question number correctly for the answer in the margin space. Answer all the parts of a single question together. Start the answer to a question on a fresh page or leave adequate space between two answers. Draw table/diagrams/flowcharts wherever appropriate.

PART A

Write short notes on:

1. a) Define morbid obesity. b) Enumerate the indications of bariatric surgery. c) Metabolic complications of gastric by-pass procedure.

1+2+7

2. a) Define surgical site infection. b) What are the risk factors for wound infection? c) How will you prevent it?

1+5+4

3. a) Various energy sources used in surgery. b) Advantage and disadvantage of each of them.

5+5

4. a) What is damage control surgery? b) What are the indications and important steps of damage

control surgery?

2+(4+4)

5. a) What are tumour markers? b) What are the different types of tumour markers? c) Role of tumor markers in management of testicular

tumours.

2+4+4

P.T.O.



EXAMINATION HALL.

GENERAL SURGERY

PAPER – I

Please read carefully the important instructions mentioned on Page ‘1’



PART B

1. a) Various types of skin flaps.

b) Outline various flaps used in head and neck reconstruction.

4+6

2. a) Various types of diaphragmatic hernia. b) Management of a case of traumatic diaphragmatic hernia.

2+8

3. a) Anatomy of neck nodes. b) Various types of neck node dissection.

4+6

4. a) What are the various subphrenic spaces? Draw labeled diagram(s).

b) Management a patient with subphrenic abscess.

6+4

5. a) Classify skin burns. b) Initial assessment and management of a patient with burn

injury.

3+7

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EXAMINATION HALL.

GENERAL SURGERY

PAPER – II SURG/D/15/12/II








PART A


1. a) Enumerate the causes of solitary thyroid nodule (STN). b) Management of a 50 years old man presenting with STN of

3 months duration

2+8

2. a) Premalignant lesions of the skin. b) Clinical features and management of basal cell carcinoma

of skin.

4+(3+3)

3. a) Enumerate the endocrine tumours of pancreas. b) Investigative work up and management of a patient

suspected to have insulinoma.

2+(4+4)

4. a) What are the causes of secondary hypertension? b) Investigation and management of a 20 years old lady with

suspected pheochromocytoma.

3+(3+4)

5. a) What is the role of Neo-adjuvant chemotherapy in the management of carcinoma breast?

b) Management of an 80 years old lady with 3x3cm carcinoma in the central quadrant of left breast?

3+7



EXAMINATION HALL.

GENERAL SURGERY

PAPER – II SURG/D/15/12/II








PART B

1. a) Surgical anatomy of cleft lip and cleft palate.

b) Principles of management of cleft lip.

5+5

2. a) Surgical anatomy of submandibular gland. b) Management of a patient with calculus in the duct of

submandibular gland.

5+5

3. a) Assessment of the severity of acute pancreatitis. b) Management of acute necrotizing pancreatitis in a 30

years old man.

4+6

4. a) Classify fractures of pelvis. b) Complications of fracture pelvis.

3+7

5. a) Glasgow coma scale. b) Role of CT scan in a case of head injury. c) Initial assessment of a case of head injury.

3+4+3

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EXAMINATION HALL.



EXAMINATION HALL.

GENERAL SURGERY

PAPER – III SURG/D/15/12/III








PART A


1. a) Define screening. b) What are the ideal attributes of the disease to be

screened? c) Various methods used for screening of colorectal cancer.

1+4+5

2. a) Classify fistula-in-Ano. b) Investigation of a 30 years old man with multiple fistula-in-

Ano.

5+5

3. a) Investigations done for the assessment of varicose veins along with findings.

b) Newer techniques for the treatment of varicose veins.

7+3

4. a) What are the various types of angiography? b) Enumerate the complications associated with angiography.

5+5

5. Abdominal compartment syndrome: Clinical features, diagnosis & management.

3+2+5

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EXAMINATION HALL.



EXAMINATION HALL.

GENERAL SURGERY

PAPER – III SURG/D/15/12/III








PART B

1. a) What are the various techniques of tissue approximation in

laparoscopic surgery? b) Staplers used in laparoscopy.

5+5

2. a) Enumerate the cystic lesions of liver. b) Investigation and management of a 35 years old lady with

suspected hydatid cyst of liver.

3+7

3. a) Investigation of a patient suspected with choledocholithiasis.

b) Modalities of its treatment.

4+6

4. a) Enumerate the causes of dysphagia. b) Investigation of a 60 year old man with dysphagia.

3+7

5. a) Short gut syndrome: etiopathogenesis & clinical features. b) What are the sequelae of short gut syndrome?

(3+2)+5

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EXAMINATION HALL.


EXAMINATION HALL.

GENERAL SURGERY

PAPER – IV SURG/D/15/12/IV








PART A


1. a) Indications for renal transplantation.

b) Peri-operative management of the recipient.

4+6

2. a) Types of rejection following transplantation. b) Management of acute rejection.

6+4

3. a) Define early gastric cancer. b) Diagnosis and management of early gastric cancer.

2+(4+4)

4. a) Classify renal injuries. b) Management of an 18 years old boy admitted with massive

haematuria following blunt abdominal trauma.

3+7

5. a) What are the components of the enhanced recovery after surgery (ERAS) protocol?

b) Barriers in its implementation.

6+4

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EXAMINATION HALL.


EXAMINATION HALL.

GENERAL SURGERY

PAPER – IV SURG/D/15/12/IV








PART B

1. a) What are the types of torsion testis? b) Management of a 12 years old child admitted with

suspected torsion testis.

2+8

2. Clinical features and management of recto-vesical fistula.

3+7

3. Indications and techniques used for the ablation of liver tumors.

3+7

4. What are the advantages and limitations of robotic surgery when compared to laparoscopic surgery?

5+5

5. a) What are causes of chylothorax? b) Diagnosis and management of chylothorax.

3+(2+5)

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EXAMINATION HALL.

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS DECEMBER … · 2016-10-29 · final exam national board...

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