FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
SURGICAL GASTROENTEROLOGY
PAPER II

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
Time 3 hours SURG. GASTRO/D/17/46/II
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. Role of MARS in acute liver failure.
Hyperacute rejection and its management.
5+5
2. Management of mediastinal pseudocyst of pancreas.
Management of IPMN
5+5
3. Presentation, investigation outline and management of a patient with
hilar cholangiocarcinoma.
10
4. Choledochocele.
Pancreatic mucinous cystic tumour.
5+5
5. Evaluation and management of a patient of Portal biliopathy, who
presented with recurrent cholangitis.
10
6. A 50 year male presents in OPD with pancreatic fistula draining 60-100
ml of pancreatic fluid 6 months after lateral pancreaticojejunostomy for
chronic pancreatitis. Describe the investigations and treatment options.
10
7. Indication and methods of Portal Vein Embolization.
Role of HIDA scan in bile duct injury.
5+5
8. Discuss the assessment of FLR in a patient of chronic liver disease
needing right hepatectomy. Discuss the role of salvage transplant.
5+5
9. Choledochoduodenostomy indications, contraindications and long
term outcome.
Sarfeh shunt
5+5
10. What is the role of CT scan in the diagnosis, staging and decision
making in Carcinoma gallbladder? Discuss the current status of HPD in
the management of Gall bladder cancer.
5+5