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-III
PEDSURG/J/18/29/III
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 Society for Fetal Urology grading of
hydronephrosis.
Enumerate the main indications for pyeloplasty in a case of
unilateral hydronephrosis due to pelvi-ureteric junction
obstruction (PUJO).
Outline briefly the principles of Anderson- Hynes pyeloplasty.

2. What are the indications for surgical intervention in a case of
primary vesicoureteric reflux?
Indications of STING
Discuss advantages and disadvantages of open Vs
Laparoscopic Cohen's cross trigonal ureteric reimplantation.

3. What is valve bladder syndrome?
Factors responsible for the valve bladder syndrome.
Principles of management of valve bladder syndrome.

4. What is 'spina bifida occulta'?
Define 'diastematomyelia' and its subtypes.
Discuss the preoperative evaluation and describe the
principles of surgical management of diastematomyelia.

5. What is the principle of 'Fowler- Stephens' technique of
orchidopexy?
Discuss the role of laparoscopy in the evaluation and
management of impalpable undescended testes.
4+6
6. What is Positron Emission Tomography scanning?
Discuss, briefly, the principles of PET scanning.
Role of PET scanning in the evaluation and management of
pediatric solid tumors.

7. Prognostic factors on antenatal ultrasound in a case of
congenital diaphragmatic hernia (CDH).
What is EXIT?
Role of fetal tracheal occlusion for antenatally diagnosed
CDH.

P.T.O.
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.
8. Describe presentation and evaluation of a patient with
congenital adrenal hyperplasia (CAH).
What is the commonest enzyme defect associated with 46
XX DSD?
Describe briefly the principles of feminizing genitoplasty for
this condition.

9. Classify vascular tumours.
Define Kasabach-Meritte syndrome.
Discuss the non- operative management of common
(infantile) hemangioma.

10. What is the 'Short Bowel Syndrome'
Enumerate common causes of SBS in newborns.
Discuss the recent advances in the management of SBS.