Recent Advances in Paediatric 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 V – Paediatric Surgery
Subject Code/Name : 1704/RECENT ADVANCES IN PAEDIATRIC SURGERY
Paper : IV
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Recent Advances in Paediatric Surgery :

August 2009 :
Sub. Code: 1704

Related : TNMGRMU Neonatal Surgery & Urology M.Ch Question Bank : www.pdfquestion.in/4575.html

MASTER OF CHIRUGIAE (M.Ch.) DEGREE EXAMINATIONS
(Super Specialities)
Branch V – Paediatric Surgery
(Revised Regulations)
Paper IV : RECENT ADVANCES IN PAEDIATRIC SURGERY
Q.P. Code: 181704
Time: Three hours
Maximum: 100 Marks
Answer ALL questions :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Discuss the recent trends in the management of primary vesico ureteric reflux in a girl aged 5 years.
2. Discuss the role of laparoscopy in paediatric surgery.
II. Write short notes on: (10 x 6 = 60)
1. Cytogenetics of Wilm’s tumour.
2. Extracorporeal membrane oxygenation.
3. Substitutes for oesophageal replacement.
4. Endodermal sinus tumour.
5. Conservative management of renal trauma.
6. Rectobulbar urethral fistula.
7. Duodenal web.
8. Liver transplantation in children.
9. Weighert – Meyer rule.
10. Opportunistic post splenectomy infection.

February 2011 :
I. Essays: (2 x 20 = 40)
1. Discuss the Molecular Morphogenesis of Oesophagel Atresia. Discuss the Role of Gastric Transportation and Tissue Engineering in Long Gap Oesophageal Atresia.
2. Discuss the various causes of Intestinal Motility Disorder in Children. Describe the spectrum of presentations and Management Options in Hirschsprungs Disease.
II. Write short notes on: (10 x 6 = 60)
1. Autologous Intestinal Reconstruction Surgery.
2. Percutaneous Endoscopic Gastrostomy.
3. Persistent Pulmonary Hypertension.
4. Embryology and Classification of Ano-Rectal Malformations.
5. Cytogenetics of Wilms Tumour.
6. Thoracoscopy in Children.
7. Cloacal Exstrophy.
8. Cystoscopy for Vesico-Ureteral Reflux.
9. Laparoscopic Pyloromyotomy.
10. Impalpable Testes.

August 2011 :
I. Elaborate on :
1. Discuss Kidney transplantation under causes of end stage renal disease, donor selection operative procedure and early post operative complications.
2. Discuss under Burns under the following: fluid resuscitation, infection control nutrition, wound care and assessment and pain management.
II. Write notes on :
1. Single incision Laparoscopic surgery appendicectomy and its complication.
2. Laparoscopic inguinal hernia inversion and ligation in female children.
3. Role of preoperative ultrasound on correct diagnosis of urachal remnant.
4. Umbilioplasty with three triangular skin flaps and excised diamond shaped skin flap.
5. Short note on trans anoproctoplasty.
6. Percutaneous Endoscopic gastrostomy.
7. Spinal cord injury without radiographic abnormality.
8. Total urogenital mobilization.
9. Growth hormone in intestinal failure.
10. Abnormal lung development in congenital diaphragmatic Hernia.

AUGUST 2012 :
I. Elaborate on :
1. Discuss continent urinary Diversion procedures. Mention the advantages and disadvantages of each procedure.
2. Discuss the surgical reconstruction procedures for female gender assignment in an Ambiguous genitalia patient.
II. Write notes on :
1. Write a short note on foetal Endoscopic surgery.
2. Write the advantages, disadvantages and procedures for foetal surgery for cleft lip and palate.
3. Write a note on the role of splenectomy in Hodgkins disease.
4. Post operative complications after inguinal hernia repair.
5. How will you treat mature cystic teratomas of the ovary – recent advances?
6. How will you treat a case of true hermaphrodite?
7. Write a brief note on ureteroscopic techniques for treatment of lower ureteric stones?
8. Role of prenatal intervention of obstructive uropathy?
9. Write a short note on urodynamic studies?
10. Role of prosthetic materials in the management of thermal injuries?

August 2013 :
I. Elaborate on : (2X15=30)
1. Antenatal diagnosis and postnatal management of unilateral Hydronephrosis.
2. Congenital abdominal wall defects.
II. Write notes on : (10X7=70)
1. Intussusception – Non operative management.
2. Urinary ascites.
3. Chemotherapy of Wilms’ Tumour.
4. Sclerotherapy.
5. Neural tube defects.
6. Oesophageal replacement.
7. Laparoscopic fundoplication.
8. Nephrogenic rests.
9. Neuroblastoma.
10. Ureteric stenting.

August 2014 :
I. Elaborate on : (2 x 15 = 30)
1. Discuss the following with reference to a mass abdomen in the infant :
i) Clinical features
ii) Investigations
iii) Differential diagnosis
iv) Management.
2. Discuss short bowel syndrome with respect to :
i) Causes
ii) Clinical Picture
iii) Complications
iv) Management.

II. Write notes on : (10 x 7 = 70)
1. Day care surgery in children.
2. Polytrauma in children.
3. Ano rectal manometry.
4. Split notochord syndrome.
5. Craniosynostosis.
6. Uses of Laser in paediatric surgery.
7. Stem cell therapy.
8. Physiological jaundice.
9. Role of laparoscope in undescended testis.
10. Lung pathology in congenital diaphragmatic hernia.