Download DNB 2019 June RADIOTHERAPY RADIOTHERAPY PAPER 1 Question Paper

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FINAL EXAM JUNE 2019

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RADIOTHERAPY

PAPER-I

Time: 3 hours RTH/J/19/41/1 Max. Marks:100

Important Instructions:

• Attempt all questions in order.

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• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.

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• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Anatomy and lymphatic drainage of testes. Discuss briefly on the 5+5
   imaging modalities to evaluate the lymphatics in testicular cancer.
   

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   b) Role of serum markers in testicular malignancy and its impact on
   management.
2. a) NCRP - goals and advantages of a Registry program. 6+4
   b) HBCR and PBCR.
3. a) Oncotype Dx. 4+6
   

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   b) Anti-Her2 agents in management of breast cancers.
4. a) Anatomy & lymphatic drainage of tongue. 6+4
   b) Describe the differences in the behavior and management policies
   of oral and oropharyngeal primaries.
5. a) Describe the different groups and levels of axillary lymph nodes. 5+3+2
   

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   b) Enumerate and briefly describe different types of mastectomy.
   c) Briefly elaborate on indications for Radiation therapy after
   mastectomy.
6. a) Describe the steps and criteria of Radiotherapy plan evaluation. 6+4
   b) ICRU 50 and ICRU-62.

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7. a) Tomotherapy 5+3+2
   b) Advantages & disadvantages of KV-CBCT Vs MV-CBCT.
   c) Recent advances in image guidance for Radiotherapy.
8. a) Characteristics of Electromagnetic radiation. 6+4
   b) Characteristics of Electron beam.

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9. a) What are Kaplan Meier plot & Forest plot? 4+4+2
   b) What are p value & confidence interval?
   c) Hazard ratio.
10. a) Sandwich therapy. 3+3+4
    b) Intraluminal therapy.
    

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    c) LDR versus HDR Brachytherapy.

POSSESSION/USE OF CELL PHONES IS NOT PERMITTED INSIDE THE EXAMINATION HALL.