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-II
TIME: 3 HOURS SURG/J/18/12/II
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. Diagnosis and management options of a 30-year old lady with
retraction of nipple and palpable 2cm mass in upper inner
quadrant of the breast without clinically palpable lymph nodes.
3+7
2. Diagnostic and therapeutic indications of VATS (Video
assisted thoracoscopic surgery).
Presentation and management of osteochondroma of rib.
5+5
3. Investigations for detecting bone metastases.
Management of metastasis to lumbar vertebrae from prostate
cancer.
4+6
4. Classify salivary gland tumours. Describe the presentation
and management of a 30-year old man with pleomorphic
adenoma of parotid gland.
Investigation and management of cervical lymphadenopathy.
5+5
5. Clinical features, investigations and management of Graves'
diseases in a 30 year old man.

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-II
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. Types, staging and management of 5 mm melanoma of the
trunk.

7. Premalignant lesions for cancer of oral cavity.
Staging of oral cavity cancer.
Indications and extent of supra-omohyoid neck dissection.

8. Preoperative and perioperative care in patients of
pheochromocytoma undergoing surgery.
Clinical features and management of parathyroid adenoma.
5+5
9. Management of complications of thyroid surgery.
Management of medullary carcinoma of thyroid.
5+5
10. Enumerate pancreatic neuroendocrine tumours.
Presentation of an insulinoma
Management of a gastrinoma.