Download DNB 2019 June GENERAL SURGERY GENERAL SURGERY PAPER 3 Question Paper

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FINAL EXAM

JUNE 2019

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GENERAL SURGERY

PAPER-III

TIME: 3 HOURS SURG/J/19/12/1l1 MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

1. This question paper consists of 10 questions divided into Part “A” and part “B”, each part containing 5 questions.

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2. 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.
3. Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be evaluated.
4. Answer sheets of Part A and Part B are not to be tagged together.
5. Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
6. Attempt all questions in order.

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7. Each question carries 10 marks.
8. Read the question carefully and answer to the point neatly and legibly.
9. Do not leave any blank pages between two answers.
10. Indicate the question number correctly for the answer in the margin space.
11. Answer all the parts of a single question together.

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12. Start the answer to a question on a fresh page or leave adequate space between two answers.
13. Draw table/diagrams/flowcharts wherever appropriate.

PART A

1. Write short notes on:
   Briefly discuss D/D in a 50-year-old lady presenting with 4x6 cm firm, mobile mass in right iliac fossa for the last six months. Enumerate relevant investigations and treatment of caecal carcinoma. (3+2+5)

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2. Etiology, clinical features, investigations and treatment of a case with acute mesentericiischemia. (2+2+2+4)
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.

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5. a) Classification and clinical assessment of fistula-in-ano. (5+5)
   b) Role of ‘Seton’ and ‘VAAFT surgery’ in fistula-in-ano.

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.

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PART B

1. a) Component separation. (5+5)
   b) Diagnosis and management of pancreatic fistula following Whipple’s procedure.
2. a) NOTES. (5+5)
   b) Abdominal Aortic aneurysm- presentation, diagnosis and management.

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3. a) CEAP classification, clinical features and investigations of a case of varicose veins. ((3+2+2)+3)
   b) Give outlines of endo-venous intervention techniques for varicose veins.
4. a) Mirizzi's syndrome. (5+5)
   b) Choledochal cyst — an overview.
5. a) Rolling hiatus hernia. (5+5)
   

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   b) Capillary hemangiomas.

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