a) Principles underlying the non-surgical treatment of cancer. [5] a) Cancer cachexia. [5] b) Discuss various techniques, indications, complications and current status of oncoplastic breast surgery in the management of carcinoma breast. [4+2+2+2] b) Discuss role of Targeted Therapy in cancer treatment. [5] a) Describe the environmental causes of cancer. [5] a) Briefly describe the techniques of intra-operative tissue [pathological] diagnosis. [5] a) Discuss the concept of a Multi-Disciplinary Team in oncology. [5] b) Criteria and advantages for screening of a cancer. a) Pathological changes that take place in malignant transformation of a cell. b)Principles, advantages and limitations of screening for cancer. a)Enumerate viral carcinogens and tumours associated with them. b)Screening methods for early detection of cancer in an average risk, asymptomatic person for carcinoma breast and colorectal carcinoma. a) Clinical implications of ‘Gompertzion growth’ in oncology b) ‘Lead time and length bias’ in breast cancer screening a) What is Hyperthermic Intraperitoneal Chemotherapy (HIPEC)? b) Indications for HIPEC. c) Complications of HIPEC. a) Describe commonly used surgical blades along with their usage. What knife handles are used for these blades?[5] b) Describe types of wound dressings. [5] a)Classification of suture materials used in general surgery. [5] b)Use of surgical staplers for bowel anastomosis. [5] a)Principles of cutting and coagulation mode in electrosurgery. [5] . b)Enumerate the sutures and devices used for small bowel anastomosis and bilio-enteric anastomosis. Discuss the advantages and disadvantages of any two. [5+5] a) Advances in topical hemostatic therapy in surgical practice. [5] b) Various types of surgical suture needles used in surgical practice. [5] a) Desirable characteristics of suture materials. [5] a)LASER in Surgery - Basic principle and its uses. [4+6] b)Describe principles, types and precautions of Surgical diathermy. [10] a)Discuss different methods and materials available to control intra-operative bleeding. [10] a)Discuss the use of staplers in GI surgery. [10] b) Describe the precautions in the use of electro-cautery devices. [5] b) Briefly discuss various measures for reducing errors in surgical practice. [5] b) Classify different types of sutures used in surgical practice. [5] a)Enumerate different types of surgical dressings. b)Describe the principles of their action. c)Give indications for the use of each type. a) Absorbable suture materials commonly used in surgery. b) Modern advances in haemostasis. a) Desirable characteristics of surgical sutures. b) Types of wound healing c) Stapling devices for bowel anastomosis a)Lymphatic drainage of testis. [5] . a) ‘Salvage’ retroperitoneal lymph node dissection. [5] a) Briefly discuss the different types of hydrocele using suitable diagrams. [5] a) Microscopic vaso-epididymostomy microsurgery. [5] a)Briefly discuss the diagnosis and management of sudden onset acute scrotal pain in a 25 year old wrestler. [5+5] a)Briefly discuss the indications, operative technique and complications of retroperitoneal lymph node dissection.[2+6+2] b) Clinical features and management of Torsion testis. [2+3] a) Differentiate between primary and secondary hydrocoele. [5] a)Diagnosis and principles of treatment of undescended testes. a)Discuss the cause of acute srotum b)Outline its management Testes a)Define undescended testis. Briefly discuss its consequences, clinical features, diagnosis and management. a)Classification, staging and management of seminoma testis. a)Male Infertility: Causes and management. a) Classification and management of hydrocele. b) Clinical features and management of undescended testis. a) Types of vasectomy. b) Enumerate the complications of vasectomy. c) List the criteria for an ideal candidate for vasectomy. An 11-year-old boy presents with acute scrotum of 2 hours duration. a) Enumerate the differential diagnosis. b) Clinical diagnosis for such a patient. c) State the investigations required for this patient and interpretation of investigation reports. a) Staging of testicular tumours. b) How would you manage a 25-year-old man with suspected right testicular tumour? a) Dermatofibrosarcoma protuberans b) Hiradenitis Suppurativa a) Carbuncle a) Cystic hygroma. [5] a) Counselling and consent for a patient to be operated for Superficial parotidectomy for pleomorphic adenoma. [5] a) Describe management of branchial cyst in a 5 year old boy. [5] a) Fractures of the facial skeleton. [5] a)Enumerate malignant salivary gland tumors. Discuss the types, indications, and incisions of comprehensive lymph node dissections in the neck. [3+7] a)Briefly discuss the presentation, diagnosis and management of pharyngeal pouch. [3+3+4] b) Ludwig’s angina. [5] a) Thoracic duct injury. [5] a)Enumerate premalignant conditions for oral cavity cancer, and briefly discuss the diagnosis and management of leukoplakia. [2+3+5] a)Enumerate causes of cystic swellings of the neck. Briefly discuss the presentation, diagnosis and management of branchial cyst. [3+7] a) Lymph node levels of neck with appropriate primary drainage sites. [5] a) Embryology, clinical features and management of Cystic Hygroma. [1+2+2] b) Embryology and treatment of branchial fistula. [2+3] a) Ranula. [5] b) Enumerate the levels of cervical lymph nodes, and discuss their significance in management of carcinoma of oral cavity. [5] b) Describe steps of modified radical neck dissection. [5] a) Classify cervical lymphadenopathy. [5] b) Describe the TNM staging of carcinoma oral cavity. [5] 4. Discuss steps of management of N1 cervical node at level 2 with unknown primary. a)Etiopathogenesis and management of tubercular cervical lymphadenitis. b)Different types of neck dissections and their indications. a)Supraclavicular lymph node a) Classify the deformities of lip and palate b)Describe the principles involved in their repair a)Describe the congenital swellings occuring in the front of the neck a)Classify hydrocephalus. Discuss clinical features, diagnosis and management of hydrocephalus. a) Plunging ranula. a) Classify salivary tumours. b) Draw suitable diagram(s) to highlight surgical landmarks for identification of facial nerve intraoperatively. a)Clinical features and management of extradural haematoma. a)Etiopathology, diagnosis and management of carcinoma anterior 2/3rd of tongue. a) Premalignant lesions for cancer of oral cavity. b) Staging of oral cavity cancer. c) Indications and extent of supra-omohyoid neck dissection. a) Clinical features and management of extradural hematoma. a) Ludwig’s angina b) Enumerate causes of cervical lymphadenopathy c) Clinical features of carotid body tumour a) Principles of management of a cleft palate baby b) Treatment of temporo-mandibular joint ankylosis c) Enumerate premalignant lesions of oropharynx a) Enumerate the causes of hydrocephalus b) Classification of brain tumours c) Manifestations of neural tube defects in newborn a) List the indications for tracheostomy. b) Enumerate the complications of tracheostomy. a) Types of Radical Neck Dissection (RND). b) How would you manage chylous fistula following RND? a) Embryogenesis of thyroglossal fistula. b) How would you manage a 4 year old child with subhyoid thyroglossal cyst?