Download DNB 2019 Dec 2019 Dec GASTROENTEROLOGY PAPER III Question Paper

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FINAL EXAM

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DECEMBER 2019

Time: 3 hours

Max. Marks: 100

GASTROENTEROLOGY

PAPER-III

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GASTRO/D/19/10/11

Important Instructions:

• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.

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• 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/flowcharts wherever appropriate.

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Write short notes on:

1. a) Staging of Hepatocellular Carcinoma (HCC). 3+3+4
   b) Post TACE syndrome. 2+3+5
   c) Recent advances in systemic therapy in HCC. 3+4+3
2. a) Minimal hepatic encephalopathy (MHE) - definition. 3+3+4
   

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   b) Tests for diagnosis of MHE. 3+3+4
   c) Management of MHE. 3+3+4
3. a) Normal gut flora. 3+4+3
   b) Indications for Fecal Microbiota Transplantation (FMT). 5+5
   c) Complications of FMT.

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4. a) WHO classification of Primary tumours of the Exocrine Pancreas.
   b) Resectability in Carcinoma Pancreas.
   c) Management of unresectable Carcinoma Pancreas.
5. a) Lifestyle changes in management of NAFLD.
   b) Newer drugs in NAFLD treatment.
   

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   c) Genetics of NAFLD.
6. a) Clinical features of Whipple's disease.
   b) Diagnosis of Whipple’s disease.
   c) Management of Whipple's disease.
7. a) Types of Lumen apposing metallic stents in GI practice.
   

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   b) Indications for Lumen apposing metallic stents.
   c) Complications of Lumen apposing metallic stents.
8. a) Surveillance in post colectomy Familial Adenomatous Polyposis syndrome patients.
   b) Chemoprevention of Colorectal Carcinoma.
9. a) Transient elastography in NAFLD. 3+4+3
   

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   b) Noninvasive serum markers for fibrosis of liver.
   c) Indications for liver biopsy in NAFLD.
10. a) Biosimilar in Gastroenterology practice. 4+3+3
    b) Various formulations of mesalamine.
    c) Therapeutic drug monitoring for Anti TNF agents in IBD.

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P.T.O

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

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