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General Surgery: Part B

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS


DECEMBER 2016
GENERAL SURGERY

PAPER – I

Please read carefully the important instructions mentioned on Page ‘1’

• 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.

PART B

6. In a patient admitted to ICU with severe peritonitis with shock: 3+4+3


a) Options for hemodynamic monitoring.
b) Use of ionotropes/vasopressors.
c) Principles of ventilatory support.

7. A severely malnourished patient with loop jejunostomy made 4+6


earlier is admitted for closure of jejunostomy. In this patient,
write the:
a) Assessment of nutritional status.
b) Principles of preoperative nutritional support.

8. In a victim of polytrauma due to vehicular accident, outline 6+4


om

the:
a) Principles of assessment in hospital.
r.c

b) Evaluation of pelvic injuries.


ke

9. In a patient with head injury, what are the: 2+2+2+4


an

a) Indications for imaging investigations of head.


tR

b) Indications for admission.


c) Advise to patients being sent home without admission.
irs

d) Principles of initial management of head injury.


.F
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10. In the context of evidence based surgery: 3+3+4


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a) Levels of evidence.
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b) Categories of recommendation.
c) Types of study designs.

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