Download DNB 2019 Dec 2019 Dec GASTROENTEROLOGY PAPER II Question Paper

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FINAL EXAM

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DECEMBER 2019

Time: 3 hours

GASTROENTEROLOGY

PAPER-II

Max. Marks: 100

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Important Instructions:

• Attempt all questions in order.
• 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.

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• 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/flowcharts wherever appropriate.

Write short notes on:

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1. 1. Indications of treatment and treatment endpoints in management of chronic Hepatitis B. (4)
   2. Management of chronic Hepatitis B in pregnancy. (3)
   3. cccDNA and its clinical significance in chronic Hepatitis B. (3)
2. 1. Management of Gall bladder polyps. (4)

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   2. Management of incidentally detected carcinoma in post cholecystectomy GB specimen. (3)
   3. Post cholecystectomy syndrome. (3)
3. 1. Compare the different diagnostic criteria of ACLF. (3)
   2. Liver transplantation in severe alcoholic hepatitis. (3)

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   3. Newer treatment options in ACLF. (4)
4. 1. Enumerate and describe surgeries in peptic ulcer disease. (3)
   2. Complications of vagotomy. (3)
   3. Mechanism of action of Proton pump inhibitors (PPI). (2)

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   4. Adverse effects of PPI. (2)
5. 1. Pathogenesis of irritable bowel syndrome (IBS). (3)
   2. Compare the Rome 3, Rome 4 and the Asian criteria of IBS. (4)
   3. Recent developments in pharmacotherapy of IBS. (3)

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6. 1. Aetiology of Budd Chiari syndrome. (3)
   2. Diagnosis of Budd Chiari syndrome. (3)
   3. Scores and management of Budd Chiari syndrome. (4)

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7. 1. Pathophysiology of pain in chronic pancreatitis. (4)
   2. Medical management of pain in chronic pancreatitis. (2)
   3. Endoscopic management of pain in chronic pancreatitis. (2)
   4. Surgical management of pain in chronic pancreatitis. (2)

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8. 1. Causes of obscure GI bleed. (3)
   2. Diagnostic modalities of small bowel bleed. (4)
   3. Use of Argon plasma coagulation in Gastroenterology. (3)
9. 1. Assessment of Perianal Crohn’s disease. (4)

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   2. Surgery in Crohn’s disease. (3)
   3. Mention five histological difference between Crohn's disease and intestinal Koch’s. (3)
10. 1. Vascular anatomy of common bile duct. (3)
    2. Natural history of portal cavernoma cholangiopathy (PCC). (3)

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    3. Treatment of PCC. (4)

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

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