Download DNB 2020 June General Surgery Paper I Question Paper

Download Diplomate of National Board (DNB) 2020 June General Surgery Paper I Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
GENERAL SURGERY
PAPER-I
TIME: 3 HOURS
SURG/J/20/12/I
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part "B", each part
containing 5 questions.
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.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Answer sheets of Part A and Part B are not to be tagged together.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
Attempt al questions in order.
Each question carries 10 marks.
Read the question careful y 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.
Write short notes on:
PART A
1. a) Describe the surgical anatomy of the anterior abdominal
5+5
wal .
b) Briefly discuss its importance in management of ventral
hernia repair.
2. a) Outline the physiology of oesophageal motility.
3+7
b) Describe pathophysiology, clinical features, diagnosis &
treatment of achalasia cardia.
3. a) Describe the types of metabolic acidosis.
5+5
b) Define lactic acidemia and discuss its management.
4. a) Describe the principles of radionuclide imaging.
5+5
b) What are its application in general surgery?
5. a) Enumerate different types of surgical dressings.
2+4+4
b) Describe the principles of their action.
c) Give indications for the use of each type.
P.T.O
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

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FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
GENERAL SURGERY
PAPER-I
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 sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.
PART B
6. a) Briefly describe the initial management of head injury.
4+6
b) Discuss the indications of imaging, admission and
ventilation in such a patient.
7. a) Describe the clinical assessment of a patient with pelvic
4+2+4
fracture.
b) Enumerate various injuries which may occur in such a
patient.
c) Discuss the management of haemorrhage in a patient with
pelvic fracture.
8. Discuss evidence based surgical practice and quality
5+5
assurance.
9. a) Briefly describe the good practices to prevent development
5+5
of antibiotic resistance.
b) Discuss the use of prophylactic antibiotics in general
surgical practice.
10. Discuss various methods for diagnosis of tubercular infection
10
in general surgical patients.
************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

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