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.
PAEDIATRIC SURGERY
PAPER II
PED/J/17/29/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. Recent classification of vascular malformations.
Management of cystic hygroma.
Pharmacotherapy for intractable lymphangiomas.

2. Enumerate the different esophageal replacement
procedures indicating the routes, merits and demerits of
the procedures.

3. Mention differential diagnosis of a female neonate born
with anorectal malformation with two orifices in the
vulva.
Investigative modalities, and
Treatment of this neonate.

4. Mention the post-operative complications following
surgery for esophageal atresia with tracheoesophageal
fistula.
How will you evaluate such patients and outline their
management?

5. What are the different types of biliary atresia?
How do you prognosticate patients with biliary atresia?
Outline the post-operative management in a patient
with biliary atresia.

6. Draw schematic representations of any 2 commonly
performed surgical procedures for Hirschsprung's
disease.
How would you diagnose total colonic aganglionosis

Mention various operative procedures for TCA.
Which procedure do you prefer, mentioning its merits
and demerits?


7. List findings of radiological imaging that are associated
with necrotizing enterocolitis (NEC).
Mention NEC staging system.
Define NEC totalis.
List various procedures for NEC totalis.
Which procedure would you use and why?

8. Pathological classification of CPAM.
Possible locations of sequestrated lung.
Morgagni's hernia.
Pathophysiology of GERD.

9. What is Meso Rex shunt?
Non-shunt operative procedure for Extra-hepatic
obstruction of portal vein.
Grading of esophageal varices.
Left sided portal hypertension.

10. Define short bowel syndrome (SBS).
Aetiology of SBS.
Factors affecting severity in SBS.
Enlist operative procedures for SBS.