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.
SURGICAL ONCOLOGY
PAPER II
SURG.ONCO/D/16/47/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. Define solitary pulmonary nodule (SPN).
List differential diagnosis of a solitary pulmonary nodule.
How would you proceed to evaluate for a SPN in right lung of an
asymptomatic 40 year old lady.

2. What is Total Mesorectal Excision
What is the principle of doing a TME?
Write the surgical steps of TME.

3. A 23 year old unmarried male is diagnosed with a right testicular
tumour. Write about the work up of the patient.
Treatment of stage I non seminomatous germ cell tumour of the
testis.
5+5
4. Management of a N0 neck in early Squamous cell carcinoma of
the oral cavity.
Role of neoadjuvant chemotherapy in squamous cell carcinomas
of head and neck.
5+5
5. Indications for Post Mastectomy Radiotherapy (PMRT) in early
breast cancer.
Benefit/Impact of PMRT on survival.
5+5
6. What is Seiwert's classification?
Management of a young 45 year old male with Seiwert's II
adenocarcinoma.
3+7
7. Role of nephrectomy in metastatic renal cell cancer.
Newer drugs in metastatic renal cell cancer.
5+5
8. Role of central compartment neck dissection in node negative
well differentiated thyroid cancer.
Recombinant TSH.
5+5
P.T.O.
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.
SURGICAL ONCOLOGY
PAPER II
9. Pathological classification of ovarian tumours.
Etio-pathology, clinical behavior and treatment of adult
granulosa cell tumour of ovary.

10. Role of adjuvant and neoadjuvant chemotherapy in soft tissue
sarcomas.
Dermatofibrosarcoma protuberans Pathology and treatment.
5+5