DNB SURGERY RECENT QUESTIONS 2000-

2009
WATER AND ELECTROLYTES
1 Define buffer ? Describe the management of metabolic acidosis ? D-09
2 Causes and treatment of Metabolic Acidosis. ? Dec 2008
3 Describe the fluid and electrolyte physiology after major injury. June
2004
4 Outline clinical feature of Acidosis, describe the deranged parameters on
blood gas examination to support diagnosis of metabolic acidosis, and its
management. Dec 2004

BLOOD

1 Methods to measure blood loss in surgical practice? June 2009

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

NUTRITION

1 Nutitional assessment of a surgical patient. D-09

2 Various parameters to assess the nutritional status of surgical patient ?
June 2008
3 Nutritional assessment in Cancer patient ? Dec 2007
4 What are the Indications of Total Parentral Nutrition?
5 Calculate the nutritional requirements of 70kg male with duodenal fistula
with sepsis? June 2007
6 Enumerate the metabolic effect of starvation and discuss the physiological
disturbances that occur in severe sepsis ? ? June 2006
7 What are the aims of nutritional assessment? Describe the methods of
nutritional assessment in surgical patient? June 2006
8 What are the indications for TPN. Its constituents. Methods of delivery of
TPN. Complications of TPN. Dec 2004

Dnb Surgery questions 2000-2009Page 1

 9 TPN. June 2003 , Dec 2003,June 2002
BURNS
1 Management of 40 yrs old male weighing 60 kg with flash burns of the
face and chest. D-09
2 Management of Young Male with 40% Superficial Thermal Burns June
2008
3 Classify burns. What are the synthetic and biologic dressings for burns,
fluid restriction for a patient with burns. Dec 2006
4 Pathophysiology of burn shock and fluid resuscitation of a burnt
patient ? ? June 2006
5 Fluid and electrolyte management of burns. Dec 2004
6 Management of burns wound. June 2004

METABOLIC RESPONSE TO INJURY

1 Mechanism of SIRS. June 2009

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

WOUNDS

1 Classify Operative Wounds? Discuss the Principles of Prophylactic

Antibiotics in Surgery? Dec 2008
2 Antibiotics prophylaxis in surgery ? June 2008
3 What are Universal Precautions in AIDS ? Dec 2007
4 Diagnosis, prevention and treatment of Gossypoma Dec 2007
5 Wound Healing and various factors affecting it ? Dec 2007
6 Prophylactic Antibiotics in Surgery. June 2007
7 Classification of wounds. What are the factors affecting wound healing .
Management of facial injury following RTA. Dec 2005
8 Classification of wounds and role of prophylactic antibiotics. Dec 2004
9 Factors affecting wound healing . June 2003.
10 . Antibiotic prophylaxis in Surgery . Dec 2001

Dnb Surgery questions 2000-2009Page 2

 INFECTIONS

1 Hidradenitis suppurativa. D-09

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

GENERAL

1 Universal Precautions ? June 2008

2 Outline the transmission of HIV/AIDS, Universal precautions,
Prophylaxis following accidental exposure. Dec 2004
3 Surgery and HIV . June 2003
4 HIV universal precautions and post exposure prophylaxis. June 2002
5 Universal precautions and Post exposure prophylaxis. Dec 2002

INVESTIGATIONS

1 Role of endoscopic ultrasound in the investigation of esophageal and

rectal malignancy. D-09
2 Differentiate of DTPA and DMSA? June 2009
3 Therepeutic uses of USG Dec 2007
4 MRI. Dec 2003

OPERATIONS

1 Video Assisted Thorocoscopic Surgery ? June 2008

2 Principles of Laparascopy . June 2005
3 Endoscopic ultrasound. June 2004
4 Sclerotherapy. June 2001

Dnb Surgery questions 2000-2009Page 3

 MISCELLANEOUS- GENERAL

1 Discuss Various essential requirements to establish Minor OT ? Dec 2007

2 Surgical Audit. Dec 2006
3 Day care Surgery ? Dec 2005
4 Methods of sterilization of operative management . June 2005
5 Objective and scope of daycare surgery. June 2003
6 Stents and surgery. Dec 2003
7 Intra operative monitoring in surgical patients. June 2002
8 Advances in drug delivery systems. Dec 2002
9 Suture materials. June 2001
10 Synthetic absorbable suture material. June 2000

AMPUTATION

1 Meningo amputation. June 2002

2 Syme s amputation. June 2002

TRAUMA

HEAD

1 Management of a 25 yrs old man with extradural haemorrhage. D-09

2 Depressed fracture frontal region. Dec 2000
3 Differentiate between Primary and Secondary Brain injury ? June 2009
4 Discuss the evaluation, management of patient with Head Injury. June
2000

NECK

1 Triangles of neck with reference to trauma zone. D-09

2 Management of Thoracic duct injury following Radical Neck Dissection ?
June 2008
3 Zone based algorithm for management of penetrating injuries to anterior
neck ? ? June 2006

Dnb Surgery questions 2000-2009Page 4

 CHEST

1 What is tension Pneumothorax? Causes, Management? Dec 2008

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

GENERAL

1 Scoring systems to assess the severity of injury in Trauma victim ? June

2008
2 Write a brief note on damage control study. June 2005
3 Glasgow Coma Scale. Dec 2004, Dec 2000
4 Explosive blast injury. Dec 2002

ABDOMEN

1. Role of DPL in the management of blunt abdominal injury. D-09

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

ANAESTHESIA & PAIN MANAGEMENT

1 PostOperative pain .Analgesia ladder. ? June 2009

2 Treatment of pain in advanced malignancy patients? Dec 2008
3 Management of postoperative pain. Dec 2006
4 Technique and complications of Epidural Anaesthesia ? ? June 2006
5 Ketamine ? ? June 2006
6 How is neuromuscular blockade achieved. Name the common local
anaesthetic used. Describe various local anaesthetics. Dec 2005
7 Pain control in malignant disease. June 2005
8 Epidural analgesia June 2005
9 Post operative management. June 2004
10 Botulinum toxin in surgical practice. June 2004

Dnb Surgery questions 2000-2009Page 5

 ONCOLOGY

1 Sentinel lymph node biopsy . D-09

2 Principles and indications of radio frequency ablation of neoplasm. D-09
3 Tumor lysis syndrome. D-09
4 What are tumor markers? Discuss the Clinical Applications? Dec 2008
5 Discuss the care of a terminal cancer patient ? Dec 2008
6 Classify Chemotherapeutic Agents ,Advantages of combination
chemotherapy? Dec 2008
7 Tumor markers and the role in management of Cancer patients? June 2008
8 Radiofrequency Ablation in management in malignant tumors? June 2007
9 Discuss the principles of radiotherapy ? Dec 2005
10 Tumor markers . June 2004
11 Oncogenes. June 2000

TRANSPLANTATION

1 Describe the differences between cadeveric and live donor liver

transplantation. D-09
2 Indication of Renal Transplantation. Types of Graft Rejection. June 2009
3 Small bowel transplantation ? Dec 2005
4 Types of graft rejection. Mention any 3 drugs used for immunosupression
and their complications. Clinical testing for Brain Stem Death. June 2005
5 Immunosuppresants. June 2004
6 Infections in immunocompromised patients. Dec 2004
7 Role of HLA antigens in organ transplantation. June 2003
8 Immuno suppressive agents. Dec 2002
9 Brain death and organ donation. June 2001
10 Therapy to prevent graft rejection in renal transplant. June 2000

SKIN & SUBCUTANEOUS TISSUE

1 Basal cell Carcinoma. Types, pathology, management? June 2009

2 Marjolin s Ulcer and its management ? June 2008
3 Discuss the prognostic factors and Surgical strategy in malignant
melanoma. June 2007
4 Prognostic factors of malignant melanoma . Histopathological types of
cutaneous melanoma. Systemic treatment of melanoma. Dec 2006
5 Actinomycosis. June 2004
6 Staging of Melanoma Skin. Dec 2004
7 Pigmented malignant lesions of Skin. June 2001
8 Pathology of Malignant Melanoma. June 2000
Dnb Surgery questions 2000-2009Page 6
 HEAD & NECK

1. Clinical features and management of sub mucous fibrosis. D-09

2. Management of a patient with suspected carotd tumor. D-09
3. Management of Thymoma. D-09
4. Carotid body tumor? CF, Diagnosis, Management? June 2009
5. What is Selective Neck Dissection? Discuss its types, basis and
complications? Dec 2008
6. Premalignant oral lesions ? Dec 2007
7. Levels of Neck nodes . Mention various neck dissections ? Dec 2007
8. Pathology , Features and management of carotid body tumor ? Dec 2007
9. What are the premalignant conditions of oral cavity .Describe the staging
of oral cancer? June 2007
10. What are the cervical lymph node levels. Describe the pattern of spread of
lymph node metastasis in head and neck cancer. Surgical management of
cervical node metastasis for head and neck cancer. Dec 2006
11. Diagnosis and management of occult primary tumours of head and neck
with cervical secondaries. Dec 2005
12. Branchial Fistula . June 2005
13. Cystic hygroma. Dec 2004
14. Odantomas of Jaw. June 2004
15. Thymoma. June 2002
16. Cervical Sympathectomy. Dec 2002
17. Tracheostomy. Dec 2002
18. Branchial cyst. June 2000
19. Dentigerous Cyst. June 2000
20. Cystic Hygroma . Dec 2000
21. Collar stud abscess. Dec 2000

SALIVARY GLANDS

1 Enumerate low and high grade parotid tumors . Describve the

management of high grade parotid tumor presenting with facial palsy. D-
09
2 Low Grade and High Grade Parotid tumors? Treatment of high grade
tumors? June 2009
3 Anatomy of Facial Nerve. Course and Variations? June 2009
4 Classify Salivary Gland Tumors? Management of Pleomorphic Adenoma?
Dec 2008
5 Anatomical landmarks of Facial Nerve Identification during Parotid
Surgery? June 2008
6 Frey s Syndrome ? Dec 2007

Dnb Surgery questions 2000-2009Page 7

 7 Classify salivary gland tumours. Discuss the management of Pleomorphic
adenoma of Parotid gland . June 2006
8 Salivary gland calculi ? Dec 2005
9 Anatomy of parotid gland and its relation to facial nerve. Methods of
identifying facial nerve during surgery. complications following injury to
facial nerve and corrective measures. June 2005
10 Acute parotitis. June 2004
11 Warthin’s tumor. June 2001

CHEST

1 Classification of mediastinal neoplasms . Dec 2006

2 Boundaries of thoracic inlet and clinical features of cervical rib ? June
2006
3 Anatomy of mediastinum .Management of primary mediastinal tumor in
anterior mediastinum. Dec 2005
4 Solitary pulmonary nodule . June 2005
5 Oncological emergencies. Dec 2002
6 Thoracic outlet syndrome . June 2001
7 Solitary Hydatid cyst of lung . Dec 2000
8 clinical features and management of Thymoma

BREAST

1. Role of hormonal therapy in breast cancer. D-09

2. What are the basic requirements for Cancer screening? Describe the
methods of breast screening, advantages and disadvantages? Dec 2008
3. Ductal Carcinoma in Situ? June 2009
4. Modalities of Breast Imaging? June 2009
5. Discuss the Various flaps in Breast Reconstructions? Dec 2008
6. Triple Assessment ? June 2008
7. Management of ‘Locally Advanced Breast Cancer ‘?June 2008
8. Anatomical Boundaries of axillary dissection. June 2008
9. Pathology,CFeatures,Management of Duct ectasia of Breast ? Dec 2007
10. Prognostic factors in Ca.Breast ? Dec 2007
11. Approach to locally advanced breast cancer ? Dec 2007
12. Lymphatic drainage of Breast .Sentinel lymph node biopsy ? Dec 2007
13. Briefly discuss the role of Breast conservative surgery in patient with
Carcinoma Breast. June 2007
14. Diagnosis and management of non palpable breast lesion . Dec 2006
15. Define Gynaecomastia .Briefly describe its etiology and management .
June 2006
16. Principle,techniques and role of sentinel lymph node biopsy in
management of carcinoma breast . June 2006

Dnb Surgery questions 2000-2009Page 8

 17. Discuss the anatomical basis of various clinical features of carcinoma
breast and also enumerate the structures removed in various types of
Mastectomies. ? June 2006
18. Discuss phyloddes tumour. June 2005
19. Describe lymphatic drainage of breast. What is Sentinel node. How is
sentinel node biopsy done. June 2005
20. Breast conservative surgery . Dec 2004
21. Sentinel lymphnode biopsy in Breast cancer. June 2003
22. Sentinel lymph node biopsy. Dec 2003
23. Role of imaging techniques in Breast cancer. Dec 2003
24. Breast conservation surgery. Dec 2003
25. Sentinel node biopsy – indication and methods. June 2002
26. Describe the lymphatic drainage of breast and discuss the treatment of
Ca.Breast T2N1M0 June 2002
27. Mammography. June 2001
28. Diagnosis and management of non-palpable breast tumor. June 2001
29. Post mastectomy breast reconstruction. June 2001
30. Prognostic factors in Breast cancer. Dec 2001
31. Role of Breast preserving surgery in Carcinoma Breast. June 2000
32. Hormonal therapy . Dec 2000
33. Benign Breast Disease . Dec 2000
34. Cystosarcoma Phylloides. Dec 2000

THYROID

1. Describe blood suppy of thyroid glnd . What are the intra operative
complications of total thyroidectomy. D-09
2. Role of radio iodine in the management of thyroid disorders. D-09
3. Management of Solitary Nodule Thyroid? Dec 2008
4. Describe Surgical Anatomy of Recurrent Laryngeal Nerve and how will it
get injured. Dec 2008
5. Management of Thyroid Incidentoloma ? Dec 2007
6. Nerve injuries in Thyroid surgery ? Dec 2007
7. Discuss staging and management of well differentiated thyroid cancers.
June 2007
8. Management of follicular carcinoma of thyroid . Dec 2006
9. Management of Primary thyrotoxicosis. ? June 2006
10. Thyroid storm . Dec 2005
11. Medullary thyroid carcinoma . June 2005
12. What are the common drugs used for treating thyrotoxicosis. How will u
prepare a patient with thyrotoxicosis for surgery. describe operations done
for surgery. June 2005
13. Toxic thyroid nodule . June 2004
14. Management of retrosternal goiter. Dec 2004
15. Solitary toxic nodule thyroid. June 2003

Dnb Surgery questions 2000-2009Page 9

 16. Treatment of grave’s disease. June 2003
17. Complications of thyroid surgery . evaluation and treatment. June 2002
18. Management of toxic thyroid nodule. Dec 2002
19. What are the common drugs used in treating thyrotoxicosis. How will u
prepare a patient with thyrotoxicosis for surgery. Operations done for
thyrotoxicosis. How will u manage Thyroid crisis. Dec 2002
20. Etiology, Diagnosis and treatment of Papillary Carcinoma Thyroid. June
2001
21. Describe the development of Thyroid Gland and physiological cycle of
thyroxine synthesis . Write in brief treatment of Medullary Carcinoma
thyroid. June 2000
22. Lingual thyroid. Dec 2000

PARA THYROID

1. Management of a 20 yrs old girl with suspected hyper parathyroidism ?

D-09
2. Management of 30 yr old patient with Hyperthyroidism? June 2008
3. Investigations used for localization of parathyroid adenoma. ? Dec 2006
4. How would you investigate a patient with suspected
hyperparathyroidism ? June 2006
5. Clinical manifestation of primary hyperparathyroidism . Dec 2005
6. Parathyroid adenoma . June 2000

ADRENAL

1. Pre operative management of patient with Phaeochromocytoma. D-09

2. Discuss the etiopathology, Cf, Investigations and Treatment of
Pheochromocytoma? Dec 2008
3. Describe the investigative workup of a patient with pheochromocytoma. ?
June 2007
4. Management of a patient with Incidentaloma of adrenal gland ? June 2006
5. Diagnosis and treatment of Pheochromocytoma ? Dec 2005
6. Incidental adrenal mass. Dec 2005

7. Biochemical diagnosis of cushings syndrome. Clinical features of CS.

Surgical approach to adrenal gland. June 2005

8. Biochemical diagnosis of Cushings syndrome. Clinical features of

Cushings syndrome. Surgical approaches to adrenal gland. Dec 2002

Dnb Surgery questions 2000-2009Page 10

 PLASTIC SURGERY

1. Classify skin flaps. D-09

2. Name the various types of Skin Grafts. How do they survive? How will u
minimize failure of such Grafts? Dec 2008
3. Classify Skin grafts. June 2007
4. Hand spaces. June 2004
5. Hand space infections. June 2003.
6. Myocutaneous flaps. Dec 2003
7. Palmar space infections. Dec 2003

CNS

1. Management of Hydrocephalus? June 2009

2. Pathophysiology of Obstructive Hydrocephalus. June 2009
3. Etiology, Management of Hydrocephalus ? Dec 2007
4. Discuss the role of Carotid endarterectomy in Prevention of Strokes. June
2007
5. Hydrocephalus. Dec 2005
6. EDH . June 2004
7. Intracranial Hematomas . June 2003.
8. Subdural Hematoma. Dec 2003
9. Hydrocephalus. Dec 2002
10.Differentiate between primary head injury and secondary head injury

ARTERAL

1. Critical limb ischemia . D-09

2. Outline the principles of Management of Diabetic Foot? Dec 2008
3. Short note on Vascular Prosthesis? Dec 2008
4. Lumbar Sympathectomy in Ischemic limb ? ? June 2006
5. PathoPhysiology and Management of Diabetic foot ? June 2008
6. Management of a 25yr old lady with chronic ischemia of upper limb ?
June 2008
7. Pathology , Management of Diabetic Gangrene ? Dec 2007
8. Clinical features of Buergers Disease ? Dec 2007
9. Etiopathogenesis and management of Diabetic foot? June 2007
10. Classify Aneurysms. Enumerate the clinical features of post traumatic
femoral aneurysm? June 2007
11. Drugs used in type 1 and type 2 Diabetes Mellitus. Clinical features in
Diabetic ketoacidosis. Management of Diabetic foot with critical ischemia.
Dec 2005
Dnb Surgery questions 2000-2009Page 11
 12. Surgery in beurger’s disease. Dec 2004
13. Describe the causes , investigations and management of Critical limb
ischemia. June 2003
14. Diabetic foot. Dec 2003
15. Vascular trauma. Investigations and management. Dec 2002
16. Infrarenal aortic aneurysm . Dec 2001

17. Etiology, diagnosis and treatment of Buerger’s disease. June 2001

18. Thrombo arterectomy for peripheral vessels . Dec 2000

VENOUS

1. Management of 30 yrs old lady with post partum DVT? D-09

2. Draw the anatomy of femoral canal and femoral triangle. Describe the
branches ligating during trendelenburg procedure. D-09
3. Discuss the prophylaxis and treatment of DVT? Dec 2008
4. Prophylaxis and Management of DVT ? June 2008
5. Venous drainage of lower limb . Management outlines of Varicose Veins ?
Dec 2007
6. Venous drainage of lower limb . Management outlines of Varicose Veins ?
Dec 2007
7. Management of Varicose veins. June 2007
8. Management of recurrent varicose veins. Dec 2006
9. Management of DVT. Dec 2006
10. Treatment of IleoFemoral DVT ? ? June 2006
11. Describe the venous drainage of lower limbs with help of a diagram and
factors responsible for development of venous ulcer ? ? June 2006
12. Management of DVT ? Dec 2005
13. Anatomy of venous drainage of lower limb. Mention complications of
varicose veins. Describe operations done for varicose veins. June 2005
14. What are the factors contributing to development of DVT. Clinical
features suggestive of DVT and its possible complications. Methods to
establish diagnosis of DVT. Management of DVT .Dec 2004
15. Venous ulcer. June 2003
16. Etiopathogenesis of varicose ulcer. Dec 2003
17. Anatomy of venous drainage of lower limb. Complications of varicose
veins. Operations done for the varicose veins. Dec 2002
18. Use of Intravenous filters in fluid management of critically ill patients.
Dec 2001

Dnb Surgery questions 2000-2009Page 12

 LYMPATIC

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

UROLOGY

KIDNEY

1. Management of a 15 years old child with hydronephrosis due to UPJ

obstructions. D-09
2. Write a note on Perinephric Abscess
3. Briefly discuss the causes and management of unilateral hydronephrosis.
June 2007
4. Management of hematuria in an elderly male. Dec 2006
5. Squamous cell carcinoma of Kidney ? Dec 2005
6. Neoplasms of Kidney . June 2005
7. Grading and management of Renal injuries. Dec 2004
8. Hematocele. June 2001
9. Polycystic Kidney. June 2001
10. Genitourinary tuberculosis in male. Dec 2000
11. Polycystic Kidney . Dec 2000

STONES

1. Role of ESWL in the management of renal stones. D-09

2. Discuss the treatment options in Renal Stones.? Dec 2008
3. Management of a 45 yr old man with Stag Horn Calculus in Left Kidney?
June 2008
4. How would you manage a 50 yr old man stag horn calculus in left
kidney ? ? June 2006
5. Etiopathogenesis of Urinary Tract Calculi ? ? June 2006
6. PCNL. June 2005
7. ESWL. Dec 2003
8. Percutaneous nephrolithotomy. June 2000

Dnb Surgery questions 2000-2009Page 13

 PROSTATE

1. Discuss the treatment of Ca.Prostate? Dec 2008

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

BLADDER

1. Invasive bladder carcinoma. June 2003

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

URETHRA/ PENIS

1. Management of rupture of posterior urethra. D-09

2. Ca.Penis –CF & Management June 2009
3. Urethral Injuries in relation to Fracture Pelvis Dec 2007
4. Congenital urethral valve . June 2004
5. Hypospadias. June 2001
6. Congenital Urethral Valve. June 2000

SCROTUM

1. Testicular Torsion – Diagnosis, Treatment? June 2009

2. How will u diagnose and treat a case of Torsion Testis? Dec 2008
3. How will u manage a case of Testicular Tumor? Dec 2008

Dnb Surgery questions 2000-2009Page 14

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

GASTRO SURGERY

1. SEMS. Self Expanding Metallic Stents. June 2003

2. Staplers in surgery . June 2003.
3. Role of endoscopic treatment in surgical practice. Dec 2003
4. Use of staplers in surgery. Dec 2003

ESOPHAGUS

GENERAL

1. Effects of acid Vs alkali injury on upper GI . Describe the management of

such injuries. D-09
2. Management of a 4yr old lady with Congenital diaphragmatic Hernia ?
June 2008
3. CF and Management of TracheoEsophaeal Fistula? June 2009
4. TracheoOesophageal Fistula ? June 2008
5. Etiology, Features, Management of Benign esophageal Strictures ? Dec
2007
6. Merits and Demerits of various therapeutic options of Achalasia cardia ?
June 2006

Dnb Surgery questions 2000-2009Page 15

 7. Discuss the etiology , diagnosis and treatment of Achalasia Cardia . Dec
2005

8. Describe the clinical features, investigations and management of a neonate

with trache oesophageal fistula with oesophageal atresia. Dec 2003

GERD

1. Define Barret’s Esophagus, Discuss its Management? Dec 2008

2. Management of Barrets Oesophagus ? June 2008
3. Briefly describe the surgical treatment for GERD. June 2007
4. Diagnosis and treatment of Barrets oesophagus. Dec 2006
5. Diaphragmatic hernia ? Dec 2005
6. Etiology , clinical features and management of gerd . June 2005
7. Management of GERD. Dec 2004
8. Surgical anatomy of Hiatus and antireflux procedures. Dec 2003

CANCER

1. Management of unresectable cancer of oesophagus. Dec 2006

2. Describe the mechanism of swallowing . Enumerate the causes of
dysphagia and describe the management of Lower third oesophagus
carcinoma. June 2003.

STOMACH-GENERAL

1. Etiopathology, Management of Pyloric Stenosis of Infancy? Dec 2008

2. Clinical presentation,Management of Cong.Hypertropic Pyloric Stenosis
Dec 2007

PEPTIC ULCER

1. H.Pylori. June 2002

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

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

6. Describe the anatomy of Abdominal Vagus nerve. Different types of vagal

innervations. Complications of different types of vagotomy. Dec 2000
Dnb Surgery questions 2000-2009Page 16
 7. Complications of highly selective vagotomy . Dec 2000
8. Discuss the differential diagnosis and management of non variceal upper
GI bleed. Dec 2000

CANCER

1. Lymphatic drainage of the stomach. D-09

2. MALT Lymphomas. Dec 2006
3. Etiology of Gastric cancer. Dec 2006
4. GIST . Dec 2006
5. Post Gastrectomy complication ? Dec 2005
6. Management of Gastric Carcinoma. June 2004
7. Early gastric cancer. Dec 2004
8. Early gastric cancer. Dec 2003
9. GIST. Dec 2003
10. Non epithelial tumors of stomach. June 2002
11. Linitis plastica. Dec 2001
12. Non epithelial malignant tumors of stomach. June 2000

OBESITY

1. Describe surgical treatment of Obesity ? Dec 2007

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

DUODENUM

PANCREAS

PANCREATITIS

1. Role of Surgery in Acute Pancreatitis? June 2009

Dnb Surgery questions 2000-2009Page 17
 2. Discuss prognostication of Acute Pancreatitis. ? June 2007
3. Surgical Management of patient with Chronic Pancreatitis ? June 2008
4. Ransons Criteria for Prognostication in acute pancreatitis. Dec 2006
5. Management of pancreatic necrosis. Dec 2006
6. Enumerate local complications of Acute pancreatitis. Discuss the
management of pancreatic necrosis. ? ? June 2006
7. Surgery in Chronic Pancreatitis . June 2005
8. Management of Pseudocyst of pancreas. Dec 2004
9. Pseudopancreatic cyst. Dec 2003.
10. Pancreatic necrosis in Acute pancreatitis. June 2002
11. Pseudopancreatic cyst. June 2001
12. Discuss the etiopathogenesis , diagnosis and prognostic factors in acute
pancreatitis. Dec 2001
13. Discuss the management of surgical complications of chronic pancreatitis.
Dec 2000

CANCER

1. What is gastrinoma triangle ?. How would you investigate a patient

suspected to have gasrtinoma ?. D-09
2. Outline investigations, treatment of Ca.Head of Pancreas ? Dec 2007
3. Zollinger Ellison Syndrome ? ? June 2006
4. Describe briefly the non surgical methods of palliation for advances in
pancreatic cancers. ? Dec 2005
5. Management of Cystic neoplasms of Pancreas. June 2005
6. Gastrinoma. Dec 2004
7. Acute pancreatitis. June 2004
8. Islet cell tumors of pancreas. June 2002
9. Gastrinoma. Dec 2001

SPLEEN

1. Classify splenic injuries. Describe the changing trends in the management

of splenic trauma. D-09
2. What are the Indications of Splenectomy? Describe Surgical technique of
Elective Splenectomy and its Complications? Dec 2008
3. Complications of Splenectomy ? June 2008
4. Enumerate complications of Splenectomy . June 2007
5. Complications of Splenectomy. Dec 2006
6. Discuss OPSI . ? June 2006
7. Splenic salvage in children following trauma. ? June 2006
8. Management of Splenic Injuries . June 2005
9. Complications of Splenectomy. Dec 2004
10. Management of Splenic trauma. Dec 2003

Dnb Surgery questions 2000-2009Page 18

 11. Discuss the indications for Splenectomy. Describe the technique of
Splenectomy and post operative complications. Dec 2001

LIVER

1. Management of Hepatic Hydatid Cyst? June 2009

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

14. Diagnosis and management of Hepatic venous outflow obstruction . Dec

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

Dnb Surgery questions 2000-2009Page 19

 GALL BLADDER

1. Classification and Causes of Benign Biliary Strictures .Treatment of post

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

16. Classification of choledochal cysts. June 2005

17. Residual Gall stones. Dec 2004
18. MRC. Magnetic resonance cholangiography. June 2003
19. Discuss etiology, diagnosis, prevention and management of benign bile
duct strictures. Dec 2002
20. Discuss the causes of benign bile duct strictures and management. June
2002
21. Acalculous cholecystitis. June 2002
22. Sphincter of Oddi. Dec 2001
23. Choledochal cyst. Dec 2001
24. Benign Biliary stricture. Dec 2000

Dnb Surgery questions 2000-2009Page 20

 OBSTRUCTIVE JAUNDICE

1. Pre operative management of patient with obstructive jaundice DEC

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

PORTAL HYPERTENSION

1. Management of 15 yrs old boy with with splenomegaly and upper GI

bleed. D-09
2. Role of portosystemic shunts in management of Portal Hypertension ?
June 2008

3. Describe the basis of Selective and Non Selective shunts in Portal

4. Hypertension. ? June 2007
5. Etiopathogenesis of Ascitis and Management of Intractable ascitis. June
2007
6. Classification and management of Gastric varices. Dec 2006
7. What are the common liver function tests done in a patient with cirrhosis
and portal hypertension. Childs criteria. Treatment of acute variceal
bleeding in a patient with variceal bleeding. June 2005
8. Describe etiology and management of Budd Chiari Syndrome . June 2004
9. Pathogenesis and management of ascitis in chronic liver disease patient.
Dec 2004
10. Discuss the differential diagnosis of hemetemesis in a 40yr old male.
Indications and treatment of portal hypertension. June 2002
11. Surgical Ascitis. Dec 2002

Dnb Surgery questions 2000-2009Page 21

 12. Hepato Renal syndrome. Dec 2001

PERITONEUM

1. Enumerate the subphrenic spaces. Describe the clinical features and

management of a case with pelvic collection. D-09
2. Surgical anatomy of rectus sheath with reference to incisional hernia. D-
09
3. Retroperitoneal Mesenchymal tumors? June 2009
4. Urachal Cyst . Dec 2000

HERNIA

1. Anatomy of Inguinal canal with Surgical Prospective. Ju ne 2009

2. Discuss the anatomy of Inguinal canal relevant to repair of inguinal hernia
by open method. Mention the types of hernia repair. Outline complications
following hernia repair. Dec 2004
3. Laparascopic inguinal hernia repair. June 2003
4. Principles and steps of Laparoscopic hernia repair ? Dec 2007
5. Strangulated Inguinal hernia. Dec 2002
6. Richter’s Hernia. June 2001
7. Femoral Hernia June 2000

SMALL INTESTINE

1. Mesentery artery occlusion. June 2003

GI BLEED

1. Causes of Lower GI Bleed .Mention localization techniques. Treatment of

profuse Hemotochezia? June 2009
2. Management of patient with Lower GI Bleed ? June 2008
3. Diagnostic Work up of a patient with Obscure Gastrointestinal
Hemorrhage ? June 2007
4. Diagnosis of obscure GI bleed. Dec 2006
5. Diagnosis of Obscure GI Hemorrhage. June 2001

GENERAL

1. Essentials of safe bowel anastomosis? Dec 2007

Dnb Surgery questions 2000-2009Page 22

 2. Describe briefly the role for sentinel lympnode biopsy in GI Cancers . Dec
2005
3. Factors influencing Gastro intestinal anastomotic healing ? June 2005

BOWEL PREPERATION

1. Bowel preparation. Advantages and disadvantages? June 2009

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

SHORT BOWEL SYNDROME

1. Short Bowel Syndrome? June 2009

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

FISTULA

1. Classification and diagnostic work up of a patient with enterocutaneous

fistula. June 2007
2. How will you manage a patient of duodenal fistula following failure of
repair of duodenal perforation. ? June 2006
3. Entral Fistula . June 2001

COMPARTMENT SYNDROME

1. How will you manage the nutrition in a patient of high output

enterocutaneous fistula? Dec 2008
2. Abdominal Compartmental Syndrome ? June 2008
3. Define abdominal compartment syndrome . Briefly describe
pathophysiology of abdominal compartment syndrome? June 2007
4. Burst Abdomen ? June 2008
5. Pathophysiology of abdominal compartment syndrome. Dec 2006

Dnb Surgery questions 2000-2009Page 23

 6. Write short notes on physiological effects of pneumoperitoneum ? June
2006
7. Discuss factors causing burst abdomen after Laparotomy . ? June 2006
8. Burst abdomen. June 2005
9. Abdominal compartment syndrome. June 2004
10. Discuss etiology, diagnosis and management of abdominal compartment
syndrome. Dec 2004
11. Dehiscence of laparotomy wound. Burst abdomen. June 2000
12. Complication of pneumoperitoneum for laparoscopic surgery. June 2000

INFECTIONS

1. Intestinal Complication of Enteric fever and their Management ? June

2008
2. What is gut barrier function? Discuss bacterial translocation in surgical
patients? June 2007
3. Newer modalities in diagnosis of abdominal tuberculosis. Dec 2006
4. Investigative work up of Abdominal tuberculosis. Dec 2004
5. Discuss the etiology, pathology, diagnosis and management of intestinal
and abdominal tuberculosis. ? June 2000

MECKELS DIVERTICULUM

1. Anatomy of meckels diverticulum . Complications . Indications and

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

INTESTINAL OBSTRUCTION

1. Ogilive Syndrome? June 2009

2. Discuss the Pathophysiology of Intestinal Obstruction? Dec 2008
3. Etiopathogenesis ,Management of Large bowel Obstruction ? June 2008
4. Discuss treatment options in typhoid ileal operations ? Dec 2007
5. Discuss the pathogenesis and management of infective causes of intestinal
perforations. June 2007
6. Classify Acute Intestinal obstruction .Discuss the management of
Intussusceptions in a 40yr old male. June 2007
7. Pathophysiology of strangulating intestinal obstruction . ? June 2006
8. Management of Sigmoid volvulus. Dec 2006
9. Treatment of Sigmoid volvulus . ? June 2006
10. Describe the causes of Large bowel obstruction, describe the management
of intestinal obstruction due to sigmoid colon tumor. June 2005

Dnb Surgery questions 2000-2009Page 24

 11. Colonic pseudo obstruction. June 2004
12. Sigmoid volvulus. Dec 2004
13. Classify acute intestinal obstruction. Discuss the management of Acute
Sigmoid volvulus. June 2000

INFLAMMATORY BOWEL DISEASE

1. Describe Surgical Management of Ulcerative Colitis. ? Dec 2008

2. Pathology, Complications of Ulcerative colitis ? Dec 2007
3. Describe the surgical options of Management of Ulcerative colitis? June
2007
4. Discuss surgical treatment of Ulcerative colitis . Dec 2005
5. Surgery for Ulcerative colitis. June 2003.
6. Pouchitis following J pouch for Ulcerative colitis. Dec 2001
7. Toxic megacolon. Dec 2000

CANCER

1. Carcinoid Appendix. Diagnosis, Clinical Features and Management? June

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

APPENDIX

1. Discuss management of Appendicular mass ? Dec 2005

2. Differential diagnosis and management of Acute appendicitis in infancy .
June 2000

Dnb Surgery questions 2000-2009Page 25

 COLON

1. Blood supply of colon . Bowel preparation for elective colonic resection.

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

RECTUM

1. Management of 45 years old man with 4x4 cm ulcerative lesion in rectum

situated 8 cm from anal verge. D-09
2. 40yr old male with Complete Rectal Prolapse – Management? June 2009
3. Describe the Surgical Anatomy of mesorectum and its importance in
management of Ca.Rectum? Dec 2008
4. Total MesoRectal Excision for Cancer of Rectum ? June 2008
5. Management of locally advanced rectal cancer. Dec 2006
6. Etiology and management of prolapse rectum ? Dec 2007
7. Discuss solitary rectal ulcer syndrome ? Dec 2005
8. Local recurrence of Rectal Cancer. June 2004
9. Describe the management of colorectal cancer with special emphasis on
recent advances. Dec 2003
10. Total mesorectal excision. June 2002
11. Adjuvant therapy in colorectal cancer. June 2002
12. Discuss the advances in management of Ca.Rectum. Dec 2002
13. Solitary Rectal Ulcer Syndrome. June 2001
14. Treatment and outcome of locally advanced rectal cancer. Dec 2001
15. Describe the anatomy of anorectal junction . Briefly discuss the
management of Carcinoma at this level . Dec 2000

ANAL CANAL

1. Classification and management of Anorectal Abscess. D-09

2. Pathology, Management of Pilonidal Sinus? June 2009
3. Surgical anatomy of Anal Canal. June 2009
4. Stapler Hemorrhoidectomy? June 2008
5. Anatomy of Anal canal. Mention about Pathophysiology of Fistula In Ano
? Dec 2007
Dnb Surgery questions 2000-2009Page 26
 6. Classify and discuss the principles of management of Fistula in Ano. June
2007
7. Discuss therapeutic options for Grade3 –Grade 4 hemorrhoids. June 2007
8. Fissure in Ano ? Dec 2005
9. Fistula in Ano . Classification and treatment ? June 2005
10. Pilonidal Sinus. Dec 2004
11. Pilonidal Sinus. June 2002
12. Anatomy of anal sphincters. Dec 2001
13. Third degree hemorrhoids . June 2000

CANCER

1. Chemoradiotherapy of anal cancer. June 2003

PAEDIATRIC SURGERY

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

11. Mention the types of agenesis, atresia of rectum and anus. Treatment of
high abnormalities. Dec 2005
12. Diagnosis and management of Hirschsprung disease. June 2005
13. Congenital diaphragmatic hernia . June 2005
14. Meconeum Ileus. June 2005
15. Clinical features, investigation and management in Anorectal
malformation. June 2004
16. Intussuception. Dec 2003
17. Treatment of Hirschsprungs disease. Dec 2002

Dnb Surgery questions 2000-2009Page 27

 18. Describe the development of Diaphragm and management of Congenital
Diaphragmatic Hernia. Dec 2001
19. Sacrococcygeal teratoma . June 2001
20. Describe Pathophysiology of Intestinal Obstruction. Write in brief the
causes, management of acute intestinal obstruction in new born. June 2001

Dnb Surgery questions 2000-2009Page 28