PAPER I JUNE 2014

1. Describe the surgical anatomy of neck nodes. Describe briefly various types of Neck
dissections and draw the incisions used for these dissections.  Cervical lymph nodes 
4+(3+3)
2. Explain in brief the principles of Computed Tomography and Magnetic Resonance
Imaging. Compare the advantages and limitations of these two modalities.  CT & MRI   
6+4
3. Classify pelvic injuries. Enumerate the visceral injuries associated with pelvic fractures.
How will you treat urinary bladder injuries?   Pelvic injuries    2+3+5
4. Briefly describe various factors which influence wound healing. Enumerate steps you
would take to prevent post-operative wound complications.   wound healing  6+4
5. Enumerate differences between Research, Clinical Audit and Service Evaluation. What is
'bias' in clinical research and how it can be minimized?    Research  6+4
6. Briefly describe various types of intravenous fluids along with their indications. What are
the complications of prolonged I.V. fluids?   I.V. fluids  5+5
7. Describe the characteristics of sutures which influence their usage in surgical practice.
Discuss their merits and demerits.  sutures 4+6
8. Briefly describe various components of arterial blood gas and acid base evaluation. What
are the expected derangements in a patient with persistent and profuse vomiting? arterial
blood gas evaluation 6+4
9. What are the characteristics of electric burns? How are they different from burns due to
boiling water? Enumerate various steps in the management of electric burn of right hand
and forearm. electric burns  4+2+4
10. Describe various methods of sterilization for surgical instruments and disposables.
Describe various steps for adequacy of chemical sterilization. sterilization      6+4

PAPER II JUNE 2014

1. Briefly describe the principles of managing crush injury of leg. Discuss in brief the
pathophysiology of 'crush syndrome'. List steps to prevent 'compartment
syndrome'. crush syndrome     6+2+2
2. What are "axial flaps"? Describe briefly the other types of flaps with examples of their
use in reconstruction of various surgical defects.  axial flaps   4+(3+3)
3. How will you initially assess a patient with suspected head injury? List the guidelines for
doing CT scan in a head injury patient. Enumerate discharge criteria in minor and mild
head injury.  head injury    5+2+3
4. Enumerate various skin cancers. Discuss staging and treatment options for these
cancers. skin cancers    3+7
5. Describe the embryology and anatomy of parathyroid glands. Discuss localization
techniques and management options in lesions of parathyroid.  parathyroid glands   4+6
6. Discuss role of imaging modalities used in breast cancer. Describe image guided biopsy
of an impalpable breast lesion.   imaging breast Ca  6+4
 7. Classify and give causes for various types of nipple discharge.  Describe briefly surgical
procedures for treating nipple discharge.   nipple discharge  5+5
8. What are the pointers for locating facial nerve during parotid gland surgery? What steps
you would take to treat a case of traumatic facial nerve paralysis? facial nerve 4+6
9. Discuss briefly the risk factors for the development of Oro-pharyngeal cancers. Describe
various pre-malignant conditions/lesions for development of Oro-pharyngeal cancers.
What are the various staging systems and treatment modalities available for management
of this cancer?  Oro-pharyngeal cancers  2+2+6
10. What is a 'plunging ranula'? How is it diagnosed?  Briefly describe its
management.    plunging ranula   2+3+5

PAPER III JUNE 2014

1. Describe briefly the surgical anatomy and physiology of venous return of the lower limb.
Enumerate treatment options with their indications for treating varicose veins of lower
limb. venous return 5+5
2. Classify lymphedema. List the symptoms frequently experienced by patients with this
problem. Enumerate general management advice for these patients.   lymphedema  5+2+3
3. Describe the pathophysiology of peritoneal adhesions. Discuss briefly various steps to
minimize and manage peritoneal adhesions.  peritoneal adhesions   4+6
4. Describe the 'lower esophageal sphincter'. Briefly discuss the investigations to evaluate
its function.    lower esophageal sphincter    3+7
5. Describe the blood supply of stomach. Discuss the management of bleeding peptic ulcer.
peptic ulcer  3+7
6. How will you investigate and treat a case of chronic limb ischemia?   chronic limb
ischemia  4+6
7. List comorbidities associated with obesity which can be relieved by surgically induced
weight loss. Briefly describe selection criteria and pre-operative nutrition screening for
obesity surgery.  obesity surgery   3+(4+3)
8. Describe segmental anatomy of liver. What are the principles of surgical resection of
liver tumor?    anatomy of liver    5+5
9. List causes of acute pancreatitis. Enumerate methods for diagnosing and prognosticating
acute pancreatitis. Briefly describe pancreatic necrosectomy.  acute pancreatitis    2+3+5
10. Describe in short aetiopathology and clinical features of pilonidal sinus. Write the
principles of its management.   pilonidal sinus    (3+3)+4

PAPER IV JUNE 2014

1. Discuss the principles and usage of Robotic Surgery.    Robotic Surgery   4+6

2. Classify congenital anomalies of kidney and ureter. What are the clinical features of
Adult Polycystic Kidney Disease? Enumerate the principles of managing this
condition.   Adult Polycystic Kidney Disease   3+4+3
 3. Briefly describe the physiology of normal urinary bladder function (storage and voiding
of urine). Enumerate with indications various treatment options for a patient suffering
from benign prostate enlargement.   BPH    5+5
4. What are HLA antigens and what is their significance? Briefly describe types of allograft
rejection.    HLA    5+5
5. Describe in short various energy sources used for cutting and coagulating during surgery.
Enumerate their advantages and disadvantages.  energy sources  6+4
6. Discuss the various investigations you will do in a case of stricture urethra. How will you
treat a case of stricture of posterior urethra.  stricture urethra  4+6
7. Briefly describe etiology and clinical staging of carcinoma penis. Discuss in brief the
management of inguinal lymph nodes in such a case.  carcinoma penis   (2+4)+4
8. Describe the embryology of testis and epididymis. What are the consequences of
undescended testis?    undescended testis   5+5
9. Describe the etiopathology of renal calculi. Enumerate the indications, contraindications
and complications of ESWL. Renal calculi  4+(2+2+2)
10. Enumerate various blood components available for clinical use. Briefly describe the
indications for their use.  blood components   4+6

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 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.

PAPER I A JUNE 2013

1. Treatment regimen in tuberculosis and its failure in adults and

children.   10       tuberculosis
2. Define neurofibromatosis and describe its types, diagnosis and
management 10   neurofibromatosis
3. Vascular anomalies and its management. 10   Vascular anomalies
4. Assessment of a patient with chronic venous ulcer and its
management. 5+5  chronic venous ulcer
5. Pathophysiology of sepsis and effects caused by it on various
systems.   5+5   sepsis

PAPER IB JUNE 2013

 1. Basal cell carcinoma.       10
2. Describe various types of nerve injuries, clinical features, diagnosis
and management.  10   nerve injuries
3. Pathophysiology of extradural hematoma (EDH), indications of
surgery and complications.  4+3+3    EDH
4. Discuss mechanisms of various derangements resulting from flail
chest. Outline management of a 50 year old chronic smoker having
flail chest(left). 5+5  flail chest
5. Define surgical audit. What is its role in reducing surgical site
infection?  10 surgical audit 

PAPER IIA JUNE 2013

1.  Pathophysiology of:-  5+5     

1. MODS
2. Fournier’s gangrene
2. Amoeboma and enteric perforation. 5+5
3. Gas gangrene – its bacteriology, clinical features and
management.     2+3+5
4. a)  Endoscopic ultrasound     b) Port site metastasis.   5+5
5. a) Complications of tracheostomy & b) Cleft lip.  5+5   

PAPER IIB JUNE 2013

1. a. Retrosternal goiter and      5+5

b. Thyroid storm.
2. Polytrauma     10
3. Vasectomy     10
4. A baby is born with cyanosis. Describe its etiology, investigation
and treatment plan.    10
5. a.Informed consent and its medicolegal implications.        5+5
b.Consumer Protection Act and its implication for a surgeon.

PAPER IIIA JUNE 2013

 1. a. Embryology of ectopic and undescended testis.     5+5
b. Management of a 6 year old boy having bilateral undescended
testis.
2. Rupture of membranous urethra.    10  
3. Classification, diagnosis and management of choledochal cyst.  
3+2+5
4. a. Splenic abscess    5+5
b. Pseudomembranous colitis.
5. Describe various types of commonly used flaps for reconstructive
surgery.   10

PAPER IIIB JUNE 2013

1. a. Mastalgia        5+5
b. Duct ectasia
2. a. Staging of carcinoma rectum.         4+6
b. Etiology and management of sigmoid volvulus
3. Upper GI obstruction in newborns.   10
4. Pathology, diagnosis and management of GIST.  3+2+5
5. Diagnosis and management of traumatic diaphragmatic hernia.   
10

PAPER IVA JUNE 2013

1. Surgical anatomy of Breast.  10

2. Renal hypertension   10
3. What is Universal Precautions? What is the role of it in prevention
of Hospital Acquired Infection (HAI)?    3+7
4. Venous drainage of lower limb.    10
5. Pathogenesis, classification and investigation of hydronephrosis.  
10

PAPER IVB JUNE 2013

 1. Surgical anatomy of peritoneum and factors favoring development
of diffuse peritonitis and its complications.   10
2. Pressure sores - most common sites, stages and
management.       10
3. Postoperative ileus. 10
4. Anatomical basis of physical signs (all possible) in a case
of carcinoma breast.  10
5. Anatomical basis of stapler hemorrhoidectomy.      10

   

PAPER I A DEC 2013

1. Describe aetiology, pathology and surgical management of

lymphoedema. 3+3+4        lymphoedema
2. What is wound dehiscence? What are the various causes for it? How
will you manage such a case? 1+4+5    wound dehiscence
3. Describe pathophysiology of Diabetic foot. 10    Diabetic foot
4. Discuss the principles, effects and types of diathermy.
3+3+4 diathermy
5. What is Necrotising Fascitis? What are its causes? How will you
manage such a case? 2+2+6    Necrotising Fascitis

PAPER I B DEC 2013

6. What are the risk factors for thrombo-embolism? How will you manage
Deep Vein Thrombosis?   DVT
7. Describe the pathophysiology of pyloric stenosis and electrolyte
imbalances in this condition.   pyloric stenosis
8. Enumerate the various types of sutures. What are the good and bad
qualities of silk and polyglactin sutures?    sutures
9. What is Robotic Surgery? How will you prepare a patient for this type of
surgery?   Robotic Surgery
10. What is Scrubbing? Describe stepwise technique of scrubbing. Name
the scrub disinfectant solutions.   Scrubbing

PAPER II A DEC 2013

1. Describe the causes, investigations and treatment of postoperative
fever.   postoperative fever
2. Discuss the indications of thoracotomy in chest trauma. thoracotomy
3. Discuss in brief the nutritional assessment of a surgical
patient.   nutritional assessment
4. Define Damage Control Surgery. What are its indications? Describe
important steps in Damage Control Surgery.  Damage Control Surgery
5. What are the types of skin grafts? Discuss their indications.  skin
grafts

PAPER II B DEC 2013

6. Classify tumours of skin. How would you treat a case of squamous cell
carcinoma of scalp measuring 5X5 cms?  tumours of skin
7. Describe the development of Lip. What are the principles of repair of a
cleft lip? How would you repair it? 4+3+3  cleft lip
8. What is Chemodectoma? Enumerate its clinical features. How will you
treat it.  2+3+5      Chemodectoma
9. Discuss prognostic factors in carcinoma breast. What are the
contraindications of Breast conservative surgery?  4+6 carcinoma breast
10. Discuss principles of treatment of Thyrotoxicosis.
10   Thyrotoxicosis

PAPER III A DEC 2013

1. Discuss the risk factors, aetiology, clinical features and management

of colonic anastomosis leak. 2+2+2+4  colonic anastomosis leak
2. Define Screening. What are the ideal attributes of the disease to be
screened? What are the various methods of screening colorectal
cancer?  2+5+3   colorectal cancer    
3. Define short gut syndrome. What are its sequelae? Name the
procedures which can be done to treat such a case. 2+3+5 short gut
syndrome
4. Discuss the diagnostic investigations in obstructive jaundice. How will
you prepare such a patient for surgery?  5+5obstructive jaundice
5. What are the techniques of creating pneumo-peritoneum? Discuss
physiological change associated with it.   5+5 pneumo-peritoneum

PAPER III B DEC 2013

6. Discuss merits and demerits of drains in surgery.  10   drains

7. What are the complications of immunosuppression used in organ
transplantation? Name the commonly used agents.  
7+3  immunosuppression drugs
8. Enumerate the causes of pain in right iliac fossa in a 16 year old girl.
How will you reach to a conclusive diagnosis?  4+6    pain in right iliac
fossa
9. Describe the anatomy of femoral canal. How will you treat a case of
strangulated hernia?  3+7   strangulated hernia
10. What is Gastro-esophageal reflux disease? Discuss its aetiology. How
will you manage uncomplicated GERD?  2+3+5  GERD
   

PAPER IV A DEC 2013

1. What is embryological basis of unascended kidney? How will you

diagnose a Horse shoe kidney? Discuss its management. 4+2+4    Horse
shoe kidney
2. Enumerate the causes of stricture urethra. Discuss the treatment
options available for this.  3+7     stricture urethra
3. What are the clinical features of bladder exstrophy? How will you
manage such a case?   3+7  bladder exstrophy
4. What is LUTS? What is the role of urodynamics in this?  3+7 LUTS
5. How will you diagnose a case of torsion testis? How will you treat such
a case?  4+6   torsion testis

PAPER IV B DEC 2013

6. What is Regional Anaesthesia? Discuss the complications of Epidural

Anaesthesia. 2+8 Regional Anaesthesia
7. What are the types of urinary stones? What options are available for
treatment of a renal stone? 3+7   urinary stones
8. How will you construct an ileal conduit? What are its complications and
how will you prevent them? 3+(4+3)  ileal conduit
9. Enumerate causes of varicocele. How will you treat such a case? 
3+7  varicocele
10. What is Brainstem death? How will you determine it? Brainstem
death

PAPER  I JUNE 2012

1.       Define gas gangrene. Briefly discuss its clinical features and
management. 1+3+6   gas gangrene

2.       Classify thyroid malignancies. How will you treat a case of medullary

carcinoma of thyroid? 2+8MTC                               

3.       Describe the etiology, clinical features and treatment of a venous

ulcer. 2+3+5  venous ulcer 

4.       What is a pilonidal sinus? Discuss its etiology and treatment options.

1+3+6  pilonidal sinus

5.       Describe the anatomy of submandibular salivary gland. Discuss the

management of submandibular sialadenitis. 5+5  submandibular
sialadenitis

6.       What are the causes of peripheral vascular diseases? How will you
treat a case of Buerger’s disease? 3+7  Buerger’s disease

7.       Enumerate causes of hypocalcaemia. How will you detect and treat a

case of hypocalcaemia. 2+4+4  hypocalcaemia

8.       How will you manage a case of severe contractures of neck and

elbow? 5+5 contractures of neck and elbow

9.       Enumerate the causes of gynaecomastia? Give an algorithm for

management of gynaecomastia. 4+6  gynaecomastia

10.   What is neurofibromatosis? How will you treat a case of plexiform

neurofibromatosis of face? 3+7  neurofibromatosis

PAPER  II JUNE 2012

1.       Classify neck node levels. Describe in brief various neck dissections.
3+7 neck dissections
2.       Describe the diagnostic approach to a 2cm breast lesion in a 35 year
old lady. What are the principles of breast conservation surgery?
5+5  breast conservation surgery

3.       Discuss the clinical features, investigations and preoperative

preparation of a case of pheochromocytoma. 2+4+4  pheochromocytoma

4.       Discuss the etiopathology of gastro-esophageal reflux. Discuss the

surgical options available for its management with their indications.
4+6  gastro-esophageal reflux

5.       Define Mirizzi’s syndrome. Discuss its types and management of

each? 2+4+4  Mirizzi’s syndrome

6.       Name the endocrine tumours of pancreas. Describe the investigations

and treatment of insulinomas.2+4+4   endocrine tumours of pancreas

7.        What is the differential diagnosis of a freely mobile lump in the

abdomen? How will you manage such a case? 5+5  freely mobile lump in
the abdomen

8.       What are the absolute indications of splenectomy? How will you

manage a case of idiopathic thrombocytopenic purpura? 3+7  idiopathic
thrombocytopenic purpura

9.       What is GIST? How will you manage a case of GIST of stomach?

2+8  GIST

10.   How would you diagnose a case of femoral hernia? Mention briefly the
common procedures available for its treatment? 3+7 femoral hernia

PAPER  III JUNE 2012

1.       What is tension pneumothorax? What are its clinical features? How
will you diagnose and treat such a case? 1+2+3+4 tension pneumothorax

2.       Classify haemangiomas. Discuss the management of cavernous

haemangioma. 3+7  haemangiomas
3.       What are the differences between a hypertrophic scar and a keloid?
What are the treatment options for each of these? 5+5  keloid

4.       What is Non-Scalpel Vasectomy (NSV)? How is it different from

convensional vasectomy? Enumerate the complications. 1+3+6  NSV

5.       How will you manage a case of rupture urethra? 10  rupture urethra

6.       Classify trachea-esophageal fistulae and outline their management.

3+7  TOF

7.       How will you classify cleft lip and palate? What are the principles of
management of a case of cleft lip? 5+5   cleft lip and palate

8.       Describe Glasgow Coma Scale. How will you treat a case of head
injury who is unconscious? 3+7 head injury

9.       Describe various skin flaps used to reconstruct breast. 10  breast

reconstruction

10.   Discuss the principles of Robotic Surgery? Enumerate the procedures

where it is finding maximum clinical application. 7+3.   Robotic Surgery

PAPER  IV JUNE 2012

1.       Describe the embroyological development of branchial arches. How
will you manage a case of branchial fistula? 4+6  branchial fistula

2.       Describe the anatomy of sub-diaphragmatic spaces. How will you

diagnose and treat a case of sub-diaphragmatic abscess? 4+3+3 sub-
diaphragmatic abscess

3.       Describe segmental anatomy of liver. Briefly discuss various types of

liver resections. 5+5 liver resections        

4.       How does testis descend? Outline the management of a case of

undescended testis. 4+6 undescended testis
5.       Name the various urinary diversions. What are the metabolic changes
in an ileal conduit? 3+7 urinary diversions

6.       Classify cephalosporins. Which ones will you choose and why in a

case of peritonitis. 3+7  cephalosporins

7.       Classify Renal Tumors. Discuss the clinical features, staging and

management of Renal Cell Carcinoma. 2+3+1+4  Renal Cell Carcinoma

8.       What are the biochemical changes produced in a case of ileal fistula?

How will you treat such a case? 6+4 ileal fistula

9.       Describe in brief Systemic Inflammatory Response Syndrome (SIRS).

10  SIRS

10.   Describe surgical site infection. Discuss the role of prophylactic

antibiotics in reducing surgical site infection. 5+5  SSI

   

PAPER  I DEC 2012

1. How will you classify burn injury? List the systemic changes
following burns. Briefly describe the principles of wound care in a
burn patient. 2+3+5   burn
2. Describe triage in a disaster situation. What are the principles of
management of a polytrauma patient?  5+5    triage
3. Discuss differential diagnosis of an ulcer over the tongue. How will
you investigate a patient with suspected squamous cell carcinoma
of tongue? Describe briefly the steps of radical neck dissection. 
3+3+4   Ca tongue
4. Define morbid obesity. Describe briefly the principles of bariatric
surgery operations. Enumerate the principles of post-operative care
in these patients.  1+6+3    bariatric surgery
5. Describe the principles of electrosurgery? What are the
complications that can occur while using electrosurgery? How can
these complications be prevented? 2+4+4   electrosurgery
6. Discuss the indications of breast conservation surgery (BCS) for
carcinoma breast? Briefly discuss the principles of BCS.
4+6        breast conservation surgery
7. How will you investigate a case of suspected pheochromocytoma?
Briefly describe the preoperative preparation and intraoperative
complications in a case of pheochromocytoma.
3+(4+3)                   pheochromocytoma
8. How will you investigate a case of cervical lymphadenopathy? What
are the indications of surgical treatment of tubercular
lymphadenopathy? How will you treat a cold abscess in neck?
4+3+3                      cold abscess in neck
9. Classify salivary gland neoplasms. How will you identify and
safeguard facial nerve during superficial parotidectomy? 
4+6   salivary gland neoplasms
10. What are decubitus ulcers? How are they graded? Briefly describe
prevention and treatment of decubitus ulcers. 
2+2+6     decubitus ulcers

PAPER  II DEC 2012

1. Describe the pathophysiology of injury following ingestion of strong
alkali. How is it different from acid injury? Briefly discuss the
investigations and treatment of patients with corrosive esophageal
injury. 2+2+(2+4)  alkali injury
2. Describe the etiology of acute bacterial peritonitis. Discuss the
investigations and treatment of acute bacterial peritonitis.
2+(4+4)   acute bacterial peritonitis
3. Classify ventral hernias. Briefly describe the use of synthetic mesh
in the repair of incisional hernias. Enumerate various techniques of
incisional hernia repair. 2+6+2   hernias
4. Define obscure gastrointestinal hemorrhage. List various causes
and briefly discuss the investigations of obscure gastrointestinal
hemorrhage. 2+(3+5)     obscure gastrointestinal hemorrhage
5. Describe the developmental anatomy, clinical features,
investigation and treatment of Meckel’s diverticulum.
2+2+3+3      Meckel’s diverticulum
6. Briefly describe the pathology of anal canal malignancy. Discuss in
brief the treatment of epidermoid carcinoma of anal canal.
3+7    anal canal malignancy
7. How will you investigate a case of suspected pancreatic
carcinoma? Briefly describe various surgical options in the
treatment of pancreatic carcinoma.  4+6  pancreatic carcinoma
8. How will you grade renal injuries? Discuss the investigations and
treatment of blunt renal injuries.  2+(3+5)     renal injuries
9. Define Lower Urinary Tract Symptoms (LUTS) and enumerate its
various causes. Describe the principles of medical management of
benign prostatic hyperplasia. (2+2)+6  BPH
10. Classify testicular tumors and give their staging. Discuss the
principles of treatment of seminoma of testis. 
(2+2)+6       testicular tumors

PAPER  III DEC 2012

1. Discuss the special features and basic principles based on which
you will prepare a 5 year old child for surgery of acute
intussusception. 10   acute intussusception
2. Compare the clinical presentation of “Wilm’s tumor and
retroperitoneal neuroblastoma” in a child. Describe the relevant
investigations and principles of treatment of Wilm’s tumor.
3+(2+5)        Wilm’s tumor
3. What is “Secondary brain injury”? How can it be prevented? How
will you manage a case of extradural hematoma? 2+3+5    head
injury
4. Describe the various types of skin grafts along with their
indications. What steps can be taken to minimize hypertrophic
scars? 7+3  skin grafts
5. What is a flail chest? Describe its pathology. How will you manage a
case of flail chest? 2+3+5  flail chest
6. How will you evacuate a trauma patient from the site of accident? 
10 disaster management
7. What is the principle of ultrasound imaging? Discuss the strengths
and shortcomings of this modality in surgical practice.
2+(4+4)   ultrasound
8. What are oncogenes and tumor suppressor genes? Briefly discuss
targeted molecular therapies and gene therapy for cancer
treatment. 4+(3+3)  oncogenes
9. What are the principles of immunosuppression in organ
transplantation? Briefly discuss complications of
immunosuppression. 5+5  immunosuppression
10. Discuss the indications and drug used in local anesthesia.
Enumerate their complications. (4+3)+3  local anesthesia

PAPER  IV DEC 2012

1. What are the principles of antibiotic therapy with special reference
to their selection? Enumerate indications of prophylactic antibiotic
therapy.  7+3   prophylactic antibiotic therapy
2. Enumerate methods of sterilization of surgical equipments and
disposable. What are the various steps in prevention and control of
hospital acquired infections? 4+6 sterilization
3. Describe the surgical anatomy of sympathetic supply of lower limb.
Briefly discuss the role of sympathetomy in chronic limb ischemia.
5+5  chronic limb ischemia
4. Briefly describe the pathophysiological basis of pain relief. Discuss
the principles of post-operative pain relief.  5+5     pain relief
5. Describe the surgical anatomy and physiology of venous drainage of
lower limb? Enumerate the complications of varicose veins.
(4+3)+3     varicose veins
6. Describe various blood products. What are their indications?
6+4   blood products
7. Describe the lymphatic drainage of esophagus and its surgical
importance. 6+4 lymphatic drainage of esophagus
8. Describe the etiopathology of nodular goiter. Discuss in brief the
complications that can occur in thyroid surgery. 6+4   
nodular goiter
9. What are the important components of informed consents? What are
the practical difficulties in getting such consent in some surgical
patients? 6+4       informed consents
10. What is central venous pressure (CVP)? Discuss the use of CVP in
surgical patients. What are the complications of a central venous
line?  2+4+4      CVP
PAPER I JUNE 2011

1.    What are diagnostic tumor marker? Enumerate their role in the
management of specific cancers. 5+5  Diagnostic tumour marker

2.    a)    What is septic shock? 6  Shock/Sepsis/SIRS

       b)    Describe various scoring systems for sepsis. 2
       c)    Describe various components of "Systemic Inflammatory
Response Syndrome."
2                                                             
                                                              

3.    a)    Describe the "levels of evidence" in surgery. 5  Level of

evidence
       b)    What is a Phase-II trial? 3  Phase II trial
       c)    Describe the significance of "NSABP" trials. 2  NSABP
trial

4.    a)    Describe the various modes of supplementing nutrition in a

surgical patient. 4 Nutrition/Refeeding Syndrome
       b)    What are the "pitfalls" in the use of total parenteral
nutrition? 3
       c)    Describe the "Refeeding Syndrome". 3

5.    a)    Describe the various "dynamics" of wound healing.

4   Wound healing/Ideal dressing
       b)    Management of a non-healing wound. 3
       c)    Describe an "ideal dressing". 3

6.    a)    Describe the "Spring Coil" effect in relevance to the closure

of abdomen. 4  Abdominal Closure
       b)    Describe "mass closure" technique for abdomen. 3
       c)    What is a "Laparostomy"? 3

7.    a)    What are the risk factors in the development of "Deep Vein

Thrombosis"(DVT)? 4  DVT
       b)    Discuss briefly the various diagnostic tests to establish the
diagnosis of DVT in a 65 year old lady. 3
       c)    Describe the management of this patient. 3

8.    a)    Describe the "Cell Cycle" in relevance to cancer. 3  Cancer

       b)    Describe the scientific basis to "Hormone therapy in
cancers". 4
       c)    Describe the limitations of hormone therapy and its side
effects. 3

9     a)    Enumerate the local complications of acute

pancreatitis.2  Acute pancreatitis
       b)    Describe in brief diagnosis and management of these
complications. 8

10    a)    Describe the "aetiopathogenesis of thoracic outlet

syndrome". 4  TOS/Neck dissection
        b)    Describe the various levels of lymph nodes in the neck. 3
        c)    Enumerate the "types of neck dissections".
3                                                             
                                                              
                                                 

     
PAPER II JUNE 2011

1.    a)    What is a "High Risk" surgical patient? 2   High risk

surgical patient
       b)    How do you prepare a 45 year old with obstructive jaundice
due to peri-ampullary cancer for surgery? 6
       c)    What is "Hepato-Renal syndrome"? 2

2.    a)    Enumerate the types of gall stones. 2  Gall stones

       b)    Discuss the pathogenesis of gall stones. 4
       c)    List the complications of gall stones. 4

3.    a)    Discuss the approach to management of a 10 year old boy

with polytrauma. 6  Polytrauma
       b)    What is "Triage" in the event of disaster? 2
       c)    Enumerate various imaging invasive diagnostic modalities
in blunt abdominal trauma. 2

4.    a)    What is "Cardiac Tamponade"? 3  Cardiac tamponade

       b)    Discuss its management in a 40 year old lady. 4
       c)    Enumerate the indications for "Emergency Room
Thoracotomy". 3

5.    a)    Describe various "Energy Sources" in Surgery. 3  Energy

sources
       b)    What are the characteristic of an "ideal suture". 4
       c)    Describe chemo-embolization in surgery. 3

6.    a)    Discuss the management of a 12 year old boy with 15degree

thermal burns involving head, neck and thoracic regions. 4   Burn
       b)    What are ideal fluid replacements in a patient with thermal
burns?  3
       c)    Describe the selection of the type and calculation of the
amount of fluid to be supplemented in thermal burns. 3

7.    a)    Describe the clinical presentation and diagnosis of Hydatid

disease of liver. 5  Hydatid dis of Liver
       b)    Discuss in brief the surgical procedures performed for this
condition. 5

8.    a)    Describe the significance of "Total Mesorectal Excision" in

the management of rectal cancer. 4  Ca Rectum
       b)    What is a "Metachronous" lesion? 2
       c)    Discuss the management of a 32 year old gentleman with
carcinoma rectum 14cm from the anal verge along with asolitary hepatic
metastases in segment V. 4

9.    a)    What is a "Metastasis of unknown origin"? 5  Metastasis of

unknown origin
       b)    Describe the approach to management of a 50 year old
man with a level-V cervical lymph node metastasis of an unknown origin
(The algorithmic approach). 5

10.   a)    Enumerate the causes of lower gastrointestinal bleeding.

3  Lower GI bleed
        b)    Describe the management of "Obscure GI hemorrhage" in
a 60 year old man.
4                                                             
                                                           
        c)    Describe briefly "Capsule Endoscopy". 3
PAPER III JUNE 2011

1.    a)    Define autologus transfusion. 2

       b)    What are the risks of blood transfusion? 4  Risk of blood
transfusion
       c)    How will you manage transfusion reactions? 4

2.    a)    Enumerate complications of laparoscopic surgery.

3  Laparoscopic Surgery
       b)    How to prevent injury to bowel and solid organs during
laparoscopy? 3
       c)    How will you manage bleeding and bowel injury? 4

3.    a)    Write briefly lymphatic drainage of esophagus.

3  Lymphatic drainage of esophagus
       b)    What are the clinical features of carcinoma esophagus?
3  C/F of Ca Oesophagus
       c)    How will you investigate a patient of Carcinoma
esophagus? 4  Investigation in Ca Oesophagus

4.    a)    Discuss the etiopathogenesis of Hirschsprung disease.

3  Hirschsprung disease.
       b)    Write the clinical features. 3
       c)    Discuss briefly its management. 4

5.    a)    Enumerate causes of kidney lump. 2   Causes of kidney

lump
       b)    Write the clinical features. 
       c)    Write the clinical features of renal cell carcinoma.  C/F of
renal cell carcinoma.

6.    a)    Define upper G.I. bleeding. 2   Upper GI Bleeding

       b)    Enumerate its causes. 3
       c)    Discuss management of bleeding esophageal varices.
5  Management of bleeding esophageal varices.

7.    a)    Enumerate causes of foot ulcers. 3  Foot

ulcer                                      

       b)    How will you investigate? 3

       c)    Discuss management of varicose ulcer. 4  Varicose ulcer

8.    a)    Enumerate causes of acute pancreatitis. 3  Pancreatitis

       b)    How will you investigate? 3
       c)    Discuss assessment of severity of pancreatitis. 4

9.    a)    Classify germ cell tumors of testis. 5  Testis Tumour

       b)    Management of non-seminomatous germ cell tumours. 5

10.   a)    Describe Glasgow Coma Scale. 4   GCS/SDH

        b)    Discuss management of SubDural Haematoma. 6

 
PAPER IV JUNE 2011

1.    a)    What are the indications for diagnostic peritoneal lavage?
3  DPL/Splenic injury
       b)    Describe the procedure.3
       c)    Discuss the grades of splenic injury. 4

2.    a)    Discuss various topical haemostatic agents. 4  Topical

haemostatic agents
       b)    Describe briefly the thermal methods of haemostasis.
6  thermal methods of haemostasis

3.    a)    What are the various subphrenic spaces? 5  Subphrenic

Space
       b)    How do you manage subphrenic abscess and its
complications? 5

4.    a)    Discuss the surgical anatomy of thyroid. 4  Thyroid

       b)    What are the complications of thyroid surgery?
3                                                             
                                                              
                                             
       c)    Management of surgical complications. 3

5.    a)    What are the indications of renal transplantation?

3  Transplantation
       b)    Discuss graft rejection. 3
       c)    Immunotherapy postoperatively after renal transplantation.
4

6.    a)    Enumerate causes for generalized lymphadenopathy. 3

       b)    Describe classification and staging of Non-Hodgkin's
Lymphoma (NHL). 5  NHL
       c)    Treatment of NHL. 2

7.    a)    Discuss the causes and clinical features of entero-

cutaneous fistula. 5  Entero-cutaneous Fistula
       b)    Discuss the management. 5

8.    a)    Discuss the etiopathology of tension pneumothorax.

4   Tension pneumothorax
       b)    Describe the clinical features of tension pneumothorax. 4
       c)    Describe briefly the management of tension pneumothorax.
2

9.    a)    Discuss the segments of liver. 4  Liver

       b)    Describe the various types of anatomical liver resections. 6

10.  a)    Discribe "Fast track surgery". 4  Fast track surgery

       b)    Discuss its advantages and disadvantages. 6

   

PAPER I DEC 2011 

1. Describe TNM staging of oral cancers. How would you manage a 40 years old smoker with
T1N1Mx carcinoma of lateral border of tongue? 4+6  oral cancers

2. Define chemodectoma. How would you manage a 50 years old lady with right carotid body tumour?
2+8  chemodectoma

3. Define critical limb ischemia. Briefly describe the management of a 30 years old diabetic with
critically ischemic lower limb. 2+8   critical limb ischemia
 4. How would you manage a 25 years old man who started having fever 48 hours after repair of
duodenal perforation? 10      duodenal perforation

5. Briefly describe the management of a 50 years old man with obstructive jaundice due to 6*6 cm
carcinoma head of pancreas. 10    Ca head of pancreas

6. Enumerate the indications of BCS. Briefly describe the operative and prosthetic options for breast
reconstruction after mastectomy. 3+7  Breast reconstruction

7. Define complex anal fistula. How would you manage a 20 years old man with complex anal fistula?
2+8   complex anal fistula

8. Briefly describe the role of endoscopic ultrasound in gastrointestinal surgery. 10  endoscopic usg in
GI surgery

9. Briefly describe the management of a young soldier with a 3*3cm ulcer just above the medial
malleolus. 10 ulcer medial malleolus

10. Define morbid obesity. Briefly describe the merits and demerits of various surgical procedures
used in treatment of morbid obesity.  2+8   morbid obesity

PAPER II DEC 2011

1. How would you preoperatively manage a 30 years old lady with malignant hypertension due to
adrenal pheochromocytoma?  10  adrenal pheochromocytoma

2. Briefly discuss the various types of prosthesis used in the treatment of abdominal hernias.
10  prosthesis in abdominal hernias

3. Enumerate the metabolic complications of pyloric stenosis. How would you preoperatively manage
a 35 years old man with pyloric obstruction? 4+6 pyloric obstruction

4. Enumerate the clinical features of esophageal perforation. How would you manage a 15 years child
with esophageal perforation following dilatation? 3+7 esophageal perforation

5. Enumerate the complications of acute appendicitis. Briefly describe the management of a 10 years
old child with suspected appendicular abscess.  4+6  appendicular abscess

6. What are universal precautions? Discuss post-exposure prophylaxis? 10   universal precautions

7. Classify intestinal obstruction. How would you manage a 60 years old lady with suspected sigmoid
volvulus? 4+6     sigmoid volvulus
 8. Enumerate the tumours of small bowel. How would you manage a 35 years old lady with suspected
carcinoma of terminal ileum?   3+7  small bowel tumour

9. Briefly describe the principles and role of radio-frequency ablation in surgery. 10   Radio-frequency
ablation

10. Briefly describe the merits and demerits of various methods of bowel preparation in surgical
practice. 10  bowel preparation

PAPER III DEC 2011

1. Enumerate the causes of painless haematuria. How would you manage a 30 years old man with
haematuria and a past history of taking treatment for pulmonary tuberculosis? haematuria

2. What is Mirrizi’s syndrome? How do you treat a 40 years old lady with type IV Mirrizi’s syndrome?   
Mirrizi’s syndrome

3. What is non-scalpel vasectomy? Briefly describe the complications of vasectomy.   NSV

4. What are the premalignant conditions of carcinoma penis? How would you manage a 60 years old
man with carcinoma involving distal shaft of penis with inguinal node metastasis? Ca penis

5. Enumerate the various type of chest wall injuries? How would you manage a 50 years old man with
flail chest?   Flail chest

6. What are the complications of urethral injuries? How would you manage a 16 years old boy with
suspected urethral injuries? Urethral injuries

7. What are the complications of thyroidectomy? Briefly describe the role of total thyroidectomy in the
management of various thyroid disorders.  Thyroidectomy

8. Enumerate the types of choledochal cyst. How would you manage a 12 years old girl with recurrent
attacks of obstructive jaundice?       Choledochal cyst

9. What are the surgical complications of roundworm infestation? Discuss the management of a child
with intestinal obstruction due to worms.   Intestinal obstruction

10. Briefly describe the complications of central vein catheterization?     Central vein catheterization

 
PAPER IV DEC 2011

1. Enumerate the various tumour markers relevant to the surgical practice. Discuss the role of CEA.
4+6    tumour markers

2. Describe the anatomy of mid-palmar space. Briefly describe the principles of management of hand
infections. 5+5  hand space infections

3. Describe the anatomy relevant to laparoscopic total extra peritoneal repair of inguinal hernia.
Enumerate the various landmarks to be identified and their importance in laparoscopic hernia repair.
4+6      TEPP

4. Classify tumours of salivary glands. Describe various surgical procedures and their role in the
management of parotid tumours.   4+6      salivary gland tumours

5. Describe the levels of cervical lymph nodes. Enumerate the complications of radical neck
dissection.  3+7    radical neck dissection

6. Briefly describe the various physical methods of sterilization of surgical instruments.

10   sterilization

7. Classify umbilical fistula. Discuss in brief the investigations and treatment of

urachus.  3+7     Urachus

8. Briefly describe the development of parathyroid glands. Describe the various investigations used to
localize the parathyroid adenoma preoperatively.  3+7          parathyroid glands     

9. What are the types of skin grafts? Discuss the role, advantages and disadvantages of partial
thickness skin grafts. 4+6        skin grafts

10. What are the metabolic complications of acute renal failure? How would you manage a patient
with calculus anuria? 4+6            ARF & calculus anuria

PAPER I JUNE 2010

Q1. Management of 40yrs old lady with arterial insufficiency in right hand. arterial insufficiency in right
hand
Q2. Definition and management of refeeding syndrome. Refeeding Syndrome
Q3. Pathophysiology of septic shock. Septic Shock
Q4. Management of 16 yrs old boy with complete wound dehiscence following laparotomy for
perforation peritonitis.wound dehiscence
Q5. Management of 45yrs old diabetic with nonhealing wound right foot .   diabetic foot
Q6. Glasgow coma scale and its role in the management of patients with head injury.    GCS
Q7. Role of surgery in the management of morbid obesity. Morbid Obesity  
Q8. Management of a 50 years old with multinodular goitre and atrial fibrillation.   Multinodular
Goiter
Q9. Management of a 50 yrs old smoker with fracture of ribs 4th,5th,6th and 7th with flail chest.  Flail
Chest
Q10.Management of 16 yrs girl with 10cm x 10cm bosselated mass in left breast.  Bosselated mass in
breast

PAPER II JUNE 2010

Q1.Management of young lady with 6cm x 6cm cystic lesion in left lobe of liver .  cystic lesion liver
Q2. Investigational workup of a 15yrs old girl with recent onset severe arterial hypertension. hypertension
Q3. Management of an old lady with suspected sigmoid volvulus.   Sigmoid volvulus
Q4. Bowel preparation for elective colonic surgery.  Colonic preparation
Q5. Management of 40yrs old man with staghorn calculus of left kidney.   Staghorn calculus Lt
kidney
Q6. Management of 5 yrs old boy with nonpalpable right testis.   nonpalpable right testis
Q7. Indications of surgery in ulcerative colitis.   Ulcerative colitis
Q8. Management of 40 yrs old man with a 2cm x 2cm ulcer on the left lateral border of the
tongue.   Tongue Ca
Q9. Management of a young man with enterocutaneous fistula following appendecectomy.   Entero-
Cutaneous Fistula
Q10. Role of breast reconstrution in patients of carcinoma of the breast. Breast Reconstruction

PAPER III JUNE 2010

1. Role of surgery in the management of patients with pulmonary tuberculosis. Tb

2. Classification of choledochal cyst. Choledochal Cyst
3. Management of chylous fistula following radical neck dissection. Chylous Fistula
4. Pathophysiology of abdominal compartment syndrome. Abdominal Compartment
Syndrome
5. Role of aromatase inhibitors in management of patients with carcinoma breast.
Aromatase Inhibitor
6. Pre-operative work up of a 30 years old man with hard testicular mass. Testicular
Mass
7. Complications of spinal anaesthesia. Spinal Anaesthesia
8. Management of 30 years old man with hematuria following blunt trauma to flanks.
Blunt Trauma Kidney
9. Non surgical management of a 60 years old man with enlarged prostate. BHP
 10. Complications of insertion of catheter for CVP monitoring. CVP catheter
complication

PAPER IV JUNE 2010

1. Pathophysiology and management of TURP syndrome. TURP syndrome

2. Factors that govern the prognosis in patients with melanoma. Melanoma
3. Pathophysiology of arterio-venous fistula. A-V fistula
4. Pathophysiology of fluid and electrolyte disturbances that occur in patients with
gastric outlet obstruction. Gastric Outlet Obstruction
5. Staging of Hodgkin’s disease and investigative work-up before starting therapy.
Hodgkin's Disease
6. Blood supply of colon and anatomical basis of construction of colonic conduits for
replacement of esophagus. Colon
7. Universal surgical precautions. Universal Surgical Precautions
8. Factors that govern wound healing. Wound Healing
9. Metabolic complications of massive small bowel resection. Short Bowel
Syndrome
10. Role of sphincter preserving operations in patients with carcinoma of rectum.  Ca
Rectum.

   

PAPER I DEC 2010

1. Role of neo-adjuvant chemotherapy in the treatment of carcinoma

breast. Ca Breast
2. What is PSA? Discuss the precaution in its estimation, indications
and its role in prostatic diseases. PSA
 3. Briefly discuss surgical options in the treatment of
lymphoedema. Lymphedema
4. Enumerate the causes of burst abdomen. How would you manage a
30 years old lady with burst abdomen following surgery for
peroperative peritonitis?   Burst Abdomen
5. Techniques of post operative pain relief. Pain Management
6. Principle of damage control surgery.  Damage control surgery
7. Enumerate causes of chronic lower limb ischemia. How would you
investigate a 40 years man with dry gangrene of right big
toe? Perripheral Vascular Disease
8. Etiology and clinical features of abdominal compartment
syndrome. Abdominal Compartment Syndrome
9. What are pressure sores? What are the common sites and how
would you prevent development of these sores? Pressure Sores
10. Types and uses of Robots in surgery. Robotic Surgery  

PAPER II DEC 2010

1. What is synergistic gangrene? How would you manage a 60 years

man with Fournier's gangrene of scrotum?Gangrene
2. Uses of staplers in surgery. Staplers in Surgery
3. Aetiopathogenesis and management of paralytic ileus. Paralytic
ileus
4. Classify CBD injuries. How would you manage a 30 years old lady
with post cholecystectomy obstructive jaundice?CBD injury
5. Management of a 55 years old man with gastric outlet
obstruction. Gastric Outlet Obstruction
6. Describe lymphatic drainage of penis. How would you manage a 55
years old man with 2*2 cm ulcer on glans penis?Ca penis
7. Surgical options in the management of carcinoma pancreas. Ca
Pancreas
8. What is familial adenomatous polyposis? How will you manage such
a patient?  FAP
9. Principles of management of colonic injuries.  Colonic Injuries
10. Describe briefly the development of thyroid gland. How would you
manage a 16 years old girl with suspected thyroglossal
cyst?  Thyroglossal Cyst

PAPER III DEC 2010

 1. Enumerate the surgical causes of infertility in males. How would you
investigate the male partner of an infertile couple? Male Infertility
2. Management of a case of flail chest.flail chest
3. Classify ano-rectal malformations. How will you manage a low imperfortae
anus? ano-rectal malformation
4. Surgical anatomy of coronary artery disease. CAD

5. Surgical management of a 25 years old lady with cervical rib. Cervical Rib
6. How will you diagnose and treat a case of ureterocoele?ureterocele
7. Role of breast conservative surgery in the management of patients with
carcinoma breast. Breast conservation surgery
8. How would you manage a 40 years old lady with dysphagia more to liquids
than to solids? achalasia
9. Decision making for surgical intervention in patients with small bowel
obstruction. intestinal obstruction
10. Laparoscopic inguinal hernia repair. Lap Ing Hernia

PAPER IV DEC 2010

1. How would you investigate a 40 years old lady with incidentiloma of adrenal
gland? Adrenal Incidentaloma
2. Discuss the pathology of amoebic liver abscess. Amoebic Liver Abscess
3. Describe the anal sphincters and their role in continence. anal sphincters
4. Describe the development of lip. Classify cleft lip and outline the principles of
its management? Cleft lip & palate
5. What is surgical site infection? Name the common organisms. How will you
prevent it? SSI
6. Briefly describe the anatomy of anterior abdominal wall. Outline the
advantages and disadvantages of midline incision. Abdominal wall
7. Discuss principles of skin flaps in reconstruction. Skin Flaps
8. What are the various levels of lymph nodes in axilla? What are the types of
axillary dissections? Axillary Dissection
9. How do you plan the fluid and electrolytes in a post operative patient? Fluid
management
10. Discuss management of needle stick injuries following surgery in HIV positive
patients. Needle Stick Injuries
PAPER I JUNE 2009
1. Describe the clinical features and management outline of carotid body tumors.
Carotid Body Tumour
2. Ductal carcinoma in situ. DCIS
3. What are low grade and high grade parotid cancers? Outline the management of
malignant tumors of parotid with facial paralysis. Parotid Cancer
4. Discuss ways to estimate blood loss in surgical practice. Estimation of Blood loss
5. Necrotising fascitis. Necrotising fascitis
6. Basal cell carcinoma. Pathology, clinical features and management. basal cell
carcinoma
7. Types of bowel preparation before colorectal surgery. Bowel preparation
8. Palliative options in carcinoma oesophagus. Ca oesophagus
9. Clinical presentation and management of Thymoma. Thymoma
10. Retroperitoneal mesenchymal tumours. Retroperitoneal mesenchymal tumours.

PAPER II JUNE 2009

1. Discuss role of surgery in acute pancreatitis. Role of surgery in acute pancreatitis.
2. Classify benign Biliary strictures. Outline management of post-cholecystectomy
obstructive jaundice. Biliary strictures
3. Surgical management of ITP. ITP
4. Diagnosis and treatment of Carcinoid appendix. Carcinoid appendix.
5. Short Bowel Syndrome. short bowel syndrome
6. Treatment of Hepatic Hydatid Disease. Hepatic Hydatid Disease
7. Management of complete rectal prolapse in a 40 year old male. Rectal prolapse
8. Enumerate causes of lower G.I.Bleeding. Mention localization techniques. Briefly
outline the management of profuse hematochezia. Lower GI bleeding
9. Pathology and management of Pilonidal sinus disease. Pilonidal sinus
10. Ogilvie's syndrome. Ogilvie's syndrome

PAPER III JUNE 2009

1. Clinical features and management of Torsion Testes. Torsion Testis

2. Management of Hydrocephalus. Hydrocephalus
3. Pathology, staging, clinical features and management of Neuroblastoma. Neuroblastoma
4. Indications of Renal Transplantation. Describe various types of Graft rejection. Renal
Transplantation
5. Imperforate anus: diagnosis and management. Imperforate anus
 6. Differentiate between Primary and Secondary Brain injury after Head injury. Head Injury
7. Diagnosis and management of Tracheo-esophageal Fistula. Tracheo-esophageal Fistula
8. Clinical features, staging and treatment outline of Carcinoma penis. Ca penis
9. Differentiate between Perinephric abscess and pyonephrosis. Perinephric abscess and
pyonephrosis
10. Development of face with special reference of cleft lip and palate. Cleft lip and palate

PAPER IV JUNE 2009

1. Post-operative pain analgesia ladder. pain management

2. Anatomy of inguinal canal from surgical perspective. Inguinal canal
3. Modalities of Breast imaging. Breast imaging
4. Mechanism of anti coagulants used in surgery. Mechanism of anti coagulants
5. Differentiate between DTPA & DMSA Scan. DTPA/DMSA
6. Describe anatomical course of facial nerve. Facial nerve
7. Mechanism of SIRS. SIRS
8. Pathophysiological changes due to obstructive hydronephrosis. Hydronephrosis
9. Physiological changes due to obstructive jaundice. Jaundice
10. Surgical anatomy of anal canal. Anal canal

   

I
PAPER   DEC 2009

1. Define a buffer. Describe the management of metabolic

acidosis. Buffer
2. Management of a 30 yrs old lady with post partum Deep Vein
Thrombosis. Deep Vein Thrombosis
3. Management of a 20 years old girl with suspected
hyperparathyroidism.  Hyperparathyroidism
4. Sentinel lymph node biopsy.  Sentinel lymph node biopsy
5. Hidradenitis  Suppurativa.  Hidradenitis Suppurativa
6. Clinical features and management of submucous
fibrosis.  Submucous fibrosis
7. Critical limb ischemia.  Critical limb ischemia
8. Management of a 40 years old male weighing 60 kg with flash burns
of the face and the chest.   Burn
 9. Nutritional assessment of a surgical patient. Nutritional
assessment
10. Enumerate low grade and high grade parotid tumours. Describe the
management of high grade parotid tumor presenting with facial
palsy.   Parotid tumours

PAPER   II DEC 2009

1. Management of rupture of posterior urethra. Posterior Urethra
2. Role of hormone therapy in breast carcinoma.  Hormone therapy in
breast carcinoma.
3. Classification and management of anorectal abscess.  Anorectal
abscess.
4. Principles and indications of radio-frequency ablation of
neoplasm. Radio-frequency ablation of neoplasm
5. Effects of acid versus alkali injury on upper gastrointestinal tract.
Describe the principles of management of such injury.  Acid/Alkali
Injury
6. Management of 45 years old man with 4*4 cm ulcerative lesion in
rectum situated 8 cm from the anal verge.  Solitary rectal ulcer
7. Management of 15 years old boy with spleenomegaly and upper G.I.
bleed. Upper G.I.Bleed
8. Role of DPL in the management of blunt abdominal trauma.  DPL
9. Classify splenic injuries. Describe the changing trends in the
management of splenic trauma.  Splenic injuries
10. Pre-operative preparation required for patient with:-     Pre-
operative preparation

o Obstructive Jaundice.
o Phaeochromocytoma.

PAPER   III DEC 2009

1. Management of a patient with suspected carotid tumor.  Carotid
body tumour
2. Classify skin flaps.  Skin flaps
3. Management of a 25 years old man with Extra Dural
Haematoma. EDH
 4. Management of a 15 years old child with hydronephrosis due to UPJ
obstruction.  UPJ obstruction
5. Clinical features and management of a new born with meconium
ileus.  Meconium Ileus
6. Management of a 6 years old child with
nephroblastoma.  Nephroblastoma
7. Management of Thymoma. Thymoma
8. What is gastrinoma triangle? How would you investigate a patient
suspected to have gastrinoma?  Gastrinoma
9. Role of ESWL in the management of renal stones.  ESWL
10. Describe the difference between cadaveric liver transplantation and
liver donor related transplantation.  Transplantation

PAPER  IV DEC 2009

1. Enumerate the subphrenic spaces. Describe the clinical features
and management of a case with pelvic collection.Subphrenic
spaces
2. Describe the blood supply of the thyroid gland. What are the
intraoperative complications of total thyroidectomy?Thyroid
3. Draw the anatomy of the femoral canal and the femoral triangle.
Describe the branches to be ligated during Trendelenberg
operation.  Femoral triangle
4. Lymphatic drainage of the stomach.  Stomach
5. Triangles of neck with reference to Trauma zone. Triangles of neck
6. Surgical anatomy of the Rectus sheath with reference to incisional
hernia.  Incisional hernia
7. Draw the capillary fluid exchange at tissue level. Describe the
mechanism of oedema formation. Capillary fluid exchange
8. Role of endoscopic ultrasound in the investigation of oesophageal
and rectal malignancy.  Endoscopic ultrasound
9. Role of radio-iodine in the management of thyroid
disorders.  Radio-iodine
10. Tumor Lysis Syndrome.  Tumor Lysis Syndrome

    
    

PAPER I JUNE 2008

 1. Various parameters to assess the nutritional status of a surgical patient. Nutritional
status
2. Patho-physiology of "Septicemic Shock". Septicemic Shock
3. Tumor markers and their role in the management of a cancer patient. Tumor
markers
4. Scoring systems to assess the severity of injury in a trauma victim. Scoring system
in trauma victim
5. Patho-physiology and management of diabetic foot. Diabetic foot
6. "Universal Precautions". Universal Precautions
7. Antibiotic prophylaxis in surgery. Antibiotics prophylaxis
8. Management of Barret's esophagus. Barret's esophagus
9. Complications of massive blood transfusion. Blood transfusion
10. Management of a young male with 40% superficial thermal burns. Burns

PAPER II JUNE 2008

1. "Triple assessment". Triple assessment
2. Pre operative preparation for a patient with obstructive jaundice. Obstructive
Jaundice
3. Pathophysiology and management of fluid and electrolyte disturbances in a patient
with gastric outlet obstruction. Gastric outlet obstruction
4. Aetio-pathogenesis and management of large bowel obstruction. Large bowel
obstruction
5. Abdominal compartment syndrome. ACS
6. Prophylaxis and management of DVT. DVT
7. Management of "Liver abscess". Liver abscess
8. Management of a 40 years male with lower G.I.bleed. Lower GI bleed
9. Surgical management of a patient with chronic pancreatitis. Chronic Pancreatitis
10. Complications of spleenectomy. Spleenectomy

PAPER III JUNE 2008

1. Management of "locally advanced breast cancer". Locally advanced breast cancer
2. Management of 30yrs old lady with hyperparathyroidism. Hyperparathyroidism
3. Management of a 25 yrs old lady with chronic ischemia of upper limb. Chronic
ischemia of upper limb
4. Management of a 4 day old baby with congenital diaphragmatic hernia. Congenital
diaphragmatic hernia
5. Stapled Haemorrhoidectomy. Stapled Haemorrhoidectomy
6. Tracheo-esophageal fistula. TOF
 7. Role of porta-systemic shunts in the management of portal hypertension. Portal
hypertension
8. Clinical presentation and management of "Wilms tumor". Wilm's tumor
9. Management of a 45yrs man with stag horn calculus in left kidney. Staghorn
calculus
10. Video-assisted thoracoscopic surgery. VATS

PAPER IV JUNE 2008

1. Couinaud's segments of liver and their significance in management of liver
disease. Couinaud's segments of liver
2. Total Mesorectal Excision for cancer of rectum. TME
3. Anatomical boundaries of axillary dissection. Axillary dissection
4. Marjolin's ulcer and its management. Marjolin's ulcer
5. Fournier's gangrene. Fournier's gangrene
6. Anatomical landmarks for facial nerve identification during parotid surgery. Facial
nerve
7. Various anomalies of biliary system and their significance during surgery.
Anomalies of biliary system
8. Management of thoracic duct injury following radical neck dissection. Thoracic
duct injury
9. Burst abdomen. Burst abdomen
10. Intestinal complication of enteric fever and their management. Intestinal
complication of enteric fever

PAPER I DEC 2008

1. What is "Massive Blood transfusion"? What are its effects on the body? Massive Blood
transfusion
2. How do you classify operative wounds? Discuss the principles of prophylactic antibiotics in
surgery? Antibiotic prophylaxis
3. What is septic shock? Outline its pathophysiology? Septic shock
4. Outline the principles of management of diabetic foot? Diabetic foot
5. Discuss the prophylaxis and treatment of deep vein thrombosis? DVT
6. What is selective neck dissection? Discuss its types and their basis and complications? Selective
neck dissection
 7. Classify salivary gland tumor? Discuss the management of a pleomorphic adenoma of parotid
gland? Salivary gland tumors
8. Management of solitary thyroid nodule? Solitary thyroid nodule
9. What are the basic requirements for cancer screening? Describe the methods of breast cancer
screening and its advantages and disadvantages. Cancer Screening
10. Discuss the aetiopathology, clinical features, investigations and treatment of Pheochromocytoma.
Pheochromocytoma

PAPER II DEC 2008

1. Discuss the etiopathology and management of pyloric stenosis of infancy. Pyloric stenosis
2. How will you diagnose and treat a case of torsion testis. Torsion testis
3. How will you manage a case of Testicular tumor? Testicular tumour
4. Discuss the treatment of carcinoma Prostate. Ca Prostate
5. Discuss in brief treatment options in renal stones. Renal stones
6. Name the various types of skin grafts. How do they survive? How will you minimize failure of
such grafts? Skin grafts
7. Discuss the various flaps in Breast reconstruction. Flaps
8. What are tumor markers? Discuss their clinical applications. Tumor marker
9. Discuss the care of a terminal cancer patients. Care of terminally ill patient
10. Write a short note on Vascular prosthesis. Vascular prosthesis

PAPER III DEC 2008

1. Discuss the lymphatic drainage of breast. How will you detect the sentinel lymph node? Breast
2. What are different blood products? How are they manufactured and discuss their indications.
Blood products
3. Discuss the management of hemorrhagic shock. Hemorrhagic shock
4. Describe the pathophysiology of 'SIRS'. SIRS
5. Describe the surgical anatomy of mesorectum and its importance in management of Carcinoma
rectum. Ca Rectum
6. How does testis develop and descend in the scrotum. Name the sites of Ectopic Testis. Testis
7. Describe the surgical anatomy of recurrent laryngeal Nerve and how will you prevent its injury.
Recurrent laryngeal nerve
8. Classify chemotherapeutic agents. What are the advantages of combination chemotherapy?
Chemotherapy
9. Treatment of pain in a patient of advanced malignancy. Pain management
10. Causes and treatment of metabolic Acidosis. Metabolic Acidosis

PAPER IV DEC 2008

PAPER I JUN 2007

1. Classify aneurysms. Enumerate the clinical features of posttraumatic femoral

aneurysm. aneurysm
2. Discuss the clinical features and principles of management of septicemic
shock.  Septicemic shock
3. What are the indicators of Total Parentral Nutrition?  Calculate Nutritional requirements
for a 70 Kg male with duodenal fistula with sepsis.  Total parenteral nutrition
4. Prophylactic antibiotics in surgery.  Prophylactic antibiotics
5. Aetiopathogenesis and Management of Diabetic Foot.  Diabetic Foot
6. Briefly describe the surgical treatment of GERD?  GERD
7. Describe the classifications of lymphomas.  Lymphomas
8. Preoperative management of a patient with obstructive jaundice. obstructive jaundice
9. Describe the basis for the use of selective & non selective shunts in portal
hypertension. portal hypertension
10. Management of varicose veins.  varicose vein

PAPER II JUN 2007

1. Describe the investigative workup of a patient with suspected

phaeochromocytoma.  Pheochromocytoma
2. Discuss the surgical options for the management of ulcerative colitis.  Ulcerative colitis
3. Radio frequency ablation in the management of malignant tumors.  Radiofrequency
ablation
4. Classify Liver injuries. Discuss principles of operative management of liver
trauma.  Liver injuries
5. Classify & mention the distinctive features of intestinal polyps.  Intestinal polyps
6. What are premalignant conditions of oral cavity? Describe staging of oral cancer.  Oral
cancer
7. Classify skin grafts. Skin grafts
8. Discuss the pathogenesis & management of infective causes of intestinal
perforations. Intestinal perforation
9. Classify & discuss the principles of management of fistula-in-ano.  Fistula in ano
10. Role of laparoscopy in GI malignancies.  GI malignancies

PAPER III JUN 2007

1. Define briefly Common Bile Duct stone? Discuss its management.  CBD stone
2. Enumerate Surgical Complications of Amoebiasis? Discuss management of Amoebic
Liver Abscess.  Amoebic liver abscess
3. Describe diagnosis and treatment of Hydatid Cyst of Liver. Hydatid Cyst of Liver
4. Discuss prognostication of Acute Pancreatitis. Acute pancreatitis
5. Aetiopathogenesis of ascites and management of intractable ascites. Ascites
 6. Classification and diagnostic workup of a patient with entero-cutaneous
fistula. Enterocutaneous fistula
7. Classify acute intestinal obstruction. Discuss the management of intussusception in a 40
year old male. Intestinal obstruction
8. Discuss therapeutic options for grade III-grade IV haemorrhoids. Haemorrhoids
9. Diagnostic workup of a patient with Obscure Gastrointestinal Haemorrhage.  Obscure GI
haemorrhage
10. Enumerate the complications of splenectomy.  Splenectomy

PAPER IV JUN 2007

1. Discuss staging and management of well-differentiated thyroid cancers.  Thyroid cancer

2. What is gut barrier function? Discuss bacterial translocation in surgical patients.  Gut
barrier function
3. Complications in transplant surgery.  Complications in transplant surgery
4. Briefly discuss the role of Breast Conservative Surgery in a patient with Carcinoma
breast. Breast Conservative Surgery
5. Discuss the role of carotid endarterectomy in prevention of strokes.  Carotid
endarterectomy
6. Enumerate the indications of surgery in BHP. Briefly outline the management of TURP
syndrome.  TURP syndrome
7. Discuss the prognostic factors and surgical strategy in malignant melanoma.  Malignant
melanoma
8. Define abdominal compartment syndrome. Briefly describe the pathophysiology of
abdominal compartment syndrome.ACS
9. What are the indications of bariatric surgery? Discuss briefly the surgical options
available today. Bariatric surgery
10. Briefly discuss the causes and management of unilateral hydronephrosis.
Hydronephrosis

   

PAPER I DEC 2007

1. Prognostic factors in carcinoma breast.  Breast Ca

2. Premalignant oral lesions.  Premalignant oral lesions
3. Pathology, features and management of carotid body tumor.  Carotid body tumor
4. Frey's syndrome.  Frey's syndrome
5. Management of thyroid incidentaloma.  Thyroid incidentaloma
6. Pathology, clinical features and management of duct ectasia of breast.  Duct ectasia of
breast
7. Pathophysiology, features and management of tension pueumothorax. Tension
pneumothorax
 8. Pathology and management of diabetic gangrene. Diabetic gangrene
9. Describe etiology, features and management of benign esophageal stricture. Esophageal
stricture
10. Discuss various essential requirements to establish a minor operation theatre. Minor OT

PAPER II DEC 2007

1. Essentials of safe bowel anastomosis.  Safe bowel

anastomosis                                                                                                                             
                            
2. Describe the surgical treatment of obesity.  Bariatric surgery
3. Discuss treatment options of typhoid ulcer perforation.  Typhoid ulcer perforation
4. Outline the investigations and treatment of carcinoma head of pancreas.  Ca head
pancreas
5. What are the Universal precautions in AIDS.  Universal precautions in AIDS
6. Diagnosis, prevention and treatment of Gossypiboma.  Gossypiboma
7. Principles of Laparoscopic Hernia Repair.  Laparoscopic Hernia Repair
8. Discuss briefly the Mirrizi's syndrome.  Mirrizi's syndrome
9. Etiology and management of rectal prolapse.  Rectal prolapse
10. Briefly discuss "short bowel syndrome".  Short bowel syndrome

PAPER III DEC 2007

1. The therapeutic use of ultrasound. Therapeutic use of ultrasound

2. Management of advance carcinoma of prostate. Ca prostate
3. Briefly discuss classification, investigation, treatment and follow up of germ cell tumour
of testes.  Tumor testes
4. Etiopathogensis and management of hydrocephalus.  Hydrocephalus
5. Classification and management of choledochal cyst.  Choledochal cyst
6. Clinical feature and management of congenital hypertrophic pyloric stenosis.  CHPS
7. Urethral injuries in relation to fracture pelvis.  Urethral injuries
8. Approach to locally advanced breast cancer.  Locally advanced breast cancer
9. Clinical features of Buerger's disease. Buerger's disease
10. Causes and preoperative preparation for a case of obstructive jaundice.  Obstructive
jaundice

PAPER IV DEC 2007

1. Nutritional assessment of cancer patients.  Nutritional assessment

2. The lymphatic drainage of breast. Discuss the concept of sentinel
node biopsy in a breast.  Lymphatic drainage of breast
3. Surgical anatomy of liver. Mention briefly principles of management
of liver trauma. Liver Trauma management
4. Levels of neck nodes. Mention various types of neck
dissections.  Neck dissections
5. Nerve injuries in thyroid surgery and their prevention.  Nerve
injuries in thyroid surgery
6. Anatomy of anal canal. Briefly mention the pathophysiology of
fistula in ano.  Fistula in ano
7. Advantage and disadvantages of preoperative bowel
preparation.  Bowel preparation
8. Pathology and complications of ulcerative colitis.  Ulcerative
colitis
9. Venous drainage of lower limb. Mention management outlines of
varicose veins.  Varicose veins
10. Mechanism of wound healing and various factors affecting
it.  Wound healing

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

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

3Write short note on Physiological effects of pneumoperitoneum. Pneumoperitoneum

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

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

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

7Classify salivary gland tumours. Discuss the management of pleomorphic adenoma of parotid
gland? Salivary Gland Tumors

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

9Discuss OPSI. OPSI

10.Management of primary thyrotoxicosis. Thyrotoxicosis

PAPER II DEC 2006 

1. How will you mange a patient of duodenal fistula following failure of repair of duodenal
perforation? Duodenal perforation
2. Preoperative management of a patient with obstructive jaundice. obstructive jaundice
3. Enumerate local complications of acute pancreatitis. Discuss the management of pancreatic
necrosis. Acute pancreatitis
4. Treatment of sigmoid volvulus. Sigmoid volvulus
5. Pathophysiological changes occurring after massive intestinal resection. Massive intestinal
resection
6. Zollinger Ellison Syndrome.  ZOLLINGER ELLISON SYNDROME

7. Carcinoid tumours of the appendix. Carcinoid tumor

8. Non-operative management of liver trauma. Liver trauma
9. Clinical features and treatment of Amoebic Liver abscess. Amoebic Liver Abscess
10. Role and techniques of preoperative preparation of bowel in patients scheduled for elective
colonic surgery. Bowel preparation

    
                                                  
PAPER III DEC 2006

1. Lumbar sympathectomy, in an ishcemic limb. Lumbar sympathectomy

2. Technique and complications of EPIDURAL ANAESTHESIA. EPIDURAL ANAESTHESIA
3. Ketamine. Ketamine
4. Treatment of ileofemoral DVT. DVT
5. Zone-based algorithm for management of penetrating injuries to anterior neck. Penetrating
injuries to neck
6. Pathophysiology of burn shock and fluid resuscitation of a burnt patient. Burn
7. Enumerate the complications of TURP. Briefly  dscribe the pathophysiology and treatment of
TURP syndrome. TURP syndrome
8. How would you manage a 50 years old man with stag horn calculus in left kidney? Stag Horn
Calculus
9. Classification of choledochal cyst and principles of their management. Choledochal Cyst
10. Splenic salvage in children following trauma. Splenic salvage

PAPER IV DEC 2006

1. Pathophysiology of strangulating intestinal obstruction. Intestinal Obstruction
2. Discuss "factors" causing burst abdomen after laparotomy. Burst abdomen
3. Etiopathogenesis of urinary tract calculi. Urinary calculi
4. Boundaries of thoracic inlet and clinical features of cervical rib. Cervical rib
5. Discuss the anatomical basis of various clinical features of carcinoma breast and also enumerate
the structures removed in various types of mastectomies. Ca Breast
6. Discuss the various hepatic segments and also enumerate different types of hepatic resections.
Liver anatomy
7. Describe the venous drainage of lower limbs with the help of diagram, and factors responsible for
development of venous ulcer. Venous ulcer
8. Enumerate metabolic effect of starvation and discuss the physiological disturbances that occur in
severe sepsis. Severe sepsis
9. What are the aims of nutritional assessment? Describe methods of nutritional assessment in
surgical patients. Nutritional assessment
10. Physiological changes that occur in blood stored at 4 degree centigrade.   Physiological changes
of stored blood