MS General Surgery Question Bank

Compiledby

Dr.DeevishND

(Bangalore Medical College & ResearchInstitute)

M.S. GENERAL SURGERY

QUESTION BANK


QUESTION BANK

QUESTIONS COMPILED CHAPTER-WISEFROM PAST30YEARS(1982-2012)

M.S. GENERAL SURGERY PAPERS( R.G.U.H.S )

FREE SOFT COPYFREESOFTCOPY


QUESTION BANK

QUESTIONS COMPILED CHAPTER-WISE FROM PAST 30 YEARS (1983-2012)

M.S. GENERAL SURGERY PAPERS ( R.G.U.H.S )

FREE SOFT COPY

Compiled by:

Dr. Deevish N.D (Post Graduate, M.S. General Surgery, B.M.C.R.I)

Available only at:PRITHVI BOOK STORE Opp. Vanivilas hospital, K.R.Road, Bangalore-560002. Phone: (080) 26703939, (080) 26700952.

M.S. GENERAL SURGERY QUESTION BANK Compiled by Dr. Deevish N.D E-mail: [email protected] Facebook page MS General Surgery Question Bank (Kindly click on like on the page if you have benefited from this book) 1st edition: November 2012 Note: All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording or any information storage and retrieval system without the permission. For free distribution. Not to be sold.

Dedicated to my parents, my friends

and my beloved brother

Acknowledgments

To the people who made this dream a reality

Dr. Abhishek V Dr. Abhay Kattepur Dr. Ajith T Dr. Aniketh Venkatram Dr. Giridhar A Dr. Medha Sugara Dr. Rajeev P Dr. Ramakrishna K Dr. Rohith S Dr. Thejas S K Dr. Vinod Kumar P Dr. Vishnu Kurpad

With proud privilege and deep sense of respect I like to express

my gratitude and indebtedness to my teacher and guide Dr. B.S. Shivaswamy, Professor and Head, Department of General Surgery, Bangalore Medical College and Research Institute for his constant inspiration and support.

I am immensely thankful to Dr. T. Durganna, President, Surgical

Society of Bangalore for permitting me to release the book on the occasion of Prof. B. Hanumaiah Memorial CSEP programme 2012 organised by ASI-KSC Bangalore city chapter.

My sincere thanks to my Professors Dr. T. Durganna, Prof. Dr. Mohan Ullikashi, Prof. Dr. Ramesh M Tambat, Prof. Dr. P.R Thippeswamy Naik, Prof. Dr. M.K. Ramesh and Prof. Dr. Suresh Chandu for their valuable guidance.

I am thankful to Dr. Rajashekara Babu, Dr. Santhosh C.S, Dr. C.S

Rajan, my senior PGs Dr. Harsha, Dr. Nataraj, Dr. Abhay, Dr. Rohith and my colleagues Dr. Aniketh V and Dr. Udaya Ravi.

I would like to extend my gratitude to all the faculty members of

Department of General Surgery, BMCRI for their constant support and encouragement.

I express my gratitude to my parents whose blessings and

constant encouragement have always been with me. I owe this work to everyone who contributed individually. Any

oversight is purely unintentional. Last but not least, I am grateful to my friends Dr. Shruthi and Dr.

Divyashree who have been the source of inspiration throughout my endeavour.

- Dr. Deevish N.D

INDEX

PAPER I

1 INTRODUCTION TO SURGERY & BASIC SURGICAL PRINCIPLES 1

2 WOUNDS, TISSUE REPAIR AND SCARS 1

3 ACCIDENT AND EMERGENCY SURGERY 2

4 CRITICAL CARE, ACUTE RESUSCITATION AND SUPPORT 3

5 FLUID, ELECTROLYTE AND ACID-BASE BALANCE 6

6 NUTRITIONAL SUPPORT AND REHABILITATION 6

7 ANAESTHESIA AND PAIN RELIEF 7

8 WOUND INFECTION & SYSTEMIC INFECTIONS 9

9 IMMUNOLOGY AND TRANSPLANTATION 11

10 TUMOURS, CYST, ULCER, SINUS 12

11 SKIN AND BURNS 15

12 ARTERIAL DISORDERS 17

13 VENOUS DISORDERS 19

14 LYMPHATIC SYSTEM DISORDERS 20

15 DAY CARE SURGERY 21

16 MISCELLANEOUS 21

PAPER II

17 FACE, MOUTH, CHEEK, TONGUE 24

18 TEETH, GUM, EAR, JAW, NOSE AND SINUSES 25

19 ORAL AND OROPHARYNGEAL CANCER 26

20 SALIVARY GLANDS 27

21 PHARYNX AND LARYNX 29

22 NECK 29

23 THYROID GLAND 31

24 PARATHYROID AND ADRENALS 34

25 BREAST 36

26 THORAX 40

27 HEART AND PERICARDIUM 43

PAPER III

28 ANASTOMOSES 43

29 OESOPHAGUS 44

30 STOMACH AND DUODENUM 47

31 LIVER 50

32 GALLBLADDER AND BILE DUCTS 53

33 SPLEEN 56

34 PANCREAS 57

35 PERITONEUM, MESENTRY ,OMENTUM AND RETROPERITONEUM 59

36 SMALL AND LARGE INTESTINE 60

37 INTESTINAL OBSTRUCTION 64

38 APPENDIX 65

39 RECTUM 66

40 ANUS AND ANAL CANAL 67

41 HERNIA, UMBILICUS, ABDOMINAL WALL 69

42 PRINCIPLES OF LAPAROSCOPIC SURGERY 71

PAPER IV

43 FRACTURES AND DISLOCATIONS 71

44 DISEASES OF BONE AND JOINT 73

45 TUMOURS OF BONE AND JOINT 74

46 HAND 74

47 FOOT 75

48 SPINE AND SPINAL CORD 76

49 NERVES 77

50 CRANIUM (SCALP, SKULL, BRAIN) 78

51 URINARY SYMPTOMS, INVESTIGATION OF URINARY TRACT, ANURIA 79

52 KIDNEY AND URETERS 80

53 URINARY BLADDER 84

54 URETHRA AND PENIS 85

55 PROSTATE AND SEMINAL VESICLES 86

56 TESTIS AND SCROTUM 87

M.S. General Surgery Question Bank

1

IMPORTANT

Questions of the past 18 years (1994-2012) are in Normal font Questions of previous 12 years (1982-1993) are in Italic font

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1. INTRODUCTION TO SURGERY & BASIC SURGICAL PRINCIPLES

LONG QUESTIONS1. Describe the biochemical basis of wound healing.

SHORT QUESTIONS1. Informed consent

2. WOUNDS, TISSUE REPAIR AND SCARS

LONG QUESTIONS1. What are the facilitating and interfering factors in wound healing?

How can adverse scars be prevented or managed? 2. Describe the biological process of wound healing. Discuss the factors

affecting wound healing.

SHORT QUESTIONS1. Classification of operative wounds and the role of prophylactic

antibiotics 2. Classification of wounds 3. Factors causing wound dehiscence 4. Keloids 5. Postoperative tetanus 6. Wound dehiscence 7. Wound healing

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3. ACCIDENT AND EMERGENCY SURGERY

LONG QUESTIONS1. A 22 yr old man came with history of RTA presents with pallor and

dyspnea on admission at the causality. How do you proceed to evaluate this patient?

2. A 45 yr old man comes to the casualty with history of fall from height. On examination he is in shock and has abdominal guarding and rigidity. Discuss the management of this patient.

3. A 50 yr old man presents with gunshot injury to the chest with entry point at the level of right nipple. Discuss the management.

4. Crush syndrome. 5. Discuss blunt trauma abdomen. 6. Discuss briefly the evaluation of severity of trauma. Classify splenic

injury and discuss its management. 7. Discuss briefly the management of a patient admitted with multiple

injuries following a RTA. 8. Discuss causes of hemoperitoneum and its management. 9. Discuss etiology, clinical features and management of extradural

hematoma. 10. Discuss management of blunt injury abdomen. 11. Discuss management of crush injury of the leg. 12. Discuss management of gunshot injury to left hypochondrium. 13. Discuss management of penetrating injury abdomen. 14. Discuss the indication of surgical intervention in head injury and

outline the operative procedures. 15. Discuss the management of a 60 yr old man presenting in shock

after blunt trauma to epigastrium. 16. Discuss the management of an injured patient with multiple system

involvement. 17. Discuss the management of major abdominal trauma with special

reference to resuscitation and surgery for liver trauma. 18. Discuss the mechanism of blunt injury abdomen and its general

management. 19. Metabolic response in trauma. 20. Trauma scoring system.

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SHORT QUESTIONS1. Air embolism 2. Apache scoring 3. Basic principle of hand injury 4. Blast injuries 5. Carotid artery blowout and its prevention 6. Concept of brain stem death 7. Crush injury of leg 8. Crush syndrome 9. Extradural hematoma 10. Fat embolism 11. Flail chest 12. Gun shot injury of left hypochondrium 13. Hemoperitoneum 14. Lucid interval 15. Missile injuries 16. Myoplastic amputation 17. Organisation of trauma services 18. Organization of accident injuries 19. Plan management of major disaster 20. Trauma scoring system 21. Triage

4. CRITICAL CARE, ACUTE RESUSCITATION AND SUPPORT LONG QUESTIONS1. Classify surgical wounds. Discuss the etiology, clinical features and

treatment of tetanus. 2. Complications of blood transfusion and their management. 3. Define and classify shock. How do you manage hypovolemic shock? 4. Define massive blood transfusion and its problems. 5. Define massive blood transfusion. How do evaluate upper GI bleed

in a 25yr old factory worker? What are your priorities in management of bleeding esophageal varices?

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6. Describe mechanism of blood coagulation. 7. Describe the clinical features and management of septic shock. 8. Describe the syndrome of septic shock and its management. 9. Discuss blood transfusion and disorders of surgical bleeding. 10. Discuss different type of shock. Describe the management of

hemorrhagic shock. 11. Discuss different types of shock. Describe the management of

patient in septic shock. 12. Discuss mechanisms to control hemorrhage. Classify shock and

discuss the management of hemorrhagic shock. Add a note on Vitamin K use in hemorrhage.

13. Discuss the etiology and management of renal failure in surgical patient.

14. Discuss the metabolic response of human body to surgical injury. 15. Discuss the pathophysiology and management of septic shock. Add

a note on ARDS. 16. Discuss the pathophysiology of shock and describe the management

of endotoxic shock. 17. Discuss the problems of massive transfusion. 18. Discuss the various indications and complications of transfusion of

blood and its products add note on management of their complication.

19. Indications and contraindications of blood transfusion. 20. Mention the complications of blood transfusion and their

management. 21. Recent advances in management of burn injuries and current role

of surgery. 22. What are the complications that may follow blood transfusion?

How will you suspect AIDS? SHORT QUESTIONS1. ARDS 2. Anaphylactic shock 3. Artificial blood 4. Artificial ventilation 5. Auto transfusion

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6. Autologous blood transfusion 7. Blood coagulation 8. Blood fractions 9. Blood substituent 10. Blood transfusion reactions 11. Cardiac arrest 12. Cardiac resuscitation 13. Central venous pressure 14. CPR management 15. CVP & pulmonary capillary wedge pressure 16. Disseminated intravascular coagulation 17. Electrolyte and acid base imbalance following ureterocolic

anastomosis 18. Fat embolism 19. Glasgow coma scale 20. Gram negative shock 21. Hyperbaric oxygen 22. Hyperchloremic acidosis 23. Hyponatremia 24. Hypothermia 25. Lomodex 26. Lucid interval 27. Management of SIRS 28. Massive blood transfusion 29. Metabolic acidosis and respiratory acidosis 30. Metabolic alkalosis 31. Metabolic coma 32. Metabolic response to trauma 33. MODS 34. Nitrogen balance 35. Oxygen therapy 36. Problems in massive transfusion 37. Reactionary hemorrhage 38. Septic shock 39. Septicemic shock 40. SIRS

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41. Surgical intensive care unit 42. Tetany 43. Vasoactive drugs in shock 44. Water intoxication

5. FLUID, ELECTROLYTE AND ACID-BASE BALANCE LONG QUESTIONS1. Discuss the indications for blood transfusion, the risks and hazards

and its management in polytrauma. 2. Discuss fluid and electrolyte balance in a normal man. 3. Discuss the fluid and electrolyte management of surgical patient. 4. Discuss metabolic response to trauma.

SHORT QUESTIONS1. Acidosis and surgeon 2. Autologous blood transfusion 3. Complications of blood transfusion 4. Fresh frozen plasma 5. Hyperkalemia 6. Lomodex 7. Metabolic acidosis 8. Metabolic alkalosis 9. Pathophysiology of hemorrhagic shock 10. Peritoneal dialysis 11. Postoperative anuria 12. Potassium balance

6. NUTRITIONAL SUPPORT AND REHABILITATION LONG QUESTIONS1. Describe the indications, management and complications of total

parenteral nutrition.

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2. Discuss indications, methods and monitoring TPN in a surgical patient. Elaborate complications of TPN.

3. Discuss the indications, methods and monitoring of total parenteral nutrition in a surgical patient. Elaborate on the complications of total parenteral nutrition.

4. Discuss the management of trauma in elderly including rehabilitation.

5. Discuss the nutritional assessment of a surgical patient. Discuss the modes of administration and complications of enteral and parenteral nutrition.

6. Discuss the post-operative management following abdominal surgeries.

7. Discuss the problems of nutrition in surgical patients. 8. Essay on parenteral nutrition 9. Mention various procedures of enteral nutrition. 10. Write the management of nutrition in a patient of high output

enterocutaneous fistula. Write the various parameters to assess the nutritional status of a surgical patient.

SHORT QUESTIONS1. Central venous pressure 2. Complications of TPN 3. Describe recent trends in fluid replacement of surgical patients.

Whats new in the management of burns? 4. Enteral feeding 5. Enteral nutrition 6. Fluid replacement in burns 7. Intralipids 8. Nitrogen balance 9. Nutritional assessment 10. Parenteral hyperalimentation 11. Parenteral nutrition 12. Total parental nutrition

7. ANAESTHESIA AND PAIN RELIEF

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LONG QUESTIONS1. Describe spinal anesthesia and its complications. 2. Describe various types of anesthesia - their indications and

complications. 3. Discuss the indications and management of complications various

types of anesthesia. 4. Discuss the management and complications of general anesthesia. 5. Merits and demerits of spinal anesthesia. How do you prevent and

treat the complications? 6. Regional anesthesia-discuss usefulness and its limitations.

SHORT QUESTIONS1. Antibiotic prophylaxis in surgery 2. Biers block 3. Continuous epidural anesthesia 4. Epidural anaesthesia 5. Epidural block 6. General anesthesia 7. Halothane 8. Hypotensive anesthesia 9. Immunosuppressive drugs 10. Intravenous analgesia 11. Ketamine 12. Local anesthesia and its complications 13. Malignant hyperthermia 14. Mechanical ventilation 15. Mendelsons syndrome 16. Muscle relaxants during surgery 17. Neuroleptics 18. Pain control in malignant diseases 19. Patient controlled analgesia 20. Perioperative pain relief 21. Post operative fever 22. Post operative pain management 23. Post operative pain relief 24. Post spinal headache

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25. Regional anesthesia 26. Seldingers technique 27. Somatostatin 28. Spinal anesthesia 29. Spinal anesthesia and its complications 30. Topical anesthesia

8. WOUND INFECTION & SYSTEMIC INFECTIONS LONG QUESTIONS1. Classify surgically created wounds. 2. Clinical features of tetanus. 3. Describe briefly the life cycle of Entamoeba histolytica. What are

surgical complications of amoebiasis? Discuss pathology, clinical features and management of intestinal amoebiasis.

4. Describe the biological process of wound healing factors that influence wound healing. Classify wounds and outline management of each type of wound.

5. Discuss abdominal tuberculosis. 6. Discuss care of a diabetic foot and describe in detail the

management of a 55 yr old male patient with diabetic gangrene of forefoot.

7. Discuss nosocomial infection and various measures for infection control in surgery.

8. Discuss pathogenesis, differential diagnosis and management of acute necrotizing fasciitis.

9. Discuss the etiology, pathogenesis, types, clinical features and management of a case of tetanus.

10. Discuss the factors contributing to abdominal wound dehiscence and the management.

11. Discuss the pathology and management of diabetic foot. 12. Discuss the pathophysiology and management of infection in a

surgical patient. 13. Discuss the surgical complications of diabetes mellitus. Discuss the

management of infected diabetic foot.

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14. Discuss the surgical management of tuberculosis. 15. Discuss venereal diseases. How do you diagnose AIDS? 16. Discuss venereal diseases. How is AIDS diagnosed? 17. How do you suspect AIDS? 18. Indicate surgical problems in diabetic patient. Discuss the

management of diabetic foot. 19. Outline the procedure you would adopt in surgical practice to

prevent and control HIV infection. 20. Post-operative infections- prevention and management. 21. What are biohazard infections? Describe one of them. Outline your

recommendations for screening and prevention of biohazardous infections in surgical ward.

SHORT QUESTIONS1. Acid fast bacilli 2. Actinomycosis 3. AFB 4. AIDS 5. AIDS and surgeon 6. Amputation 7. Anaerobic infection 8. Antibiotic prophylaxis 9. Antibiotics in surgery 10. Bacteremia, septicaemia 11. Burst abdomen 12. Carbuncle 13. Cellulitis 14. Cephalic tetanus 15. Cephalosporins in intraabdominal sepsis 16. Clinical features and management of tetanus 17. Cross infections 18. Diabetic foot 19. Dracunculiasis 20. Dry gangrene 21. Empyema necessitans 22. Enteric fever

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23. Filariasis- life cycle 24. Gas gangrene 25. Gram negative septicaemia 26. Hidradenitis suppurativa 27. Hospital acquired infection 28. Hydatid cyst 29. Hydatid disease in man 30. Hyperbaric oxygen 31. Infections in immunocompromised patients 32. Keloid 33. Lymphangitis 34. Mycetoma foot 35. Necrotizing fasciitis 36. Nosocomial infections 37. Nosocomial infections 38. Opportunistic infections 39. Post-operative fever 40. Pre gangrene 41. Precautions in surgery of HIV patients 42. Pressure sores 43. Pseudomembranous colitis 44. Psoas abscess 45. Subphrenic abscess 46. Surgery in leprosy 47. Surgical complications of typhoid fever 48. Synergistic spreading gangrene 49. Syphilis 50. Tetanus 51. Toxic shock syndrome 52. Wet gangrene

9. IMMUNOLOGY AND TRANSPLANTATION LONG QUESTIONS1. Describe autoimmunity. Describe the pathology, clinical features and

management of autoimmune thyroiditis.

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2. Describe latest trends in renal transplantation. 3. Discuss the indication and effectiveness of tissue and organ

transplantation in surgery. 4. Discuss the management of general surgical procedures in a patient

who has had liver or kidney transplantation. 5. Discuss the principles of renal transplantation. How do you manage

the complications following transplantation? 6. Immunosupressive Therapy.

SHORT QUESTIONS1. Immunosuppressive therapy in transplantation 2. Interferons 3. Liver transplantation 4. Monoclonal antibodies 5. Organ procurement 6. Renal transplantation and postoperative complications 7. Tissue typing

10. TUMOURS, CYST, ULCER, SINUS LONG QUESTIONS1. Classify soft tissue sarcoma. Discuss the etiology, pathology, mode of

spread and management of malignant fibrous histiocytoma. 2. Classify the tumors and cysts of mandible and briefly describe their

management. 3. Discuss lymphomas. Describe the clinical features, staging and

management of Non-Hodgkins lymphoma. 4. Discuss the benign pigmented lesions of skin and the management of

malignant melanoma. SHORT QUESTIONS1. Adamantinoma 2. Adenoma 3. Amoeboma 4. Angiosarcoma

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5. Antibioma 6. APUD cell tumors 7. APUDomas 8. Basal cell carcinoma 9. Benign and malignant tumors 10. Benign tumors 11. Boil 12. Branchial sinus 13. Branchial cyst 14. Burkitts lymphoma 15. Carbuncle 16. Carcinoid tumor 17. Carcinoid tumour 18. Chancroid 19. Chordoma 20. Chronic sinus- chest wall 21. Classification of soft tissue sarcomas 22. Classify soft tissue sarcomas 23. Classify ulcers 24. Clinical features and diagnosis of Hodgkins lymphoma 25. Cocks peculiar tumor 26. Cold abscess 27. Collar stud abscess 28. Complications of immunosuppresion 29. Compound palmar ganglion 30. Cystic hygroma 31. Cysts 32. Dercums disease 33. Dermofibrosarcoma protruberance 34. Dermoid cyst 35. Desmoid tumor 36. Electric burns 37. Fibroma 38. Fistulogram 39. Glomus tumor 40. Haemangioma

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41. Hamartoma 42. Hemangioma 43. Hiradinitis suppurativa 44. Hunners ulcer 45. Hypertrophic scar 46. Impetigo 47. Implantation dermoid 48. Kaposis sarcoma 49. Keloid 50. Lingual and sublingual dermoid. 51. Lipoma. 52. Lipoma arborescence. 53. Liposarcoma 54. Malignant tumors 55. Management of carcinoid tumor 56. Marjolins ulcer 57. Multiple myeloma 58. Neck swellings 59. Neuroblastoma 60. Neurofibroma 61. Non- Hodgkins lymphoma 62. Oncogenes 63. Plexiform neurofibroma 64. Potts puffy tumor 65. Pressure sores 66. Principles and management of soft tissue sarcomas 67. Raspberry tumor 68. Retention cyst 69. Rodent ulcer 70. Sebaceous cyst 71. Squamous cell carcinoma 72. Thyroglossal cyst 73. Thyroglossal fistula 74. TNM classification 75. Trophic ulcer 76. Tumor markers

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77. Turban tumor 78. Ulcers around the ankle joint

11. SKIN AND BURNS LONG QUESTIONS1. A 40 year old female patient is brought to the casualty department

with superficial to deep burns involving 55% of her body surface area including the facial region. She weighs 65 kgs. Describe the management of this patient in detail.

2. Changes in human body with 60 % burns. 3. Classify burns. Discuss the management of a case of acute burns. 4. Classify burns. What are the various synthetic and biologic

dressings for burns? Write the fluid resuscitation for a patient with 40% Burns.

5. Classify neavi. Discuss the etiology, pathology, clinical features and management of malignant melanoma.

6. Clinical features and role of immunotherapy in lower limb melanoma.

7. Describe clinical varieties of malignant melanoma. Discuss management of melanoma of sole of foot- stage IIb.

8. Describe the aetiology, pathology, clinical features and management of cutaneous malignancies.

9. Describe the various types of skin grafting. Discuss merits and demerits of each one of them.

10. Discuss clinical types, investigations and treatment of malignant melanoma.

11. Discuss the changes in human body after 60% burns. 12. Discuss the etiology and management of malignant melanoma. 13. Discuss the patho-physiology of burns. How do you manage a case

of 40% burns? 14. Discuss type and mechanism of burn injury and local and general

effects. 15. Enumerate the pathology, clinical features, investigation and

management of malignant melanoma.

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16. Etiology, clinical features and management of cutaneous malignancies.

17. Etiology, clinical features and management of melanoma. 18. Etiology, natural history and management of malignant melanoma

of foot with special emphasis on diagnosis and prognostic indicators.

19. How will you classify burns? Discuss the pathophysiology of burns shock and its management with special reference to face and neck.

20. How will you classify skin tumors? Discuss management of malignant melanoma foot.

21. Pathophysiology and management of burns. 22. Recent advances in management of burns and role of surgery. 23. Recent advances in the management of Burn injuries and current

role of surgery. 24. Stage III malignant melanoma.

SHORT QUESTIONS1. Amelanotic melanoma 2. Basal cell carcinoma 3. BCC of face 4. Bed sore 5. Chemotherapy for melanoma 6. Chemotherapy of malignant melanoma 7. Complications of burns and management 8. Fluid therapy in burns 9. Full thickness skin graft (Wolfe) 10. Haemangioma 11. Isolated limb perfusion 12. Keloid 13. Lupus vulgaris 14. Malignant melanoma 15. Management of 45% burns in a 50kg lady 16. Marjolin ulcer 17. Melanoma of great toe 18. Myocutaneous flap 19. Pathology of skin tumors

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20. Pectoralis major flap 21. Pigmented skin lesion 22. Pigmented skin lesions -grading and staging of melanoma 23. Pre malignant conditions of skin 24. Precancerous skin lesion 25. Recent advances in management of burns 26. Rodent ulcer 27. Rule of nine 28. SCC 29. Skin graft 30. Skin grafting 31. Split thickness skin grafting 32. Surgery in burns

12. ARTERIAL DISORDERS LONG QUESTIONS1. Classify aneurysms. Discuss the etiology, clinical features and

management of abdominal aortic aneurysms. 2. Classify aneurysms. Enumerate the clinical features of abdominal

aortic aneurysms and write the management. 3. Define critical limb Ischemia (CLI). Discuss clinical features and

management of CLI in a 40 year old patient and symptoms of rest pain and ulcer in the leg of 30 days duration. Add a note on bypass procedures of the lower limb.

4. Describe gangrene. Discuss etiology, clinical features, investigations and management of a patient with critical limb ischemia.

5. Discuss acute arterial occlusion in a lower limb. 6. Discuss arterial replacements. 7. Discuss percutaneous angioplasty. 8. Discuss the aetiology, clinical features, investigation and treatment

of thromoboangitis obliterans. 9. Discuss the etiology, diagnosis and management of infra renal aortic

aneurysm.

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10. Discuss the etiology, clinical features and management of acute limb Ischemia.

11. Discuss the etiology, diagnosis and management of thoracic outlet syndrome.

12. Discuss the etiology, pathology and management of gangrene of upper limb.

13. Discuss the etio-pathogenesis, clinical features, diagnosis and management of Buergers disease.

14. Discuss the management of a localised blood in lower half of femoral artery.

15. Discuss the recent advances in management of vascular disorders. 16. How a 45 years old patient with unilateral chronic ischemia of lower

limb should be investigated and treated? 17. How do you evaluate a limb for vascular insufficiency? 18. How will you assess and classify critical limb ischemia? Discuss its

management. 19. What are the clinical features of acute arterial occlusion? Discuss

the management of superficial femoral occlusion due to atherosclerosis.

20. What is critical limb ischaemia? How do you manage a case of 40 years old man with chronic lower limb ischaemia?

SHORT QUESTIONS1. Aneurysms 2. Angioplasty 3. Aortic dissection 4. Arterial reconstruction 5. Arteriovenous fistula 6. AV fistula 7. AV malformation 8. Balloon angioplasty 9. Buergers disease 10. Carotid body tumor 11. Carotid body tumour 12. Cirsoid aneurysm 13. Co-arctation of aorta

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14. Critically ischaemic lower limb 15. Digital subtraction angioplasty 16. DSA 17. Haemangioma 18. Indications of A-V fistula 19. Investigations of arterial disease 20. Mesenteric artery stenosis 21. Pathophysiology and management of critically ischaemic limb 22. Profundaplasty 23. Recent concepts in management of abdominal aortic aneurysm 24. Restorative endaneurysmorrhaphy 25. Sapheno varix 26. SEPS for varicose veins 27. Therapeutic embolisation 28. Therapeutic vascular embolisation 29. Thromboangitis obliterans 30. Thrombosis of subclavian vein 31. Vascular stent 32. Vasogastic diseases

13. VENOUS DISORDERS LONG QUESTIONS1. Classify various veins. Discuss the surgical anatomy, pathophysiology,

complications and management of varicose veins. 2. Discuss etiology and management of DVT. 3. Discuss predisoposing factors, clinical features and management of

deep vein thrombosis. 4. Discuss the aetiology, clinical features, investigations, treatment and

complications of varicose veins. 5. Discuss the clinical features and management of deep vein

thrombosis affecting the lower extremity. 6. Discuss the etio-pathogenesis, clinical features, prophylaxis and

management of deep vein thrombosis. 7. Discuss the management of varicose veins.

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8. Discuss the surgical anatomy of venous system of lower limbs. Describe the pathogenesis, clinical features, diagnosis and management of DVT.

SHORT QUESTIONS1. Aneurysmal varix 2. Arterilization of veins 3. Chronic venous ulcer 4. Complications of varicose veins 5. Deep venous thrombosis 6. DVT in surgical patients 7. Management of deep venous thrombosis of lower limb 8. Treatment of DVT

14. LYMPHATIC SYSTEM DISORDERS LONG QUESTIONS1. A 30 year old made with painless progressive bulky lymph nodes in

left cervical and axillary region. Discuss the management. 2. Describe the pathogenesis and treatment of Hodgkins lymphoma.

SHORT QUESTIONS1. Burkitts lymphoma 2. Filarial lymphedema of lower limb 3. Hodgkins lymphoma- staging and classification 4. Lymphoedema 5. Lymphangiography 6. Lymphangitis 7. Lymphoedema and management 8. Lymphoedema of lower limb 9. Lymphoedema 10. T-lymphocyte 11. Tubercular lymphadenitis

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15. DAY CARE SURGERY LONG QUESTIONS1. Discuss the selection criteria, problems and procedures suitable for

day surgery. 2. Discuss types of daycare operations and management of day care

patients. SHORT QUESTIONS1. Advantage and disadvantage of day care surgery in India 2. Day care surgery 3. Objectives of day care surgery

16. MISCELLANEOUS LONG QUESTIONS1. Classify surgically correctable systemic hypertension and describe the

management. 2. Discuss the causes and management of surgically correctable

hypertension. 3. Discuss the etiopathology and management of excessive

postoperative bleeding. 4. Discuss the present day status of endoscopic surgery. 5. Discuss the recent trends in radiological imaging. 6. Discuss the role of radiological and para-radiological imaging

techniques in operative surgery. 7. List the use abuses and resultant complications of corticosteroid

administration in surgical patients. 8. What are the severe wound infections? Discuss clinical features,

investigations and management of tetanus. SHORT QUESTIONS1. AFB 2. Antibiotic prophylaxis in cholecystectomy 3. Antibiotic prophylaxis in surgery

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4. Arteriography 5. Aspiration biopsy for surgical cases 6. Biopsy 7. Bipolar cautery 8. Blood fractions 9. Bowens disease 10. Burkitts tumor 11. Central venous catheter 12. Chest problems after major surgery 13. Choice of suture material 14. Chyluria 15. Compartment syndrome 16. Crush syndrome 17. Cryosurgery 18. CT scan 19. Diabetic foot 20. Drains in surgery 21. Duplex scan 22. Electro-cautery 23. Endocavity ultrasonography 24. Endoluminal endoscopy 25. Endoluminal ultrasound 26. Endoscopic ultrasound 27. Fat embolism 28. Fibre optics 29. FNAC 30. Gardners syndrome 31. Heparin in surgery 32. High tech hospital 33. HIV and the surgeon 34. Hyper alimentation in surgery 35. Implants in surgery 36. Infusion chemotherapy 37. Ingrowing toe nail 38. Inter-sex 39. Interventional radiography in GI haemorrhages

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40. Interventional radiology 41. Interventional vascular techniques 42. Jaundice in newborn 43. Kaposis sarcoma 44. Laser in surgery 45. Methods of surgical instruments sterilization 46. Monoclonal antibodies 47. Monofilament suture 48. MRI 49. Myocutaneous flap 50. Neoadjuvant chemotherapy 51. Non Hodgkins lymphoma 52. Oncogenesis in surgery 53. Oxygen therapy 54. Paraneoplastic syndrome 55. Peritoneal dialysis 56. Place of hormones in surgical practice 57. Plasma expanders 58. Post exposure prophylaxis for AIDS 59. Precautions against AIDS 60. Precautions to prevent adhesions 61. Pre-op preparations 62. Prophylactic antibiotics in surgery 63. Radioisotope in surgery 64. Radionucleotide imaging 65. Radionucleotide scanning 66. Re-implantation of limb 67. Relief of pain in malignancy 68. Role of audit in surgery 69. Role of abdominal drains 70. Role of drains after surgery 71. Sentinel node 72. Staplers in surgery 73. Stents and tissue expanders 74. Surgical audit 75. Surgical robots

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76. Suture materials 77. Synthetic absorbable sutures 78. Therapeutic embolism 79. Tissue expanders 80. Tissue expansion 81. TNM staging 82. Tourniquet 83. Tumor markers 84. Types of biopsies and their hazards 85. Use of isotopes in diagnosis and treatment 86. Use of laser in surgery 87. Use of staplers in surgery 88. USG in surgery 89. Written informed consent

17. FACE, MOUTH, CHEEK, TONGUE

LONG QUESTIONS1. Classify maxillofacial injuries. Discuss their management. 2. Describe the surgical anatomy of the tongue and discuss the

management of carcinoma of tongue stage I.I 3. Development of face. Cleft lip and palate- clinical features and

management 4. Discuss surgical anatomy of the tongue. Discuss management of a 57

yr old man who presents with 3cm lesion in the lateral border of the tongue with hard jugulo-omohyoid lymph node. How do you investigate and manage such case?

SHORT QUESTIONS1. BCC 2. Carcinoma cheek 3. Carcinoma tongue 4. Cleft lip 5. Cleft lip and cleft palate 6. Cleft palate

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7. Facial injuries 8. Le Fort classification of facial fractures 9. Le-forts Fractures 10. Ludwigs angina 11. Malignant exophthalmos 12. Management of cleft lip 13. Management of cleft palate 14. Management of deformities in Hansens disease 15. Millards repair of cleft lip 16. Principles in the management of cleft lip and palate 17. Trigeminal neuralgia

18. TEETH, GUM, EAR, JAW, NOSE AND SINUSES

LONG QUESTIONS1. Ca floor of mouth. 2. Ca maxilla. 3. Ca palate. 4. Classify jaw tumors and discuss treatment of ca cheek. 5. Discuss pathology, clinical features and management of tumors of

jaw. 6. Fracture maxilla. 7. Lymphatic drainage and management of Ca tongue. 8. Oral carcinoma.

SHORT QUESTIONS1. Adamantinoma 2. Ameloblastoma 3. Cancrum oris 4. Carcinoma maxillary antrum 5. Cysts of jaw 6. Dental cyst 7. Dentigerous cyst 8. Epistaxis 9. Epulis

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10. Fibrous dysplasia of the maxilla 11. Leukoplakia 12. Lingual and sublingual dermoid 13. Ludwigs angina 14. Odontomes 15. Pathology of jaw tumors 16. Plunging ranula 17. Rhinophyma 18. Submucosal fibrosis 19. Types of madibulectomy

19. ORAL AND OROPHARYNGEAL CANCER

LONG QUESTIONS1. Differential diagnosis of ulcers of oral cavity. 2. Discuss premalignant oral lesions, the etiology, clinical presentations,

investigations and management of primary oral malignancies. 3. Discuss the differential diagnoses of ulcers in oral cavity. How do you

treat a case of T2N1M0 lesion of carcinoma tongue? 4. Discuss the etiology, staging, clinical features and management of

carcinoma tongue. 5. Discuss the recent advances and management of head and neck

malignancy. 6. Enumerate premalignant conditions of oral cavity. Describe the

pathology, clinical features and management of Ca Cheek. 7. Enumerate the premalignant conditions of oral cavity. Describe the

pathology, clinical features and management of carcinoma cheek. 8. What are the premalignant lesions of oral cavity? Discuss the

management of a case of T1N1M0 lesion of carcinoma cheek. 9. What are the various anatomic sites that constitute oral cancers?

Write the management of T3N2M0 of carcinoma of cheek. SHORT QUESTIONS1. Carcinoma cheek 2. Developmental anomalies of lip and palate

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3. Leukoplakia 4. Lingual and sublingual dermoids 5. Parapharyngeal tumors 6. Pharyngeal pouch 7. Premalignant lesions of oral cavity 8. Ranula 9. Retropharyngeal abscess 10. Trismus 11. Ulcers of tongue

20. SALIVARY GLANDS

LONG QUESTIONS1. Anatomy of parotid gland pathological classification of parotid

tumors and treatment. 2. Classify neoplasms of salivary glands. Write about carcinoma of

parotid gland and its management. 3. Classify parotid tumors. Discuss management of carcinoma parotid. 4. Classify parotid tumors. Discuss the treatment of adenoid cystic

carcinoma. 5. Classify salivary gland neoplasms. Discuss pleomorphic adenoma of

parotid gland. 6. Classify salivary gland tumors and management of parotid tumors. 7. Describe the international classification of salivary gland tumors.

Mention briefly the management of mixed parotid tumors. 8. Describe the surgical anatomy of parotid gland. Discuss the

management of salivary tumors. 9. Discuss in detail operative steps and treatment of submandibular

gland tumors. 10. Discuss malignant tumors of salivary gland. 11. Discuss salivary tumors. Describe clinical features, investigation and

management of adenoid cystic carcinoma of parotid gland. 12. Discuss the pathological varieties and management of salivary gland

tumors.

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13. Discuss the pathology of tumors of salivary gland and management of pleomorphic adenoma.

14. Discuss the surgical anatomy of parotid gland with specific reference to facio-venous plane of Patey. Discuss procedure of superficial parotidectomy, indications, complications and management of complications following surgery.

15. How do you investigate and manage a case of parotid tumor? 16. Surgical anatomy of parotid gland. Various surgeries on it.

SHORT QUESTIONS1. Acinic cell tumor 2. Adenolymphoma 3. Auriculotemporal (freys) syndrome. 4. Benign parotid tumours 5. Dumb-bell parotid tumors 6. Ectopic salivary gland 7. Ectopic salivary tumors 8. Facial nerve injuries 9. Freys syndrome 10. Injury to parotid duct 11. Malignant lesions of salivary glands 12. Mikulicz disease 13. Mixed parotid tumor 14. Mucoepidermoid tumor of parotid 15. Parotid abscess 16. Parotid duct injuries 17. Parotid fistula 18. Parotid tumors 19. Pleomorphic adenoma of parotid 20. Recurrent salivary gland tumor 21. RLN palsy 22. Salivary calculus 23. Sjogrens syndrome 24. Submandibular salivary gland excision 25. Submandibular sialolithiasis 26. Submucous fibrosis

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27. Surgical anatomy of parotid gland 28. Warthims tumor.

21. PHARYNX AND LARYNX

LONG QUESTIONS

SHORT QUESTIONS1. Complications of tracheostomy 2. Endotracheal intubation 3. Laryngocoele 4. Laryngotomy 5. Management of recurrent laryngeal paralysis 6. Nasopharyngeal carcinoma 7. Oropharyngeal airway 8. Pharyngeal diverticulum 9. Pharyngeal pouch 10. Pharyngocoele. 11. Quinsy 12. Recurrent laryngeal nerve paralysis 13. Retropharyngeal abscess 14. Trachea-esophageal fistulae (congenital) 15. Trachea-oesophageal fistula 16. Tracheostomy 17. Vocal cord palsy

22. NECK

LONG QUESTIONS1. 50 yr old male with painless progressive bulky lymph nodes in left

cervical & axillary region. Discuss the management. 2. Classify neck dissections. Discuss the indications, technique and

complications of radical neck dissection. 3. Cystic swellings in neck and management of thyroglossal cyst.

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4. Describe the various groups of lymphnodes in neck, and discuss the management of metastatic nodes in the neck.

5. Describe various groups of lymph nodes in neck. Discuss management of occult primary with secondaries in the neck.

6. Discuss classification, diagnosis management of cystic swellings of neck.

7. Discuss clinical features, investigations and management of metastatic disease of the lymph nodes of neck with unknown primary.

8. Discuss in detail the management of carcinoma of unknown primary with N1/N2a/N2b neck nodes.

9. Discuss sympathetic innervation of head & neck including upper limb. Role of cervical dorsal sympathectomy at present in surgery.

10. Discuss the aetiology, pathology and management of tubercular lymphadenitis. (Enumerate the indications for surgery).

11. Discuss the differential diagnoses and management of midline swellings of the neck.

12. Fascial compartments of neck, sources and management of infection in neck .

13. Management of metastatic lymph nodes. 14. Surgical anatomy of cervical lymph node, cervical block dissection.

SHORT QUESTIONS1. Adsons test 2. Branchial cyst 3. Branchial fistula 4. Carotid artery blow out 5. Carotid body tumour 6. Cervical block dissection 7. Cervical rib 8. Cold abscess 9. Collar stud abscess 10. Complications of tracheostomy 11. Criles block dissection 12. Cystic hygroma 13. Ludwigs angina

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14. Management of metastasis of unknown origin in the level II lymph node in the neck

15. Metastasis neck node with unknown primary 16. Neck dissections in oral malignancy 17. Pharyngeal pouch 18. Scalene syndrome 19. Secondaries in the neck 20. Sinuses in the neck 21. Sternomastoid tumour 22. Thyroglossal fistula 23. Tracheostomy 24. Tubercular lymphadenitis

23. THYROID GLAND

LONG QUESTIONS1. Action of nodule in a goiter, investigation and management of

nodule of thyroid. 2. Anatomy of thyroid gland, various surgeries performed on it. 3. Classification and clinical features of thyroid carcinoma. Rationale of

hemithyroidectomy in papillary carcinoma. 4. Classify neoplasms of thyroid. Discuss clinical features and

management of papillary carcinoma of thyroid. 5. Classify thyroid malignancies. Discuss their diagnoses and

treatment. 6. Classify thyroid neoplasms. Discuss the management of solitary

thyroid nodule. 7. Clinical features of primary thyrotoxicosis and operative steps of

thyroidectomy. 8. Describe how you will proceed with investigation and management

of multinodular goiter in a female aged 40. 9. Describe the pathogenesis of solitary nodule in thyroid. Discuss the

management of hot nodule. 10. Discuss the etiology, clinical features, investigations and

management of multinodular goiter.

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11. Discuss clinically useful thyroid function tests. 12. Discuss etiopathology, clinical features, and management of Graves

disease. 13. Discuss management of solitary nodule of thyroid. 14. Discuss pathology, clinical features and management of

hyperthyroidism. 15. Discuss the detailed classification and pathology and clinical features

of thyroiditis. 16. Discuss the development of thyroid gland and management of

lingual thyroid. 17. Discuss the etiology, clinical features of multinodular goiter and

management of multinodular thyroid goiter in a 45 yr old female patient.

18. Discuss the etiology, pathogenesis, clinical features and management of primary thyrotoxicosis.

19. Discuss the etiology, pathology, clinical presentation and management of thyroid malignancies.

20. Discuss the investigation of middle aged woman with thyroid enlargement. Add a note on collection and transport of radioactive isotopes.

21. Discuss the management of a solitary thyroid nodule in woman aged 20 years.

22. Discuss the pathology, differential diagnosis and current strategies in management of solitary thyroid.

23. Discuss the pathology of medullary thyroid carcinoma and its management.

24. Discuss the pathology, clinical features and management of papillary Ca thyroid.

25. Discuss the various options in the management of hyperthyroidism. What are the merits and demerits?

26. How will you manage a case of solitary nodule of thyroid? 27. Hyperthyroidism and management. 28. Pathology and management of malignant thyroid tumours. 29. Pathology, clinical features, diagnosis and management of medullary

carcinoma thyroid. 30. Recent advances in surgical profile of carcinoma thyroid.

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31. What are the merits and demerits of drugs uses in preparation of patient for thyroid surgery?

SHORT QUESTIONS1. Antithyroid drugs 2. Autoimmune thyroiditis 3. Calcitonin 4. Cold nodule thyroid 5. Colloid goitre 6. Complications of thyroid surgery 7. Development of thyroid and anomalies 8. Ectopic thyroid 9. Evaluation of a solitary thyroid nodule (flow chart) 10. Eye signs in primary hyperthyroidism (Graves disease) 11. Eye signs of thyrotoxicosis 12. FNAC of thyroid lesion 13. Hashimotos thyroiditis 14. Hurthle cell adenoma 15. Inflammatory thyroid conditions 16. Iodine 131 17. Jod-basedow thyrotoxicosis 18. Lingual thyroid 19. Management of tetany 20. Medullary CA thyroid 21. Medullary carcinoma of thyroid 22. MEN syndrome 23. Pathological types of follicular carcinoma thyroid 24. Pathology of thyroid carcinoma 25. Physiology of thyroid, synthesis and mode of action of carbimazole 26. Post thyroidectomy respiratory distress 27. Radioactive iodine 28. Retrosternal goiter 29. Serum calcium 30. Solitary nodule thyroid 31. Stridor following thyroid surgery 32. Surgery for papillary ca thyroid

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33. Thyroglossal cyst 34. Thyroglossal fistula 35. Thyroid crisis 36. Thyroid scan 37. Thyroid storm 38. Toxic adenoma 39. Toxic nodule

24. PARATHYROID AND ADRENALS

LONG QUESTIONS1. Anatomy, functions and indications for surgery on parathyroid

glands. 2. Calcium metabolism and parathyroids. 3. Causes of surgical hypertension and management of surgically

curable hypertension. 4. Classify adrenal tumours & discuss presentations of adrenal cortical

tumour & its management. 5. Classify hyperparathroidism and discuss the clinical features,

investigations, differential diagnosis and management. 6. Classify multiple endocrine neoplasia. Describe the pathology,

clinical features and management of hyperparathyroidism. 7. Clinical features and biochemical changes and management of

pheochromocytcoma. 8. Clinical features, investigations and management of Cushings

syndrome. 9. Describe clinical features, investigations and management of

Cushings syndrome. 10. Describe clinical features, investigations and management of

pheochromocytoma. 11. Describe embryology of the parathyroid glands. Describe

management of 20 years old girl with suspected hyperparathyrodism.

12. Discuss the pathology, diagnosis and management of hyperparathyroidism.

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13. Describe the surgical anatomy of suprarenal gland. Discuss the pathology, clinical features and management of adrenal medullary tumour.

14. Discuss aetiology, clinical features and management of hyperparathyroidism.

15. Discuss clinical features and management of a case of pheochromocytoma.

16. Discuss pheochromocytoma under the following headings: Pathophysiology of the disease & its effects. Physiologic basis of preoperative, intraoperative, postoperative management of the disease.

17. Discuss pheochromocytoma. 18. Discuss the autonomic nervous system under the following

headings: Autonomic organization of autonomic flow. Chemical transmission at autonomic junctions. Responses of effector organs to autonomic nerve impulse. Physiologic basis of the preoperative pharmacologic of patient with pheochromocytoma.

19. Discuss the clinical features, investigations and management of primary hyperparathyroidism.

20. Discuss the diagnosis and surgical management of hyperparathyroidism.

21. Discuss the indications of adrenalectomy and describe the operative procedure for right side adrenalectomy.

22. Discuss the management of hyperparathyroidism. 23. Discuss the pathology, diagnosis and management of adrenal

tumors. 24. Discuss the pathology of adrenal tumours. How do you manage a

case of pheochromocytoma? 25. Enumerate causes of hypocalcaemia. How will you investigate and

manage primary hyperparathyroidism? 26. Etiology, clinical presentation, investigation and surgical

management of hyperparathyroidism. 27. List the causes of surgically correctable hypertension. Describe the

pathology, clinical features, diagnosis and management of pheochromocytoma.

28. Pathology and investigation of adrenal tumours.

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29. Pathology, clinical features, investigations and management of parathyroid adenoma.

30. Tests of adrenocortical insufficiency and management of Cushings syndrome.

31. What are the tumours of adrenal medulla? Discuss the etio-pathology, investigations and management of pheochromocytoma.

SHORT QUESTIONS1. Adrenal function tests 2. Adrenal medullary tumour 3. Adrenogenital syndrome 4. APUD cell tumour 5. Cushings syndrome 6. Diagnosis and management of pheochromocytoma 7. Hyperparathyroidism 8. Hypoparathyroidism 9. MEN 10. MEN II 11. Neuroblastoma 12. Parathyroid adenoma 13. Parathyroid transplant 14. Pheochromocytoma 15. Preoperative localization of parathyroid adenoma 16. Primary hyperparathyroidism 17. Radiological features in hyperparathyroidism 18. Spread of neuroblastoma 19. Surgical anatomy of parathyroid glands 20. Surgical approaches to the adrenal gland 21. Waynes scoring index

25. BREAST

LONG QUESTIONS1. Classify benign tumours of breast. How will you manage a breast

lump 2x3 cm in middle aged women?

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2. Describe breast conservation surgery in ca breast. 3. Describe the pathology, clinical features and management of

carcinoma breast. 4. Describe the staging of advanced breast carcinoma and discuss the

specific problems in advanced disease with the current management.

5. Describe the surgical anatomy of the breast. List the premalignant conditions of the breast. Describe the clinical features, diagnosis and management of early carcinoma of the breast.

6. Describe the surgical pathology, clinical features and management of cystosarcoma phylloides.

7. Describe the surgical pathology of carcinoma of the breast. Discuss the role of hormonal receptors in the management of breast carcinoma.

8. Discuss breast conservation therapy in cancer breast in the following heads:

a. Selection of pt. for breast conservation. b. Contraindication for above procedures. c. Methods of breast conservation treatment and their limitations.

9. Discuss cancer risk in pregnancy. 10. Discuss etiology, pathology and investigations in a case of

carcinoma of breast. Discuss how you would treat a 30 year old lady who presents with T1N0M0 lesion.

11. Discuss management of metastatic breast cancer. Add a note on familial breast cancer.

12. Discuss post mastectomy breast reconstruction. 13. Discuss prognostic factors and management of early breast

carcinoma. 14. Discuss prognostic factors of carcinoma of the breast. 15. Discuss the clinical features, staging and investigations of

carcinoma breast. How do you manage a case of stage II carcinoma breast?

16. Discuss the etiology, clinical features, investigation and management of carcinoma breast.

17. Discuss the etio-pathology, clinical features and management of advanced breast cancer.

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18. Discuss the etiopathology, clinical features, prognostic factors and management of early breast cancer.

19. Discuss the Lymphatic drainage of the breast and discuss the treatment of carcinoma breast stage T2N1M0.

20. Discuss the management of advances carcinoma of the breast. 21. Discuss the modes of early diagnosis of carcinoma breast. Mention

different types of classification of breast cancer. 22. Discuss the pathology and management of lump in breast in women

of 40yrs. 23. Discuss the recent advances in management of early breast

carcinoma. 24. Discuss the risk factors of carcinoma breast. Discuss the causes and

management of local recurrence of breast cancer. 25. Discuss the various diagnostic modalities for carcinoma of the

breast. Add a note on the management of the early Carcinoma of the Breast.

26. Discuss the various diagnostic modalities of carcinoma breast. Add a note on management of early carcinoma breast.

27. Enumerate the non-malignant conditions which clinically mimic carcinoma of the breast. Describe the pathogenesis and management of each.

28. Management of advanced carcinoma breast. 29. Methods available for diagnosis of early breast carcinoma. 30. Pathology, clinical features and management of early carcinoma

breast. SHORT QUESTIONS1. Aberrations of development and involution of breast 2. Advanced ca breast 3. ANDI 4. Benign breast diseases 5. Benign breast lesion 6. Breast abscess 7. Breast biopsy 8. Breast cystic conditions 9. Cyclical mastalgia

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10. Cyclical mastalgia 11. Cystic lesions of breast 12. Cystosarcoma phylloides 13. Danazol 14. Duct ectasia 15. Duct papilloma of breast 16. Ductal carcinoma in situ (DCIS) 17. Familial breast cancer 18. Fat necrosis 19. Fibroadenoma 20. Fibroadenosis 21. Fibrocystic disease of breast 22. Galactocele 23. Giant fibroadenoma of breast 24. Gynaecomastia 25. Hormonal therapy in ca breast 26. Hormone receptors of breast 27. Inflammatory breast disease 28. Lobular carcinoma of breast 29. Lymphatic drainage of breast 30. Mammography 31. Mammoplasty 32. Mastalgia 33. Mondors disease 34. Nipple discharge-significance 35. Oestrogen 36. Pagets disease of nipple 37. Pathology of Pagets disease of nipple 38. Phylloides tumour 39. Plasma cell mastitis 40. Post-mastectomy breast reconstruction 41. Risk factors of breast malignancy 42. Role of adjuvant chemotherapy in carcinoma breast 43. Role of hormone therapy in breast carcinoma 44. Role of ultrasonography in breast disease 45. Screening for carcinoma breast

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46. Stage II ca breast 47. Staging of carcinoma breast 48. Stereotactic wide local excision of breast 49. Systemic therapy in carcinoma breast 50. TB breast 51. Triple assessment

26. THORAX

LONG QUESTIONS1. A 30 yr old male brought to the casualty with multiple rib fractures

following a road traffic accident. Discuss the management. 2. Describe the etiology, clinical signs and symptoms of hydatid

disease of the lung. 3. Describe briefly the principles of evaluation, planning and

management of chest injuries. 4. Describe the aetiology, pathology, and management of

bronchogenic carcinoma. 5. Describe the anatomical basis of thoracic outlet syndrome. How will

you investigate and treat such a patient? 6. Describe the anatomy of lymph nodes in the chest. What are the

surgical conditions arising from them? Discuss the differential diagnosis of mediastinal tumours. What is the pathology & management of non-hodgkins lymphoma?

7. Describe the components and complications of chest injury in blunt trauma and its management.

8. Describe the development of diaphragm. Discuss the diagnosis and management of diaphragmatic hernias.

9. Describe the mechanism of injury, clinical features, and management of chest trauma.

10. Describe the pathophysiology of hiatus hernia. Describe the common surgical procedures adopted in the management of hiatus hernia.

11. Describe the surgical anatomy of the thoracic diaphragm. Discuss the management of congenital diaphragmatic hernia.

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12. Describe thoracic outlet syndrome. 13. Detail the history of human heart transplantation. What are the

indications? How can rejections be prevented? Discuss the steps of open heart surgery.

14. Development of diaphragm, types of diaphragmatic hernias. 15. Discuss chest injuries and management of hemothorax. 16. Discuss chronic empyema. 17. Discuss etiopathogenesis and management of carcinoma of lung. 18. Discuss the different types of chest injuries. How do you manage

them? 19. Discuss the different types of diaphragmatic hernias. Discuss in

detail management of sliding hiatal hernia. 20. Discuss the lung cancer under the following heads:

a.Assessment of operability. b.Management of small cell carcinoma. c.Pathological types & prognostic factors.

21. Discuss the management of blunt chest injury. 22. Discuss the management of various injuries that can occur

following blunt trauma of the chest. 23. Discuss the management stab injury to chest. 24. Discuss the pathology and management of bronchogenic

carcinoma. 25. Discuss the surgical anatomy of diaphragm. 26. Etiology, clinical features, management of chest injuries. 27. Investigations, management of flail chest following RTA. 28. Thoracic outlet obstruction and operation of cervical

sympathectomy. 29. What are the physiological derangements in chest injury? Describe

the management of different chest injuries. 30. What are the various varieties of cervical rib? What are the clinical

features and complications? Describe the management of symptomatic cervical rib.

SHORT QUESTIONS1. ARDS (shock lung) 2. Bronchogenic carcinoma

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3. Bronchopleural fistulas 4. Bronchopulmonary segments 5. Cardiac tamponade 6. Cervical rib 7. Chylothorax 8. Diaphragmatic hernia/ traumatic diaphragmatic hernia 9. Dysphagia lusoria 10. Empyema necessitans 11. Empyema thorax 12. Flail chest 13. Fracture rib 14. Hemopneumothorax 15. Hemothorax 16. Laryngeal paralysis 17. Lung abscess 18. Lung cysts 19. Management of pulmonary hydatid cyst 20. Mediastinal syndrome 21. Mediastinal tumours 22. Mediastinitis 23. Open pneumothorax 24. Pancoasts tumour 25. Paradoxical breathing 26. Paradoxical respiration 27. Pectus excavatum 28. Percutaneous angioplasty 29. Pneumothorax 30. Pulmonary embolism 31. Pulmonary tuberculosis 32. Spontaneous pneumothorax 33. Stellate ganglion 34. Stove in chest 35. Surgical treatment of TB 36. Tension pneumothorax 37. Thoracotomy 38. Thymectomy

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39. Thymoma 40. Traumatic pneumothorax 41. Types of thoracotomy

27. HEART AND PERICARDIUM LONG QUESTIONS1. Describe the disorders that affect the aortic bifurcation and indicate

their management. SHORT QUESTIONS2. ASD 3. Balloon transluminal angioplasty 4. Cardiac tamponade 5. Cardiospasm 6. Chronic pericarditis 7. Coarctaction of aorta 8. Coronary artery bypass 9. Discuss percutaneous angioplasty 10. Etiology and management of cardiac arrest 11. Fogarty catheter 12. IABP 13. Myocardial revascularization 14. Patent ductus arteriosus 15. PDA 16. Pericardiectomy 17. Prosthetic valve disease 18. Restorative end aneurysmorrhaphy 19. TOF 20. VSD

28. ANASTOMOSES

LONG QUESTIONS

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1. Describe the etiology and management of post-operative fecal fistula.

2. List the features of an ideal suture material. Classify suture materials giving examples of each category. Describe in detail side to side and end to end intestinal anastomoses.

3. What are the factors that influence healing of intestinal anastomoses? Describe the management of duodenal leak following gastrectomy.

SHORT QUESTIONS1. Access loop in bilio enteric anastamosis 2. End to end anastomosis 3. Factors responsible for anastomotic leak and how will you prevent it 4. Staplers in GI surgery 5. Types of anastamosis

29. OESOPHAGUS

LONG QUESTIONS1. Anatomy of lower end of oesophagus and management of GERD. 2. Anatomy of oesophagus, management of middle 1/3rd carcinoma

oesophagus. 3. Causes of upper GI bleed; management of variceal bleeding. 4. D/D of 40 yr old patient presenting with dysphagia. Discuss clinical

features and management of achalasia cardia. 5. Describe currently available endoscopic methods of control in non-

variceal bleed from upper G.I tract. 6. Describe the surgical anatomy of esophagus. Discuss the motility

disorders. 7. Discus the causes and management of upper GI bleed. 8. Discuss dysphagia due to benign causes. 9. Discuss non-shunt operations in management of bleeding

oesophageal varices. 10. Discuss non-surgical methods of control of upper GI haemorrhage. 11. Discuss the advances in management of hematemesis.

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12. Discuss the approach and management of case of upper GI bleed. 13. Discuss the causes of rupture of esophagus and its complication. 14. Discuss the etiology, clinical features, investigations and treatment

of carcinoma esophagus. 15. Discuss the management of carcinoma lower third esophagus. 16. Discuss the physiology of esophageal motility as applied to clinical

condition of esophagus. 17. Discuss the predisposing conditions, clinical features, diagnosis, and

management of Ca esophagus. 18. Discuss the recent advances in endoscopic palliative procedures for

carcinoma oesophagus. 19. Enumerate causes of dysphagia. Describe management of Achalasia

cardia. 20. Enumerate the causes of upper GI bleeding. How will you manage a

30 yr old man with hematemesis due to portal hypertension? 21. Enumerate types of congenital atresia of oesophagus and how will

you manage the case. 22. List the causes of massive upper GI hemorrhage in the order of

frequency. Describe the initial evaluation, resuscitation and management of a patient who presents to the accident and emergency department with variceal hemorrhage.

23. List the premalignant conditions in the esophagus. Describe the clinical features and management of carcinoma of esophagus. Add a note on neo-adjuvant therapy in this disease.

24. Management of haemorrhage from GIT. 25. Mention the causes of dysphagia. Describe briefly the clinical

features and management of carcinoma middle third of oesophagus. 26. Non-resectional procedures for treatment of carcinoma

oesophagus. 27. Oesophagal atresia management. 28. Pathology of carcinoma oesophagus. Clinical features, management

of lower carcinoma oesophagus. 29. What is massive blood transfusion? How would you evaluate upper

GI bleed in a 25yr old factory worker? What is your priority in management of oesophageal varices?

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SHORT QUESTIONS1. Achalasia cardia 2. Achalasia of oesophagus 3. Barium study for foreign body in oesophagus 4. Barrets oesophagus 5. Barrets ulcer 6. Cardiospasm 7. Causes of chronic dysphagia 8. Corrosive structure of oesophagus 9. Diagnosis and management of achalasia cardia 10. Dysphagia lusoria 11. Gastro-esophageal reflux 12. GERD 13. Hellers operation 14. Mallory Weiss syndrome 15. Management of achalasia cardia 16. Management of esophageal varices 17. Massive haematochezia - causes and management 18. Neoadjuvant therapy 19. Oesophagal atresia 20. Oesophageal diverticulum 21. Oesophageal perforation 22. Oesophageal stricture 23. Oesophageal varices 24. Peptic oesophagitis 25. Plummer Winson syndrome 26. Pre malignant oesophageal B conditions 27. Schatzkis ring 28. Sclerotherapy 29. Sliding hernia 30. Therapeutic endoscopy 31. Trachea-oesophageal fistula 32. Types of oesophagectomy 33. Upper GI endoscopy 34. Zenkers diverticulum

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30. STOMACH AND DUODENUM

LONG QUESTIONS1. Advances in management for chronic duodenal ulcer. 2. Clinical features of carcinoma pyloric end of stomach. How will you

treat early case? 3. Describe anatomy of vagus and various types of vagotomy

performed in management of DU. 4. Describe etiology, complications and management of chronic

duodenal ulcers. 5. Describe pathological anatomy, pathophysiology and management

of stress ulcer. 6. Describe the lymphatic drainage of stomach. Discuss the non-

epithelial tumors of stomach and their management. 7. Describe the surgical anatomy of vagus nerves in the abdomen.

Discuss the merits and demerits of highly selective vagotomy. 8. Discuss chronic duodenal ulcer. 9. Discuss pathophsiology of H.pylori infection, and its current

management. 10. Discuss the causes & treatment of anastamotic ulceration following

truncal vagotomy & gastrojejunostomy for peptic ulceration. 11. Discuss the causes of hematemesis. 12. Discuss the etiopathology, clinical features and management of

carcinoma stomach. 13. Discuss the management of acid peptic disease. 14. Discuss the management of chronic duodenal ulcer. 15. Discuss the pathology, mode of spread, investigations, and

treatment of Ca stomach. 16. Discuss the recent advances in management of peptic ulcer. 17. Discuss the surgery in morbid obesity. 18. Discuss volvulus of stomach. 19. Etiology, complications and management of chronic duodenal ulcer. 20. Etiopathology, clinical features of carcinoma stomach and

management. 21. Precancerous lesions of the stomach. Discuss the prognostic factors

of Ca rectum.

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22. Staging, prognostic, factors of carcinoma stomach. 23. Surgical anatomy and its clinical applications in management of

carcinoma stomach. 24. Trace the history of surgical treatment of acid peptic disease.

Discuss the role of vagotomy in the condition. Discuss the role of endoscopy in gastroenterological surgery. Discuss the diagnosis and management of perforation of chronic duodenal ulcer.

25. Volvulus of stomach.

SHORT QUESTIONS1. Acute dilatation of stomach 2. Acute gastric dilation 3. Ampullary Ca 4. Ampullary carcinoma 5. Billroth I gastrectomy 6. Biochemical changes in pyloric stenosis 7. Ca pylorus 8. Completeness of vagotomy 9. Complication of gastrectomy 10. Congenital pyloric stenosis 11. Dumping syndrome 12. Duodenal atresia 13. Duodenal blow out 14. Duodenal fistula 15. Duodenal obstruction 16. Early dumping syndrome 17. Early gastric cancer 18. Endoscopic ultrasonography 19. Fractional test meal 20. Gastrectomy and its complications 21. Gastric lymphoma 22. Gastric reduction of stomach 23. Gastric ulcer 24. Gastrinoma 25. Gastritis 26. Gastro intestinal stromal tumours

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27. Gastro jejunocolic fistula 28. Gastrocolic fistula 29. Gastrostomy 30. GI endoscopy and the surgeon 31. Giant duodenal ulcer 32. Helicobacter pylori 33. Hour glass stomach 34. Hyper gastrinaemia 35. Hypertrophic pyloric stenosis of infants 36. Hypertrophic stenosis 37. Intraoperative indicators for completeness of vagotomy 38. Krukenbergs tumour 39. Late dumping syndrome 40. Leather bottle stomach 41. Linitus plastica 42. Menetriers disease 43. Non-epithelial malignant tumours of stomach 44. Parietal cell vagotomy 45. Percutaneous endoscopic gastrostomy 46. Percutaneous gastrostomy 47. Physiology of acid secretion by parietal cells 48. Physiology of gastric secretion 49. Post gastrectomy syndrome 50. Post-cibal syndrome 51. Premalignant lesions of carcinoma stomach 52. Pyloric stenosis 53. Radionuclear scan in obscure GI bleeding 54. Ramstedts operation 55. Recurrent gastric peptic ulcer 56. Risk factors of carcinoma stomach 57. Roux-en-y anastomosis 58. Surgery for morbid obesity 59. TNM classification of ca stomach and current surgical therapy for

early gastric ca 60. TNM classification of carcinoma stomach and current surgical

therapy of early gastric cancer

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61. Trichobezoar 62. Vagotomy 63. Volvulus of stomach 64. ZE syndrome

31. LIVER

LONG QUESTIONS1. 45 yr old man with space occupying lesion (8cms in diameter) in left

lobe of liver. Discuss the management. 2. A 45yr old casual labourer who is alcoholic presents with a

hypochondrial mass. What is the differential diagnosis that you can offer on clinical examination? Would you proceed to investigate & treat a patient with liver mass?

3. A child two years old is having a lump in right abdomen moving with respiration - discuss the diagnosis and management.

4. Anatomy of portal system, etiopathogenesis of portal hypertension. 5. Causes of portal hypertension, cardinal clinical features and outline

surgical management. 6. Classify liver trauma, elaborate the complications and discuss the

management. 7. Describe anatomy of portal system and etio-pathology of portal

hypertension. Discuss the non-shunt surgical procedures in management of portal HTN.

8. Describe segmental anatomy of liver and clinical features and management of parasitic cysts of liver.

9. Describe segmental anatomy of liver and its value in hepatic resection.

10. Describe segmental anatomy of liver and pre-op workup towards hepatic resection for primary carcinoma.

11. Describe the anatomy of liver with reference to classical liver resection and discuss indication of liver resection.

12. Describe the clinical features, investigations and management of liver injuries.

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13. Describe the etiology, clinical features and management of hydatid disease of the liver.

14. Describe the etiology, investigations, and management of portal hypertension.

15. Describe the surgical anatomy of portal vein and discuss the extra hepatic portal hypertension.

16. Describe the the venous drainage of lower 5 cms of esophagus. Discuss the management of bleeding of esophageal varices.

17. Discuss etiopathology, clinical features and management of heptocellular carcinoma.

18. Discuss the aetiology, types, clinical features and management of portal hypertension.

19. Discuss the causes of blunt liver injuries. Discuss in detail- types, diagnosis and management of blunt liver trauma.

20. Discuss the classification and management of blunt liver trauma. 21. Discuss the clinical features and management of acute variceal

bleed. 22. Discuss the clinical features, investigation and management of

portal hypertension. 23. Discuss the segmental anatomy of liver. What are the types of

hepatectomy and indications for it? 24. Discuss the surgical anatomy of liver. 25. Discuss the updates in etiology, diagnosis and management of

primary hepatic carcinoma. 26. Discuss the various shunts available in the management of portal

hypertension. 27. Discuss various methods applied for hepatic decompression in

obstructive jaundice. 28. Enumerate causes of upper GI bleeding. How will you manage a

30yr old man with hematemesis due to portal hypertension? 29. Etiopathogenesis and clinical features of portal hypertension;

management of bleeding oesophageal varices. 30. Hydatid cyst of liver. 31. Surgical anatomy of liver.

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SHORT QUESTIONS1. Amoebic liver abscess 2. Biochemical changes in jaundice 3. Budd- Chiari syndrome 4. Childs grading 5. Classification of hepatic functional reserve 6. Hepatic hydatid cyst 7. Hepatic resection 8. Hepatitis B 9. Hepato biliary imaging 10. Hepatorenal syndrome 11. Hydatid cyst 12. Hydatid cyst of liver and surgical implications 13. Indication of liver transplantation 14. Indications for liver transplant 15. Klatskins tumour 16. LFT in surgery for portal hypertension 17. Liver abscess 18. Liver biopsy 19. Liver injuries 20. Management of liver trauma 21. Metabolic sequelae of hepatic resection 22. MRCP 23. Orthoptic liver transplantation 24. Primary HCC 25. Principles of liver transplantation 26. Secondaries in liver 27. Secondary neoplasms of liver 28. Segmental anatomy of liver 29. Selective porto-systemic shunts 30. Selective shunts in portal hypertension 31. Subphrenic abscess 32. Surgical anatomy of liver 33. Therapeutic embolisation 34. TIPSS 35. Transjugular intrahepatic portosystemic shunt stents

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32. GALLBLADDER AND BILE DUCTS

LONG QUESTIONS1. Access loop in bilio- enteric anastomosis. 2. Bile duct injuries and their management. 3. Causes of obstructive jaundice; investigations and management. 4. Causes, precautions and treatment of biliary system injuries. 5. Cholangiocarcinoma. 6. Classify choledochal cysts. Discuss the aetiology, clinical features

and management of choledochal cyst. 7. Clinical features of cholecystitis and surgical management. 8. Complication of CBD drainage procedure. 9. Describe anatomy and anomalies of extrahepatic bile ducts; role of

endoscopy in management of bile duct stones. 10. Describe the technique of laparoscopic cholecystectomy. Discuss the

relative advantages and disadvantages of open cholecystectomy and laparoscopic cholecystectomy.

11. Describe the vascular supply of extrahepatic biliary tract. Discuss the aetiology, prevention and management of bile duct injury during cholecystectomy.

12. Describe the vascular supply to extra hepatic biliary tract. Discuss the etiology, clinical features and management of biliary stricture.

13. Describe: Anatomy and anomalies of the extrahepatic ducts and Role of endoscopy in the management of bile duct stones.

14. Discuss the causes and management of biliary fistulae and strictures following cholecystectomy.

15. Discuss etiopathogenesis, investigations and treatment of carcinoma gall bladder with respect to staging.

16. Discuss obstructive jaundice caused by malignant diseases. 17. Discuss obstructive jaundice- investigation and management. 18. Discuss obstructive jaundice. 19. Discuss the causes, investigations and management of obstructive

jaundice. 20. Discuss the current management of choledocholithiasis. 21. Discuss the incidence, diagnosis and management of retained CBD

stones.

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22. Discuss the management of acute cholelithiasis. 23. Discuss the management of calculus cholecystitis. 24. Discuss the pathogenesis of cholilithiasis and non-operative

management of the same. 25. Discuss the problems of surgery of jaundiced patient. 26. Discuss the various types of gallstones, complications,

management. 27. Enumerate causes of surgical jaundice. Discuss the management of

carcinoma of periampullary region. 28. How do you investigate a case of obstructive jaundice? How do you

manage CBD stones? Write a note on retained CBD stones. 29. Indications, clinical features, complications, essential requirements

of laparoscopic cholecystectomy. 30. Mention aetiology, investigations and management of gall stones. 31. Role of endoscopy in diagnosis and management of CHD and CBD

obstruction. 32. Surgical anatomy of gallbladder and hazards of cholecystectomy. 33. Vascular supply of extrahepatic duct; etiology, clinical features and

management of biliary strictures. 34. What is surgical jaundice? Pathology and management of cholestatic

jaundice. SHORT QUESTIONS1. Access loop in bilio-enteric anastomosis 2. Anomalies of GB 3. Benign biliary strictures 4. Biliary atresia 5. Biliary fistula 6. Biliary strictures 7. Biochemical changes in jaundice 8. Carolis disease 9. CBD stricture 10. Cholangiogram 11. Cholecystogram 12. Choledochal cyst 13. Complications of laparoscopic cholecystectomy

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14. Complications of laproscopic biliary tract surgery 15. Congential anomalies of the extrahepatic biliary tract 16. Courvoisiers law 17. Dissolution treatment of gallstone 18. Emphysematous cholecystitis 19. ERCP 20. Gall bladder polyp 21. Gall stone 22. Gall stone ileus 23. Haemobilia 24. Hepatorenal syndrome 25. Internal biliary fistula 26. Intro-op bile duct evaluation 27. Klatskin tumour 28. Laparoscopic cholecystectomy 29. Laparoscopic cholecystectomy 30. Limeys bile 31. Management of residual stones in CBD 32. Mirrizis syndrome 33. Mucocoele of GB 34. Mucocoele 35. Oral cholecystography 36. P.T.C 37. Percutaneous biliary drainage 38. Percutaneous transhepatic biliary interventional procedures 39. Porto-systemic anastomosis 40. Post cholecystectomy syndrome 41. Preoperative cholangiography 42. Prevention of bile duct injury during cholecystectomy 43. Primary common bile duct stones 44. Recurrent cholangitis 45. Retained CBD stones 46. Retained gall stones 47. Retained gall stones 48. Sclerosing cholangitis 49. Sphincter of ODDI

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50. Theories of gall stone formation 51. Wedged hepatic venous pressure 52. White bile

33. SPLEEN

LONG QUESTIONS1. Causes, clinical features of injury of spleen and surgical management. 2. Describe the anatomy and discuss the conservative management of

splenic rupture 3. Discuss the clinical features and management of splenic injuries. Add

a note on splenorraphy. 4. Discuss the etiology, signs and symptoms and management of splenic

rupture. 5. Discuss the indications for splenectomy and describe the steps for

emergency splenectomy. 6. Indications for splenectomy and management of haemolytic anemia. 7. Surgical alternatives to splenectomy.

SHORT QUESTIONS1. Complications of splenectomy 2. Hereditary spherocytosis 3. Hypersplenism 4. Indications for splenectomy 5. Management of splenic injury 6. OPSI 7. Rupture spleen 8. Spleenenculi 9. Splenic artery aneurysm 10. Splenomegaly 11. Splenic rupture 12. Splenic trauma 13. Tropical splenomegaly

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34. PANCREAS

LONG QUESTIONS1. Carcinoma head of pancreas: pathology, clinical features and

palliative procedures for unresectable tumors. 2. Classify jaundice. How does obstructive jaundice increase morbidity

in a surgical patient? Discuss the surgical procedures in carcinoma head of pancreas.

3. Classify pancreaticoduodenal injuries. How do you manage a case of traumatic duct injury of pancreas and its complications?

4. Classify tumors of pancreas. Discuss the pathology, clinical features and management of insulinoma.

5. Clinical features, investigations, surgical management of chronic calcific pancreatitis.

6. Describe surgical anatomy of pancreas. How do you diagnose and manage pancreatic calculi?

7. Describe surgical complication and management of acute pancreatitis.

8. Describe the clinical features and management of acute pancreatitis. 9. Describe the clinical features, investigations and management of

pseudocyst of pancreas. 10. Describe the development of pancreas and its congenital anomalies

and their treatment. 11. Describe the secretions of the pancreas and discuss their function. 12. Diagnosis and management of pancreatic injuries. 13. Diagnostic, prognostic evaluation and treatment of acute

pancreatitis. 14. Discuss causes, investigation and management of pancreatic ascites. 15. Discuss etiology, clinical features and complications of pseudocyst of

pancreas. Briefly mention its management. 16. Discuss nesidioblastoma. 17. Discuss the clinical features and management of acute necrotizing

pancreatitis. 18. Discuss the diagnosis of acute pancreatitis and management of

abscess formation in pancreas.

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19. Discuss the etiology, diagnosis and management of chronic pancreatitis.

20. Discuss the etiology, pathology, clinical features and management of acute pancreatitis.

21. Discuss the etiopathogenesis, clinical features and management of a case of carcinoma head of pancreas.

22. Discuss the islet cell of pancreas and their surgical importance. 23. Discuss the management of a case of carcinoma of the head of

pancreas. 24. Discuss the sequel of the injury to pancreas. 25. Discuss the traumatic rupture of pancreas. 26. Enumerate causes of surgical jaundice and discuss the management

of carcinoma of the head of pancreas. 27. Etiology pathogenesis of chronic pancreatitis. 28. How do you manage pain in chronic pancreatitis? 29. Islet cell of pancreas and surgical importance. 30. Mention classification of pancreatitis and describe acute

pancreatitis. 31. Pancreaticoduodenal tumors. 32. Traumatic rupture of pancreas. 33. What are the pancreatic function tests? Discuss management of

pseudocyst of the pancreas. 34. Write signs, symptoms and the management of chronic pancreatitis.

SHORT QUESTIONS1. Acute pancreatitis 2. Annular pancreas 3. Blunt injury pancreas 4. Childs criteria 5. Chronic pancreatitis 6. Complications of acute pancreatitis 7. Cysts of pancreas 8. Diagnosis and management of annular pancreas 9. Endocrine tumours of pancreas 10. ERCP 11. Glucagonoma

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12. Insulinoma 13. Islet cell tumors 14. Management of pseudocyst of pancreas 15. MRCP 16. Pancreatic calculi 17. Pancreatic function tests 18. Pancreaticolithiasis 19. Pancreatic transplant 20. Pancreaticoduodenal injuries 21. Periampullary carcinoma 22. Prognostic factors in acute pancreatitis 23. Pseudo pancreatic cysts 24. Pseudocyst of pancreas 25. Role of contrast CT in acute pancreatitis 26. Surgical complications of DM 27. Treatment of chronic pancreatitis 28. Tropical pancreatitis 29. WDHA syndrome 30. Whipples procedure 31. Zollinger Ellisons syndrome

35. PERITONEUM, MESENTRY, OMENTUM AND RETROPERITONEUM LONG QUESTIONS1. Classify mesenteric cysts. What is pseudo mesenteric cyst? Discuss

pathology, differential diagnosis and management. 2. Discuss anatomy of greater omentum and its use in surgical practice 3. Discuss causes and management of biliary peritonitis. 4. Discuss causes of hemoperitoneum and its management. 5. Discuss the surgical anatomy of the peritoneal spaces. How will you

manage a para duodenal hernia? 6. Surgical anatomy of peritoneal spaces. Paraesophageal hernia

management.

SHORT QUESTIONS

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1. Abdominal TB 2. Carcinoma peritonei 3. Chylous ascites 4. DPL 5. Enterogenous cyst 6. Granulomatous peritonitis 7. Idiopathic retroperitoneal fibrosis 8. Infections and management of retro peritoneal spaces 9. Intra-abdominal adhesions 10. Intraperitoneal bands 11. Mesenteric artery occlusion 12. Mesenteric cyst 13. Mesenteric adenitis 14. Mesothelioma 15. Paracentesis 16. Pelvic abscess 17. Peritonitis 18. Pseudo myxoma peritonei 19. Pseudomyxoma peritonei 20. Psoas abscess 21. Retroperitoneal fibrosis 22. Rutherford Morrisons pouch 23. Sub phrenic abscess 24. Subdiaphragmatic abscess 25. Sub-phrenic abscess 26. Subphrenic space 27. Tabes mesenterica 28. Talc granuloma 29. TB peritonitis

36. SMALL AND LARGE INTESTINE

LONG QUESTIONS1. Anatomy and pathology of ileocecal lesions. 2. Classify and describe- the signs and management of colonic growth.

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3. Classify tumors of colon. Discuss investigations, management of carcinoma transverse colon.

4. Clinical features and management of colon cancer. 5. Define short bowel syndrome. Discuss pathophysiology features and

management of short bowel syndrome. 6. Describe etiopathogenesis and management of large gut polyps. 7. Describe in detail the aetiopathogenesis, types, clinical features,

investigations, differential diagnosis and management of intussusception.

8. Describe the development and complication that may arise from Meckels diverticulum.

9. Describe the different types of inflammatory bowel disease. Discuss the management of ulcerative colitis.

10. Discuss etiology, clinical features and management of ulcerative colitis.

11. Discuss the causes and management of acute lower gastrointestinal bleed in a 60yr old man.

12. Discuss the diagnosis, differential diagnosis and management of ileocecal tuberculosis.

13. Discuss the etiology, clinical features, diagnosis and treatment of intussuception.

14. Discuss the management of intestinal ischemia. 15. Discuss the management of recurrent adenocarcinoma of colon and

rectum. 16. Discuss the pathophysiology and treatment of short bowel

syndrome. 17. Discuss the surgical management of amoebiasis. 18. Enumerate causes of lower GI haemorrhage. Discuss the current

thinking in management of this condition. 19. Etiology, clinical features and management of ulcerative colitis. 20. Evaluate the causes of intestinal fistulae and discuss the

management principle of intestinal fistulae. 21. How will you investigate and manage a case of Hirschprungs

disease? 22. Management of hemorrhage from GIT.

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23. Pathogenesis, metabolic disturbances and management of small bowel obstruction.

24. Pathogenesis of ulcerative colitis, surgical procedures other than conventional ileostomy in management of ulcerative colitis.

25. Pathology and management of ulcerative lesions of colon. 26. What are the predisposing factors for colon cancer? Discuss clinical

features and latest management of colon cancer. 27. Write in detail the ulcerative lesions of colon and the management

of ulcerative colitis. SHORT QUESTIONS1. Adjuvant therapy in colorectal malignancy 2. Amoeboma 3. Anomalies of vitello intestinal duct 4. APUDoma 5. Ascariasis in surgery 6. Blind loop 7. Bowel preparation in colonic surgery 8. Ca caecum 9. Carcinoid syndrome 10. Carcinoid tumor 11. Care of ileostomy 12. Colonoscopy 13. Colostomy 14. Complications of colostomy 15. Complications of Meckels Diverticulum 16. Crohns Disease 17. Diagnosis and management of ileal intussusception 18. Diverticulitis 19. Diverticulosis of colon 20. Duplication of the Gut 21. Enterocutaneous fistula 22. Etiology of colon cancer 23. Faecal fistulas 24. FAP 25. Feeding jejunostomy

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