FINAL EXAM JUNE 2019
PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART-I
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PAPER-II
Time: 3 hours PED SURG 1 /J/19/30/11 Max. Marks:100
Important Instructions:
- 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.
- 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.
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Write short notes on:
- Describe fetal circulation. What are its changes at birth? What are the causes of persistent fetal circulation? (3+3+4)
- What are the causes of delayed passage of meconium? How do you investigate such a patient? Briefly describe the medical management of meconium ileus. (3+4+3)
- What are the causes of fetal hydronephrosis? How do you plan the management in an antenatally detected hydronephrosis? (4+6)
- Enumerate the causes of neonatal jaundice. How do you proceed with the management of a neonate with cholestatic jaundice? Outline in brief the surgical procedure in a patient with biliary atresia. (3+3+4)
- Enlist the renal tumours in children: Describe the pathology of Wilms’ tumour. How is it different from congenital mesoblastic nephroma? (3+5+2)
- Describe the surgical anatomy of the right lung. What is congenital lobar emphysema? Which lobe of lung does it commonly affect? (3+4+3)
- What is FAST in the management of abdominal trauma? How do you manage a child with splenic injury? (2+8)
- Discuss the current concepts in the etiology, genetics and pathology of Hirschsprung’s disease. Name the different operation for Hirschsprung’s disease. (6+4)
- Enumerate briefly the various syndromes associated with intestinal polyps in children. Discuss with help of an algorithm the approach to the management of a child with bleeding per rectum. (5+5)
- What are the causes of hydrocephalus in pediatric patients? Discuss in brief the medical and surgical management of hydrocephalus in children. (4+(2+4))
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