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.
GENERAL SURGERY
PAPER I
SURG/J/17/12/I
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. Embryogenesis of thyroglossal fistula.
How would you manage a 4 year old child with subhyoid
thyroglossal cyst?
4+6
2. Enumerate surgical procedures for management of obesity.
What is the mechanism of weight loss after sleeve
gastrectomy?
2+8
3. Enumerate the indications for thromboprophylaxis in surgery.
How would you manage a patient who has undergone
coronary bypass surgery, and is on anti-platelets aspirin
and is to undergo laparoscopic cholecystectomy?
3+7
4. List the criteria for a good research topic for postgraduate
thesis.
Method of calculation of sample size for a therapeutic trial.
What is meant by 'strength of evidence' and 'quality of
evidence' in a clinical trial?

5. Classify skin flaps.
Various flaps used for reconstruction of breast.
5+5
6. What is the definition of flail chest?
What are the types of flail chest?
How would you manage a 40-year-old man with right flail
chest involving 6 ribs?

7. Anatomical limits of ilio-inguinal block dissection.
Enumerate the complications of ilio-inguinal block dissection.
5+5
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.
GENERAL SURGERY
PAPER I
8. Types of necrotizing skin infections.
How would you manage a 50-year-old man with Fournier's
gangrene of scrotum?
3+7
9. Haematological changes after splenectomy.
How would you manage a 10-year-old child on steroids who is
to undergo splenectomy for idiopathic thrombocytopenic
purpura?
4+6
10. Classify the meshes used for repair of hernia.
List contraindications for total extraperitoneal laparoscopic
repair for inguinal hernia.
Enumerate the complications following total extraperitoneal
laparoscopic repair for inguinal hernia.