Download DNB 2020 December PaedIatrIc Surgery Paper II Question Paper

FINAL EXAM

DECEMBER 2020

PAEDIATRIC SURGERY (PART II/FINAL)

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PAPER-II

Time: 3 hours

Max. Marks: 100

PED.SURG/D/20/29/II

Important Instructions:

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• You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists of 10 pages excluding the covering jackets.
• Answers to all the questions must be attempted within these 5 answer sheet booklets which must be later tagged together at the end of the exam.
• No additional supplementary answer sheet booklet will be provided.
• Attempt all questions in order.
• Each question carries 10 marks.

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• 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.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Embryology of lung. 3+2+5
   b) Enumerate different types of congenital diaphragmatic hernias along with suitable diagrams.
   c) Paradigm shift in management of congenital diaphragmatic hernias over last two decades.

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2. a) Pathogenesis of intussusception with emphasis on lead points. 4+4+2
   b) Non-operative and operative management for intussusception.
   c) How would you differentiate between rectal prolapse and prolapsed intussusceptum?
3. a) Pyloric atresia. 3+3+2+2
   b) Persistent infantile hypoglycemia
   

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   c) Acute midgut volvulus.
   d) Anatomical classification of biliary atresia.
4. a) Tabulate derivatives of branchial arches, clefts and pouches mentioning the neurovascular supply to each of the 6 branchial arches; supplement the answer with diagrams. 5+2+3
   b) Sistrunk's operation.
   c) First branchial arch anomalies.

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5. a) Segmental dilatation of bowel. 2+3+2+3
   b) Pan-NEC.
   c) Colonic atresia.
   d) Forme fruste choledochal cyst.
6. a) Tabulate the differences between omphalocele and gastroschisis. 3+2+5
   

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   b) Cantrell's pentalogy.
   c) Management of OEIS syndrome with suitable diagrams.
7. a) How would you manage a female neonate born with persistent cloaca? Supplement your answer with diagrams. 6+4
   b) Rectovestibular fistula associated with MRKH syndrome.

P.T.O

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE

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8. a) Enumerate 5 types of chest wall deformities. 2+3+3+2
   b) Pectus Carinatum.
   

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   c) Pre-operative evaluation for patients of Pectus Excavatum.
   d) Nuss procedure; supplement the answer with diagrams.
9. a) VACTERL-H association. 2+2+6
   b) CHARGE association.
   c) Different operative procedures used for long-gap esophageal atresia, and their pros and cons. Supplement the answer with diagrams.

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10. a) Confirmatory tests for the diagnosis of Hirschsprung's disease. 3+4+3
    b) Popular surgeries done for Hirschsprung's disease; supplement the answer with diagrams.
    c) Early and long-term complications in operated patients of Hirschsprung's disease.

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE

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