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 I
PED.SURG/D/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. Metabolic complications encountered in an infant with repeated
vomiting due to infantile hypertrophic pyloric stenosis (IHPS).
Pathophysiology of 'paradoxical aciduria'.
5+5
2. Enumerate the modes of mechanical ventilation.
What is high frequency ventilation
Principles, potential advantages and disadvantages of HFV in
children.

3. Enumerate the different types of shock.
Write briefly about the terms, 'warm shock' and 'cold shock'.

4. Grading of renal injury due to abdominal trauma.
Principles of management of blunt renal trauma in childhood.
4+6
5. Classify burn injuries on the basis of depth of injury.
Modified "Rule of nine" for assessment of burns by surface area in
a child between 5-9 years age.
4+6
6. Enumerate the sex-cord stromal tumours of the ovary.
Presentation and management of granulosa theca cell tumour of
the ovary.
2+8
7. What is infantile hemangioendothelioma of the liver?
Presentation and management of infantile hemangioendothelioma
of the liver.

8. What are the common causes of "short-bowel syndrome" in
childhood?
Principles of intestinal transplantation in the pediatric age group
and assessment of the outcome after the transplantation.
3+7
9. What is stage V Wilm's tumour?
Management of stage V Wilm's tumour.
3+7
10. Etiopathogenesis and management of Tumour Lysis Syndrome. 4+6