FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
GENERAL SURGERY
PAPER-IV
TIME: 3 HOURS SURG/J/18/12/IV
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part each part
containing 5 questions.
Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main supplementary answer sheet(s) used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Answer sheets of Part A and Part B are not to be tagged together.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
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:
PART A
1. Etio-pathology of urinary stone formation.
Management of a 1cm calculus in renal pelvis with
hydronephrosis.
5+5
2. Enumerate causes of haematuria.
Investigation algorithm in a 55-year-old man presenting with
painless haematuria.
Management of a patient with stage Ta carcinoma of urinary
bladder.

3. Premalignant conditions for penile cancer.
Management of a 60-year-old man with 1 cm squamous cell
carcinoma of glans extending to distal shaft.
3+7
4. Classification and management of hydrocele.
Clinical features and management of undescended testis.
5+5
5. Investigation and management of urethral stricture.
Clinical features and management of Fournier's gangrene.
5+5
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
GENERAL SURGERY
PAPER-IV
Please read carefully the important instructions mentioned on Page
Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main supplementary answer sheets used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.
PART B
6. Immunosuppressive agents used after renal transplant.
Types of rejection after renal transplant, and their
management.
5+5
7. Surgical anatomy of prostate and its significance with various
prostatic diseases.
Technique of TaTME (trans anal total mesocolic excision) for
rectal cancer.
5+5
8. Oncoplastic breast surgery.
Principles of PET scan, and limitations of PET scan.
5+5
9. Advantages and disadvantages of robotic surgery.
King's College criteria for orthotopic liver transplantation in
acute liver failure.
5+5
10. Different types of flaps.
How will you provide cover after resection of hemi-mandible
and overlying skin and mucosa for gingival sulcus tumour?
4+6