FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
PAEDIATRIC SURGERY
PAPER II
PED.SURG/D/16/29/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. Embryology of first, second and third branchial arches.
Steps in the surgical excision of a branchial sinus.
5+5
2. What is long-gap esophageal atresia?
Role of esophageal lengthening procedures in the
management of long-gap esophageal atresia.
4+6
3. What is congenital cystic adenomatoid malformation
(CCAM) of the lung?
Classification management in brief of CCAM.

4. What is eventration of the diaphragm?
Presentation and management of eventration of the
diaphragm.

5. Classify choledochal cysts.
Evaluation and management of a choledochocoele.

6. Define ultra short-segment Hirschsprung's disease
Presentation, evaluation and management of ultra shortsegment
HD.

7. Krickenbeck classification of anorectal malformations.
Management of vestibular fistula.
4+6
8. Enumerate the remnants of the vitellointestinal duct.
Management of the various vitellointestinal duct anomalies.
2+8
9. Etiopathogenesis of intussusception in infancy.
Role of non-operative management of intussusception.
Indications for surgery in intussusception.

10. Pathogenesis of portal hypertension due to extrahepatic
obstruction of the portal vein (EHPVO).
Principles of management of this condition.
5+5