NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PAEDIATRIC SURGERY(PART-II/FINAL)
PAPER-II
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Time: 3 hoursPEDSURG2/J/20/29/I I
Max. Marks:100
Important Instructions:
Attempt al questions in order.
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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.
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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) Principles, methodology, interpretation and drawbacks of Diuretic renal
6+4
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scintigraphy.b) Principles of "Top Down" approach in evaluation of a child with recurrent
UTI.
2. a) 3D printing and its applications.
3+3+4
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b) Nanotechnology applications in medicine.c) Limitations of Robotic surgery in Paediatric surgery.
3. a) Use of Botulinum toxin in bowel and bladder pathologies.
3+3+4
b) Role of pre-operative hormone therapy in hypospadias repair.
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c) Current role of hormonal therapy in boys with undescended testis.4. a) What are the causes of portal hypertension in children?
2+3+5
b) What are the indications for surgery in cases of portal hypertension in
children?
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c) Dif erent types of non-shunt and shunt operation for children with portalhypertension.
5. a) Fetal circulation schematical y.
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b) Methods used to assess fetal anomaly.
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c) Enumerate the fetal problems amenable to surgical correction beforebirth.
6. a) What changes in bladder dynamics are expected in a patient with
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lumbosacral neural tube defects?
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b) What is "hostile bladder dynamics"?c) When are investigations done post meningomyelocele repair to assess
bladder dynamics, and why?
d) What is the ultimate aim in treating bladder dysfunction in a child with
neuropathic bladder?
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P.T.O-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
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NATIONAL BOARD OF EXAMINATIONSJUNE 2020
PAEDIATRIC SURGERY(PART-II/FINAL)
PAPER-II
7. An otherwise healthy new born is brought to you with right side complete
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2+2+3+3cleft of lip, alveolus and palate:
a) How should the parents be counsel ed?
b) What are the present day guidelines as when to correct these
deformities?
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c) What are the goals for primary repair of cleft palate? What is theacceptable fistula rate fol owing primary repair of palate?
d) What is Velo Pharyngeal Insufficiency (VPI), its effects and brief outline
of management?
8. a) Indications of bladder augmentation in children.
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2+4+4b) Merits and demerits of dif erent segments of bowel/ tissues used for
bladder augmentation.
c) Short term and long term complications of bladder augmentation in
children.
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9. a) Dif erent energy sources used in modern surgery highlighting their6+4
advantages and disadvantages.
b) What are the uses of laser in pediatric surgery?
10. a) Classify congenital cystic malformations of lung.
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2+3+5b) Antenatal diagnosis and prognostic factors for congenital cystic
malformations of lung.
c) Briefly outline their management.
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-2-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.