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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER2011

GENERALSURGERY
PAPER.I
Time :3hours SURGTD/11|'l2ll
Max.Marks : 100
Aftempt all questions in order.
Each questioncarries 10 marks.

1. DescribeTNM stagingof oralcancers.Howwouldyou managea 4+6


40 yearsold smokerwith TrNrM,carcinomaof lateralborderof
tongue?

2. Definechemodectoma.How wouldyou managea 50 yearsold 2+8


ladywith rightcarotidbodytumour?

3. Definecriticallimbischemia.Brieflydescribethe managementof 2+8


a 30 yearsold diabeticwith criticallyischemiclowerlimb.

4. How wouldyou managea 25 yearsold man who startedhaving 10


fever48 hoursafterrepairof duodenalperforation?

5. Brieflydescribethe managementof a 50 years old man with 10


obstructivejaundicedue to 6x6 cm carcinomaheadof pancreas.

6. Enumeratethe indicationsof BCS. Brieflydescribethe operative 3+7


and prosthetic options for breast reconstruction after
mastectomy.

7. Definecomplexanatfistula.How wouldyou managiea 20 years 2+8


old manwithcomplexanalfistula?

8. Briefly describe the role of endoscopic ultrasound in 10


gastrointestinal
surgery.

L of a youngsoldierwitha 3x3cm
Brieflydescribethe management 10
ulcerjust abovemedialmaleolus.

10. Definerhorbidobesity.Brieflydescribethe meritsand demeritsof 2+8


varioussurgicalproceduresusedin treatmentof morbidobesity.

t
POSSESION/ASEOF CELL PHONES OR ANY SUCH ELECTRONIC GADGETSIS NOT PERMITTED INSIDE THE
EXAMINATION HALL
FINALEXAM NATIONALBOARDOF EXAMINATIONS
DECEMBERTOIl
GENERALSURGERY
PAPER-II

Time : 3 hours suRG/D/11t12il1


Max.Marks : 100

Attemptall questionsin order.


Each questioncarries10 marks.

1. How wouldyou preoperativelymanagea 30 yearsold ladywith 10


dueto adrenalpheochromocytoma?
malignanthypertension

2. Briefly discuss the various types of prosthesisused in the 10


treatmentof abdominal hernias.

3. of pyloricstenosis.How
Enumeratethe metaboliccomplications 4+6
wouldyou preoperatively
managea 35 yearsold manwithpyloric
obstruction?

4. Enumeratethe clinicalfeaturesof esophagealperforation.


How 3+7
wouldyou managea 15 yearschildwith esophagealperforation
followingdilatation? '

5. Enumeratethe complicationsof acute appendicitis,Briefly 4+6


of a 10 yearsolil childwith suspected
describethe management
appendicularabscess.

6. What are universal precautions? Discuss post-exposure 1b


prophylaxis?

7. Classifyintestinalobstruction.How would you manage a 60 4+6


yearsold ladywithsuspectedsigmoidvolvulus?

8. Enumeratethe tumoursof smallbowel.How wouldyou manage 3+7


a 35 yearsold ladywithsuspected
carcinomaof terminalileum?

L Briefly describe the principlesand role of radio-frequency 10


ablationin surgery.

1 0 . Brieflydescribethe meritsand demeritsof variousmethodsof 10


bowelpreparation in surgicalpractice.

POSSESION/USEOF CELL PHONES ORANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL
FINAL EXAM NATIONALBOARDOF EXAMINATIONS
DECEMBER2011

GENERALSURGERY
PAPER.III
Time :3 hours suRG/D/11t12iltl
Max.Marks : 100
Attemptall questionsin order.
Each questioncarries10 marks.

1. Enumeratethe causesof painlesshaematuria.How wouldyou 3+7


managea 30 yearsold man with haematuria and a past history
of takingtreatmentfor pulmonary
tuberculosis?

2. Whatis Mirizzi'ssyndrome?Howdo you treata 40 yearsold lady 2+8


withtype lV Mirizzi'ssyndrome?

3. What is non-scalpel vasectomy? Briefly describe the 2+8


complications
of vasectomy.

4. What are pre-malignant conditionsof carcinomapenis? How 2+8


wouldyou managea 60 yearsold man with carcinomainvolving
distalshaftof peniswith inguinalnodalmetastasis?

5. Enumeratethe varioustypesof chestwall injuries?How wourd 2+8


you managea 50 yearsold manwithflailchest?

6. what are the complications


of urethralinjuries?How wourdyou 5+5
managea 16 yearsold boywithsuspectedurethralinjury?

7. what are the complications of thyroidectomy?


Briefrydescribe 3+7
the role of total thyroidectomyin the managementof various
' thyroiddisorders?

8. Enumeratethe types of choledochalcyst. How would you 3+7


managea 12 yearsold girl with recurrentattacksof obstructive
jaundice?

9. what are surgical complicationsof roundworminfestation? 3+7


Discussthe managementof a childwith intestinal
obstruction
due
to worms.

10. Brieflydescribethe complications


of centralveincatheterization? 10

POSSESION/ASEOF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOTPERMITTED INSIDE THE
EXAMINATION HALL
FINALEXAM NATIONALBOARDOF EXAMINATIONS
DECEMBER201{

GENERAL SURGERY

PAPER'.'
Time : 3 hours suRG/D/litlz v
Max.Marks : 100
Attemptall questionsin order.
Eachquestioncarries 10 marks.

1. Enumeratethe varioustumourmarkersrelevantto the surgical 4+6


practice.Discussthe roleof CEA.

2. Describethe anatomyof mid-palmarspace.Brieflydescribethe s+S


principles
of managementof handinfections.

3. Describe the anatomy relevant to laparoscopictotal extra; 4+6


peritonealrepair of inguinal hernia. Enumeratethe various
landmarksto be identifiedand their importancein laparoscopic
herniarepair.

4. Classifytumoursof salivaryglands.Describevarioussurgical 4+6


proceduresandtheirrolein the management
of parotidtumours.

5. Describethe levels of cervicallymph nodes. Enumeratethe 3+Z


complications
of radicalneckdissection.

6. Brieflydescribethe variousphysicalmethodsof sterilization


of 10
surgicalinstruments.

7. Glassifyumbilicalfistula.Discussin briefthe investigations


and 3+7
treatmentof urachus.

8. Brieflydescribethe development
of parathyroid
glands.Describe 3+7
' the various investigationsused to localizethe parathyroid
adenomapreoperatively.

9. what are the types of skin grafts?Discussthe role, advantages 4+6


and disadvantagesof partialthicknessskingrafts.

10. Whatare the metaboliccomplications


of acuterenalfailure? 4+6
Howwouldyou managea patientwithcalculusanuria?

POSSESION/TISEOF CELL PIIONES OR ANY SUCH ELECTRONIC GADGETSIS NOT PERMITTED INSIDE THE
HUMINATION HALL

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