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.
GENERAL SURGERY
PAPER I
Please read carefully the important instructions mentioned on Page
• Answers to questions of Part and Part are to be strictly attempted in separate answer
sheet(s) and the main supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part attempted in answer sheet(s) of Part or vice versa shall
not be evaluated.
PART B
6. In a patient admitted to ICU with severe peritonitis with shock:
Options for hemodynamic monitoring.
Use of ionotropes/vasopressors.
Principles of ventilatory support.

7. A severely malnourished patient with loop jejunostomy made
earlier is admitted for closure of jejunostomy. In this patient,
write the:
Assessment of nutritional status.
Principles of preoperative nutritional support.
4+6
8. In a victim of polytrauma due to vehicular accident, outline
the:
Principles of assessment in hospital.
Evaluation of pelvic injuries.
6+4
9. In a patient with head injury, what are the:
Indications for imaging investigations of head.
Indications for admission.
Advise to patients being sent home without admission.
Principles of initial management of head injury.

10. In the context of evidence based surgery:
Levels of evidence.
Categories of recommendation.
Types of study designs.