Download DNB 2019 Dec 2019 Dec GASTROENTEROLOGY PAPER I Question Paper

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FINAL EXAM

DECEMBER 2019

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GASTROENTEROLOGY

PAPER-I

Time: 3 hours GASTRO/D/19/10/1 Max. Marks:100

Important Instructions:

1. Attempt all questions in order.

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

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

Write short notes on:

1. a) Glucose homeostasis in cirrhosis. 5+5
   b) Treatment of diabetes mellitus in cirrhosis.

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2. a) Gut associated lymphoid tissue. 4+4+2
   b) Clinical significance of pathogen associated molecular patterns(PAMPs) and damage associated molecular patterns(DAMPs).
   c) Mcells.
3. a) Ghrelin. 3+3+4
   b) Leptin.
   

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   c) Cholecystokinin.
4. Role of nutrition in: 3+3+4
   a) Chronic pancreatitis.
   b) Paediatric Crohn’s disease.
   c) Decompensated cirrhosis.

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5. a) Lymphatic drainage of stomach. 3+3+4
   b) Diagnosis of early gastric cancer.
   c) Management of unresectable carcinoma stomach.
6. a) Pathogenesis of H. pylori infection. 4+2+4
   b) Indications for treatment of H. pylori infection.
   

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   c) Treatment of H. pylori infection.
7. a) Development of portal vein. 3+4+3
   b) Collateral development in portal hypertension.
   c) Management of hepatic encephalopathy related to Portosystemic shunting.
8. a) Positive predictive value. 3+3+4
   

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   b) Number needed to treat.
   c) Odds ratio.
9. a) Assessment of sarcopenia. 5+4+1
   b) Management of sarcopenia.
   c) Sarcopenic obesity.

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10. a) Management of acute corrosive injury of the upper GI tract. 4+2+3+1
    b) Grading of esophageal corrosive injury.
    c) Pros and cons of Savary-Gillard vs CRE Balloon dilators in esophageal stricture.
    d) Rule of 3 in esophageal bougie dilatation.

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

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