Download DNB 2020 December PaedIatrIc Surgery Part II FInal Paper III Question Paper

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FINAL EXAM

DECEMBER 2020

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PAEDIATRIC SURGERY (PART III/ FINAL)

PAPER-III

Time: 3 hours PED.SURG/D/20/29/III

Max. Marks:100

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) Indications of antenatal intervention in posterior urethral valves. 3+4+3
   b) Role of diversion in bladder exstrophy.
   c) Mitchell's epispadias repair.

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2. a) Endoscopic classification of posterior urethral valves. 2+4+2+2
   b) Role of diversion in management of posterior urethral valves.
   c) Urethral ratio.
   d) Use Alpha blockers in management of posterior urethral valves.
3. a) Enumerate examples of slow-flow and fast-flow vascular anomalies. 3+3+4
   

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   b) Pharmacotherapy of infantile hemangiomas.
   c) Hepatic hemangioendothelioma.
4. a) Classification of hypospadias with suitable diagram. 2+4+4
   b) Etiology of hypospadias.
   c) Draw an algorithm for hypospadias repair.

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5. a) Heteropagus twins. 2+5+3
   b) Classification of symmetric conjoined twins according to type of fusion.
   c) Urological anomalies in ischiopagus tetrapus conjoined twins.
6. a) Tethered cord syndrome. 3+3+4
   b) Differences between obstructive and non-obstructive hydrocephalus.
   

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   c) Complications of shunt surgery.
7. a) Indications of bladder augmentation. 3+4+3
   b) Pros and cons of different types of bladder augmentation.
   c) Complications of bladder communication.
8. a) Indications of surgery of vesico-ureteral reflux. 3+4+3
   

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   b) Different operative procedures for vesico-ureteral reflux with suitable diagrams.
   c) STING vs HIT procedures.

   P.T.O

9. a) Complications of cryptorchidism. 3+3+2+2
   b) Management of bilateral impalpable undescended testis.
   

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   c) Complications of orchidopexy.
   d) Ectopic testes.
10. a) Difference between Robotics & Laparoscopic Surgery. 3+2+3+2
    b) LLEC scan.
    c) Nephron sparing surgery for unilateral non-syndromic Wilms' tumor.
    

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    d) EXIT (ex-utero intra-partum treatment).

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