FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
RURAL SURGERY
PAPER II
RURALSURG./APRIL/16/44/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. Investigations for a suspected case of renal stone disease.
Outline of methods of stone removal in a case of renal stones.
4+6
2. Enumerate causes of bleeding per rectum.
Clinical features and management of third degree hemorrhoids.

3. What are the causes of acute intestinal obstruction?
Clinical features and management of adhesive small bowel
obstruction.

4. Investigations in a case of obstructive jaundice.
Principles of ultrasound.
What are the ultrasonological findings of a case of gall stones with
CBD stone?

5. Enumerate causes of inguinal swelling.
Clinical features and management of direct inguinal hernia in a 50
years old male.

6. Enumerate causes of leg ulcers.
Clinical features and management of leg ulcer due to venous
disease.

7. Pathophysiology, clinical features and treatment of tension
pneumothorax.

8. Enumerate causes of cystic swellings in the neck.
Clinical features and management of thyroglossal cyst.

P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
RURAL SURGERY
PAPER II
9. A 20 years old male has sustained blunt abdominal trauma in a road
traffic accident and he is hemodynamically stable.
Investigations in this case.
Briefly describe the FAST technique with its advantages and
disadvantages in this case.

10. Enumerate malignant lesions of skin.
Clinical features, types and management of basal cell carcinoma
involving face.