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 II
NS/J/16/21/II
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. ICA aneurysm under following heads:
Classification.
Presentations.
Surgical approach to each location.

2. Various trials associated with aneurysm and its impact in
management of aneurysm.
10
3. Various types of aneurysm clips.
Methods of clip applications to occlude aneurysm's neck.
Complications of clips hardware.

4. A 10 years old child presents with seizure and right hemiparesis.
NCCT head is suggestive of hypodensity in left frontal lobe.
What are the clinical possibilities?
How would you investigate?
5+5
5. A 60 years old male presented with acute onset left upper limb
monoparesis. He had increased reflexes in bilateral all limbs:
What are the clinical possibilities?
How would you investigate?
5+5
6. Factors affecting embryogenesis of neural tube defects, preventive
methods and screening tools for picking up neural tube defects.

7. Horner's Syndrome: Clinical findings, site of lesions and approach
to its diagnosis.

8. Sciatic nerve injury: Sites of injuries, clinical profile at various level
and treatment options.

9. How would you approach a case of vertebral body hemangioma at
D6 level in male and female?
10
10. Various forms of AVM that affects spinal cord, their clinical
presentations and management strategies.