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.
NEURO SURGERY
PAPER-I
NS/J/18/21/I
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. Surgical anatomy of Middle Cerebral Artery:
Course
Segments
Branches
Clinical effects on occlusion

2. Physiology of CSF:
Production
Flow
Absorption
Outflow obstruction/restriction with example

3. Spinal cord injuries:
Causes
Presentations of high cervical cord injury
Spinal cord injury without radiological evidence
Prognosis

4. Gliomas:
WHO classification (year 2016)
Common sites
Prognostic factors based on new classification

5. Head Injury:
Classification
Types of diffuse axonal injury
5+5
6. In a clinical study:
Test applied for significance of a value.
How to choose sample size in a study?
5+5
7. Role of TCD in monitoring in ICU:
Principles of USG
Effect of insonation angle on reading
Confirmation of vasospasm

8. Peripheral nerve injuries:
Incomplete Brachial plexus injury
Investigations timing of surgery
5+5
9. Post op seizures:
Causes
Investigations
5+5
10. Acidosis:
Common causes
Types
ABG findings
Treatment