Download DNB 2019 June NEUROSURGERY NEUROSURGERY PAPER 3 Question Paper

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FINAL EXAM

JUNE 2019

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NEUROSURGERY

PAPER-III

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. Refractory epilepsy: 3+3+4
   1. Definition.
   2. Pre-surgical evaluation.

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   3. Surgically remediable lesional epilepsy syndromes.
2. Intra-operative imaging: 3+3+4
   1. Neuro-navigation.
   2. Intra-operative ultrasound.
   3. Intra-operative MRI.

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3. Lymphocytic hypophysitis: 2+2+3+3
   1. Diagnosis.
   2. Differential diagnosis.
   3. Histopathology.
   4. Management.

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4. Dural arteriovenous malformations: 3+3+4
   1. Pathophysiology.
   2. Natural history.
   3. Management.

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5. Regarding stereotaxy: 4+3+3
   1. Principles and techniques.
   2. Stereotactic Biopsy.
   3. Gamma Knife Radiosurgery.
6. Regarding chronic pain:
   1. Gate control and neuromatrix theories of pain. 4+3+3

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   2. Diagnostic criteria.
   3. Grading of pain.
7. Recent advances in: 4+3+3
   1. Mapping of eloquent cortex.
   2. Fluorescence guided resection.

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   3. Awake craniotomy.
8. In the diagnosis of intracranial aneurysms, discuss the role of: 3+3+4
   1. Computed Tomography angiography (CTA).
   2. Magnetic resonance angiography (MRA).
   3. Intra-arterial digital subtraction angiography (IADSA).

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9. 1. Management of fungal infections of the brain. 3+3+4
   2. Sources of brain abscess.
   3. Pathology of TBM.

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10. Osteoporotic wedge compression fractures: 3+3+4
    1. Differential diagnosis.
    2. Radiological diagnosis.
    3. Recent advances in medical management.

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