FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
GENERAL SURGERY
PAPER IV
Time 3 Hours SURG/D/17/D/12/IV
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 question 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 questions 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 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. Define 'metabolic surgery' and discuss its
physiological basis.
Risks associated with 'metabolic surgery' procedures.
7+3
2. Management options for ureteric calculi
Calculus anuria
Enumerate congenital anomalies of kidney and ureter

3. Principles of management of renal trauma
Causes of unilateral hydronephrosis
Types of renal calculi

4. Management of renal cell carcinoma in adults
Renal tuberculosis
Urinary diversion options after total cystectomy

5. Medical management of benign prostate hyperplasia
Screening for prostate cancer
Complication of radical prostatectomy.

P.T.O