Download DNB 2019 June SURGICAL ONCOLOGY SURGICAL ONCOLOGY PAPER 3 Question Paper

Download Diplomate in National Board (DNB) 2019 June SURGICAL ONCOLOGY SURGICAL ONCOLOGY PAPER 3 Previous Question Papers

FINAL EXAM
JUNE 2019
Time: 3 hours
SURGICAL ONCOLOGY
PAPER-III
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.
NATIONAL BOARD OF EXAMINATIONS
SURGONCO/J/19/47/Ill
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 .
2.
How you will evaluate a middle aged man presenting with localized
non-small cell carcinoma right upper lobe of lung planned for
surgery? How do you interpret the pulmonary function test, for
planning surgery?
A 55-year old lady was incidentally detected to have multiple
bilateral liver SOLs on an ultrasound, biopsy of which was a low
grade neuroendocrine tumour, Ki?67 of 3%.
a) What other investigations will you ask for?
b) Describe the various options of treatment for this lady.
0) Briefly describe details of one randomized trial each supporting
the use of medical and radiopharmaceutical agents in metastatic
carcinoid tumors.
How do you classify soft tissue sarcomas? What is the role of
immunohistochemistry and cytogenetics in diagnosis of soft tissue
sarcoma?
Describe in brief the molecular classification of breast cancer?
How is Her2-neu and hormone receptor testing done for breast
cancer and how are the results interpreted?
a) Briefly describe the rationale of hyperthermic intraperitoneal
chemotherapy (HIPEC).
b) Briefly describe the evidence supporting cytoreductive surgery
and HIPEC in peritoneal metastasis from:
i. Colorectal cancer
ii. Ovarian cancer
What is the role of Minimally Invasive Surgery for Carcinoma Cervix?
What are the advantages and disadvantages? Mention some latest
evidence.
-1.
5+5
2+5+3
3+7
5+5
2+(4+4)
3+4+3
P.T.O.
POSSESSION/USE OF CELL PHONES 0R AN Y S UCH ELECTRONIC GADGETS IS NOTPERMITTED INSIDE THE EXAMINA TION HALL.

FINAL EXAM
JUNE 2019
SURGICAL ONCOLOGY
PAPER-III
7. Describe the 8th edition of AJCC TNM classification of carcinoma
10.
esophagus. Discuss the evidence supporting neoadjuvant
chemoradiation in carcinoma esophagus.
a) Classify cystic neoplasms of the pancreas.
b) How will you investigate a person who was found to have a cystic
lesion in the pancreas on ultrasound?
0) Outline treatment of the various cystic neoplasms of the
pancreas?
How will you investigate and manage a lady diagnosed with locally
advanced breast cancer in the second trimester of pregnancy, if the
patient wishes to continue her pregnancy?
What is the role of sentinel node biopsy in malignant melanoma?
Describe the role of isolated limb perfusion in locally advanced
malignant melanoma.
**************
-2.
NATIONAL BOARD OF EXAMINATIONS
6+4
2+4+4
10
5+5
POSSESSION/USE OF CELL PHONES 0R AN Y S UCH ELECTRONIC GADGETS IS NOTPERMITTED INSIDE THE EXAMINA TION HALL.