Download DNB 2019 June GENERAL SURGERY GENERAL SURGERY PAPER 4 Question Paper

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FINAL EXAM

JUNE 2019

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GENERAL SURGERY

PAPER-IV

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

IMPORTANT INSTRUCTIONS

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

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• 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.

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• 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.

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• 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. Classify hydrocephalus. Discuss clinical features, diagnosis and management of hydrocephalus. 2+(2+2+4)

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2. Enumerate indications and contraindications of liver transplant. Briefly describe post-operative care of a patient who has undergone liver transplantation. (2+2)+6
3. Briefly discuss the criteria for patient selection, various surgical options and post-operative complications of bariatric surgery. 2+6+2
4. What is Trans Anal Minimal Invasive Surgery (TAMIS)? Give outlines of its indications, contraindications, advantages and limitations. How is TAMIS different from Trans-anal Endoscopic Microsurgery (TEM)? 3+4+3
5. a) Infantile hypertrophic pyloric stenosis. 5+5
   b) Principles of repair of unilateral cleft lip.

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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) Horse-Shoe kidney: An overview. 5+5
   

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   b) Ureterocele — an overview.
7. a) POEMS. 5+5
   b) PSA Velocity.
8. Define undescended testis. Briefly discuss its consequences, clinical features, diagnosis and management. 1+(2+2+2+3)
9. a) Various types of rejections. 5+5
   

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   b) Cyclosporine.
10. a) Biological meshes. 5+5
    b) Endoscopic ultrasound in abdominal pathologies.