FINAL EXAM NATIONAL BOARD OF EXAMINATION]

JUNE-2011

GENErti\L SURGERY
FAPER . I

Time : 3 hours
Max. Marks : 100 suR/J/11t1211

Attempt ail questions in order.

Each question carries 10 marks. .

1. !.'hai:ie ciiagiro;i:; iunicr inirrkei$? -E;rumerate their loie i:r the mdnaEernent 5.'5
crf sp:cific cancers.
2. a) ryYh'atis sr;pl.is shock? I ' c
b) D;s.:ribc ,'aiious s:oririg l;rr:lenr: far sepsis a
!

c) D:sct"i'oc va-ioli-t c,..:rt!.critc,.,1i; of " Sirr.i -i;ri:' ln. -,i-.-rn'tatct"v

Respoirse $yndrome."
3. a) D::;.;r'ae th-. "l:vels of evidt;icr:" i i ;.i:lgery. 5
b) \,,^/h:'l i:s a Phi:se-ll trial? J
c) [J --s:ri'c : the sigrrifica;r+e: cl "N Sl.BP" 'Lri;[s. a

4.a,l[Je,:crib.,ther,aliottSn.]c'-.c3r..if-ll.;p1-r|33:en:ii,gnr:iriti:lnira
sul'gica:l paile.;rt.
b) V';n-at ii,. tl-:e "p!:{^,1i5" in li;e us: o; l:ti:rl i,a r;;rtei-ial n:.i:,''cn?
c) iiesc;'b,:"Rei-lediiiSsyil..-lrcn,r:''. ^1

5 a) Des:,r ,:e thr viliici,; "C';r11'ln'l:':;:.j" ,-rf vi': :"td ireaiinE.

';\ i\,'!anagerlent of a :,in-itl:rlin::: \.',;,.:.-:1ii
c) IJescribe an'ideal di-e;sing''. -- gJ*.+-2-24, .}

ti. r) i:sr::ribe tl'ie ".Sprirrg Cci!" e lii:,:i in r-.ll',artr;r:r r:-r 1lt;.1 clcsuie of al'C.:,li,..ii Ll

i,') Desci-ile "mass clc;ur:" i:.cirr-:i-.i": f'.,t 1l,,joit1€t-.. a,

c) !'/hat is a "Le:; f rostciil/"?

7 . a) \l,'hat are the risk factois in iir : cievel.rcilrn', of "[-]er:D vein
Tirronrbosis" (DVT)?
b) Disc'.tss t"lriefly the varicus ,li :':rcstir; i..:ls to estabiish tire '1,a;iro';is ..,',

of DW in a i,5 year olrJ lady.

c) Describe the managenncnt oi :.iri:: patient. 3;

f . i\j Describe the "cell c)/cle'' in rel';,rai-:c,-r tc cancer. ;i

b) De scitbe iire scientific basis t,.; "Hornone lirerapy in cancers".
c) DescriL,e the limitations cf lior;,rcne therapy arrd its side effects

..)
9. a) Enumerate the local complice:lons of acute pancreatitis. L
b) Describe in brief diagnosis artrj nranagernent of these complications.

10 a) Describe the "aetiopathogene,:-,is of thoracic outlet syndrorne".

b) Describe the various levels of lvmph nodes in the neck.
c) Enumerate the "types of neck dissections".

POSSESS/O/V/USE OF CELL PHOIVES OR ANY SUC/{SLECIRONIC GADGETS /S TOrPERMITTED INSIDETHE

EXAMIIIATIOI,I HALL
I

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l-_-.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE-2011

GENERAL SURGERY

PAPER - II

Time :3 hours
suR/J/11l12lll
Max. Marks : 100

Attempt all questions in order.

Each question carries 10 marks.
2
1" a) What is a "High risk" surgical patient?
6
b) How do you frepare a 45 year old man with obstructive
jaundice due to peri-ampullary cancer for surgery?
c) What is "Hepato-renal syndrome"?

2. a) Enumerate the Wpes of gall stones. 2

4
b) Discuss the pathogenesis of gall stones.
c) List the complications of gall stones. 4

3. a) Discuss the approach to management of a 10 year old boy with 6

polytrauma. z
b) What is "Triage" in the event of disaster? 2
ci Enumerate vai-ious lnlaging ltraeive <liagnostio modallties !n
blunt abdominal trauma.
4. a) What is "Cardiati Tamponade"? 3
b) Discuss its management in a 40 year old lady' 4
c) Enumeratetheindicationsfor..emergencyroomthoracotomy'," 3

a) Describe various "Energy Sources" in Surgery 3

5
b) What are the characteristic of an " ldeal suture". 4
c) Describe chemo-embolization in surgery 3

6. a) Discuss the management of a 1 2 year old boy with 150 thermal burns
involving head, neck and thoracic regions.
b) i
What ari ideal'fluid replacements in patient with thermal burns? 3
Describe the selection of the type and calculation of the amount of fluid 3
"i to be supplemented in thermal burns.

7. a) disease
Describe the clinical presentation and diagnosis of Hydatid 5
of liver.
b) condition.
Discuss in brief the surgical procedures performed for this 5

8. a) Describe the significance of "Total Mesorectal Excision't 4

in the management of rectal cancer.
b) What is a "Metachronous" lesion? 2
c) Discuss the management of a 32 year old gentleman with : 4
carcinoma rectum 14 cm from the analverge along with a solitary
hepatic metastasis in segment V.
P.T.O
POSSESS'ON/US E OF CELL PHON'ES OR ANY SUCH ELECTRONIC GADGETS PERM'TTED INSIDE THE
EXAMINATION HALL 'S 'VOI
9. a) What is a "Metastasis of unknown origin"? C

b) Describe the approach to management of a 50 year old man 5

with a level-V cervical lymph node metastasis of an un(nown origin
(The algorithmic approach)

10. a) Enumerate the causes of lower gastrointestinal bleeding. 3

b) Describe the management of "Obscure Gl hemorrhage" in a G0 year 4
old man.
c) Describe briefly "Capsule Endoscopy".

POSSESSTO'V/USE OF CELL PHOAIES OR ANY SUCH ELECIROA'rc GADGETS $ NOT PERMITTED INSIDE THE
EXAMINATION TIALL

J
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE-2011

GENERAL SURGERY

PAPER - III

Time : 3 hours
Max. Marks : 100 suR/J/11112il1t

Attempt all questions in order.

Each question carries 10 marks.
1. a) Define autologous transfusion. 2
b) What are the risks of blood transfusion? 4
c) How will you manage transfusion reactions? 4

2" a) Enumerate complications of Laparoscopic surgery. 3

b) How to prevent injury to bowel and solid organs dtiring laproscopy? 3
c) How will you manage bleeding and bowel injury? 4

3. a) Write briefly lymphatic drainage of esophagus. 3

b) What are the clinical features of carcinoma esophagus? J
c) How will you investigate a patient of Carcinoma esophagus? 4

4. a) Discuss the etiopathogenesis of Hirschsprung disease. 3

b) Write the clinical features. J
c) Discuss briefly its management. 4

5a) Enumerate causes of kidney lump. 2

b) Write the clinicalfeatures of renal cell carcinoma.
c) How will you investigate hematuria? 5

6. a) Define upper G.l. bleeding. 2

b) Enumerate its causes 3
c) Discuss management of bleeding esophageal varices. 5

7. a) Enumerate causes of foot ulcers.

b) How will you investigate?
c) Discuss management of varicose ulcer. 4

B. a) Enumerate causes of acute pancreatitis. J

b) How will you investigate? J
c) Discuss assessment of severity of pancreatitis. 4

9. a) Classify germ cell tumors of testis. 5

b) Management of non*seminomatous germ cell tumors. 5

10. a) Describe Glasgow coma scale. 4

A
b) Discuss management of subdural hematoma.

POSSESS/OI,//USE OF CELL PHOIVES OR A'VY SUCH ELECTRONIC G,ADGEIS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE-2011

GENERAL SURGERY

PAPER .IV
Time : 3 hours
Max. Marks : 100 suR/J/11112fiV

Attempt all questions in order.

Each question carries 10 marks.

1. a) What are the indications for diagnostic peritoneal lavage? 3

b) Describe the procedure. 3
c) Discuss the grades of splenic injury. 4

2" a) Discuss various topical haernostatic agents. 4

b) Describe briefly the thermal methods of haemostasis. 6

3" a) What are the various subphrenic spaces? 5

b) How do you manage subphrenic abscess and its complications? 5

4. a) Discuss the surgical anatomy of thyroid. 4

b) What are the complications of thyroid surgery?
Ma*teger:-,e rlt ef s u,ig ica ! cer':ipi iea tic n s.

?
a) What are the indications of renaltransplantation?
e
b) Discuss graft rejection.
c) lmmunotherapy postoperatively after renal transplant. 4

o. a) En umerate causes fo r gene ralized lymphadenopathy., 3

tr
b) Describe classification and staging of Non-Hodgkin's lymphoma (NHL)
c) Treatment of NHL. 2

7. a) Discuss the causes and clinical features of entero-cutaneous fistula. 5

b) Discuss the management. 6

/
8. a) Discuss the etiopathology of tension pneumothorax. 1
b) Describe the clinical features of tension pneumothorax. '4
c) Describe briefly the management of tension pneumothorax. 2

9. a) Discuss the segments of liver. 4

b) Describe the various types of anatomical liver resections. o

10. a) Describe "Fast track surgery". 4

b) Discuss its advantages and disadvantages. 6

POSSESS'ON/USE OF CELL F.FIOI'SS OR AAJY SUCH ELECTRONIC GADGETS B NOT PERMITTED INSIDE THE
EXAMINATiON HALL