Download DNB 2016 Dec PAED. SURG. P III Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016

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PAEDIATRIC SURGERY

PAPER - III

PED.SURG/D/16/29/III

Time : 3 hours

Max. Marks :100

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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.

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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.

Write short notes on:

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1. a) What is a horse-shoe kidney? 3+3+4

   b) Anomalous blood supply associated with horse-shoe kidney.

   c) Common anomalies associated with this condition.

2. a) Etiopathogenesis of primary vesicoureteric reflux (VUR). 4+3+3

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   b) Principles of management of primary VUR.

   c) Indications for ureteric reimplantation in primary VUR.

3. Evaluation and management of a 2 year old boy with bilateral 4+6

   impalpable undescended testes.

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4. a) What is mixed gonadal dysgenesis (MGD)? 3+(2+2+3)

   b) Presentation, evaluation and principles of management of a patient with MGD.

5. a) What is endoscopic third ventriculostomy (ETV) for management 3+(3+2+2)

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   of hydrocephalus?

   b) Indications, contraindications and complications of ETV.

6. a) What is an anterior sacral meningocoele? 3+(3+4)

   b) Differential diagnosis and management of anterior sacral meningocoele.

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7. a) Define thoraco-omphalopagus conjoined twins. 2+(4+4)

   b) Evaluation and management of thoraco-omphalopagus conjoined twins.

8. Principles of PET scanning and its use for evaluation of pediatric 5+5

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   surgical conditions.

9. a) What is stereotactic radiosurgery? 3+7

   b) Clinical application of stereotactic radiosurgery in children.

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10. a) What is tubularized incised plate (TIP) urethroplasty? 4+(3+3)

    b) List indications and contraindications of TIP urethroplasty.