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 I
RURALSURG./APRIL/16/44/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. A 30 years old male presents in emergency in a state of shock. His
airway and breathing are normal.
How will you conduct his cardiovascular resuscitation?
Monitoring modalities required for this patient.
5+5
2. Pathophysiology of wound healing.
Enumerate factors influencing the healing of a wound.
What are the differences between tidy and untidy wounds?

3. Enumerate different types of drains used in surgery.
What are the advantages and disadvantages of using abdominal
drains?
Chest drain used for hemothorax.

4. A 30 years old male presents with a scrotal swelling of six months
duration. On examination, there is 8X8 cm swelling involving right
hemiscrotum.
Enumerate the differential diagnosis.
Give outlines of relevant investigations.
How will you treat the case if diagnosis is hydrocele?

5. A 70 years old female is planned for elective repair of paraumbilical
hernia and she is suffering from COPD.
Enumerate likely perioperative complications in this case.
Give steps of preoperative, intraoperative and postoperative
measures to prevent these complications.

6. Give outlines of nutritional support to a malnourished patient of
carcinoma esophagus planned for esophagectomy.
Enumerate complications of total parenteral nutrition.
6+4
7. Enumerate causes of 'acute red eye'.
Clinical features and management of acute glaucoma.

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 I
8. Principles of computerized tomography MRI.
What are the strength and weakness of computerized
tomography?

9. A 50 years old female is suffering from lump in breast for last one
year.
How will you investigate her?
Treatment modalities if the diagnosis comes out to be carcinoma
breast.
4+6
10. What is 'glue
Clinical features and management of glue ear.