Download DNB 2019 June NEUROSURGERY NEUROSURGERY PAPER 1 Question Paper

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FINAL EXAM
JUNE 2019

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Time: 3 hours NS 2/J/19/21/1 Max. Marks:100

Important Instructions:

• 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:

1. Intra-operative monitoring: 3+3+4
   1. Somato-sensory evoked potentials.
   2. Motor evoked potentials.

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   3. Brain-stem auditory evoked potentials.
2. Intra-cranial pressure: 3+3+4
   1. Monro-Kellie doctrine.
   2. Volume-Pressure Relationship.
   3. Intra-cranial pressure monitoring.

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3. Diffuse axonal injury: 3+3+4
   1. Pathophysiology
   2. Diagnostic studies
   3. Management

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4. Fat embolism: 3+3+4
   1. Pathophysiology.
   2. Diagnostic studies.
   3. Management.
5. Hyponatremia: 4+3+3
   1. Etiopathogenesis.

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   2. Cerebral salt wasting syndrome.
   3. SIADH.
6. Whiplash injury: 3+3+4
   1. Mechanism and pathology.
   2. Clinical profile.

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   3. Imaging and management.
7. Post traumatic epilepsy: 3+4+3
   1. Classification.
   2. Management.
   3. Prognosis.

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8. Critical care: 5+5
   1. ICP monitoring.
   2. Ventilation parameters.
9. Tumours of the spinal cord: 3+4+3
   1. Pathophysiology of cord compression.

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   2. Differences between extra and intramedullary tumours.
   3. Functional scores in spinal cord disease
10. Regarding cerebral edema: 3+3+4
    1. Blood-brain barrier.
    2. Aquaporins in the brain.

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    3. Brain tumours and edema.

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

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