Neuroradiology & Clinical 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 : 1571/NEURORADIOLOGY AND CLINICAL NEURO SURGERY
Paper : I
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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TNMGRMU Clinical Neuro Surgery Question Paper

Sub. Code: 1571
MASTER OF CHIRUGIAE (M.Ch.) DEGREE EXAMINATIONS
(Higher Specialities)
(New and Revised Regulations for 5 years course)
Branch II – Neuro Surgery
PART – III
Paper I : NEURORADIOLOGY AND CLINICAL NEURO SURGERY
Q.P. Code: 181571
Time: Three hours
Maximum: 100 Marks

Related : TNMGRMU Operative Neuro Surgery & Recent Advances M.Ch Question Bank : www.pdfquestion.in/4551.html

February 2009

Answer ALL questions :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Describe the role of multidetector CT in Neurosurgical practice.
2. Describe the Epidemiology, Microbiology, Pathogenesis, Clinical features and therapy of ventriculities.

II. Write short notes on: (10 x 6 = 60)
1. Deep Brain stimulation.
2. Briefly enumerate the vascular anomalies of the scalp and their management.
3. Bio-mechanism of head injury.
4. Stem cell therapy in neurosurgical disorders.
5. Cerebral contusions.
6. Cubital tunnel syndrome.
7. Intra Tumoral Haemorrhage.
8. Pathogenesis and therapeutic implications peritumoral brain oedema.
9. Describe lumboperitoneal shunt surgery, its usefulness and complications.
10. Neurotrophic factors: Their role in development, Trauma and Disease.

August 2009

I. Essays: (2 x 20 = 40)
1. Describe the recent advances in Neuro-imaging techniques for the evaluation of tumour growth, vascular permeability and angiogenesis of cerebral gliomas.
2. Describe the anatomy, Histopathology, clinical features, diagnostic studies and different management options for tumors of the pineal region.
II. Write short notes on: (10 x 6 = 60)
1. Define diffuse axonal injury. Describe its pathogenesis, diagnosis and management.
2. Describe diffusion tensor tractography and its application in neurosurgery.
3. Briefly describe prognosis and outcome in head injury.
4. Describe pathogenesis and management of cerebral metastases.
5. Describe various fungal infections of the central nervous system.
6. Application of a computer support system for neurological anatomical diagnosis.
7. Describe the genetic basis of neurosurgical disorders.
8. Bio-mechanism of head injury.
9. Role of Radiofrequency ablation in neurosurgical disorders.
10. Describe spinal cord stimulation and its usefulness in neurosurgical practice.

August 2011

I. Elaborate on :
1. Discuss the pathogenesis of syringomyelia and the rationale of various management options for syringomyelia.
2. Discuss the diagnostic evaluation and management of a Patient presenting with CSF rhinorrhea.
II. Write notes on :
1. Management of prolactinoma.
2. Encephalocele.
3. Tuberculous brain abscess.
4. Chemotherapy for gliomas.
5. Radiological features of meningioma.
6. Intraoperative monitoring in Neurosurgery.
7. Major Indian contributions to Neurosurgery.
8. Evaluation of failed back syndrome.
9. Management of Venticuloperitoneal shunt injection.
10. Congenital dermal sinus.

August 2012

I. Elaborate on:
1. Describe the management of Subarachonid haemorrhage. Briefly outline the neuroradiological interventional procedures used in the diagnosis and management of Anterior Circulation aneurysms.
2. Discuss how to make early diagnosis of various Functional pituitary adenomas.
II. Write notes on:
1. Management of conus cauda lesions.
2. Discuss Post radiotherapy Brain necrosis, Discuss diagnosis and management.
3. Management of Diffuse Axonal injury.
4. Management of Failed Back Syndrome.
5. Diagnosis and management of Diastomatomylia.
6. Surgical approaches of C.P angle lesions.
7. Treatment of Growing Fracture Skull.
8. Diagnosis and Management of Arrested Hydrocephalus.
9. Clinical application of Transcranial Doppler.
10. Eloquent areas of Brain and their relevance in operative Neurosurgery.

August 2013

I. Elaborate on: (2X15=30)
1. What is magnetic resonance spectroscopy? Discuss its utility and limitations in the diagnosis and management of a patient with an intra axial brain lesion.
2. Describe the radiological classification of brain stem gliomas. Discuss the management of a brain stem mass in a six year old child.
II. Write notes on: (10X7=70)
1. Split cord malformation.
2. Recurrent meningitis in a young adult.
3. Solitary brain metastasis.
4. Choroid plexus papilloma.
5. Diffuse axonal injury.
6. Computed tomography (CT) findings in tuberculous meningitis.
7. Differential diagnosis of a suprasellar mass.
8. Carotico cavernous fistula.
9. Mesial temporal sclerosis.
10. Clinical features of a cauda equina lesion.

February 2014

I. Elaborate on: (2X15=30)
1. What is the basis for diffusion weighted magnetic resonance imaging? Discuss the role of diffusion and perfusion imaging in the diagnosis and management of neoplastic and non neoplastic brain lesions.
2. Describe the pathophysiology and radiological features of a brain abscess. Outline the clinical features and management of an otogenic cerebellar abscess.

II. Write notes on: (10X7=70)
1. Aqueductal stenosis.
2. Clinical features of an intradural extramedullary tumour and its anatomical basis.
3. Draw a labelled diagram of the fourth ventricular floor.
4. Solitary lytic skull lesion.
5. C5-6 locked facet.
6. Spontaneous cerebrospinal fluid (CSF) rhinorrhoea.
7. Differential diagnosis of a right frontal lobe haematoma in a 22 year old male.
8. Spinal dural arteriovenous fistula.
9. Cerebellar haemangioblastoma.
10. Chronic subdural haematoma.

August 2014

Sub. Code: 1571
I. Elaborate on: (2X15=30)
1. Discuss the pathogenesis and the rationale of the various treatment options in syringomyelia.
2. Discuss the basic physics and the recent advances in Magnetic Resonance Imaging technology.

II. Write notes on: (10X7=70)
1. Management of low grade glioma in the eloquent area of the brain.
2. The various management strategies for craniopharyngioma – the merits and demerits.
3. ICP (Intracranial pressure) versus CPP (Cerebral perfusion pressure) targeted management in head injury.
4. Presurgical evaluation of patients with Intractable epilepsy.
5. Wilder Penfield.
6. Prognostic factors in Medulloblastoma.
7. Imaging features in vestibular schwannomas and their therapeutic implications.
8. Management of cerebral vasopasm.
9. Management of traumatic CSF Rhinorrhea.
10. Surgical classification and management of Encephaloceles.

August 2015

Sub. Code: 1571
I. Elaborate on : (2 x 15 = 30)
1. Discuss on principles, methodology, merits and demerits of Trans Cranial Doppler study. Write on the clinical uses of TCD including brain death.
2. Describe in detail tuberculosis of the central nervous system with management.

II. Write notes on: (10 x 7 = 70)
1. Meningocele.
2. Hyponatremia.
3. Neurorehabilitation.
4. Hemostasis in neurosurgery.
5. Surgery of ruptured lumbar intervertebral disc.
6. Carpal tunnel syndrome.
7. Oligodendroglioma.
8. Neurulation.
9. Glomus jugulare tumor.
10. Lumbar spondylolysthesis.