FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NEUROSURGERY (PART-II/FINAL)
PAPER III
NS/J/16/21/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. Pain pathways:
How is sensation carried from big toe to thalamus?
Pain regulation mechanism
Enumerate surgical methods to control pain.

2. Factors affecting surgical site infection in Neurosurgery and
methods to minimize it prophylactically.
5+5
3. Role of gene therapy in glioma and, its limitations success.
5+5
4. Factors affecting progression free survival in glioma.
10
5. Role of Gamma Knife in:
Pituitary adenoma
Cerebral AVM
Functional Neurosurgery

6. Enumerate various spine stabilization implants for cervical spine
surgery;
Its selection criteria
Limitations of implants.

7. Outline various treatment options for AVM of brain;
Classification of embolising materials;
Advantages and disadvantages of each.

8. Indications of brain vascular bypass surgery and techniques related
to it with suitable illustration.
5+5
9. Role of microdialysis in neurosurgical illness, its major benefits and
limitation.

10. A 45 years old patient had decompressive craniectomy for MCA
infarction.
When will one go for cranioplasty
Various options for cranioplasty.
5+5