NATIONAL BOARD OF EXAMINATIONS
GENERAL SURGERY
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PAPER - III
SURG/J/14/12/111
Time : 3 hours
Max. Marks : 100
Important instructions:
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- 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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- Describe briefly the surgical anatomy and physiology of venous return of the lower limb. Enumerate treatment options with their indications for treating varicose veins of lower limb.
- Classify lymphedema. List the symptoms frequently experienced by patients with this problem. Enumerate general management advice for these patients. (2+3)
- Describe the pathophysiology of peritoneal adhesions. Discuss briefly various steps to minimize and manage peritoneal adhesions. (4+6)
- Describe the ‘lower esophageal sphincter’. Briefly discuss the investigations to evaluate its function. (3+7)
- Describe the blood supply of stomach. Discuss the management of bleeding peptic ulcer. (3+7)
- How will you investigate and treat a case of chronic limb ischaemia? (4+6)
- List comorbidities associated with obesity which can be relieved by surgically induced weight loss. Briefly describe selection criteria and pre-operative nutrition screening for obesity surgery. (3+(4+3))
- Describe segmental anatomy of liver. What are the principles of surgical resection of liver tumor? (5+5)
- List causes of acute pancreatitis. Enumerate methods for diagnosing and prognosticating acute pancreatitis. Briefly describe pancreatic necrosectomy. (2+3+5)
- Describe in short aetiopathology and clinical features of pilonidal sinus. Write the principles of its management. ((3+3)+4)
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