Download DNB 2015 Dec GENERAL SURGERY II A Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2015

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GENERAL SURGERY

PAPER — 1

SURG/D/15/12/11

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.

PART A

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Write short notes on:

1. a) Enumerate the causes of solitary thyroid nodule (STN). 2+8
   b) Management of a 50 years old man presenting with STN of 3 months duration
2. a) Premalignant lesions of the skin. 4+(3+3)
   b) Clinical features and management of basal cell carcinoma of skin.

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3. a) Enumerate the endocrine tumours of pancreas. 2+(4+4)
   b) Investigative work up and management of a patient suspected to have insulinoma.
4. a) What are the causes of secondary hypertension? 3+(3+4)
   b) Investigation and management of a 20 years old lady with suspected pheochromocytoma.
5. a) What is the role of Neo-adjuvant chemotherapy in the management of carcinoma breast? 3+7
   

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   b) Management of an 80 years old lady with 3x3cm carcinoma in the central quadrant of left breast?