1. a)  Endoscopic ultrasound     b) Port site metastasis.

  5+5
2. Surgical anatomy of peritoneum and factors favoring development
of diffuse peritonitis and its complications.   10
3. Describe the causes, investigations and treatment of postoperative
fever.   postoperative fever
4. What are the techniques of creating pneumo-peritoneum? Discuss
physiological change associated with it.   5+5 pneumo-peritoneum
5. What is the differential diagnosis of a freely mobile lump in the
abdomen? How will you manage such a case? 5+5  freely mobile
lump in the abdomen
6. Describe the anatomy of sub-diaphragmatic spaces. How will you
diagnose and treat a case of sub-diaphragmatic abscess?
4+3+3 sub-diaphragmatic abscess

7. Describe the etiology of acute bacterial peritonitis. Discuss the

investigations and treatment of acute bacterial peritonitis.
2+(4+4)   acute bacterial peritonitis
8. a)    Describe the "Spring Coil" effect in relevance to the closure
of abdomen. 4  Abdominal Closure
       b)    Describe "mass closure" technique for abdomen. 3
       c)    What is a "Laparostomy"? 3
9. a)    Enumerate complications of laparoscopic surgery.
3  Laparoscopic Surgery
       b)    How to prevent injury to bowel and solid organs
during laparoscopy? 3
       c)    How will you manage bleeding and bowel injury? 4
10. )    What are the indications for diagnostic peritoneal lavage?
3  DPL/Splenic injury
       b)    Describe the procedure.3
       c)    Discuss the grades of splenic injury. 4
11. a)    What are the various subphrenic spaces? 5  Subphrenic
Space
       b)    How do you manage subphrenic abscess and its
complications? 5
12. Management of 16 yrs old boy with complete wound dehiscence following laparotomy for
perforation peritonitis.wound dehiscence

13. Pathophysiology of abdominal compartment syndrome. Abdominal Compartment

Syndrome
14. Enumerate the causes of burst abdomen. How would you manage a
30 years old lady with burst abdomen following surgery for
peroperative peritonitis?   Burst Abdomen
15. Etiology and clinical features of abdominal compartment
syndrome. Abdominal Compartment Syndrome
16. Briefly describe the anatomy of anterior abdominal wall. Outline the
advantages and disadvantages of midline incision. Abdominal wall
17. Retroperitoneal mesenchymal tumours. Retroperitoneal mesenchymal tumours.
18. Role of DPL in the management of blunt abdominal trauma.  DPL
19. Enumerate the subphrenic spaces. Describe the clinical features
and management of a case with pelvic collection.Subphrenic
spaces
20. Burst abdomen. Burst abdomen
21. Define abdominal compartment syndrome. Briefly describe the pathophysiology of
abdominal compartment syndrome.ACS
22. Advantage and disadvantages of preoperative bowel
preparation.  Bowel preparation
23.