DNB 2014 June Previous Question Papers-(Diplomate of National Board) Under NBE
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2014
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GENERAL SURGERY
PAPER — I
SURG/J/M4/12/11
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.
- 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.
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- Briefly describe the principles of managing crush injury of leg. 6+2+2 Discuss in brief the pathophysiology of ‘crush syndrome’. List steps to prevent ‘compartment syndrome’.
- What are “axial flaps"? Describe briefly the other types of flaps 4+(3+3) with examples of their use in reconstruction of various surgical defects.
- How will you initially assess a patient with suspected head 5+2+3 injury? List the guidelines for doing CT scan in a head injury patient. Enumerate discharge criteria in minor and mild head injury.
- Enumerate various skin cancers. Discuss staging and treatment options for these cancers.
- Describe the embryology and anatomy of parathyroid glands. 4+6 Discuss localization techniques and management options in lesions of parathyroid.
- Discuss role of imaging modalities used in breast cancer. 6+4 Describe image guided biopsy of an impalpable breast lesion.
- Classify and give causes for various types of nipple discharge. 5+5 Describe briefly surgical procedures for treating nipple discharge.
- What are the pointers for locating facial nerve during parotid 4+6 gland surgery? What steps you would take to treat a case of traumatic facial nerve paralysis?
- Discuss briefly the risk factors for the development of Oro- 2+2+6 pharyngeal cancers. Describe various pre-malignant conditions/lesions for development of Oro-pharyngeal cancers. What are the various staging systems and treatment modalities available for management of this cancer?
- What is a ‘plunging ranula’? How is it diagnosed? Briefly 2+3+5 describe its management.
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