Endocrine Surgery-General 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 IX – ENDOCRINE SURGERY
Subject Code/Name : 1902/ ENDOCRINE SURGERY – GENERAL
Paper : II
Document Type : Question Bank
Website : web.tnmgrmu.ac.in
Download Model/Sample Question Paper :
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Endocrine Surgery – General :
AUGUST 2012 :
Sub. Code: 1902
M.Ch – ENDOCRINE SURGERY
Related : The Tamilnadu Dr. M.G.R. Medical University Vascular & Endo Vascular Surgery M.Ch Question Bank : www.pdfquestion.in/4597.html
Paper – II : ENDOCRINE SURGERY – GENERAL
Q.P. Code: 181902
Time : 3 hours
Maximum : 100 marks
(180 Min)
Answer ALL questions in the same order. :
I. Elaborate on :
1. A 32 year old female patient presented with recurrent attacks of hypoglycaemia and profuse sweating. Ultrasonography showed a mass in the pancreas. Discuss in detail the management of this patient.
2. A 40 year old male patient was detected to have a 4cm x 6cm Right adrenal mass during routine health check. Discuss in detail the management of this patient.
II. Write notes on :
1. Management of Conn’s syndrome.
2. Investigations for Acromegaly and the surgical management of the same.
3. Management of Bilateral adrenal hyperplasia.
4. Steps involved in Parathyroid auto transplantation and indications for parathyroid auto transplantation.
5. Hypercalcemic crisis and its management.
6. Postoperative management of parathyroid adenoma.
7. Indications for MIBG scan and its relevance in the management of Pheochromocytoma.
8. What is Focussed parathyroidectomy? Write about indications and contraindications for the same.
9. Investigations to differentiate Cushing’s disease from Cushing’s syndrome.
10. Midgut carcinoid and its management.
AUGUST 2013 :
I. Elaborate on: (2X15=30)
1. A 36 year old female presented with multiple bone fractures and found to have serum calcium of 13.5 mg%. Discuss the management of this patient.
2. A 45 year old female presented with truncal obesity, striae and vertebral collapse fractures. Discuss your approach to diagnosis and management.
II. Write notes on: (10X7=70)
1. Ultrasound evaluation of thyroid nodules.
2. Trans-sphenoidal hypophysectomy.
3. Clinical presentation and pathology of primary, secondary and tertiary hyperparathyroidism.
4. Management of Conn’s Syndrome.
5. Nelson’s syndrome.
6. Familial paraganglioma syndrome.
7. Preoperative preparation and anaesthetic management of pheochromocytoma.
8. Management of hypocalcaemia.
9. Minimally invasive strategies for parathyroidectomy.
10. Zollinger-Ellison syndrome.
AUGUST 2014 :
I. Elaborate on: (2 x 15 = 30)
1. Surgical anatomy of pituitary gland and detail the causes and management of Hypopituitarism.
2. Ectopic hormone syndromes – diagnosis and management.
II. Write notes on: (10 x 7 = 70)
1. McCune Albright syndrome
2. Bilateral inferior petrosal sinus Anatomy and sampling
3. Diagnosis and management of Pancreatic incidentalomas
4. Hypoglycemic Endocrinopathies
5. Familial hypocalciuric hypercalcemia
6. Parathyroid hormone related protein and its clinical implications
7. Pathogenesis of Hypoaldosteronism and its management
8. Insulin like growth factor I and its clinical applications
9. Autoimmune polyglandular syndromes
10. Indications for Vitamin D screening and management of sub clinical Vitamin D deficiency.
Theory Syllabus :
Parathyroid Disease :
1. Normal parathyroid anatomy in a cadaver or in the operating room, including typical gland locations, blood supply, and relationship to the recurrent laryngeal nerves and other adjacent structures.
2. Normal parathyroid embryogenesis and descent. Describe how this affects ectopic gland location.
3. Normal calcium metabolic pathway including vitamin D metabolism, parathyroid hormone production and regulation, and calcitonin production and regulation.
4. Impact of specific medications and medical conditions on serum calcium and calcium metabolism.
5. Impact of aging on calcium metabolism.
6. Evaluation and treatment of life-threatening hypercalcemia.
7. Appropriate evaluation for the following clinical scenarios, including interpretation of expected test results :
** Primary hyperparathyroidism
** Secondary hyperparathyroidism
** Tertiary hyperparathyroidism
** Hypercalcemia associated with malignancy
** Hypercalcemia associated with medications
8. Algorithm Development that includes pertinent history, examination findings, and initial diagnostic evaluation of :
** Asymptomatic primary hyperparathyroidism
** Symptomatic primary hyperparathyroidism
** Normocalcimic Hyperparathyroidism
9. Recognition, evaluation, and management of the following postoperative complications :
** Hematoma
** Hypocalcemia
** Voice changes
10. Demonstration of typical locations for ectopic parathyroid glands in a cadaver or the operating room .
11.Current Consensus guidelines for surgical treatment of asymptomatic patients. Initial evaluation of patients with asymptomatic hyperparathyroidism being considered for observation including an outline of the appropriate follow up of these patients including diagnostic evaluation, frequency of testing, and anticipated outcomes. Describe which patients are appropriate candidates for nonoperative management of hyperparathyroidism.
** Indications for and interpretation of results of bone density testing.
** Outpatient follow up after parathyroidectomy.
** An algorithm for the preoperative localization of parathyroid adenoma in patients with primary hyperparathyroidism. Discuss the rationale and accuracy of the various localizing strategies and tests.
** An algorithm for intraoperative confirmation of successful parathyroidectomy during full neck exploration and minimally invasive parathyroidectomy.