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 II
SURG./J/17/12/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. How would you manage a 70-year-old lady with 5x5 cm lump
in right breast with palpable ipsilateral axillary
lymphadenopathy?
10
2. Types of basal cell carcinoma.
How would you manage a 2x2 cm basal cell carcinoma on
the forehead?
3+7
3. Types of Radical Neck Dissection (RND).
How would you manage chylous fistula following RND?
3+7
4. How would you manage a 30-year-old lady with
hypercalcemia (serum calcium 15 mg/dL) and increased
levels of serum parathyroid hormone?
10
5. List the indications for tracheostomy.
Enumerate the complications of tracheostomy.
4+6
6. Clinical presentation, aetiopathology, diagnosis and treatment
of osteomyelitis of ribs.

7. Define incidentaloma.
How would you manage a 40-year-old lady with 2x2 cm
incidentaloma in left adrenal gland?
2+8
8. Boundaries of Parona's space.
Outline the principles of management of hand infections.
3+7
9. How would you manage a 30-year-old pregnant lady with
hyperthyroidism?
10
10. How would you manage a health worker who sustained
needle stick injury in the operating room?
10