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Recent Advances in Neuro Surgery M.Ch Question Bank : web.tnmgrmu.ac.in

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : MASTER OF CHIRURGIAE (M.Ch.)
Branch : BRANCH II – NEURO SURGERY
Subject Code/Name : 1584/RECENT ADVANCES IN NEURO SURGERY
Paper : IV
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

Download Model/Sample Question Paper :
(3 Years Course) PART-I :
1997-2000 : https://www.pdfquestion.in/uploads/web.tnmgrmu.ac.in/4548-1-171584KC.pdf
2001-2010 : https://www.pdfquestion.in/uploads/web.tnmgrmu.ac.in/4548-2-171584KU.pdf

Candidates admitted upto 2005-06 to 2007-08 :
(6 Years Course) PART-II :
2009-2013 : https://www.pdfquestion.in/uploads/web.tnmgrmu.ac.in/4548-3-181584KU.pdf

Recent Advances in Neuro Surgery :

FEBRUARY – 2009 :
Sub. Code: 1584
M.CH DEGREE EXAMINATIONS

Related : TNMGRMU Neuro Basic Sciences M.Ch Question Bank : www.pdfquestion.in/4541.html

(Higher Specialities)
(Revised Regulations for 3 years course)
Branch II – Neuro Surgery
Paper IV : RECENT ADVANCES IN NEURO SURGERY
Q.P. Code: 171584
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: 2 x 20 = 40 Marks
1. Describe the aetiopathology of vasospasm and its management.
2. Real time Neuro Navigation.
II. Write short notes on: 10 X 6 = 60 Marks
1. Baclofen pump for spasticity.
2. Intra operative MRI.
3. Artificial disc replacement.
4. Alternative modes of treating prolapsed disc.
5. Neurosurgical investigative armamentarium of intensive care.
6. Coiling of aneurysm, its merits and demerits.
7. Management of osteoporatic fractures.
8. BEAR.
9. Trans cranial Doppler.
10. Prognosticating factors of growth and recurrence of glioma.

August 2009 :
I. Essays: 2 x 20 = 40 Marks
1. Describe the blood supply of spinal cord. Enumerate the types of intramedullary tumors and discuss the management of common intra-medullary tumors.
2. Discuss the management of extra-cranial carotid vascular disease. Enumerate the various trials conducted. Also evaluate the merits/demerits of stenting v/s endarterectomy.
II. Write short notes on: 10 X 6 = 60 Marks
1. Artificial implants used in disc surgery.
2. Deep brain stimulation.
3. Management of spontaneous ICH.
4. Endoscopy assisted microneurosurgery.
5. Newer antiepileptic drugs.
6. Vertebroplasty.
7. Materials used in endovascular procedure.
8. EC-IC bypass.
9. WHO classification of meningioma.
10. Management of cerebral cavernoma.

February 2010 :
I. Essays: 2 x 20 = 40 Marks
1. Alternative therapeutic modalities for gliomas.
2. Management of a head injury patient in ICU – recent advances.
II. Write short notes on: 10 X 6 = 60 Marks
1. Surgery for intractable epilepsy.
2. HIV in a neurosurgery patient.
3. Growing fracture.
4. Molecular neuropathology.
5. Recent advances in radiotherapy.
6. Recent advances in embolisation procedures.
7. Neurosurgical management of pain.
8. Neuronavigation.
9. Endoscopic versus microscopic pituitary tumour excision
10. Endoscopic repair of CSF leak.

August 2011 :
I. Elaborate on :
1. Discuss the current status of endovascular treatment of Intracranial aneurysms.
2. Discuss the role of deep brain stimulation in movement disorders.
II. Write notes on :
1. Cyberknife.
2. Techniques of laminoplasty.
3. Jugular foramen schwannomas.
4. Rheumatoid arthritis and the craniovertebral junction.
5. Anterior plagiocephaly.
6. Aqueduct stenosis – current management options.
7. Prevention of shunt infection.
8. Surgical options for the management of idiopathic intracranial hypertension.
9. Delayed traumatic intracerebral haemorrhage.
10. Thunderclap headache.

AUGUST 2012 :
I. Elaborate on :
1. Management strategies for solid craniopharyngiomas.
2. Surgery for intractable seizures in a 4-year-old child with right infantile hemiplegia.
II. Write notes on:
1. Diagnosis and management of cranial dural arteriovenous fistulae.
2. Management of sacral chordomas.
3. Management of os odontoideum.
4. Management of tuberculum sellae meningiomas.
5. The role of positron emission tomography in neurosurgery.
6. The technique of cerebrovascular bypass grafting.
7. Management of hypothalamic hamartomas.
8. Management of cavernous sinus cavernomas.
9. Management of anterior skull base fungal granuloma.
10. The role of decompressive craniectomy in acute neurosurgery care.

August 2013 :
I. Elaborate on :
1. Discuss the current strategies employed in the management of basilar invagination.
2. What is the basis for diffusion and perfusion magnetic resonance imaging? Describe the utility of diffusion and perfusion imaging in management of a patient with a brain lesion.

II. Write notes on :
1. Management of hydrocephalus in an infant.
2. Management options in a 2cm tuberculum sellae meningioma.
3. World Federation of Neurosurgical Societies (WFNS) grading of subarachnoid haemorrhage and its relation to management outcomes.
4. Spinal dural arteriovenous fistula.
5. Intraoperative mapping of central sulcus.
6. Unruptured saccular aneurysm.
7. Cranioplasty.
8. Trapped fourth ventricle.
9. Gabapentin.
10. Stereotactic radiosurgery for intracranial arteriovenous malformations.

Theory Syllabus :
There will be two streams :
** 6 years Course for post-MBBS candidates (General Surgery 1 year + Neurosurgery 5 years)
** 3 years Course for post-MS (General Surgery) candidates

The evaluation will be in three parts for the 6 years course with examinations as follows :
Part I : General Surgery at the end of the first year
Part II : Basic Neurosciences and Clinical Neurology at the end of the third year
Part III : Neurosurgery at the end of the sixth year

The evaluation will be in one part for the 3 years course, with examination being conducted at the end of three years. The Candidates appearing for Part III Examination of 6 years M.Ch Neurosurgery course and 3 years M.Ch Neurosurgery post M.S course will have the same practical scheme of examination.

PART I (6 years course) :
** Will undergo training in basic principles in General Surgery
** Will preferably be posted for at least 2 months in a Head and Neck Surgery unit for exposure to the anatomy of Head and Neck

** Will undergo an examination at the end of first year of the course in :
i. Paper 1 – Basic Sciences in relation to General Surgery
ii. Paper 2 – General Surgery
** Will undergo Clinical and viva voce examination in General Surgery

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