Neonatal Surgery & Urology 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 V – Paediatric Surgery
Subject Code/Name : 1702/NEONATAL SURGERY AND UROLOGY
Paper : II
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Neonatal Surgery & Urology :

August 2008 :
Sub. Code: 1702
M.Ch. DEGREE EXAMINATION

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(Higher Specialities)
(Revised Regulations)
Branch V – Paediatric Surgery
Paper II – NEONATAL SURGERY AND UROLOGY
Q.P. Code: 181702
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Developmental anomalies of ureteric bud, diagnosis and management of ureterovesical junction anomalies.
2. Embryology, classification, diagnosis and management of high and intermediate anorectal anomalies in male children.
II. Write short notes on: (10 X 6 = 60)
1. Congenital mesenchymal haemartoma liver.
2. Perineal canal.
3. Bronchial cyst.
4. Congenital torticollis.
5. Prunebelly syndrome.
6. Ectopic testis.
7. Undiversion.
8. Recurrent tracheo oesophageal fistula.
9. Pouch colon.
10. Gastric volvulus.

August 2009 :
I. Essays: (2 x 20 = 40)
1. Discuss the etiopathogenesis, clinical features, diagnosis and management of a new born with necrotizing enterocolitis.
2. Discuss about post-natal management of antenatally detected hydronephrosis.
II. Write short notes on: (10 x 6 = 60)
1. Sacrococcygeal teratoma.
2. Pathology and management of biliary atresia.
3. Ectopic ureters.
4. Hydrocephalus.
5. Congenital talipes equino varus.
6. Epispadias.
7. Genetics of hirschsprung’s disease.
8. VATERCL Association.
9. Immediate management of anorectal malformation.
10. Obstructed mega-ureter.

February 2011 :
I. Essays: (2 x 20 = 40)
1. Discuss the development of Biliary Tract. Discuss the Biochemical and Histological changes and the role of Imaging in Biliary Atresia.
2. Discuss the causes of Urinary Obstruction in a two-month-old female baby. Describe the Diagnosis and Management of this infant.
II. Write short notes on: (10 x 6 = 60)
1. Pancrease Divisum and Annular Pancreas.
2. Vesico – Intestinal Fissure.
3. Neonatal Necrosing Enterocolitis.
4. Female Hypospadias.
5. Congenital Mesoblastic Nephroma.
6. Torsion Testis.
7. Tracheomalacia.
8. Infantile Hypertrophic Pyloric Stenosis.
9. Meconium Peritonitis.
10. Antenatal Diagnosis of Hydronephrosis.

August 2011 :
I. Elaborate on : P
1. Discuss short bowel syndrome under the following:
Pathophysiology adaptation, medical management and Surgical management.
2. Discuss Meconium ileus under the following:
Pathophysiology, pathological classification signs and And symptoms and management.
II. Write notes on :
1. Causes of renal vein thrombosis in neonate and infancy.
2. Causes of Vesico urethral reflux.
3. Intestinal neuronal dysplasia.
4. Consequences of inserting gastrointestinal segments into Urinary tract for Augmentation or Diversion procedures.
5. Horse Shoe Kidney.
6. Tracheal and Bronchial Malacia.
7. Male Pseudohermophrodite.
8. Embryology of urinary bladder and urethra development.
9. Embryology of posterior urethral valve.
10. Embryological theories for ureterocele development.

August 2012 :
I. Elaborate on : Pages Time Marks
1. Discuss Pierre Robin Anomalies under the following headings. i) Definition ii) Aetiology iii)Symptoms and signs iv) Treatment.
2. Discuss Prune Belly syndrome under the following headings i) Pathogenesis ii) Clinical features iii) Management.

II. Write notes on :
1. What are urachal remnants and describe the treatment for each?
2. Write about the pathological anatomy of congenital intrinsic obstruction of the antrum and pylorus of the stomach.
3. What are the theories postulated to explain intestinal atresia?
4. Write a short note on the stages of neonatal necrotizing enterocolitis.
5. Write about the treatment modalities available for urinary lithiasis.
6. What is the treatment for Renal vein thrombosis?
7. Write a short note on congenital ureteral anomalies causing urine out flow impairment.
8. Write a note on primary nocturnal enuresis.
9. Write a short note on masses presenting at the Introitus.
10. Write a brief note on obstructive mega ureter.

August 2013 :
I. Elaborate on : (2X15=30)
1. The embryology, classification, diagnosis, management and complications Jejuno ileal atresia.
2. The surgical anatomy, presentation, evaluation and management of Posterior Urethral Valves.

II. Write notes on : (10X7=70)
1. Ureterocele.
2. Exomphalos.
3. Pierre Robin Syndrome.
4. Torticollis.
5. Ovarian Torsion.
6. Pathology of Wilms’ Tumour.
7. Lymphomas.
8. Prophylactic antibiotics in UTI.
9. Palpable undescended testis.
10. Sequelae of Urinary Tract Infections.

August 2014 :
I. Elaborate on : (2 x 15 = 30)
1. Discuss Esophageal atresia and Tracheo-esophageal fistula under the following headings :
i) Anatomic classification
ii) Diagnosis and clinical findings and
iii) Management of Long Gap Atresia.
2. Classify Germ cell tumours. Describe the presentation, investigations and management in a case of Sacrococcygeal teratoma.

II. Write notes on : (10 x 7 = 70)
1. Fulguration of posterior urethral valve in a neonate.
2. Necrotising fasciitis.
3. Arnold Chiari malformation.
4. Prognostic factors in Diaphragmatic hernia.
5. Ectopic Ureter.
6. Choledochal cyst.
7. Hypospadias- embryology.
8. Acid base imbalance in female neonate with congenital adrenal hyperplasia.
9. Small left colon Syndrome.
10. Vitello intestinal duct.