Download DNB 2016 Dec GENERAL SURGERY PAPER 1 B Question Paper

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FINAL EXAM

DECEMBER 2016

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GENERAL SURGERY

PAPER — I

PART B

1. In a patient admitted to ICU with severe peritonitis with shock:
   a) Options for hemodynamic monitoring.
   

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   b) Use of ionotropes/vasopressors.
   c) Principles of ventilatory support. (3+4+3)
2. A severely malnourished patient with loop jejunostomy made earlier is admitted for closure of jejunostomy. In this patient, write the:
   a) Assessment of nutritional status.
   b) Principles of preoperative nutritional support. (4+6)

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3. In a victim of polytrauma due to vehicular accident, outline the:
   a) Principles of assessment in hospital.
   b) Evaluation of pelvic injuries. (6+4)
4. In a patient with head injury, what are the:
   a) Indications for imaging investigations of head.
   

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   b) Indications for admission.
   c) Advise to patients being sent home without admission.
   d) Principles of initial management of head injury. (2+2+2+4)
5. In the context of evidence based surgery:
   a) Levels of evidence.
   

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   b) Categories of recommendation.
   c) Types of study designs. (3+3+4)

NATIONAL BOARD OF EXAMINATIONS

Please read carefully the important instructions mentioned on Page ‘1’

Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged separately.

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Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not be evaluated.

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