Download DNB 2019 Dec 2019 Dec NEUROSURGERY PAPER I Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2019

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NEURO SURGERY

PAPER-I

Time: 3 hours NS2/D/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. A 20-year-old patient is admitted in the Emergency Department with severe traumatic brain injury and associated femur fracture on one side. Discuss the-
   1. Evaluation, and
   2. Management protocol. (5+5)

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2. 1. Optimal positioning for common approaches in cranial surgery. (5+5)
   2. Scalp flaps for various approaches.
3. 1. Glasgow Coma Scale and its paediatric equivalent. (5+5)

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   2. Cerebral perfusion pressure as a guide to management of intracranial pressure.
4. 1. Enumerate common sellar and suprasellar lesions and their symptomatology. (5+5)
   2. Anatomical basis of visual disturbances in such lesions.

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5. 1. Pupillary responses that help localizing lesions at different levels of brain in a comatose patient. (7+3)
   2. Ondine's curse.
6. 1. What are Phakomatoses? (2+4+4)
   2. Enumerate the common neurocutaneous markers.

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   3. Neurosurgical implications of neurofibromatosis.
7. 1. Spontaneous CSF rhinorrhea. (5+5)
   2. Idiopathic intracranial hypertension.

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8. 1. Venous drainage of the brain. (5+5)
   2. Management of cerebral venous thrombosis.
9. Methods of achieving haemostasis in Neurosurgery. (10)
10. 1. Ethical issues in conducting a study. (5+5)

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    2. Overview of data analysis.

POSSESSION/USE OF CELL PHONES IS NOT PERMITTED INSIDE THE EXAMINATION HALL.