Download DNB 2020 December General Surgery Paper I Question Paper

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FINAL EXAM

DECEMBER 2020

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GENERAL SURGERY

PAPER-I

TIME: 3 HOURS SURG/D/20/12/1

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.
• This question paper consists of 10 short note questions. Question paper is divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.
• Answers to questions of part A, part B, part C, part D & part E are to be strictly attempted in a separate answer sheet booklet which must be later tagged together at the end of the exam.
• No additional supplementary answer sheet booklet will be provided.
• Answers to question(s) attempted on an answer sheet booklet for a different part will not be evaluated.

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• Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the respective answer sheet booklet.
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.

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• 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:

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PART - A

1. a) Etiology and management of necrotizing fasciitis. (2+3)+5
   b) Principles of wound debridement.
2. a) Fluid and electrolyte distribution in the body. 4+6
   b) Management of fluid and electrolytes in high output gastrointestinal fistulas.

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PART - B

1. a) Effects of brain injury on intracranial pressure and cerebral blood flow. 4+6
   b) Extradural hematoma.
2. Enumerate various postoperative respiratory complications and discuss their management. 10

PART - C

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1. a) Describe factors for chronic non-healing wound. 4+6
   b) Mechanism and benefits of negative pressure assisted wound therapy.
2. a) Pathophysiology of hemorrhage. 3+2+5
   b) Enumerate different blood products.
   c) What are the common complications of massive blood transfusion?

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PART - D

1. a) Discuss selection criteria and protocol for a day case surgery. 6+4
   b) What is the discharge criteria in a day case surgery patient?
2. a) Advantages of minimal access surgery. 5+5
   b) Limitations of laparoscopic surgery.

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PART - E

1. a) Pathological changes that take place in malignant transformation of a cell. 7+3
   b) Criteria and advantages for screening of a cancer.
2. a) Informed consent. 5+5
   b) Sample size calculation for a research project.

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