Download DNB 2019 June GASTROENTEROLOGY GASTROENTEROLOGY PAPER 2 Question Paper

FINAL EXAM

JUNE 2019

Time: 3 hours

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GASTROENTEROLOGY

PAPER-II

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:

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

1. a) Tropical malabsorption syndrome. (4+3+3)
   

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   b) Pathophysiology of short bowel syndrome.
   c) HIV enteropathy
2. Acute on chronic liver failure(ACLF): (3+4+3)
   a) Definition and Classification.
   b) Etiopathogenesis.
   

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   c) Management.
3. NASH: (3+4+3)
   a) Epidemiological spectrum.
   b) Pathogenesis.
   c) Management beyond life style modifications.

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4. Recent advances in pathogenesis & diagnosis of inflammatory bowel disease-(IBD). (5+5)
5. Newer therapies in IBD: (3+3+4)
6. Molecular and genetic basis in pancreatic disorders. (3+3+4)
7. Prognostic criteria in severe acute pancreatitis. (3+4+3)
8. Autoimmune pancreatitis.

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9. Approach to a case of incidentally detected HBsAg positive subject.
10. Treatment of chronic Hepatitis B and C co-infection.
11. Treatment goals in Chronic Hepatitis B.
12. Pathogenesis of ascites in cirrhosis.
13. Diagnosis & management of spontaneous bacterial peritonitis.

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14. Management of refractory ascites.
15. Hepatocellular Carcinoma (HCC): (3+4+3)
    a) Molecular & genetic basis in pathogenesis.
    b) Management strategies for early HCC.
    c) Liver transplantation in HCC - When and Why?

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16. Pathogenesis and prognostic scores in Severe Alcoholic Hepatitis(SAH). (4+3+3)
17. Status of liver transplant in SAH.
18. Non transplant management of SAH.
19. Management of primary sclerosing cholangitis. (4+3+3)
20. IG4 cholangiopathy.

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21. Clinical presentations of portal biliopathy.

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