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
 

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 I -B 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 II -A 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 II -B 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 III -A 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 III -B 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 IV -A 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."                                                                                                     
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. 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".
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
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

PAPERIJUNE 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.

PAPERIIJUNE 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

PAPERIIIJUNE 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

PAPERIVJUNE 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

   

PAPER I 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

 Obstructive Jaundice.
 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
    
    

PAPERI 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

PAPERII 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

PAPERIII 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

PAPERIV 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

PAPERI 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

PAPERII 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

PAPERIII 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

PAPERIV 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

PAPERII 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

    
                                                  
PAPERIII 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