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 III
G.SURG/J/17/12/III
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. List the indications for surgery in esophageal reflux disease.
Principles of surgery for gastro-esophageal reflux.
3+7
2. How would you manage a 50-year-old man with recurrent sigmoid
volvulus?
10
3. Clinical types of abdominal tuberculosis.
How would you manage a 30-year-old lady who has been on antitubercular
treatment and is admitted with acute peritonitis?
5+5
4. How would you manage a 30-year-old lady, who has been on
analgesics for rheumatoid arthritis, admitted with massive upper
gastrointestinal bleed?
10
5. Merits and demerits of gastric Vs colonic conduit for esophageal
replacement.
10
6. Clinical features of arteriovenous fistula.
State the investigative work up for such patients along with
interpretation of investigation findings.
Principles of management of arteriovenous fistula.

7. What are the boundaries of thoracic inlet?
How would you manage a young body with dry gangrene of tip of
the index finger?
3+7
8. How would you manage a 10-year-old child admitted with 8x8 cm
cystic lesion in the left lobe of liver?
10
9. Surgical complications of chronic pancreatitis.
How would you manage a 10-year-old child who has developed
pseudocyst following acute pancreatitis?
4+6
10. How would you stage carcinoma of gall bladder?
How would you manage a 35-year-old lady who has undergone
laparoscopic cholecystectomy biopsy of specimen reveal focus
of adenocarcinoma measuring 5x1 cm?
4+6