DNB General surgery question bank

DNB SURGERY RECENT QUESTIONS 2000-2009

WATER AND ELECTROLYTES

Define buffer ? Describe the management of metabolic acidosis ? D-09
Causes and treatment of Metabolic Acidosis. ? Dec 2008
Describe the fluid and electrolyte physiology after major injury. June 2004
Outline clinical feature of Acidosis, describe the deranged parameters on blood gas examination to support diagnosis of metabolic acidosis, and its management. Dec 2004

Methods to measure blood loss in surgical practice? June 2009
What is Massive Blood Transfusion? What are its effects on the body? Dec 2008
What are the different Blood products? How are they manufactured, discuss their Indications? Dec 2008
Pathophysiology and treatment of DIC . June 2004
Surgical treatment of ITP? June 2009
Complications of Invasive Blood Transfusion ? June 2008
Risks of Blood transfusions, metabolic changes following massive transfusions, blood substitutes and alternatives to transfusion. Dec 2006
Physiologic changes that occur in blood stored at 4C Ju ne 2006
Fat embolism syndrome. June2003
Blood substitutes and its uses. June 2004, June 2003.
Massive blood transfusion. Dec 200

Nutitional assessment of a surgical patient. D-09
Various parameters to assess the nutritional status of surgical patient ? June 2008
Nutritional assessment in Cancer patient ? Dec 2007
What are the Indications of Total Parentral Nutrition?
Calculate the nutritional requirements of 70kg male with duodenal fistula with sepsis? June 2007
Enumerate the metabolic effect of starvation and discuss the physiological disturbances that occur in severe sepsis ? ? June 2006
What are the aims of nutritional assessment? Describe the methods of nutritional assessment in surgical patient? June 2006
What are the indications for TPN. Its constituents. Methods of delivery of TPN. Complications of TPN. Dec 2004
TPN. June 2003 , Dec 2003,June 2002

BURNS

Management of 40 yrs old male weighing 60 kg with flash burns of the face and chest. D-09
Management of Young Male with 40% Superficial Thermal Burns June 2008
Classify burns. What are the synthetic and biologic dressings for burns, fluid restriction for a patient with burns. Dec 2006
Pathophysiology of burn shock and fluid resuscitation of a burnt patient ? ? June 2006
Fluid and electrolyte management of burns. Dec 2004
Management of burns wound. June 2004

METABOLIC RESPONSE TO INJURY

Mechanism of SIRS. June 2009
What is Septic Shock? Outline its Pathophysiology? Dec 2008
Discuss Management of Hemorrhagic Shock? Dec 2008
Describe Pathophysiology of SIRS? Dec 2008
PathoPhysiology of Septicemic Shock ? June 2008
Clinical features, Principles of Management of Septicemic Shock ? June 2007
Discuss Multiple organ dysfunction failure. June 2005
Define SIRS, clinical profile of SIRS, what is sepsis, Outline of management of septic shock. Dec 2004
Metabolic response to trauma. June 2003
Pathophysiology of Septic shock. Dec 2000

Classify Operative Wounds? Discuss the Principles of Prophylactic Antibiotics in Surgery? Dec 2008
Antibiotics prophylaxis in surgery ? June 2008
What are Universal Precautions in AIDS ? Dec 2007
Diagnosis, prevention and treatment of Gossypoma Dec 2007
Wound Healing and various factors affecting it ? Dec 2007
Prophylactic Antibiotics in Surgery. June 2007
Classification of wounds. What are the factors affecting wound healing . Management of facial injury following RTA. Dec 2005
Classification of wounds and role of prophylactic antibiotics. Dec 2004
Factors affecting wound healing . June 2003.
. Antibiotic prophylaxis in Surgery . Dec 2001

INFECTIONS

Hidradenitis suppurativa. D-09
Necrotizing Fascitis? June 2009
Common organisms causing Gas gangrene. Clinical features in a patient with GG. How will you treat a patient with GG of lower limb extending on to the abdominal wall . June 2005
Discuss the management of anaerobic infection in surgical practice. Dec 2003
Hydradenitis suppurativa. June 2002
Tetany. June 2002
Common organisms that cause Gas Gangrene. Clinical features in a patient with GG. How will u treat a patient with GG involving lower limb extending on to the abdominal wall. Dec 2002

Universal Precautions ? June 2008
Outline the transmission of HIV/AIDS, Universal precautions, Prophylaxis following accidental exposure. Dec 2004
Surgery and HIV . June 2003
HIV universal precautions and post exposure prophylaxis. June 2002
Universal precautions and Post exposure prophylaxis. Dec 2002

Role of endoscopic ultrasound in the investigation of esophageal and rectal malignancy. D-09
Differentiate of DTPA and DMSA? June 2009
Therepeutic uses of USG Dec 2007
MRI. Dec 2003

Video Assisted Thorocoscopic Surgery ? June 2008
Principles of Laparascopy . June 2005
Endoscopic ultrasound. June 2004
Sclerotherapy. June 2001

MISCELLANEOUS- GENERAL

Discuss Various essential requirements to establish Minor OT ? Dec 2007
Surgical Audit. Dec 2006
Day care Surgery ? Dec 2005
Methods of sterilization of operative management . June 2005
Objective and scope of daycare surgery. June 2003
Stents and surgery. Dec 2003
Intra operative monitoring in surgical patients. June 2002
Advances in drug delivery systems. Dec 2002
Suture materials. June 2001
Synthetic absorbable suture material. June 2000

Meningo amputation. June 2002
Syme s amputation. June 2002

TRAUMA

Management of a 25 yrs old man with extradural haemorrhage. D-09
Depressed fracture frontal region. Dec 2000
Differentiate between Primary and Secondary Brain injury ? June 2009
Discuss the evaluation, management of patient with Head Injury. June 2000

Triangles of neck with reference to trauma zone. D-09
Management of Thoracic duct injury following Radical Neck Dissection ? June 2008
Zone based algorithm for management of penetrating injuries to anterior neck ? ? June 2006

What is tension Pneumothorax? Causes, Management? Dec 2008
Pathophysiology, features and management of tension Pneumothorax ? Dec 2007
Define flail chest .Briefly describe the management of a 45 yr old smoker with flail involving eight ribs . June 2006
Flail chest. Dec 2004 , June 2001, June 2000

Scoring systems to assess the severity of injury in Trauma victim ? June 2008
Write a brief note on damage control study. June 2005
Glasgow Coma Scale. Dec 2004, Dec 2000
Explosive blast injury. Dec 2002

Role of DPL in the management of blunt abdominal injury. D-09
Initial management of blunt trauma abdomen ? Dec 2005
Traumatic retro peritoneal hematoma. Dec 2001
Diagnostic peritoneal lavage. Dec 2004
Discuss the diagnosis and management of Blunt abdominal trauma. June 2003
Traumatic hemoperitoneum . Dec 2002
Describe the clinical work up and management of 15 yrs old male with blunt injury abdomen having tenderness and guarding in left hypochondrium. Dec 2000

ANAESTHESIA & PAIN MANAGEMENT

PostOperative pain .Analgesia ladder. ? June 2009
Treatment of pain in advanced malignancy patients? Dec 2008
Management of postoperative pain. Dec 2006
Technique and complications of Epidural Anaesthesia ? ? June 2006
Ketamine ? ? June 2006
How is neuromuscular blockade achieved. Name the common local anaesthetic used. Describe various local anaesthetics. Dec 2005
Pain control in malignant disease. June 2005
Epidural analgesia June 2005
Post operative management. June 2004
Botulinum toxin in surgical practice. June 2004

Sentinel lymph node biopsy . D-09
Principles and indications of radio frequency ablation of neoplasm. D-09
Tumor lysis syndrome. D-09
What are tumor markers? Discuss the Clinical Applications? Dec 2008
Discuss the care of a terminal cancer patient ? Dec 2008
Classify Chemotherapeutic Agents ,Advantages of combination chemotherapy? Dec 2008
Tumor markers and the role in management of Cancer patients? June 2008
Radiofrequency Ablation in management in malignant tumors? June 2007
Discuss the principles of radiotherapy ? Dec 2005
Tumor markers . June 2004
Oncogenes. June 2000

Describe the differences between cadeveric and live donor liver transplantation. D-09
Indication of Renal Transplantation. Types of Graft Rejection. June 2009
Small bowel transplantation ? Dec 2005
Types of graft rejection. Mention any 3 drugs used for immunosupression and their complications. Clinical testing for Brain Stem Death. June 2005
Immunosuppresants. June 2004
Infections in immunocompromised patients. Dec 2004
Role of HLA antigens in organ transplantation. June 2003
Immuno suppressive agents. Dec 2002
Brain death and organ donation. June 2001
Therapy to prevent graft rejection in renal transplant. June 2000

SKIN & SUBCUTANEOUS TISSUE

Basal cell Carcinoma. Types, pathology, management? June 2009
Marjolin s Ulcer and its management ? June 2008
Discuss the prognostic factors and Surgical strategy in malignant melanoma. June 2007
Prognostic factors of malignant melanoma . Histopathological types of cutaneous melanoma. Systemic treatment of melanoma. Dec 2006
Actinomycosis. June 2004
Staging of Melanoma Skin. Dec 2004
Pigmented malignant lesions of Skin. June 2001
Pathology of Malignant Melanoma. June 2000

HEAD & NECK

Clinical features and management of sub mucous fibrosis. D-09
Management of a patient with suspected carotd tumor. D-09
Management of Thymoma. D-09
Carotid body tumor? CF, Diagnosis, Management? June 2009
What is Selective Neck Dissection? Discuss its types, basis and complications? Dec 2008
Premalignant oral lesions ? Dec 2007
Levels of Neck nodes . Mention various neck dissections ? Dec 2007
Pathology , Features and management of carotid body tumor ? Dec 2007
What are the premalignant conditions of oral cavity .Describe the staging of oral cancer? June 2007
What are the cervical lymph node levels. Describe the pattern of spread of lymph node metastasis in head and neck cancer. Surgical management of cervical node metastasis for head and neck cancer. Dec 2006
Diagnosis and management of occult primary tumours of head and neck with cervical secondaries. Dec 2005
Branchial Fistula . June 2005
Cystic hygroma. Dec 2004
Odantomas of Jaw. June 2004
Thymoma. June 2002
Cervical Sympathectomy. Dec 2002
Tracheostomy. Dec 2002
Branchial cyst. June 2000
Dentigerous Cyst. June 2000
Cystic Hygroma . Dec 2000
Collar stud abscess. Dec 2000

SALIVARY GLANDS

Enumerate low and high grade parotid tumors . Describve the management of high grade parotid tumor presenting with facial palsy. D-09
Low Grade and High Grade Parotid tumors? Treatment of high grade tumors? June 2009
Anatomy of Facial Nerve. Course and Variations? June 2009
Classify Salivary Gland Tumors? Management of Pleomorphic Adenoma? Dec 2008
Anatomical landmarks of Facial Nerve Identification during Parotid Surgery? June 2008
Frey s Syndrome ? Dec 2007
Classify salivary gland tumours. Discuss the management of Pleomorphic adenoma of Parotid gland . June 2006
Salivary gland calculi ? Dec 2005
Anatomy of parotid gland and its relation to facial nerve. Methods of identifying facial nerve during surgery. complications following injury to facial nerve and corrective measures. June 2005
Acute parotitis. June 2004
Warthin’s tumor. June 2001

Classification of mediastinal neoplasms . Dec 2006
Boundaries of thoracic inlet and clinical features of cervical rib ? June 2006
Anatomy of mediastinum .Management of primary mediastinal tumor in anterior mediastinum. Dec 2005
Solitary pulmonary nodule . June 2005
Oncological emergencies. Dec 2002
Thoracic outlet syndrome . June 2001

7Solitary Hydatid cyst of lung . Dec 2000

8 clinical features and management of Thymoma

1. Role of hormonal therapy in breast cancer. D-09
2. What are the basic requirements for Cancer screening? Describe the methods of breast screening, advantages and disadvantages? Dec 2008
3. Ductal Carcinoma in Situ? June 2009
4. Modalities of Breast Imaging? June 2009
5. Discuss the Various flaps in Breast Reconstructions? Dec 2008
6. Triple Assessment ? June 2008
7. Management of ‘Locally Advanced Breast Cancer ‘?June 2008
8. Anatomical Boundaries of axillary dissection. June 2008
9. Pathology,CFeatures,Management of Duct ectasia of Breast ? Dec 2007
10. Prognostic factors in Ca.Breast ? Dec 2007
11. Approach to locally advanced breast cancer ? Dec 2007
12. Lymphatic drainage of Breast .Sentinel lymph node biopsy ? Dec 2007
13. Briefly discuss the role of Breast conservative surgery in patient with Carcinoma Breast. June 2007
14. Diagnosis and management of non palpable breast lesion . Dec 2006
15. Define Gynaecomastia .Briefly describe its etiology and management . June 2006
16. Principle,techniques and role of sentinel lymph node biopsy in management of carcinoma breast . June 2006
17. Discuss the anatomical basis of various clinical features of carcinoma breast and also enumerate the structures removed in various types of Mastectomies. ? June 2006
18. Discuss phyloddes tumour. June 2005
19. Describe lymphatic drainage of breast. What is Sentinel node. How is sentinel node biopsy done. June 2005
20. Breast conservative surgery . Dec 2004
21. Sentinel lymphnode biopsy in Breast cancer. June 2003
22. Sentinel lymph node biopsy. Dec 2003
23. Role of imaging techniques in Breast cancer. Dec 2003
24. Breast conservation surgery. Dec 2003
25. Sentinel node biopsy – indication and methods. June 2002
26. Describe the lymphatic drainage of breast and discuss the treatment of Ca.Breast T2N1M0 June 2002
27. Mammography. June 2001
28. Diagnosis and management of non-palpable breast tumor. June 2001
29. Post mastectomy breast reconstruction. June 2001
30. Prognostic factors in Breast cancer. Dec 2001
31. Role of Breast preserving surgery in Carcinoma Breast. June 2000
32. Hormonal therapy . Dec 2000
33. Benign Breast Disease . Dec 2000
34. Cystosarcoma Phylloides. Dec 2000

Describe blood suppy of thyroid glnd . What are the intra operative complications of total thyroidectomy. D-09
Role of radio iodine in the management of thyroid disorders. D-09
Management of Solitary Nodule Thyroid? Dec 2008
Describe Surgical Anatomy of Recurrent Laryngeal Nerve and how will it get injured. Dec 2008
Management of Thyroid Incidentoloma ? Dec 2007
Nerve injuries in Thyroid surgery ? Dec 2007
Discuss staging and management of well differentiated thyroid cancers. June 2007
Management of follicular carcinoma of thyroid . Dec 2006
Management of Primary thyrotoxicosis. ? June 2006
Thyroid storm . Dec 2005
Medullary thyroid carcinoma . June 2005
What are the common drugs used for treating thyrotoxicosis. How will u prepare a patient with thyrotoxicosis for surgery. describe operations done for surgery. June 2005
Toxic thyroid nodule . June 2004
Management of retrosternal goiter. Dec 2004
Solitary toxic nodule thyroid. June 2003
Treatment of grave’s disease. June 2003
Complications of thyroid surgery . evaluation and treatment. June 2002
Management of toxic thyroid nodule. Dec 2002
What are the common drugs used in treating thyrotoxicosis. How will u prepare a patient with thyrotoxicosis for surgery. Operations done for thyrotoxicosis. How will u manage Thyroid crisis. Dec 2002
Etiology, Diagnosis and treatment of Papillary Carcinoma Thyroid. June 2001
Describe the development of Thyroid Gland and physiological cycle of thyroxine synthesis . Write in brief treatment of Medullary Carcinoma thyroid. June 2000
Lingual thyroid. Dec 2000

PARA THYROID

Management of a 20 yrs old girl with suspected hyper parathyroidism ? D-09
Management of 30 yr old patient with Hyperthyroidism? June 2008
Investigations used for localization of parathyroid adenoma. ? Dec 2006
How would you investigate a patient with suspected hyperparathyroidism ? June 2006
Clinical manifestation of primary hyperparathyroidism . Dec 2005
Parathyroid adenoma . June 2000

Pre operative management of patient with Phaeochromocytoma. D-09
Discuss the etiopathology, Cf, Investigations and Treatment of Pheochromocytoma? Dec 2008
Describe the investigative workup of a patient with pheochromocytoma. ? June 2007
Management of a patient with Incidentaloma of adrenal gland ? June 2006
Diagnosis and treatment of Pheochromocytoma ? Dec 2005
Incidental adrenal mass. Dec 2005

Biochemical diagnosis of cushings syndrome. Clinical features of CS. Surgical approach to adrenal gland. June 2005

Biochemical diagnosis of Cushings syndrome. Clinical features of Cushings syndrome. Surgical approaches to adrenal gland. Dec 2002

PLASTIC SURGERY

Classify skin flaps. D-09
Name the various types of Skin Grafts. How do they survive? How will u minimize failure of such Grafts? Dec 2008
Classify Skin grafts. June 2007
Hand spaces. June 2004
Hand space infections. June 2003.
Myocutaneous flaps. Dec 2003
Palmar space infections. Dec 2003

Management of Hydrocephalus? June 2009
Pathophysiology of Obstructive Hydrocephalus. June 2009
Etiology, Management of Hydrocephalus ? Dec 2007
Discuss the role of Carotid endarterectomy in Prevention of Strokes. June 2007
Hydrocephalus. Dec 2005
EDH . June 2004
Intracranial Hematomas . June 2003.
Subdural Hematoma. Dec 2003
Hydrocephalus. Dec 2002

10.Differentiate between primary head injury and secondary head injury

ARTERAL

Critical limb ischemia . D-09
Outline the principles of Management of Diabetic Foot? Dec 2008
Short note on Vascular Prosthesis? Dec 2008
Lumbar Sympathectomy in Ischemic limb ? ? June 2006
PathoPhysiology and Management of Diabetic foot ? June 2008
Management of a 25yr old lady with chronic ischemia of upper limb ? June 2008
Pathology , Management of Diabetic Gangrene ? Dec 2007
Clinical features of Buergers Disease ? Dec 2007
Etiopathogenesis and management of Diabetic foot? June 2007
Classify Aneurysms. Enumerate the clinical features of post traumatic femoral aneurysm? June 2007
Drugs used in type 1 and type 2 Diabetes Mellitus. Clinical features in Diabetic ketoacidosis. Management of Diabetic foot with critical ischemia. Dec 2005

Surgery in beurger’s disease. Dec 2004
Describe the causes , investigations and management of Critical limb ischemia. June 2003
Diabetic foot. Dec 2003
Vascular trauma. Investigations and management. Dec 2002
Infrarenal aortic aneurysm . Dec 2001

Etiology, diagnosis and treatment of Buerger’s disease. June 2001
Thrombo arterectomy for peripheral vessels . Dec 2000

Management of 30 yrs old lady with post partum DVT? D-09
Draw the anatomy of femoral canal and femoral triangle. Describe the branches ligating during trendelenburg procedure. D-09
Discuss the prophylaxis and treatment of DVT? Dec 2008
Prophylaxis and Management of DVT ? June 2008
Venous drainage of lower limb . Management outlines of Varicose Veins ? Dec 2007
Venous drainage of lower limb . Management outlines of Varicose Veins ? Dec 2007
Management of Varicose veins. June 2007
Management of recurrent varicose veins. Dec 2006
Management of DVT. Dec 2006
Treatment of IleoFemoral DVT ? ? June 2006
Describe the venous drainage of lower limbs with help of a diagram and factors responsible for development of venous ulcer ? ? June 2006
Management of DVT ? Dec 2005
Anatomy of venous drainage of lower limb. Mention complications of varicose veins. Describe operations done for varicose veins. June 2005
What are the factors contributing to development of DVT. Clinical features suggestive of DVT and its possible complications. Methods to establish diagnosis of DVT. Management of DVT .Dec 2004
Venous ulcer. June 2003
Etiopathogenesis of varicose ulcer. Dec 2003
Anatomy of venous drainage of lower limb. Complications of varicose veins. Operations done for the varicose veins. Dec 2002
Use of Intravenous filters in fluid management of critically ill patients. Dec 2001

LYMPATIC

Draw the capillary fluid exchange at tissue level. Describe the mechanism of edema formation. D-09
Describe the classification of Lymphoma? June 2007
Management of lymphodema lower limb . June 2005
Lymphodema leg. Dec 2002
Secondary lymphodema. Dec 2001

Management of a 15 years old child with hydronephrosis due to UPJ obstructions. D-09
Write a note on Perinephric Abscess
Briefly discuss the causes and management of unilateral hydronephrosis. June 2007
Management of hematuria in an elderly male. Dec 2006
Squamous cell carcinoma of Kidney ? Dec 2005
Neoplasms of Kidney . June 2005
Grading and management of Renal injuries. Dec 2004
Hematocele. June 2001
Polycystic Kidney. June 2001
Genitourinary tuberculosis in male. Dec 2000
Polycystic Kidney . Dec 2000

Role of ESWL in the management of renal stones. D-09
Discuss the treatment options in Renal Stones.? Dec 2008
Management of a 45 yr old man with Stag Horn Calculus in Left Kidney? June 2008
How would you manage a 50 yr old man stag horn calculus in left kidney ? ? June 2006
Etiopathogenesis of Urinary Tract Calculi ? ? June 2006
PCNL. June 2005
ESWL. Dec 2003
Percutaneous nephrolithotomy. June 2000

Discuss the treatment of Ca.Prostate? Dec 2008
Management of Advanced Ca.Prostate ? Dec 2007
Enumerate the indications of surgery for BPH. Briefly outline the management of TURP Syndrome. June 2007
Management of acute retention of urine in a 60yr old male. Dec 2006
Enumerate the complications of TURP .Briefly describe the Pathophysiology and treatment of TURP Syndrome . ? June 2006
TURP Syndrome. Dec 2004
Describe the various drugs used in management of BPH. Side effects of drugs and safety recommendations. Which patients with enlarged prostate are not suitable for medical therapy? Dec 2004
Treatment options in BPH. June 2003.
PSA. Dec 2001
Medical management of BPH. Dec 2000

Invasive bladder carcinoma. June 2003
Ureterovesical reflux. Dec 2003
Describe important causes, clinical features, investigations and management of painless hematuria in a man above 50yrs. Dec 2002

URETHRA/ PENIS

Management of rupture of posterior urethra. D-09
Ca.Penis –CF & Management June 2009
Urethral Injuries in relation to Fracture Pelvis Dec 2007
Congenital urethral valve . June 2004
Hypospadias. June 2001
Congenital Urethral Valve. June 2000

Testicular Torsion – Diagnosis, Treatment? June 2009
How will u diagnose and treat a case of Torsion Testis? Dec 2008
How will u manage a case of Testicular Tumor? Dec 2008

How does Testis develop and descend in to Scrotum?Name the sites of ectopic testis.? Dec 2008
Clinical presentation and management of Wilms Tumor ? June 2008
Fournier’s Gangrene? June 2008
Classification, Investigations, Treatment and follow up of Germ Cell Tumor of Testis Dec 2007
Diagnostic work up for testicular tumor. Dec 2006
Management of unilateral cryptorchidism . Dec 2005
Torsion testis. June 2005
Types of Undescended testis. Complications. Timing of surgery. Treatment options in surgery. June 2005
Torsion Testis. June 2004
Role of retroperitoneal lymph node dissection in testicular tumours. Dec 2004
Fournier’s Gangrene. June 2003
Seminoma. Dec 2001
Imperfect descent of testis. June 2000

GASTRO SURGERY

SEMS. Self Expanding Metallic Stents. June 2003
Staplers in surgery . June 2003.
Role of endoscopic treatment in surgical practice. Dec 2003
Use of staplers in surgery. Dec 2003

ESOPHAGUS

Effects of acid Vs alkali injury on upper GI . Describe the management of such injuries. D-09
Management of a 4yr old lady with Congenital diaphragmatic Hernia ? June 2008
CF and Management of TracheoEsophaeal Fistula? June 2009
TracheoOesophageal Fistula ? June 2008
Etiology, Features, Management of Benign esophageal Strictures ? Dec 2007
Merits and Demerits of various therapeutic options of Achalasia cardia ? June 2006
Discuss the etiology , diagnosis and treatment of Achalasia Cardia . Dec 2005

Describe the clinical features, investigations and management of a neonate with trache oesophageal fistula with oesophageal atresia. Dec 2003

Define Barret’s Esophagus, Discuss its Management? Dec 2008
Management of Barrets Oesophagus ? June 2008
Briefly describe the surgical treatment for GERD. June 2007
Diagnosis and treatment of Barrets oesophagus. Dec 2006
Diaphragmatic hernia ? Dec 2005
Etiology , clinical features and management of gerd . June 2005
Management of GERD. Dec 2004
Surgical anatomy of Hiatus and antireflux procedures. Dec 2003

Management of unresectable cancer of oesophagus. Dec 2006
Describe the mechanism of swallowing . Enumerate the causes of dysphagia and describe the management of Lower third oesophagus carcinoma. June 2003.

GENERAL

Etiopathology, Management of Pyloric Stenosis of Infancy? Dec 2008
Clinical presentation,Management of Cong.Hypertropic Pyloric Stenosis Dec 2007

PEPTIC ULCER

H.Pylori. June 2002
PathoPhysiology and Management of Fluid ,Electrolyte Balance in a patient with GOO? June 2008
Enumerate the common causes of Acute Upper GI bleeding and briefly describe the management of bleeding duodenal ulcer. ? Dec 2005

Discuss late complication following surgery for peptic ulcer. June 2005
Describe the lymphatic drainage of Stomach. What are the different levels of lymphadenectomy in gastrectomy for cancer stomach. Dec 2004

Describe the anatomy of Abdominal Vagus nerve. Different types of vagal innervations. Complications of different types of vagotomy. Dec 2000

Complications of highly selective vagotomy . Dec 2000
Discuss the differential diagnosis and management of non variceal upper GI bleed. Dec 2000

Lymphatic drainage of the stomach. D-09
MALT Lymphomas. Dec 2006
Etiology of Gastric cancer. Dec 2006
GIST . Dec 2006
Post Gastrectomy complication ? Dec 2005
Management of Gastric Carcinoma. June 2004
Early gastric cancer. Dec 2004
Early gastric cancer. Dec 2003
GIST. Dec 2003
Non epithelial tumors of stomach. June 2002
Linitis plastica. Dec 2001
Non epithelial malignant tumors of stomach. June 2000

Describe surgical treatment of Obesity ? Dec 2007
What are the indications of bariatric surgery . discuss the surgical options available today June 2007
What are the indication for bariatric surgery ?Discuss briefly the surgical options. Dec 2006

1. Role of Surgery in Acute Pancreatitis? June 2009
2. Discuss prognostication of Acute Pancreatitis. ? June 2007
3. Surgical Management of patient with Chronic Pancreatitis ? June 2008
4. Ransons Criteria for Prognostication in acute pancreatitis. Dec 2006
5. Management of pancreatic necrosis. Dec 2006
6. Enumerate local complications of Acute pancreatitis. Discuss the management of pancreatic necrosis. ? ? June 2006
7. Surgery in Chronic Pancreatitis . June 2005
8. Management of Pseudocyst of pancreas. Dec 2004
9. Pseudopancreatic cyst. Dec 2003.
10. Pancreatic necrosis in Acute pancreatitis. June 2002
11. Pseudopancreatic cyst. June 2001
12. Discuss the etiopathogenesis , diagnosis and prognostic factors in acute pancreatitis. Dec 2001
13. Discuss the management of surgical complications of chronic pancreatitis. Dec 2000

What is gastrinoma triangle ?. How would you investigate a patient suspected to have gasrtinoma ?. D-09
Outline investigations, treatment of Ca.Head of Pancreas ? Dec 2007
Zollinger Ellison Syndrome ? ? June 2006
Describe briefly the non surgical methods of palliation for advances in pancreatic cancers. ? Dec 2005
Management of Cystic neoplasms of Pancreas. June 2005
Gastrinoma. Dec 2004
Acute pancreatitis. June 2004
Islet cell tumors of pancreas. June 2002
Gastrinoma. Dec 2001

Classify splenic injuries. Describe the changing trends in the management of splenic trauma. D-09
What are the Indications of Splenectomy? Describe Surgical technique of Elective Splenectomy and its Complications? Dec 2008
Complications of Splenectomy ? June 2008
Enumerate complications of Splenectomy . June 2007
Complications of Splenectomy. Dec 2006
Discuss OPSI . ? June 2006
Splenic salvage in children following trauma. ? June 2006
Management of Splenic Injuries . June 2005
Complications of Splenectomy. Dec 2004
Management of Splenic trauma. Dec 2003
Discuss the indications for Splenectomy. Describe the technique of Splenectomy and post operative complications. Dec 2001

Management of Hepatic Hydatid Cyst? June 2009
Name the surgical manifestation of Amoebiasis. Investigations and Management of Liver Abscess ? June 2008
management of amoebic liver Abscess. ? Dec 2008
Couinaud s Segments of Liver and their significance in Management of Liver diseases June 2008
Surgical Anatomy of Liver. Management of Liver Trauma? Dec 2007
Classify liver injuries. Discuss the principles o f operative management of liver trauma. June 2007
Enumerate surgical complications of Amoebiasis. Discuss the management of amoebic liver abscess? June 2007
Describe the diagnosis and treatment of Hydatid cyst of liver. June 2007
Segmental anatomy of liver. Dec 2006
Management of ‘shattered’ liver following blunt abdominal trauma. Dec 2006
Clinical features and treatment of Amoebic liver abscess ? ? June 2006Non operative management of Liver Trauma ? ? June 2006
Discuss the various hepatic segments and also enumerate different types of Hepatic resections ? ? June 2006
Describe briefly the ablational techniques employed in management of Liver tumors. Dec 2005

Diagnosis and management of Hepatic venous outflow obstruction . Dec 2005
Role of Interventional radiology in General Surgery. Interventional radiology procedures in Hepatobiliary surgery. Dec 2005
Life cycle of Echinococcus Granulosus and mode of human infection. What are the scolicidal agents used in hepatic Hydatid disease. Surgical procedures for treatment of hepatic Hydatid disease. Dec 2005
Segmental anatomy of liver . Describe surgical resection of liver tumors. Dec 2005
Discuss the management of amoebic liver abscess. June 2005
Surgical anatomy of liver and its uses in surgery. June 2004
Tropical liver abscess. June 2001
Discuss the recent trends in management of primary liver tumors. Dec 2001
Biochemical aberrations in Hepatic metastasis. June 2000

GALL BLADDER

Classification and Causes of Benign Biliary Strictures .Treatment of post cholecystectomy obstructive jaundice? June 2009
Presentation, Treatment of Ca.Gall Bladder? Dec 2008
Various Anomalies of Biliary System and their Significance during surgery ? June 2008
Discuss briefly Mirrizi s syndrome ? Dec 2007
Classification and Management of Choledochal Cyst Dec 2007
Define Primary common bile duct stones. ? Discuss the management ? June 2007
Management of Bile duct injury discoveries during laparoscopic cholecystectomy? Dec 2006
Management of Secondary Bile duct stones. Dec 2006
Evaluation and management of Biliary Atresia. Dec 2006
Haemobilia. Dec 2006
Classification of choledochal cyst and principles of their management . ? June 2006
Enumerate the common causes of benign Biliary strictures and discuss the management of Biliary stricture following laparascopic cholecystectomy ? Dec 2005
What are limitations of minimal access surgery. What are the general principles of laparascopic surgery . What is calot s triangle. Mention important steps in Lap.Cholecystectomy. Dec 2005
Acute acalculous cholecystitis . June 2005
Etiology ,clinical features and management of Hemobilia ? June 2005

Classification of choledochal cysts. June 2005
Residual Gall stones. Dec 2004
MRC. Magnetic resonance cholangiography. June 2003
Discuss etiology, diagnosis, prevention and management of benign bile duct strictures. Dec 2002
Discuss the causes of benign bile duct strictures and management. June 2002
Acalculous cholecystitis. June 2002
Sphincter of Oddi. Dec 2001
Choledochal cyst. Dec 2001
Benign Biliary stricture. Dec 2000

OBSTRUCTIVE JAUNDICE

Pre operative management of patient with obstructive jaundice DEC 09
Physiologic changes of Obstructive Jaundice? June 2009
PreOperative preparation of patient with obstructive jaundice ? June 2008
Causes and Pre operative preparation of case of Obstructive Jaundice ? Dec 2007
Preoperative management of a patient with obstructive jaundice. June 2007
Role of preoperative biliary drainage for patients with surgical obstructive jaundice. Dec 2006
Preoperative management of patient with obstructive jaundice ?June 2006
Role of preoperative Biliary drainage in surgical obstructive jaundice. June 2002
What are the common liver function tests done for a patient with cirrhosis and portal hypertension. What are CHILDS Criteria . Treatment of Acute variceal bleed in a patient with portal hypertension. Dec 2002
Diagnostic approaches in Biliary obstruction. Dec 2001
Enumerate the causes of Surgical Obstructive Jaundice and discuss the management of Benign Obstructive Jaundice. June 2000

PORTAL HYPERTENSION

Management of 15 yrs old boy with with splenomegaly and upper GI bleed. D-09
Role of portosystemic shunts in management of Portal Hypertension ? June 2008

Describe the basis of Selective and Non Selective shunts in Portal
Hypertension. ? June 2007
Etiopathogenesis of Ascitis and Management of Intractable ascitis. June 2007
Classification and management of Gastric varices. Dec 2006
What are the common liver function tests done in a patient with cirrhosis and portal hypertension. Childs criteria. Treatment of acute variceal bleeding in a patient with variceal bleeding. June 2005
Describe etiology and management of Budd Chiari Syndrome . June 2004
Pathogenesis and management of ascitis in chronic liver disease patient. Dec 2004
Discuss the differential diagnosis of hemetemesis in a 40yr old male. Indications and treatment of portal hypertension. June 2002
Surgical Ascitis. Dec 2002
Hepato Renal syndrome. Dec 2001

Enumerate the subphrenic spaces. Describe the clinical features and management of a case with pelvic collection. D-09
Surgical anatomy of rectus sheath with reference to incisional hernia. D-09
Retroperitoneal Mesenchymal tumors? June 2009
Urachal Cyst . Dec 2000

Anatomy of Inguinal canal with Surgical Prospective. Ju ne 2009
Discuss the anatomy of Inguinal canal relevant to repair of inguinal hernia by open method. Mention the types of hernia repair. Outline complications following hernia repair. Dec 2004
Laparascopic inguinal hernia repair. June 2003
Principles and steps of Laparoscopic hernia repair ? Dec 2007
Strangulated Inguinal hernia. Dec 2002
Richter’s Hernia. June 2001
Femoral Hernia June 2000

SMALL INTESTINE

Mesentery artery occlusion. June 2003

Causes of Lower GI Bleed .Mention localization techniques. Treatment of profuse Hemotochezia? June 2009
Management of patient with Lower GI Bleed ? June 2008
Diagnostic Work up of a patient with Obscure Gastrointestinal Hemorrhage ? June 2007
Diagnosis of obscure GI bleed. Dec 2006
Diagnosis of Obscure GI Hemorrhage. June 2001

Essentials of safe bowel anastomosis? Dec 2007
Describe briefly the role for sentinel lympnode biopsy in GI Cancers . Dec 2005
Factors influencing Gastro intestinal anastomotic healing ? June 2005

BOWEL PREPERATION

Bowel preparation. Advantages and disadvantages? June 2009
Advantages and disadvantages of Preoperative Bowel Preparation ? Dec 2007
Role and techniques of preoperative preparation of bowel in patients scheduled for Elective colonic surgery ? ? June 2006
Preoperative bowel preparation. Dec 2000

SHORT BOWEL SYNDROME

Short Bowel Syndrome? June 2009
Briefly Discuss Short bowel Syndrome ? Dec 2007
Pathophysiological changes following Massive intestinal resection . ? June 2006
Metabolic disturbances in Short bowel syndrome. Dec 2004
Massive small bowel resection. Dec 2001

Classification and diagnostic work up of a patient with enterocutaneous fistula. June 2007
How will you manage a patient of duodenal fistula following failure of repair of duodenal perforation. ? June 2006
Entral Fistula . June 2001

COMPARTMENT SYNDROME

How will you manage the nutrition in a patient of high output enterocutaneous fistula? Dec 2008
Abdominal Compartmental Syndrome ? June 2008
Define abdominal compartment syndrome . Briefly describe pathophysiology of abdominal compartment syndrome? June 2007
Burst Abdomen ? June 2008
Pathophysiology of abdominal compartment syndrome. Dec 2006
Write short notes on physiological effects of pneumoperitoneum ? June 2006
Discuss factors causing burst abdomen after Laparotomy . ? June 2006
Burst abdomen. June 2005
Abdominal compartment syndrome. June 2004
Discuss etiology, diagnosis and management of abdominal compartment syndrome. Dec 2004
Dehiscence of laparotomy wound. Burst abdomen. June 2000
Complication of pneumoperitoneum for laparoscopic surgery. June 2000

Intestinal Complication of Enteric fever and their Management ? June 2008
What is gut barrier function? Discuss bacterial translocation in surgical patients? June 2007
Newer modalities in diagnosis of abdominal tuberculosis. Dec 2006
Investigative work up of Abdominal tuberculosis. Dec 2004
Discuss the etiology, pathology, diagnosis and management of intestinal and abdominal tuberculosis. ? June 2000

MECKELS DIVERTICULUM

Anatomy of meckels diverticulum . Complications . Indications and surgical treatment for meckels diverticulum. June 2005
Meckels diverticulum . Dec 2003
Anatomy of Meckels Diverticulum . Complications. Indications and surgical treatment of the same. Dec 2000

INTESTINAL OBSTRUCTION

Ogilive Syndrome? June 2009
Discuss the Pathophysiology of Intestinal Obstruction? Dec 2008
Etiopathogenesis ,Management of Large bowel Obstruction ? June 2008
Discuss treatment options in typhoid ileal operations ? Dec 2007
Discuss the pathogenesis and management of infective causes of intestinal perforations. June 2007
Classify Acute Intestinal obstruction .Discuss the management of Intussusceptions in a 40yr old male. June 2007
Pathophysiology of strangulating intestinal obstruction . ? June 2006
Management of Sigmoid volvulus. Dec 2006
Treatment of Sigmoid volvulus . ? June 2006
Describe the causes of Large bowel obstruction, describe the management of intestinal obstruction due to sigmoid colon tumor. June 2005
Colonic pseudo obstruction. June 2004
Sigmoid volvulus. Dec 2004
Classify acute intestinal obstruction. Discuss the management of Acute Sigmoid volvulus. June 2000

INFLAMMATORY BOWEL DISEASE

Describe Surgical Management of Ulcerative Colitis. ? Dec 2008
Pathology, Complications of Ulcerative colitis ? Dec 2007
Describe the surgical options of Management of Ulcerative colitis? June 2007
Discuss surgical treatment of Ulcerative colitis . Dec 2005
Surgery for Ulcerative colitis. June 2003.
Pouchitis following J pouch for Ulcerative colitis. Dec 2001
Toxic megacolon. Dec 2000

Carcinoid Appendix. Diagnosis, Clinical Features and Management? June 2009
Classify and mention the distinctive features of Intestinal polyps. June 2007
Role of Laparoscopy In GI malignancies. June 2007
Carcinoid tumor of Appendix. ? ? June 2006
Discuss the clinical features , diagnosis and treatment of malignant Carcinoid syndrome ? Dec 2005
Carcinoid tumours . June 2004
Port site recurrence following laparascopic surgery for cancer. June 2003
Carcinoid tumors. Dec 2003
Imaging techniques in evaluation of Gastrointestinal malignancy . June 2002
Discuss the role of laparascopic surgery in GI malignancy. June 2002
Malignant tumors of small bowel. Dec 2000

Discuss management of Appendicular mass ? Dec 2005
Differential diagnosis and management of Acute appendicitis in infancy . June 2000

Blood supply of colon . Bowel preparation for elective colonic resection. Complications of low anterior resection for carcinoma rectum. Dec 2006
Describe the blood supply of colon. Which structures may be damaged while performing right hemicolectomy. What are the options to restore continuity of bowel. Dec 2004
Colostomy and management of its complications. Dec 2003
Intestinal Stomas . Dec 2001
Laparoscopic colonic resection for cancer. Dec 2001
Radiation entero-procto colitis. June 2000

RECTUM

Management of 45 years old man with 4x4 cm ulcerative lesion in rectum situated 8 cm from anal verge. D-09
40yr old male with Complete Rectal Prolapse – Management? June 2009
Describe the Surgical Anatomy of mesorectum and its importance in management of Ca.Rectum? Dec 2008
Total MesoRectal Excision for Cancer of Rectum ? June 2008
Management of locally advanced rectal cancer. Dec 2006
Etiology and management of prolapse rectum ? Dec 2007
Discuss solitary rectal ulcer syndrome ? Dec 2005
Local recurrence of Rectal Cancer. June 2004
Describe the management of colorectal cancer with special emphasis on recent advances. Dec 2003
Total mesorectal excision. June 2002
Adjuvant therapy in colorectal cancer. June 2002
Discuss the advances in management of Ca.Rectum. Dec 2002
Solitary Rectal Ulcer Syndrome. June 2001
Treatment and outcome of locally advanced rectal cancer. Dec 2001
Describe the anatomy of anorectal junction . Briefly discuss the management of Carcinoma at this level . Dec 2000

ANAL CANAL

Classification and management of Anorectal Abscess. D-09
Pathology, Management of Pilonidal Sinus? June 2009
Surgical anatomy of Anal Canal. June 2009
Stapler Hemorrhoidectomy? June 2008
Anatomy of Anal canal. Mention about Pathophysiology of Fistula In Ano ? Dec 2007
Classify and discuss the principles of management of Fistula in Ano. June 2007
Discuss therapeutic options for Grade3 –Grade 4 hemorrhoids. June 2007
Fissure in Ano ? Dec 2005
Fistula in Ano . Classification and treatment ? June 2005
Pilonidal Sinus. Dec 2004
Pilonidal Sinus. June 2002
Anatomy of anal sphincters. Dec 2001
Third degree hemorrhoids . June 2000

1. Chemoradiotherapy of anal cancer. June 2003

PAEDIATRIC SURGERY

Clinical features and management of new born with meconium ileus. D-09
Management of a 6 yrs old child with nephroblastoma. D-09
Development of Face in association with cleft lip and cleft palate ? June 2009
Imperforate Anus- Diagnosis and management? June 2009
What is Intussusceptions? How will u investigate? Its Non Operative Management? Dec 2008
Management of neonatal Intestinal obstruction . Dec 2006
Cystic Hygroma. Dec 2006
Mode of formation of cleft lip and palate. Surgical technique in management of the same. Dec 2005
Malrotation of GUT . Dec 2005
Intussuception ? Dec 2005

Mention the types of agenesis, atresia of rectum and anus. Treatment of high abnormalities. Dec 2005
Diagnosis and management of Hirschsprung disease. June 2005
Congenital diaphragmatic hernia . June 2005
Meconeum Ileus. June 2005
Clinical features, investigation and management in Anorectal malformation. June 2004
Intussuception. Dec 2003
Treatment of Hirschsprungs disease. Dec 2002
Describe the development of Diaphragm and management of Congenital Diaphragmatic Hernia. Dec 2001
Sacrococcygeal teratoma . June 2001
Describe Pathophysiology of Intestinal Obstruction. Write in brief the causes, management of acute intestinal obstruction in new born. June 2001