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 I
PED.SURG/J/16/29/I
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. Mechanism of thermoregulation in newborns.
Complications related to hypothermia in neonates undergoing
major surgery.
5+5
2. 3-D printing and its role in clinical medicine.
5+5
3. Define tumor markers.
Tumor markers of germ cell tumors.
2+8
4. Etiopathogenesis of abdominal compartment syndrome (ACS).
Principles of management of ACS.
6+4
5. Classification of sacrococcygeal teratoma.
What are the factors associated with relatively poor prognosis in
patients with sacrococcygeal teratoma?
5+5
6. What is massive blood transfusion?
Enumerate its complications.
Autologous blood donation.

7. Indications for liver transplantation in the pediatric age-group.
Types of liver transplantation.
6+4
8. Classification of severity of brain injury in children by the modified
Glasgow Coma Scale (GCS).
What are the limitations of assessment by the GCS in infants and
young children?
6+4
9. Embryology of development of the diaphragm.
10
10. Define Mitosis-Karyorrhexis Index (MKI).
Modified Shimada prognostic classification of neuroblastoma.
Enumerate immuno-histochemistry and biochemical diagnosis of
neuroblastoma.