Download DNB 2020 December Neuro Surgery DIrect 6 Years Course Part I Paper II Question Paper

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FINAL EXAM

DECEMBER 2020

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NEURO SURGERY - DIRECT 6 YEARS COURSE (PART - I)

PAPER-II

Time: 3 hours

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.
• Answers to all the questions must be attempted within these 5 answer sheet booklets which must be later tagged together at the end of the exam.
• No additional supplementary answer sheet booklet will be provided.
• Attempt all questions in order.
• Each question carries 10 marks.

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• 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.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Normal pressure hydrocephalus: 3+4+3

   1. Definition & presentation.
   2. Pathophysiology and diagnostic tests.

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   3. Various CSF shunt procedures.

2. Lumbar CSF: 3+3+2+2

   1. Anatomy of lumbar puncture.
   2. Clinical significance of types of protein.

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   3. Bloody CSF with differential diagnosis.
   4. Complications of lumbar puncture.

3. Neurosurgical Bio-implants: 4+2+3+1

   1. Classify and enumerate.

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   2. Indications for usage.
   3. Mechanism of use.
   4. Limitations.

4. 4+3+3

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   1. Respiratory patterns in coma.
   2. Etiology and localization of foot drop.
   3. Brain stem evoked potential.

5. Tumor pathology of: 4+3+3

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   1. IDH in gliomas.
   2. Atypical meningioma.
   3. Chordoma.

6. Anterior cerebral artery: 3+4+3

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   1. Anomalies of anterior cerebral artery.
   2. Accepted treatment modalities for clinical vasospasm.
   3. Endovascular techniques in cerebral aneurysms.

P.T.O.

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7. Traumatic brain injuries: 3+3+2+2

   1. GCS & its limitations.
   2. Catagories of functional outcome.
   3. Central herniation signs.
   4. Cerebral protection agents.

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8. Cranio-vertebral junction: 3+4+3

   1. Sagittal diagrams of the ligaments of cranio-vertebral junction.
   2. Imaging techniques.
   3. Schematic cross section of cervical spinal cord.

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9. CNS infections: 3+3+4

   1. Spinal epidural abscess: source & organisms.
   2. Cerebral abscess in congenital cyanotic heart disease.
   3. MRI findings in brain abscess.

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10. Surface anatomy of: 3+2+3+2

    1. Pterion.
    2. Sylvian fissure.
    3. Motor cortex.

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    4. Transverse sinus.

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