FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART-I
PAPER-II
PEDSURG1/J/20/30/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
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 al the parts of a single question together.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. a) Enumerate the options for peripheral and central venous access in
3+3+4
b) Enumerate the complications of TPN in children.
c) What is the ful form of FAST and how it is done?
2. a) What are the neonatal fluid requirement in moderate surgical condition
3+2+3+2
b) Enumerate the causes of prolonged indirect hyperbilirubinemia in
new-born.
c) What are the different methods of thermoregulations in new born?
d) Hypoglycaemia in infants.
3+2+3+2
b) Parameters for weaning from ventilator.
c) What are the complications with mechanical ventilation in children?
d) Continuous Positive Airway Pressure.
3+3+4
b) Describe the different types of diaphragmatic hernia.
c) Discuss the antenatal diagnosis with prognostic factors for congenital
diaphragmatic hernia.
2+2+2+4
b) How is portal hypertension classified?
c) How do you reach to the diagnosis of portal hypertension in children?
d) Outline the management of Budd-Chiari syndrome.
2+3+2+3
b) Antenatal diagnosis of abdominal wal malformations.
c) How do you counsel parents with fetal abdominal wal malformations?
d) What are the recent advances in the management of abdominal wal
P.T.O
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020 PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART-I
PAPER-II
7. a) Classify choledochal cysts with diagram.
b) Discuss the proposed causes of choledochal cysts.
c) Outline the management of choledochal cyst in infants.
8. A 3-year girl presented with history of continuous dribbling of urine. In
3+4+3
unremarkable except wet undergarments.
a) How wil you investigate such a patient?
b) What are the possible genito-urinary anomalies associated with such
presentation?
9. A 2-year-old boy presented with history of ingestion of toilet cleaner few
3+3+4
hours ago.
a) What wil be your approach to the immediate management of such a
b) What are the possible short term and long term complications?
c) Briefly outline the management of post corrosive ingestion esophageal
stricture.
10. A 5-day-old neonate presented with failure of passage of meconium since
birth. There was no history of vomiting. The abdomen was distended.
Anal opening was normal.
a) What are the possible causes?
b) Which investigations wil you ask for reaching the diagnosis?
************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART-I
PAPER-II
--- Content provided by FirstRanker.com ---
Time: 3 hoursPEDSURG1/J/20/30/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
--- Content provided by FirstRanker.com ---
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 al the parts of a single question together.
--- Content provided by FirstRanker.com ---
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:
1. a) Enumerate the options for peripheral and central venous access in
3+3+4
--- Content provided by FirstRanker.com ---
children.b) Enumerate the complications of TPN in children.
c) What is the ful form of FAST and how it is done?
2. a) What are the neonatal fluid requirement in moderate surgical condition
3+2+3+2
--- Content provided by FirstRanker.com ---
on day-1, day -2 and day -3 of life?b) Enumerate the causes of prolonged indirect hyperbilirubinemia in
new-born.
c) What are the different methods of thermoregulations in new born?
d) Hypoglycaemia in infants.
--- Content provided by FirstRanker.com ---
3. a) Enumerates the modes of ventilation in new born and infants.3+2+3+2
b) Parameters for weaning from ventilator.
c) What are the complications with mechanical ventilation in children?
d) Continuous Positive Airway Pressure.
--- Content provided by FirstRanker.com ---
4. a) Development of diaphragm.3+3+4
b) Describe the different types of diaphragmatic hernia.
c) Discuss the antenatal diagnosis with prognostic factors for congenital
diaphragmatic hernia.
--- Content provided by FirstRanker.com ---
5. a) What are the causes upper gastrointestinal bleeding in children?2+2+2+4
b) How is portal hypertension classified?
c) How do you reach to the diagnosis of portal hypertension in children?
d) Outline the management of Budd-Chiari syndrome.
--- Content provided by FirstRanker.com ---
6. a) Embryological events causing abdominal wal malformations.2+3+2+3
b) Antenatal diagnosis of abdominal wal malformations.
c) How do you counsel parents with fetal abdominal wal malformations?
d) What are the recent advances in the management of abdominal wal
--- Content provided by FirstRanker.com ---
defects?P.T.O
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
--- Content provided by FirstRanker.com ---
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020 PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART-I
PAPER-II
7. a) Classify choledochal cysts with diagram.
--- Content provided by FirstRanker.com ---
4+2+4b) Discuss the proposed causes of choledochal cysts.
c) Outline the management of choledochal cyst in infants.
8. A 3-year girl presented with history of continuous dribbling of urine. In
3+4+3
--- Content provided by FirstRanker.com ---
between she voids urine in stream. Physical examination wasunremarkable except wet undergarments.
a) How wil you investigate such a patient?
b) What are the possible genito-urinary anomalies associated with such
presentation?
--- Content provided by FirstRanker.com ---
c) How wil you manage such a case?9. A 2-year-old boy presented with history of ingestion of toilet cleaner few
3+3+4
hours ago.
a) What wil be your approach to the immediate management of such a
--- Content provided by FirstRanker.com ---
patient?b) What are the possible short term and long term complications?
c) Briefly outline the management of post corrosive ingestion esophageal
stricture.
10. A 5-day-old neonate presented with failure of passage of meconium since
--- Content provided by FirstRanker.com ---
3+4+3birth. There was no history of vomiting. The abdomen was distended.
Anal opening was normal.
a) What are the possible causes?
b) Which investigations wil you ask for reaching the diagnosis?
--- Content provided by FirstRanker.com ---
c) Briefly outline the medical management of meconium ileus.************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
--- Content provided by FirstRanker.com ---