2016 Dec I

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016
GENERAL SURGERY
PAPER – I
SURG/D/16/12/I
Time : 3 hours
Max. Marks : 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part
containing 5 questions.
• Answers to questions of Part ‘A’ and Part ‘B’ 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 ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall
not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer
sheet(s).
• 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:


PART A

1. Wound healing with respect to: 3+3+4


a) Factors affecting wound healing.
b) Principles of negative pressure wound therapy.
c) Types of wound dressings.

2. a) Causes of hyponatremia. 3+4+3


b) Clinical manifestations of hyponatremia.
c) Paradoxical aciduria.

3. a) Pathophysiology of Deep Vein Thrombosis (DVT). 3+3+4


b) Principles of its prevention.
c) Management of a patient with acute lower limb DVT.

4. a) Methods of surgical access to abdominal organs, with their 5+5


advantages and disadvantages.
b) Principles of antibiotic prophylaxis in surgical patients.

5. In a patient scheduled for elective abdominal surgery, write 5+5


the:
a) Assessment of preoperative risk factors.
b) Risk reduction and patient optimization for surgery.

P.T.O.

-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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