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2009 – Dec

Part 1

1. Define a buffer. Describe the management of metabolic acidosis. 

2. Management of a 30 yrs old lady with post partum Deep Vein Thrombosis. 

3. Management of a 20 years old girl with suspected hyperparathyroidism.  

4. Sentinel lymph node biopsy.  

5. Hidradenitis  Suppurativa.  

6. Clinical features and management of submucous fibrosis. 

7. Critical limb ischemia.  

8. Management of a 40 years old male weighing 60 kg with flash burns of the face and the chest.   

9. Nutritional assessment of a surgical patient. 

10. Enumerate low grade and high grade parotid tumours. Describe the management of high grade parotid tumor presenting with facial palsy.   

Part 2

1. Management of rupture of posterior urethra. 

2. Role of hormone therapy in breast carcinoma.

3. Classification and management of anorectal abscess.  

4. Principles and indications of radio-frequency ablation of neoplasm. 

5. Effects of acid versus alkali injury on upper gastrointestinal tract. Describe the principles of management of such injury. 

6. Management of 45 years old man with 4*4 cm ulcerative lesion in rectum situated 8 cm from the anal verge.  

7. Management of 15 years old boy with spleenomegaly and upper G.I. bleed. 

8. Role of DPL in the management of blunt abdominal trauma.  

9. Classify splenic injuries. Describe the changing trends in the management of splenic trauma.  

10. Pre-operative preparation required for patient with:-     

o Obstructive Jaundice.

o Phaeochromocytoma.

Part 3

1. Management of a patient with suspected carotid tumor. 

2. Classify skin flaps.  

3. Management of a 25 years old man with Extra Dural Haematoma. 

4. Management of a 15 years old child with hydronephrosis due to UPJ obstruction.  

5. Clinical features and management of a new born with meconium ileus.  

6. Management of a 6 years old child with nephroblastoma.  

7. Management of Thymoma. 

8. What is gastrinoma triangle? How would you investigate a patient suspected to have gastrinoma?  

9. Role of ESWL in the management of renal stones. 

10. Describe the difference between cadaveric liver transplantation and liver donor related transplantation.  

Part 4

1. Enumerate the subphrenic spaces. Describe the clinical features and management of a case with pelvic collection. 

2. Describe the blood supply of the thyroid gland. What are the intraoperative complications of total thyroidectomy? 

3. Draw the anatomy of the femoral canal and the femoral triangle. Describe the branches to be ligated during Trendelenberg operation.  

4. Lymphatic drainage of the stomach.  

5. Triangles of neck with reference to Trauma zone. 

6. Surgical anatomy of the Rectus sheath with reference to incisional hernia. 

7. Draw the capillary fluid exchange at tissue level. Describe the mechanism of oedema formation. 

8. Role of endoscopic ultrasound in the investigation of oesophageal and rectal malignancy.  

9. Role of radio-iodine in the management of thyroid disorders.  

10. Tumor Lysis Syndrome.  

2009-JUNE

Paper 1

1.Describe the clinical features and management of carotid body tumours

2.Ductal carcinoma in situ

3.What are low grade and high grade parotid cancers? Outline the management of malignant tumours of parotid with facial paralysis

4.Discuss ways to estimate blood loss is surgical practice.

5.Necrotizing fasciitis

6.Basal Cell Ca: pathology, clinical features and management

7.Types of bowel preparation before colorectal surgery

8.Palliative options in Ca Oesophagus

9.Clinical presentation and management of Thymoma

10.Retroperitoneal mesenchymal tumours

Paper 2

1.Discuss the role of surgery in Acute pancreatitis

2.Classify benign biliary strictures. Outline management of post cholecystectomy obstructive jaundice

3.Surgical management of ITP

4.Diagnosis and treatment of Carcinoid appendix

5.Short bowel syndrome

6.Treatment of hepatic hydatid disease

7.Management of complete rectal prolapse in a 40 yr old male

8.Enumerate causes of lower GI bleeding.Mention localisation techniques. Briefly outline the management of profuse haematochezia

9.Pathology and management of pilonidal disease

10.Ogilvie’s syndrome

Paper 3

1.Clinical features and management of torsion testes

2.Management of hydrocephalus

3.Pathology, staging. clinical features and management of neuroblastoma

4.Indications fo renal transplantation, Describe various types of graft rejection

5.Imperforate anus : diagnosis and management

6.Differentiate between primary and secondary brain injury after head injury

7.Diagnosis and management of tracheo-oesophageal fistula

8.Clinical features, staging and treatment outline of Ca penis

9.Differentiate between perinephric abscess and pyonephrosis

10.Development of face with special reference of cleft lip and palate.

Paper 4

1.Post operaive pain ladder

2.Anatomy of inguinal canal from surgical perspective

3.Modalities of breast imaging

4.Mechanisms of anti coagulants used in surgery

5.Differentiate between DTPA & DMSA scan

6.Describe anatomical course of facial nerve

7.Mechanism of SIRS

8.Pathophysiological changes due to obstructive hydronephrosis

9.Physiological changes due to obstructive jaundice

10.Surgical anatomy of anal canal

2008-DECEMBER

Paper 1

1.What is “Massive Blood Transfusion”?What are the effects on the body?

2.Classify operative wounds.Principles of prophylactic antibiotics in surgery?

3.What is septic shock? What is the pathophysiology?

4.Principles of management of diabetic foot?

5.Prophylaxis and treatment of DVT?

6.What is selective neck dissection?What are the different types?What are their basis? What are the complications?

7.Classify salivary gland tumours?Management of pleomorphic adenoma of the parotid?

8.Management of SNG?

9.Basic requirements of cancer screening?Methods of Ca Breast Screening, advantages and disadvantages?

10.Aetiopathology,clinical features,investigations and treatment of phaeochromocytoma

Paper 2

1.What is intussuception? Investigations? What is the non operative management?

2.What is tension pneumothorax, its causes and management?

3.Name surgical manifestations of amoebiasis? Investigations and management of amoebic liver abscess?

4.Presentation and treatment of Ca GB?

5.Define Barret’s oesophagus and discuss management?

6.Note on perinephric abscess

7.Manage nutrition in a patient of high output EC fistula?

8.Pathophysiology of intestinal obstruction

9.Indications of splenectomy?Describe surgical technique of elective splenectomy and complications

10.Surgical managment of UC

Paper 3

1.Aetiopathology and managment of pyloric stenosis of infancy?

2.Diagnosis and treatment of a case of torsion testes

3.Manage a case of testicular tumour?

4.Treatment of Ca Prostate?

5.Discuss in brief treatment options of renal stones

6.Name various types of skin grafts? How do they survive? How to minimize failure of grafts?

7.Various flaps in breast reconstruction?

8.What are tumour markers? Discuss clinical applications?

9.Care of terminal cancer patient?

10.Short note on vascular prosthesis

Paper 4

1.Lymphatic drainage of breast? How will you detect sentinal L.N.?

2.Different blood products? How are they manufactured? Discuss indications?

3.Management of haemorrhagic shock?

4.Pathophysiology of SIRS

5.Surgical anatomy of mesorectum and importance in management of Ca rectum?

6.Testicular development and descent. Name sites of ectopic testis

7.Surgical anatomy of Rec Laryngeal Nerve and prevention of injury?

8.Classify chemotherapeutic agents and what is the advantage of combination chemotherapy?

9.Treatment of pain in a patient of advanced malignancy?

10.Causes and treatment of metabolic acidosis?

2008-JUNE

Paper 1

1.Various parameters to assess the nutritional status of a surgical patient.

2.Pathophysiology of “septicaemic shock”

3.Tumour markers and their role in the management of a cancer patient

4.Scoring systems to assess the severity of injury in a trauma victim

5.Pathophysiology and management of diabetic foot

6.”Universal precautions”

7.Antibiotics prophylaxis in surgery

8.Management of Barret’s oesophagus

plications of massive blood transfusion

10.Management of a young male with 40% superficial thermal burns

Paper 2

1.”Triple Assessment”

2.Preoperative preparation for a patient with obstructive jaundice

3.Pathophysiology and management of fluid and electrolyte disturbances in a patient with gastric outlet obstruction

4.Aetio-pathogenesis and management of large bowel obstruction

5.Prophylaxis and management of DVT

6.Management of “Liver Abscess”

7.Management of 40yr old male with lower G.I bleed

8.Abdominal compartment syndrome

9.Surgical management of a patient with chronic pancreatitis

plications of splenectomy

Paper 3

1.Management of LABC

2.Management of 30yrs old lady with hyperparathyroidism

3.Management of 25yrs old lady with chronic ischaemia of upper limb

4.Management of 4day old baby with congenital diaphragmatic hernia

5.Stapled haemmorhoidectomy

6.Tracheo-Oesophageal fistula

7.Role of porta-systemic shunts in the management of portal hypertension

8.Management of a 45yrs old man with stag horn calculus in left kidney

9.Clinical presentation and management of “Wilms tumour”

10.VATS

Paper 4

1.Counaid’s segments of liver and thier significance in the management of liver diseases

2.TME for Ca Rectum

3.Anatomical boundaries of Axillary dissection

4.Marjolin’s ulcer and its management

5.Fournier’s gangrene

6.Anatomical landmarks for facial nerve identification during parotid surgery

7.Various anomalies of biliary system and their significance during surgery

8.Management of thoracic duct injury following radical neck dissection

9.Burst abdomen

10.Intestinal complications of enteric fever and their management

2007-DECEMBER

Paper 1

1.Prognostic factors in Ca Breast?

2.Premalignant oral lesions?

3.Pathology, features and management of carotid body tumour

4.”Frey’s Syndrome”

5.Management of thyroid incidentaloma

6.Pathology, clinical features and management of duct ectasia of breast

7.Pathophysiology,features and management of tension pneumothorax

8.Pathology and management of diabetic gangrene

9.Describe aetiology,features and management of benign oesophageal strictures

10.Discuss various essential requirements to establish a minor operation theatre

Paper 2

1.Essentials of safe bowel anastamosis

2.Describe the surgical treatment of obesity

3.Discuss the treatment options in typhoid ileal perforations

4.Outline the investigation and treatment of Ca head of the pancreas

5.What are the universal precautions in AIDS

6.Diagnosis,prevention and treatment of Gossypboma?

7.Principles and steps of Lap hernia repair

8.Discuss breifly “Mirriz’s syndrome”

9.Aetiology and management of rectal prolapse

10.Briefly discuss “short bowel syndrome”

Paper 3

1.The therapeutic uses of USG

2.Management of advanced Ca Prostate

3.Briefly discuss classification,investigations,treatment and follow up of GCT of testes

4.Aetiopathogenesis and management of hydrocephalus

5.Classification and managment of choledochal cyst

6.Clinical features, and management of congenital hypertrophic pyloric stenosis

7.Urethral injuries in relation to fracture pelvis

8.Approach to LABC

9.Clinical features of Berger’s disease

10.Causes and preoperative preperation for a case of obstructive jaundice.

Paper 4

1.Nutritional assessment in a cancer patient

2.Lymphatic drainage of breast.Discuss concept of sentinal lymph node biopsy in a breast

3.Surgical anatomy of liver.Mention briefly principles of management of liver trauma

4.Levels of neck nodes. Mention various types of neck dissections

5.Nerve injuries in thyroid surgery and their prevention

6.Anatomy of anal canal.Briefly mention pathophysiology of fistula in ano

7.Advantages and disadvantages of preoperative bowel preparations

8.Pathology and complications of UC

9.Venous drainage of lower limb. Mention management outlines of varicose veins

10.Mechanism of wound healing and various factors affecting it

2007-JUNE

Paper 1

1.Classify aneurysms. Enumerate the clinical feature of post traumatic femoral aneurysms

2.Discuss the clinical features and principles of management of septicemic shock

3.What are the indications for TPN?Calculate nutritional requirements for a 70kg male with duodenal fistula with sepsis.

4.Prophylactic antibiotics in surgery

5.Aetiopathogenesis and management of diabetic foot

6.Briefly describe the surgical treatment for GERD

7.Describe the classifications of lymphomas

8.Preoperative management of a patient with obstructive jaundice

9.Describe the basis for the use of selective and non selective shunts in PHT

10.Management of varicose veins.

Paper 2

1.Describe the investigative workup of a patient with suspected phaeochromocytoma

2.Discuss the surgical options for the management of UC

3.RFA in the management of malignant tumours

4.Classify liver injuries.Discuss the principles of operative management of liver trauma

5.Classify and mention the distinctive features of intestinal polyps

6.What are the premalignant conditions of oral cavity.Describe staging of oral cancer

7.Classify skin grafts

8.Discuss the pathogenesis and management of infective causes of intestinal perforations

9.Classify and discuss the principles of management of fistula in ano

10.Role of laparascopy in GI malignancies

Paper 3

1.Define primary common bile duct stone. Discuss its management.

2.Enumerate surgical complications of amoebiasis.Discuss management of amoebic liver abscess.

3.Describe diagnosis and treatment of hydatid cyst of liver

4.Discuss prognostication of acute pancreatitis

5.Aetiopathogenesis of ascites and management of intractable ascites

6.Classification and diagnostic workup of a patient with EC fistula

7.Classify acute intestinal obstruction.Discuss the management of intussuception in a 40yr old male

8.Discuss therapeutic options for Grade III-IV haemorrhoids

9.Diagnostic workup of a patient with obscure GI haemorrhage

10.Enumerate the complications of splenectomy

Paper 4

1.Discuss staging and management of well differentiated thyroid cancers

2.What is gut barrier function?Discuss bacterial translocation in surgical patients.

plications in transplant surgery

4.Briefly discuss the role of breast conservation surgery in a patient with Ca Breast.

5.Discuss the role of carotid endarterectomy in prevention of strokes

6.Enumerate the indications of surgery in BHP.Briefly outline the management of TURP syndrome

7.Discuss the prognostic factors and surgical strategy in malignant melanoma.

8.Define abdominal compartment sydrome.Briefly describe the pathophysiology of abdominal compartment syndrome.

9.What are the indications of bariatric surgery?Discuss briefly the surgical options available today

10.Briefly discuss the causes and management of unilateral hydronephrosis.

2006-DECEMBER

Paper 1

1.How would you investigate a patient with suspected hyperparathyroidism?

2.Merits and demerits of various therapeutic options of achalasia cardia.

3.Write a short note on physiological effects of pneumoperitoneum

4.Define Gynaecomazia.Briefly describe its aetiology and management.

5.Principle,techniques and role of sentinel lymph node biopsy in management of Ca breast

6.Define flail chest.Briefly describe the management of a 45yr old smoker with flail involving eight ribs

7.Classify salivary gland tumours.Discuss the management of pleomorphic adenoma of parotid gland

8.Management of a patient with incidentaloma of adrenal gland.

9.Discuss OPSI

10.Management of primary thyrotoxicosis

Paper 2

1.How will you manage a patient of duodenal fistula following failure of repair of duodenal perforation.

2.Preoperative management of a patient with obstructive jaundice

3.Enumerate local complications of acute pancreatitis.Discuss the management of pancreatic necrosis.

4.Treatment of sigmoid volvulus

5.Pathophysiological changes occuring after massive intestinal resection

6.Zollinger Ellison syndrome

7.Carcinoid tumours of the appendix

8.Non operative management of liver trauma

9.Clinical features and treatment of amoebic liver abscess.

10.Role and techniques of preoperative preparation of bowel in patients scheduled for elective colonic surgery

Paper 3

1.Lumbar sympathectomy in an ischaemic limb

2.Technique and complications of Epidural Anaethesia

3.Ketamine

4.Treatment of Ileofemoral DVT

5.Zone based algorithm for management of penetrating injuries to anterior neck

6.Pathophysiology of burn shock and fluid resuscitation of a burnt patient

7.Enumerate the complications of TURP.Briefly describe the pathophysiology and treatment of TURP syndrome

8.How would you manage a 50yr old man with staghorn calculus in left kidney

9.Classification of choledochal cyst and principles of their management

10.Splenic salvage in children following trauma

Paper 4

1.Pathophysiology of strangulating intestinal obstruction

2.Discuss “factors” causing burst abdomen after laparotomy

3.Aetiopathogenesis of urinary tract calculi

4.Boundaries of thoracic inlet and clinical features of cervical rib

5.Discuss the anatomical basis of various clinical features of Ca Breast and also enumerate the structures removed in various types of mastectomies

6.Discuss the various hepatic segments and also enumerate different types of hepatic resections

7.Describe the venous drainage of lower limbs with the help of diagram, and factors responsible for development of venous ulcer.

8.Enumerate metabolic effect of starvation and discuss the physiological disturbances that occur in severe sepsis

9.What are the aims of nutritional assessment?Describe methods of nutritionla assessment in surgical patient

10.Physiological changes that occur in blood stored at 4 C

2006-JUNE

Paper 1

1.Aetiology of Gastric Cancer

2.Newer modalities in diagnosis of abdominal tuberculosis

3.Ransons criteria for prognostication in acute pancreatitis

4.Management of Follicular Ca of Thyroid

5.Diagnosis and management of non palpable breast lesion

6.Management of recurrent varicose veins

7.Surgical audit

8.Management of bile duct injury discoveries during laparoscopic cholecystectomy

9.Segmental anatomy of liver

10.Management of “shattered” liver following blunt abdominal trauma

Paper 2

1.MALT Lymphomas(Mucosa Associated Lymphoid Tissue)

2.Management of Sigmoid volvulus

plications of splenectomy

4.Investigations used for the localisation of parathyroid adenoma

5.Management of secondary bile duct stones

6.Management of unresectable Ca oesophagus

7.Management of locally advanced rectal cancer

8.GIST

9.Diagnosis and treatment of Barretts oesophagus

10.Management of pancreatic necrosis

Paper 3

1.Evaluation and management of biliary atresia

2.Cystic hygroma

3.Management of neonatal intestinal obstruction

4.Classification of mediastinal neoplasms

5.Management of DVT

6.Management of postoperative pain

7.Diagnostic work up for testicular tumours

8.Management of haematuria in an elderly male

9.Management of AUR in 60yr old male

10.Haemobilia

Paper 4

1.a.Risks of blood transfusion 3

b.Metabolic changes following massive transfusion 3

c.Blood substitutes and alternatives to transfusion 4

2.a.Classify burns 3

b.What are the synthetic and biologic dressings for burns 3

c.Fluid resuscitation for a patient with burns 4

3.a.Prognostic factors in malignant melanoma 3

b.Histopathological types of cutaneous melanoma 3

c.Systemic treatment of melanoma 4

4.a.What are the cervical lymph node levels 3

b.Describe the patterns of spread of lymph node metastases in head and neck

cancer 3

c.Surgical management of cervical nodal metastases for head and neck cancer 4

5.a.What are the indications for bariatric surgery? 4

b.Discuss briefly the surgical options 6

6.a.Blood supply of the colon 3

b.Bowel preparation for elective colonic surgery 3

plications of low anterior resection for Ca Rectum 4

7.Pathophysiology of abdominal compartment syndrome

8.Diagnosis of obscure GI bleeding

9.Role of preoperative biliary drainage for patients with surgical obstructive jaundice

10.Classification and management of gastric varices

2005-DECEMBER

Paper 1

1.Surgery in chronic pancreatitis

2.Medullary thyroid Ca

3.Fistula in ano - classification and treatment

4.Management of splenic injuries

5.Acute acalculous cholecystitis

6.Principles of laparascopy

7.Management of lymphoedema of lower limb

8.Methods of sterilisation of operative equipment

9.Burst abdomen

10.Pain control in malignant disease

Paper 2

1.Describe the causes of large bowel obstruction; describe the management of intestinal obstruction due to sigmoid colon tumour.

2.Describe the aetiology, clinical features and management of haemobilia

3.Describe the aetiology, clinical features and management of GERD

4.Discuss the management of amoebic liver abscess

5.Discuss phyllodes tumour

6.Discuss the late complications following surgery for peptic ulcer

7.Discuss the management of cystic neoplasms of the pancreas

8.Discuss MODS

9.Write a brief note on damage control surgery

10.Factors influencing GI anastamotic healing

Paper 3

1.Classification of choledochal cysts

2.Epidural analgesia

3.Solitary pulmonary nodule

4.Basis of treatment of Hirchsprung’s disease

5.Neoplasms of kidney

6.Branchial fistula

7.Congenital diaphragmatic hernia

8.Meconium ileus

9.PCNL

10.Torsion of testis

Paper 4

1.a.What are the types of graft rejection 2

b.Mention any 3 drugs used for immunosuppression and their complications 3

c.Clinical testing for brain stem death 5

2.a.Describe the lymphatic drainage of the breast 4

b.What is sentinal node? 2

c.How is sentinal node biopsy done? 4

3.a.Anatomy of parotid gland and its relation to facial nerve 4

b.Methods of identifying facial nerve during operation 2

plications following injury to facial nerve and corrective measures 4

4.a.Types of undescended testes 2

plications of undescended testes 2

c.Timing of surgery 2

d.Treatment options in undescended testes 4

5.a.Anatomy of the venous drainage of the lower limb 4

b.Mention the complications of varicose veins 2

c.Describe the operations done for varicose veins 4

6.a.What are the common drugs used in treating thyrotoxicosis 2

b.How will you prepare a patient with thyrotoxicosis for surgery 2

c.Describe the operations done for thyrotoxicosis 4

d.How will you manage thyroid crisis 2

7.a.Anatomy of Meckels diverticulum 3

plications of Meckels diverticulum 3

c.Indications and surgical treatment of Meckels diverticulum 4

8.a.What are the coomon liver function tests done in a patient with cirrhosis and PHT 3

b.What are Childs criteria 2

c.Treatment of acute variceal bleed in a patient with PHT 5

9.mon organisms that cause gas gangrene 3

b.Clinical features in a patient with gas gangrene 3

c.How will you treat a patient with gas gangrene involving the lower limb extending

onto the abdominal wall 4

10.a.Biochemical diagnosis of Cushings syndrome 3

b.Clinical features of Cushings syndrome 3

c.Surgical approaches to the adrenal gland 4

2005-JUNE

Paper 1

1.Day care surgery

2.Fissure in Ano

3.Diagnosis and treatment of phaeochromocytoma

4.Discuss principles of radiotherapy

5.Post gastrectomy complication

6.Salivary gland calculi

7.Management of DVT

8.Initial management of blunt abdominal trauma

9.Small bowel transplantation

10.Diaphragmatic hernia

Paper 2-not available

Paper 3

1.Hydrocephalus

2.Diagnosis and management of hepatic venous outflow obstruction

3.Incidental adrenal mass

4.Thyroid storm

5.Diagnosis and management of occult primary tumous of head and neck with cervical secondaries

6.Clinical manifestations of primary hyperparathyroidism

7.Malrotation of gut

8.Intussuception

9.SCC of renal pelvis

10.Management of unilateral cryptorchidism

Paper 4

1.a.Role of interventional radiology in general surgery 5

b.Interventional radiological procedures in hepatobiliary surgery 5

2.a.Drugs useful in Type I and Type II diabetes 3

b.Clinical features of DKA 3

c.Management of Diabetic foot with critical ischaemia 4

3.a.How is neuromuscular blockade achieved 3

b.Name the common local anaesthetics used 3

c.Describe the various local anaesthetic techniques 4

4.a.Classification of wounds 2

b.What are the factors that affect wound healing 3

c.Management of facial injury(split open face) following RTA 5

5.a.What are the limitations of Minimal access surgery 3

b.What are the general principles of laparascopic surgery 3

c.What is Calot’s triangle 2

d.Mention the important steps in Lap Chole 2

6.a.Life cycle of E.granulosus and mode of human infection 4

b.What are the scolicidal agents used in hydatid disease surgery 2

c.Surgical procedures for the treatment of hepatic hydatid disease 4

7.a.Segmental anatomy of the liver 5

b.Describe surgical resection of liver tumours 5

8.a.Mention the types of agenesis and atresia of the rectum and anus 5

b.Treatment of high abnormalities 5

9.a.Mode of formation of cleft lip and palate 5

b.Surgical techniques in treatment of cleft lip and palate 5

10.a.Anatomy of mediastinum 5

b.Management of common primary anterior mediastinal tumours 5

2004-DECEMBER

Paper 1

1.Classification of wounds and the role of prophylactic antibiotics

2.Surgery in Bergers disease

3.Staging of melanoma of skin

4.Investigative work up of abdominal tuberculosis

5.DPL

6.Fluid and electrolyte management of burns

7.Infections in immunocompromised patients

8.Pilonidal sinus

9.Metabolic disturbances in short bowel syndrome

10.GCS

Paper 2

1.Discuss the aetiology, diagnosis and management of abdominal compartment sydrome (25)

2.Write short notes on

a.Early gastric cancer 15

plications of splenectomy 15

c.Gastrinoma 15

d.Residual gall stone 15

e.Sigmoid volvulus 15

Paper 3

1.Breast conservation surgery

2.Management of retrosternal goitre

3.Grading and management of renal injuries

4.Management of GERD

5.Pathogenesis and management of ascites in chronic liver disease

6.Management of psuedocyst of pancreas

7.Role of RPLND in testicular tumours

8.TURP syndrome

9.Cystic hygroma

10.Flail chest

Paper 4

1.a.Define SIRS

b.Describe clinical profile of SIRS

c.Outline the management of septic shock

2.a.Outline the transmission of AIDS/HIV

b.Discuss universal precautions against HIV

c.Discuss prophylaxis following accidental exposure to HIV

3.a.Outline the features of acidosis

b.Describe the deranged parameters on ABG to support diagnosis of metabolic acidosis

c.Discuss the management of a case of metabolic acidosis

4.a.Describe the anatomy of the vagus nerve

b.Outline the different types of vagal denervation

c.Discuss the complications of different types of vagotomy

5.a.Discuss the anatomy of inguinal canal relevant to repair of inguinal hernia by open method

b.Mention the types of hernia repair

c.Outline the complications following hernia repair surgery

6.a.What are the factors contributing to the development of DVT

b.Describe the clinical features suggestive of DVT and possible complications

c.Describe the methods to establish the diagnosis of DVT

d.Outline the management of a case of DVT

7.a.Discuss the various drugs used in the management of patients with BPH

b.What are the side effects of drugs and safety recommendations

c.Which patients with enlarged prostate are not suitable for medical therapy

8.a.What are the indications of TPN in surgical patients

b.What are the constituents of TPN

c.Enumerate the methods of delivery of TPN

d.Discuss the complications of TPN

9.a.Describe the lymphatic drainage of stomach

b.What are the different levels of lymphadenectomy in gastrectomy for Ca Stomach

10.a.Describe the blood supply of colon

b.Which structures may be damaged while performing right hemicolectomy

c.What are the options for restoring continuity of the bowel

2004-JUNE

Paper 1

1.Alteration in fluid and electrolyte physiology in a post operative case after a major surgery 25

2.Write short notes on 15 x 5

a.Carcinoid tumour

b.Actinomycosis

c.Acute parotitis

d.Torsion testes

e.Odontomes

Paper 2

1.Clinical features and management of anorectal malformation in a neonate 25

2.Write short notes on 15 x 5

a.Colonic psuedo obstruction

b.Congenital persistant urethral valve

c.Prolene hernia system

d.EDH

e.Acute pancreatitis

Paper 3

1.Aetiology and management of Budd-Chiari sydrome 25

2.Write short notes on 15 x 5

a.Intestinal stomas

b.Post operative pain management

c.Management of Gastric cancer

d.Management of local recurrence of rectal Ca

e.Botulinum toxin in GI disorders

Paper 4

1.Endoscopic ultrasound

2.Abdominal compartment syndrome

3.Surgical anatomy of liver and its application in liver surgery

4.Management of DIC

5.Blood substitutes and their uses

6.Tumour markers

7.Toxic thyroid nodule

8.Management of burns wound

9.Immunosuppressants

10.Hand spaces

2003-

Paper 1

1.Describe the management of colorectal Ca with special emphasis on recent advances 25

2. Write short notes on 15 x 5

a.Psuedopancreatic cyst

b.Sentinal lymph node biopsy

c.Diabetic foot

d.ESWL

e.Myocutaneous flap

Paper 2

1.Discuss the management of Anaerobic infections in surgical practice 25

2.Write short notes on 15 x 5

a.Role of imaging techniques in Breast cancer

b.Colostomy and management of its complications

c.GIST

d.Management of splenic trauma

e.Role of endoscopic treatment in surgical jaundice

Paper 3

1.Describe the clinical features investigations & management of neonate with TOF with oesophageal atresia 25

2 Write short notes on 15 x 5

a.Uretero vesical reflux

b.Intussuception

c.SDH

d.Use of staplers in surgery

e.Carcinoid tumours

Paper 4

1.Pathophysiology of septic shock

2.Breast conservation surgery

3.Surgical anatomy of hiatus and antireflux procedures

4.MRI

5.Aetiopathogenesis of varicose ulcer

6.Early gastric cancer

7.Parenteral nutrition

8.Stents and surgery

9.Palmar space infections

10.Meckels diverticulum

2002-DECEMBER

Paper 1

1.Discuss the diagnosis and management of acute abdomen of surgical origin 25

2.Write short notes on 15 x 5

a.ATLS

b.Breast conserving surgery-indications and approach

c.Imaging techniques in SOL of liver

plications of GERD

e.Choledochal cyst-diagnosis and treatment

Paper 2

1.Discuss the aetiology,diagnosis and management of lower GI bleeding 25

2.Write short notes on 15 x 5

a.Day care surgery

b.Tumour markers

c.Nosocomial infections

d.Post gastrectomy syndromes

e.Post operative pain management

Paper 3- not available

Paper 4

1.Discuss the evaluation and management of acute appendicitis with special reference to advanced age,pregnancy and immune compromised state 25

2.Write short notes on 15 x 5

a.Cryptorchidism

b.Short bowel syndrome

c.Osteogenic sarcoma

d.Thyroglossal cyst

e.Pharyngo-oesophageal diverticulum

2002-JUNE

Paper 1

1.Discuss the differential diagnosis of haematemesis in a 40 yr old male. Discuss the indications and surgical treatment of PHT 25

2.Write short notes on 15 x 5

a.Intra operative monitoring in surgical patients

plications of thyroid surgery-evaluation and treatment

c.Sentinal node biopsy-indications and methods

d.HIV-universal precautions and post exposure prophylaxis

e.Imaging techniques in the evaluations of GI malignancy

Paper 2

1.Discuss the causes of Benign bile duct strictures and their management 25

2.Write short notes on 15 x 5

a.Pancreatic necrosis in acute pancreatitis

b.TME

c.Role of preoperative biliary drainage in surgical obstructive jaundice

d.Adjuvant therapy in colorectal cancer

e.Hydradenitis suppurativa

Paper 3

1.Discuss the role of laparascopic surgery in the management of GI malignancies 25

2.Write short notes on 15 x 5

a.Non epithelial tumours of the stomach

b.Tetany

c.Thymoma

d.H.Pylori

e.Pilonidal sinus

Paper 4

1.Describe the lymphatic drainage of the breast and discuss the treatment of Ca Breast stage T2 N1 M0 25

2.Write short notes on 15 x 5

a.TPN

b.Islet cell tumours of the pancreas

c.Acalculous cholecystitis

d.Meningo amputations

e.Syme’s amputation

2001-DECEMBER

Paper 1

1.Discuss the aetiopathogenesis,diagnosis and prognostic factors in acute pancreatitis

2.Write short notes on

a.Anatomy of anal sphincters

b.Antibiotic prophylaxis in surgery

c.Intestinal stomas

d.Diagnostic approaches in biliary obstruction

e.Prognostic factors in Ca Breast

Paper 2

1.Discuss the indications for splenectomy.Describe the technique of splenectomy and the post operative complications

2.Write short notes on

a.Secondary lymphoedema

b.Seminoma

c.PSA

d.Linitis plastica

e.Treatment and outcome of locally advanced rectal cancer

Paper 3

1.Discuss the aetiology, diagnosis and treatment of papillary Ca thyroid

2.Write short notes on

a.Richters hernia

b.Haematocoele

c.Diagnosis and managment of non palpable breast tumour

d.Warthins tumour

e.Psuedopancreatic cyst

Paper 4

1.Discuss the evaluation and management of a patient with head injury

2.Write a short note on

a.Brain death and organ donation

b.Post mastectomy breast reconstruction

c.Obscure GI haemorrhage

d.Thoracic outlet syndrome

e.Solitary rectal ulcer syndrome

2001-JUNE

Paper 1

1.Discuss the aetiopathogenesis, diagnosis and treatment of Beurger’s disease

2.Write short notes on

a.Sclerotherapy

b.Suture materials

c.Mammography

d.Pigmented malignant lesions of the skin

e.Entral fistulae

Paper 2 - not available

Paper 3 - not available

Paper 4

1.Describe the pathophysiology of intestinal obstruction. Write in brief the causes and management of acute intestinal obstruction in new born

2.Write short notes

a.Sacro coccygeal teratoma

b.Flail chest

c.Polycystic kidney

d.Tropical liver abscess

e.Hypospadiasis

2000-DECEMBER

Paper 1

1.Discuss the pathology, diagnosis and management of intestinal and abdominal tuberculosis

2. Write short notes on

a.3rd degreee haemorrhoids

b.Radiation entero-proctocolitis

c.Non epithelial malignant tumours of the stomach

d.Differential diagnosis and management of acute appendicitis in infancy

e.Dehiscence of laparotomy wound

Paper 2

1.Classify acute intestinal obstruction.Discuss the management of acute sigmoid volvulus

2.Write short notes on

a.Branchial cyst

plications of pneumoperitoneum for laparoscopic surgery

c.Dentigerous cysts

d.Role fo breast preserving surgery in carcinoma breast

e.Flail chest

Paper 3

1.Enumerate the causes of surgical obstructive jaundice and discuss the management of benign obstructive jaundice

2.Write short notes on

a.Parathyroid adenoma

b.PCNL

c.Femoral hernia

d.Imperfect descent of testis

e.Congenital urethral valve

Paper 4

1.Describe development of thyroid gland and physiological cycle of thyroxine synthesis.Write in brief treatment of medullary Ca of thyroid gland

2.Write short notes on

a.Biochemical aberrations in hepatic metastases

b.Therapy to prevent graft rejection in renal transplant

c.Synthetic absorbable suture

d.Oncogene

e.Pathology of malignant melanoma

2000-JUNE

Paper 1

1.Describe clinical work up and management of 15yrs old male with blunt injury abdomen having tenderness and guarding in LHC

2.Write short notes on

a.Benign biliary stricture

b.Malignant tumours of small bowel

c.GUTB in male

d.Hormonal therapy in Ca Breast

e.Toxic megacolon

Paper 2

1.Discuss the management of surgical complications of chronic pancreatitis

2.Write short notes on

a.Preoperative bowel preparations

b.Medical management of BPH

c.Cystic hygroma

plications of highly selective vagotomy

e.GCS

Paper 3

1.Discuss the DD and management of non variceal upper GI bleed

2.Write short notes on

a.Solitary hydatid cyst of lung

b.Urachal cyst

c.Depressed fracture frontal region

d.Thrombo-arterectomy for peripheral vessels

e.Benign breast disease

Paper 4

1.Describe the anatomy of anorectal junction.Briefly discuss management of ca at this level

2.Write short notes on

a.Polycystic kidney disease

b.Cystosarcoma phyllodes

c.Massive blood transfusion

d.Lingual thyroid

e.Collar stud abscess

1999-DECEMBER

Paper 1

1.Discuss the indications of blood transfusion,blood products and blood substitutes.Briefly describe the important complications

2.Write short notes on

a.NSV

b.Secondary nerve repair

c.Sclerotherapy in bleeding oesophageal varices

d.RCC

e.Ano rectal malformations

Paper 2

1.Classify testicular tumours.Describe the clinical features,diagnosis and treatment of testicular seminoma

2.Write short notes on

plications of thyroidectomy

b.Amoebic liver abscess

c.Duodenal fistula

d.Spinal bifida

e.Lymphoedema

Paper 3

1.Describe the aetiopathogenesis and management of bilateral renal calculi

2.Write short notes on

a.Prevention of DVT

b.Congenital hydrocephalus

c.Penile ulcer in an old man

d.Pigmented naevi

e.Gastroschisis

Paper 4

1.Describe the surgical anatomy of liver and outline the diagnostic investigations for a SOL in liver

2.Write short notes on

a.Antibiotic prophylaxis in surgery

b.Intra operative monitoring in surgical patients

c.Tumour markers

d.Polycystic kidney

e.Cervical rib syndrome

1999-JUNE

Paper 1

1.Discuss the diagnosis, scoring and management of acute head injury

2.Write short notes on

a.Surgical risk in AIDS patient

b.Pyonephrosis

c.Chordee

d.Pseudo pancreatic cyst

e.Hyperalimentation in surgery

Paper 2

1.Enumerate the causes of upper GI bleeding,Discuss the management of bleeding oesophageal varices

2.Write short notes on

a.Cervical rib

b.Occular manifestations of Grave’s disease

plications of varicose veing of lower limb

d.Management of diabetic foot

e.Dumping syndrome

Paper 3

1.Describe the management of therma burns 20% of body surface in a young adult

2.Write short notes on

a.Male infertility

b.Meconium ileus

c.Pulmonary embolism

d.Choledochal cyst

e.Hemangioma

Paper 4

1.Describe the mechanism of thyroxine synthesis and its control.Add a brief note about role of thyroxine therapy in treatment of thyroid malignancy

2.Write short notes

a.Pelvic kidney

b.PPI

c.Dentate line

d.Dukes staging for Ca Rectum

e.Porcelain GB

1998-DECEMBER

Paper 1

1.Discuss the diagnosis of GI bleed in a 50yr old patient

2.Write short notes on

a.Management of oesophageal perforation following instrumentation

plications of Lap Chole

c.Late sequelae of surgery for peptic ulcer

d.Brain death and organ donation

e.DVT

Paper 2

1.Describe the diagnosis and management of toxic nodular goitre

2.Write short notes on

a.Mixed parotid tumour

b.Venous ulcer

c.Haemobilia

d.Blood stained discharge from nipple

e.Non operative management of haemorrhoids

Paper 3

1.Describe the staging of Ca Prostate based on TNM.Discuss the rationale of treatment based on staging

2.Write short notes on

a.Thyroid function tests and their significance

b.Indication and results of CABG

c.Ectopia vesicae

d.Hydatid cyst of liver

e.Primary spinal cord tumours,classification and diagnostic tests

Paper 4

1.Describe the development and descent of testis.Briefly discuss the complications that may follow aberrations in normal descent

2.Write short notes on

a.Diagnosis of phaeochromocytoma

b.DIC

c.Pulp space infection of terminal phalanx

d.Annular pancreas

e.ARDS

1998-JUNE

Paper 1

1.Define and classify shock.Describe the circulatory pathophysiology of hypovolaemic shock.

2.

a.Enumerate the prognostic evaluation factors in acute pancreatitis

b.Preoperative evaluation and planning for surgery for solitary nodule thyroid

c.Staging of Gastric carcinoma

d.Management of variceal bleeding in a patient with cirrhosis

e.Encysted hydrocoele of the cord

Paper 2

1.Discuss the surgical techniques available for the treatment of prolapse rectum

2.Write short notes

a.Carotid body tumour

b.Cystosarcoma phyllodes

c.Raynaud’s phenomena

d.End iliostomy

e.Sliding inguinal hernia

Paper 3

1.Describe the classification of clinical types of thyrotoxicosis and management of primary thyrotoxicosis in a 20yr old female

2.Write short notes

a.Neurogenic incontinence

b.Collar stud abscess\

c.Laser treatment of BPH

d.Staging of testicular tumours

e.Rupture urethra

Paper 4

1.Describe the mode of spread of the following tumours

a)Breast Ca

b)TCC of renal pelvis

2.Write short notes on

a.Mechanism of antibiotic resistance

b.Auto immune thyroiditis

c.Argentiffinoma

d.Proton pump

e.T cells

1997-DECEMBER

Paper 1

1.A 35yr old female presented with a bilaterally symmetrical swelling of the thyroid.Describe the clinical and diagnostic methods you will adopt to arrive at a diagnosis.

2.Write short notes

a.Paraumblical hernia

b.Tumour suppressor genes

c.Plasma expanders

d.Peritoneal tuberculosis

e.Management of advanced prostate cancer

Paper 2

1.Describe the local and systemic changes which take place following strangulation of small bowel in an inguinal herna.Briefly outline your management of such a case

2.Write short notes on

a.Surgical anatomy of palmar space

b.Cardiac tamponade

c.Hydrocephalus

d.Management of residual stones in CBD

e.Subphrenic abscess

Paper 3

1.Describe briefly the management of lymph node metastases in papillary carcinoma of thyroid

2.Flail chest

3.Thoracic outlet obstruction

4.Management of depressed fracture of skull

5.Hypospadiasis

6.DIC

7.Appendicular abscess

8.Afferent loop syndrome after GJ

9.Thyroid storm

10.Rodent ulcer

Paper 4

1.Segmental anatomy of liver

2.LFT’s

3.PSA

4.Prognostication factors in thyroid ca

5.Venous drainage of lower limbs

6.Pathology of RCC

7.Adamantinoma

8.Embryology of testicular descent

plications of massive blood transfusion

10.Tamoxifen

1997-JUNE

Paper 1

1.Describe how will you manage a 30yr old make presenting with Soft tissue sarcoma of the front of the thigh

2.Write short notes on

a.Tension pneumothorax

b.ERCP

c.Madura foot

d.Undescended testes

e.Liposuction

Paper 2

1.Describe the causes, clinical features and management of hyperparathyroidism

2.Write short notes on

a.Odontomes

b.Argentaffinoma

c.MRI

d.Management of Achalasia cardia

e.Mesenteric artery occlusion

Paper 3

1.Adjuvant therapy for Ca Colon

2.Precancerous lesion of urinary bladder

3.Prognostication factors in acute pancreatitis

plications of Lap Chole

5.A child has accidentally swallowed sulphuric acid.How will you manage the patient in emergency

6.Hashimoto’s thyroiditis

7.Management of mastalgia in a young female

8.Cystic hygroma

9.Management of mastalgia in a yound female

10.Polycystic kidney

Paper 4

1.Discuss nutritional support in surgical patient

2.Write short notes on

a.Antibiotic prophylaxis in surgery

b.Surgical anatomy of hand spaces

c.Pathology of parotid neoplasms

d.Life cycle of E.granulosus

e.Mid gut rotation and its surgical importance

1996-DECEMBER

Paper 1.

1.Discuss the role of non resectional procedures for treatment of Ca Oesophagus

2.Write short notes on

a.Indications for liver transplant

b.Antenatal diagnosis of congenital defects

c.Screening for Ca Breast

d.Adamantinoma

e.Insulinoma

Paper 2

1.Discuss the diagnosis, staging, and treatment of soft tissue sarcoma

2.Write short notes on

a.Prognostic factors in acute pancreatitis

b.Conservative surgery for Ca Breast

c.Post operative complications of thyroidectomy

d.Intussuception

e.Cervical rib

Paper 3

1.Management of meningomyelocoele

2.Aetiopathogenesis of varicose ulcers

3.Blood supply of neck of femur and its importance

4.Non surgical management of BPH .

5.Management of pulmonary hydatid cyst

6.Management of ureteric stone in lower third of ureter

7.Post mastectomy breast reconstruction

8.Management of choledochal cyst in a child of 10yrs

9.Clinical evaluation of a head injury patient

10.Pre malignant lesions of the colon and rectum

Paper 4

1.The anatomy of femoral triangle with reference to inguinal block dissection

2.The physiology of acid secretion by parietal cells

3.the clinical staging of Hodgkins lymphoma

4.Curvosiers law

plications of TPN

6.Hyponatremia

7.Segmental anatomy of liver

8.Physiology of thyroxine synthesis and mode of action of carbimazole

9.Grading and staging of malignant melanoma

10. Staging of seminoma testis

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