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.
SURGICAL GASTROENTEROLOGY
PAPER III
GIS/J/17/46/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. How will you evaluate a patient with suspected small bowel
diverticulae? Outline the management of such a patient .
4+6
2. Current status of 'mechanical bowel preparation' in colorectal
surgery.
10
3. What are the indications for small bowel transplantation? Discuss
its present results short term and long term.

4. Design of a study to compare a new test for the diagnosis of
ulcerative colitis with the present 'gold standard' method.
10
5. Organ failure in relation to acute severe necrotizing pancreatitis
and outline their management in the first fortnight after
assessment.
5+5
6. Management of a patient of ulcerative colitis with a short
segment impassable stricture 17 cm from the anal verge.
How will you follow up such a patient?
6+4
7. Different forms of consent for organ donation.
10
8. Etiopathogenesis and management of rectovaginal fistula.
4+6
9. Etiology and pathogenesis of SRUS (solitary rectal ulcer
syndrome)
5+5
10. Surgical approach to a patient with a malignant lesion 5cm from
the anal verge.
10