Download DNB 2017 Dec SURG GASTRO SURG GASTRO PAPER II Question Paper

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NATIONAL BOARD OF EXAMINATIONS
SURGICAL GASTROENTEROLOGY

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Time : 3 hours SURG. GASTRO/D/17/46/11 Max. Marks : 100

Important instructions:

1. Attempt all questions in order.
2. Each question carries 10 marks.

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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.
7. Start the answer to a question on a fresh page or leave adequate space between two answers.

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8. Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Role of MARS in acute liver failure. 5+5
   b) Hyperacute rejection and its management.
2. a) Management of mediastinal pseudocyst of pancreas. 5+5
   

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   b) Management of IPMN
3. Presentation, investigation outline and management of a patient with hilar cholangiocarcinoma. 10
4. a) Choledochocele. 5+5
   b) Pancreatic mucinous cystic tumour.
5. Evaluation and management of a patient of Portal biliopathy, who presented with recurrent cholangitis. 10

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6. A 50 year male presents in OPD with pancreatic fistula draining 60-100 ml of pancreatic fluid 6 months after lateral pancreaticojejunostomy for chronic pancreatitis: Describe the investigations and treatment options. 10
7. a) Indication and methods of Portal Vein Embolization. 5+5
   b) Role of HIDA scan in bile duct injury.
8. Discuss the assessment of FLR in a patient of chronic liver disease needing right hepatectomy. Discuss the role of salvage transplant. 5+5
9. a) Choledochoduodenostomy - indications, contraindications and long term outcome. 5+5
   

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   b) Sarfeh shunt
10. What is the role of CT scan in the diagnosis, staging and decision making in Carcinoma gallbladder? Discuss the current status of HPD in the management of Gall bladder cancer. 5+5

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

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