Download DNB 2019 June SURGICAL ONCOLOGY SURGICAL ONCOLOGY PAPER 2 Question Paper

Download Diplomate in National Board (DNB) 2019 June SURGICAL ONCOLOGY SURGICAL ONCOLOGY PAPER 2 Previous Question Papers

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2019
SURGICAL ONCOLOGY
PAPER-Il
Time: 3 hours SURG.ONCO/J/19/47/Il
Max. Marksz100
Important Instructions:
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legib/y.
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.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/f/owcharts wherever appropriate.
Write short notes on:
1. How do you manage a 54-year-old man presenting with T2No 6+4
carcinoma of lateral border of tongue? Describe some evidences
regarding management of No neck for cancer tongue.
2. How do you investigate, prognosticate and manage a 19-year- 3+2+5
old girl presenting with dysgerminoma of the right ovary?
3. a) Describe the BCLC system for managing liver tumours? 5+5
b) Briefly describe the treatment options for a 65-year old
woman who is Hepatitis C positive with cirrhosis, Child Pugh
B, performance status 1 with a solitary 6cm tumour in the
segment 5 and 8 of the liver.
4. a) Describe in brief the risk based approach to decide the need 4+3+3
for and type of neoadjuvant radiotherapy protocols used for
rectal cancer?
b) What are the accepted neoadjuvant treatment options in a
55-year old man, performance status 1, with a middle third
rectal cancer staged as cT3bNoMo with tumour more than
2mm away from the mesorectal fascia?
c) Describe in brief at least one randomized clinical trial
comparing long course chemoradiation and short course
radiotherapy.
5. a) Lymph node stations draining stomach. 4+(2+2+2)
b) What lymph node stations are dissected during a D2
dissection for a patient with a T3N1 gastric cancer during:
i. Total gastrectomy
ii. Proximal gastrectomy
iii. Distal gastrectomy
P.T.O.
-1.
POSSESSION/USE OF CELL PHONES 0R AN Y S UCH ELECTRONIC GADGETS IS NOTPERMITTED INSIDE THE EXAMINA TION HALL.

FINAL EXAM
JUNE 2019
10.
NATIONAL BOARD OF EXAMINATIONS
SURGICAL ONCOLOGY
PAPER-II
How do you investigate and treat a medically fit patient
presenting with non-metastatic renal cell carcinoma with a
thrombus extending to IVC? Briefly mention surgical principles
and practice in this case.
How do you manage a 5cm residual retroperitoneal nodal mass
persisting after first line chemotherapy for NSGCT testis? Briefly
describe the various RPLND procedures and post-operative
complications after RPLND.
How do you manage a 42-year old premenopausal lady
presenting with cT2N1Mo triple negative left breast cancer?
What is Ewing?s family of tumours? How do you investigate and
diagnose? Briefly describe the role of chemotherapy and surgery
in its management.
a) Management options in muscle invasive localized bladder
canceL
b) Metabolic alterations seen with various types of urinary
conduits.
*************
-2.
6+4
4+6
10
3+3+4
6+4
POSSESSION/USE OF CELL PHONES 0R AN Y S UCH ELECTRONIC GADGETS IS NOTPERMITTED INSIDE THE EXAMINA TION HALL.