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.
PAEDIATRIC SURGERY
PAPER III
PED.SURG/J/16/29/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. Evaluation and management of unilateral varicocele in a 12-
year-old boy.
4+6
2. Classify cystic renal diseases.
Diagnosis and management of multicystic dysplastic
kidney (MCDK).
4+6
3. Evaluation and management of unilateral hydroureteronephrosis
associated with ureterocele in a 5 month old child.
4+6
4. Indications, merits and demerits of single-stage transanal pullthrough
for Hirschsprung's disease.
10
5. What is 'persistent cloaca'?
Evaluation and initial neonatal management of a girl with
persistent cloaca.
3+7
6. What is 'Fluorescence in situ hybridization
Enumerate the uses of this technique in clinical practice.
4+6
7. Enumerate the cutaneous stigmata of spina bifida occulta.
Define diastematomyelia and outline the principles of its
management.

8. Evaluation, management and prognosis of rectal atresia.

9. Define and classify primary lymphedema.
Management of a child with primary lymphedema involving
the lower limbs.
3+7
10. How should a boy with scrotal hypospadias be evaluated?
Operative steps of Bracka two-stage urethroplasty.
6+4