Download DNB 2016 Dec GENERAL SURGERY PAPER 4 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016

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GENERAL SURGERY

PAPER - IV

SURG/D/16/12/IV

Time : 3 hours

Max. Marks :100

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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 questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.

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• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer sheet(s).
• 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.

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• 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:

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PART A

1. a) Special peri-operative considerations in an infant scheduled for abdominal surgery. (6+4)
   b) Differential diagnosis of persistent vomiting in the newborn.
2. In a patient with bilateral staghorn renal calculi with renal failure: (2+2)+6
   a) Peri-operative imaging and metabolic evaluation.
   

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   b) Principles of management.
3. In a patient with blunt renal trauma: 2+3+5
   a) Grading of renal trauma.
   b) Role of imaging.
   c) Principles of management.

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4. a) Normal urinary bladder function. 2+3+5
   b) Lower urinary tract symptoms (LUTS).
   c) Principles of medical treatment of BPH.
5. a) Etiology of traumatic urethral stricture. 2+3+5
   b) Evaluation of urethral stricture.
   

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   c) Principles of management of urethral injury following pelvic fracture.