Download DNB 2019 Dec 2019 Dec THORACIC SURGERY PAPER II Question Paper

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BOARD OF EXAMINATIONS

DECEMBER 2019

THORACIC SURGERY

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PAPER-II

Time: 3 hours TH. SURG/D/19/51/11 Max. Marks:100

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Important Instructions:

1. Attempt all questions in order.



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2. Each question carries 10 marks.


3. Read the question carefully and answer to the point neatly and legibly.


4. Do not leave any blank pages between two answers.

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5. Indicate the question number correctly for the answer in the margin space.


6. Answer all the parts of a single question together.



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7. Start the answer to a question on a fresh page or leave adequate space between two answers.


8. Draw table/diagrams/flowcharts wherever appropriate.

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Write short notes on:

1. Myasthenia gravis - Definition, pathophysiology, indication for thymectomy and role of immunoglobulins in its management. 10



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2. a) Indications of surgery in pulmonary tuberculosis. 5+5
   
   b) Multi-Drug Resistant Tuberculosis (MDR-TB).


3. a) Pancoast tumour & its management. 6+4
   

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   b) Paraneoplastic syndrome in Bronchogenic tumour.


4. a) Surgical management of chronic pulmonary thrombo-embolism. 7+3
   
   

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   b) Dose of streptokinase in acute pulmonary thrombo-embolism.


5. a) Anatomy and physiology of thoracic duct. Elaborate on thoracic duct injury and its management. 6+4
   
   b) Cervical sympathectomy.

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6. a) Diagnosis and management of oesophageal diverticula. 6+4
   
   b) Achalasia cardia.



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7. a) Malignant pleural mesothelioma 7+3
   
   b) Chemical pleurodesis - drugs used for pleurodesis.


8. a) Etiology, diagnosis, investigations, clinical manifestation and treatment of pneumo-mediastinum. 7+3
   

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   b) Management and prognosis of mediastinitis.


9. a) Techniques of tracheal resection and reconstruction. 6+4
   
   

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   b) Retrievable and non-retrievable tracheal stents.


10. Thoracic outlet obstruction: causes, pathophysiology, investigations & management of different aetiology. 10

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