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 IV
G.SURG/J/17/12/IV
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. Staging of testicular tumours.
How would you manage a 25-year-old man with suspected
right testicular tumour?
4+6
2. Enumerate the various urinary diversion procedures.
Enumerate the complications of ileal conduit.
5+5
3. List the indications for renal transplant.
Pre-transplant evaluation of kidney recipients.
Results of renal transplant in current times.

4. What is Hyperthermic Intraperitoneal Chemotherapy

Indications for HIPEC.
Complications of HIPEC.

5. An 11-year-old boy presents with acute scrotum of 2 hours
duration.
Enumerate the differential diagnosis.
Clinical diagnosis for such a patient.
State the investigations required for this patient and
interpretation of investigation reports.

6. What are the segments of kidney?
How would you manage a 30-year-old young lady with
painless enlargement of lower pole of left kidney?
3+7
7. Staging of carcinoma prostate.
How would you manage a 60-year-old man with acute
retention of urine with suspected carcinoma prostate?
4+6
8. Types of vasectomy.
Enumerate the complications of vasectomy.
List the criteria for an ideal candidate for vasectomy.

9. List the types of spina bifida.
Enumerate the various anomalies associated with spina
bifida.
Various procedures for congenital hydrocephalus.

10. Causes of chronic empyema.
List the indications of decortication of lung.
Enumerate the complications of decortication.