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.
PAEDIATRIC SURGERY
PAPER-II
PEDSURG/J/18/29/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. Describe the presentation and clinical features in a case of
thyroglossal cyst.
Outline the evaluation and operative management of a
thyroglossal cyst.
Describe the epithelial lining of thyroglossal cysts.

2. Discuss the presentation and diagnosis of a newborn with
duodenal atresia.
Outline principles of operative management of duodenal
atresia.
Enumerate the common malformations associated with
duodenal atresia/ stenosis.

3. Describe the Todani's classification of choledochal cyst.
Outline the surgical management of Type I choledochal cyst.
Advantages and disadvantages of cyst excision with a
hepaticodocho- duodenostomy as against cyst excision with
a Roux-en- Y hepaticodochojejunostomy.

4. Diagnosis of Hirschsprung's disease.
Describe the principles of single-stage transanal pull- through
for Hirschsprung's disease.
Discuss the role of laparoscopy as an adjunct for transanal
pull- through for Hirschsprung's disease.

5. What is 'persistent cloaca'?
Discuss the presentation, evaluation, and surgical
management of a newborn girl with persistent cloaca.
3+7
6. What is 'Congenital Lobar Emphysema'
Incidence of involvement of various lobes of the lung in CLE.
Presentation and diagnosis of CLE.
Principles of surgical management of CLE.

P.T.O.
7. Define the Chiari' syndrome and enumerate the
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.
causes of this syndrome in childhood.
Classify Porto-systemic shunts
What are the principles of Transjugular Intrahepatic
Portosystemic Shunts (TIPS) and outline briefly the
indications for TIPS in the management of portal
hypertension?
8. Define sequestration of the lung.
Types of lung sequestration and their vascular supply.
Discuss presentation, evaluation and principles of surgical
management of sequestrations of the lung.

9. What is the incidence of pure esophageal atresia
Presentation and diagnosis of pure EA.
Outline the various options for surgical management of pure
EA.

10. What is a Branchial sinus?
Embryology of Branchial sinus.
Presentation and principle of surgical management of
Branchial sinus.