Download DNB 2019 Dec 2019 Dec NEUROSURGERY PAPER II Question Paper

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FINAL EXAM

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Important Instructions:

1. Attempt all questions in order.
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.
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.
9. Write short notes on:

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1. In a patient with ischaemic stroke involving the MCA territory, describe:
   a) Symptomatology. (3)
   b) Clinical scoring. (3)
   c) Management options. (4)
2. a) Clinical grading scales in subarachnoid haemorrhage. (5)
   

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   b) Management options for cerebral vasospasm. (5)
3. a) Ligaments of Craniovertebral junction. (5)
   b) C1-C2 Fusion techniques. (5)
4. Evaluation and management of lumbosacral myelomeningocele in a newborn. (5+5)
5. a) Vertebroplasty. (3)
   

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   b) Laminoplasty. (3)
   c) Odontoid fractures and their management. (4)
6. a) Aqueductal stenosis. (5)
   b) Describe the procedure of Endoscopic third ventriculostomy. (5)
7. a) Enumerate the common paediatric posterior fossa lesions. (5)
   

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   b) Management and histopathology of any one of the above lesions. (5)
8. a) Describe the various Chiari malformation types. (5)
   b) Surgical management of symptomatic Chiari | with syrinx. (5)
9. a) Meralgia paresthetica. (6)
   b) Nerve biopsy — indications and usefulness. (4)

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10. a) Briefly describe various ventricular shunting procedures. (5)
    b) Procedural precautions to avoid shunt infections. (5)

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