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.
THORACIC SURGERY
PAPER III
TH.SURG/D/16/51/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. TNM classification and staging of cancer lung
10
2. Indications for right upper lobe sleeve resection.
Principle and surgical technique in right upper lobe sleeve
resection.
4+6
3. Write the important points in pneumonectomy of right and left
side. When is intrapericardial control essential?
7+3
4. Technique, limitations and complications of video-assisted
thoracic surgery.

5. What are the essentials of robotic assisted thoracic surgery?
Mention the basics of the technique.
10
6. What are the various approaches of surgical correction of
thoracic outlet obstruction syndrome? Write their pros and
cons.
10
7. Indications technique:
Transhiatal esophagectomy.
Ivor Lewis esophagectomy.
5+5
8. What are the indications of lung transplantation? Enumerate
the standard donor criteria.
6+4
9. Principles of lung volume reduction surgery.
Present day indication for lung volume reduction surgery.
5+5
10. Role of Extra Corporeal Membrane Oxygenation (ECMO) in
Thoracic Surgery.
10