FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
PEDIATRIC SURGERY
PAPER II
P.T.O.

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
PED.SURG
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. Enumerate derivatives of 6 branchial arches, clefts and
pouches with representative diagrams.
Embryology of thyroid gland.
8+2
2. Enumerate causes of torticollis in infants and children.
Enumerate secondary effects of torticollis.
Enumerate indications of surgery in children with torticollis.

3. How would you differentiate between biliary atresia and
infantile variety of choledochal cyst?
Role, merits and demerits of Kasai's porto-enterostomy in
infants with biliary atresia.
Forme fruste choledochal cyst.

4. Etiology of empyema thoracis.
Staging of empyema thoracis.
Diagnosis of empyema thoracis.
Stage-wise management of empyema thoracis.

5. Enlist the difference between exomphalos and gastroschisis.
What would be the sequelae of very tight abdominal closure
in a patient of exomphalos?
How would you decide intra-operatively that patient may
have abdominal compartment syndrome post-operatively?

6. Draw schematic representations of 3 commonly performed
surgical procedures for Hirschsprung's disease.
Diagnosis of total colonic aganglionosis.
Role of laparoscopy in the management of Hirschsprung's
disease

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
PEDIATRIC SURGERY
PAPER II

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
7. What is congenital pouch colon
Prevailing classifications of CPC.
Diagnosis of CPC.
Different operative procedures for CPC and mention your
choice citing reasons.

8. The usual problems encountered by male and female
infants /children having undergone surgical management of
ano-rectal malformations.
Principle of bowel management in such patients.
Sacral index.

9. Etiology of upper gastrointestinal bleeding in children.
Indications of shunt surgery for portal hypertension in
children.
Different types of splenorenal shunt.

10. Indications of thoracoscopy in children
Foker's techniques.
Role of esophageal diversion in patients of esophageal
atresia in today's era.