Download DNB 2020 December General Surgery Paper I Question Paper

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

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL SURGERY
PAPER-I


TIME: 3 HOURS
SURG/D/20/12/I
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

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.
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.
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.





-1 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL SURGERY
PAPER-I

PART- A

TIME: 3 HOURS
SURG/D/20/12/I
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

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.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:
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.


-2 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL SURGERY
PAPER-I

PART- B

TIME: 3 HOURS
SURG/D/20/12/I
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

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.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - B


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




-3 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL SURGERY
PAPER-I

PART- C

TIME: 3 HOURS
SURG/D/20/12/I
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

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.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - C


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


-4 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL SURGERY
PAPER-I

PART- D

TIME: 3 HOURS
SURG/D/20/12/I
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

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.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - D


7. 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?
8. a) Advantages of minimal access surgery.
5+5
b) Limitations of laparoscopic surgery.


-5 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL SURGERY
PAPER-I

PART- E

TIME: 3 HOURS
SURG/D/20/12/I
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

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.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.

Write short notes on:

PART - E


9. a) Pathological changes that take place in malignant transformation of
7+3
a cell.
b) Criteria and advantages for screening of a cancer.
10.
a) Informed consent.
5+5
b) Sample size calculation for a research project.



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HALL.

This post was last modified on 31 July 2021