FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NEUROSURGERY
PAPER II
NS/J/17/21/II
Time 3 hours
Max. Marks 100
Important instructions:
• 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.
Write short notes on:
1. Chiari malformation:
Definition and classification
Clinical features
Investigations
Various modes of treatment

2. Vascular malformations:
What are various types?
Natural history of AVM.
Management of AVM.

3. A 50 year old female presents with history of dorsal pain.
Images show pathological fracture at D9:
What is the differential diagnosis?
How will you investigate her?
Outline treatment of this patient.

4. Definition and clinical features of craniosynostosis.
Genetics of craniosynostosis
Syndromic craniosynostosis

5. Clinical features and management of anterior communicating
artery aneurysm.
5+5
6. Draw a diagram of brachial plexus.
How will you localize the lesion in brachial plexus injury?
Treatment procedures for brachial plexus injuries.

7. Vasospasm in SAH:
Definition
How to diagnose?
Theories of development.
Management

P.T.O.
8. Enumerate various surgical approaches to posterior 3rd
ventricular lesion and describe anyone in detail.
3+7
9. Pathogenesis of intracranial arachnoid cyst.
Clinical features and management of Sylvian arachnoid
cyst.

10. Definition and anatomy of lumbar canal stenosis.
Its clinical features and treatment