FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2019
GENERAL SURGERY
PAPER-III
TIME: 3 HOURS SURG/J/19/12/III
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part “A” and part “B”, each part
containing 5 questions.
Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Answer sheets of Part A and Part B are not to be tagged together.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer all the parts of a single question together.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
PART A
1. Briefly discuss D/D in a 50-year-old lady presenting with 4x6 3+(2+5)
cm firm, mobile mass in right iliac fossa for the last six
months. Enumerate relevant investigations and treatment of
caecal carcinoma.
2. Etiology, clinical features, investigations and treatment of a 2+2+2+4
case with acute mesenteric ischemia.
3. a) Gastro-intestinal stromal tumours (GIST). 5+5
b) Short bowel syndrome.
4. a) Surgical complications of intestinal amoebiasis. 6+4
b) Closed loop intestinal obstruction.
5. a) Classification and clinical assessment of fistula-in-ano. 5+5
b) Role of ‘Seton’ and ‘VAAFT surgery’ in fistula-in-ano.
P.T.O.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2019
GENERAL SURGERY
PAPER-III
Please read carefully the important instructions mentioned on Page ‘1’
Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.
PART B
6. a) Component separation. 5+5
b) Diagnosis and management of pancreatic fistula
following Whipple’s procedure.
7. a) NOTES. 5+5
b) Abdominal Aortic aneurysm- presentation, diagnosis
and management.
8. a) CEAP classification, clinical features and investigations (3+2+2)+3
of a case of varicose veins.
b) Give outlines of endo-venous intervention techniques for
varicose veins.
9. a) Mirizzi’s syndrome. 5+5
b) Choledochal cyst – an overview.
10. a) Rolling hiatus hernia. 5+5
b) Capillary hemangiomas.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
