Download Diplomate in National Board (DNB) 2017 Dec GASTRO GASTRO PAPER I Previous Question Papers
DECEMBER 2017
GASTROENTEROLOGY
PAPER ? |
Time : 3 hours GASTRO/D/17/10/I
Max. Marks : 100
Important instructions:
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and Iegibly.
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/flowchalts where ver appropriate.
Write short notes on:
1. a. Enumerate the risk factors for Barrett?s esophagus. 2+4+4
b. Surveillance strategy for esophageal adenocarcinoma
in a patient with Barrett?s esophagus.
c. How do you treat Barrett?s esophagus?
2. a. Internal adaptation in a patient with short bowel 3+3+4
syndrome.
b. How do you assess nutrition in a patient with short
bowel syndrome?
0. Management plan of a patient with short bowel
syndrome.
3. a. Intestinal dysbiosis in inflammatory bowel disease. 5+5
b. Intestinal dysbiosis and immune system interaction.
4. a. Enumerate the clinical signs which provide direct clue 3+4+3
to the etiological diagnosis of chronic liver disease.
b. Enumerate the collaterals which drain blood from portal
to systemic and systemic to systemic collaterals in a
patient with hepatic venous outflow tract obstruction.
0. Enumerate the clinical signs which provide clue to the
etiological diagnosis of obscure gastrointestinal
bleeding.
Pathophysiology of vomiting. 4+2+2+2
Classify anti?emetic drugs.
Mechanism of action of anti-emetic drugs
Enumerate class wise side effects of anti?emetic drugs.
eoce
6. a. Pathophysiology and management of diarrhoea in a 5+5
patient with diabetic mellitus.
b. Pathophysiology and management of dyspepsia in a
patient with diabetic mellitus. P.T.O.
1
.1.
POSSESSION/USE OF CELL PHONES OR ANY S UCH ELECTISONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
www.FIrstRanker.com
F'NAI? EXAM www.FirstRanker.com NATIOWWBQMPQRWW
DECEMBER 2017
GASTROENTEROLOGY
PAPER ? |
7. a. Relevance of Helicobacter pylori in a patient with 5+5
dyspepsia.
b. Evidence to support eradication of H. pylori in
patient with gastric cancer.
8. Mention and justify the statistical tests which would be 3+3+2+2
most appropriate for the following data:
a. Comparison of two groups of sample size 150 each
where the parameter /data is a continuous variable
and is normally distributed.
b. Comparison of two different groups of sample size
20 each where the data is a continuous variable but
is not normally distributed.
0. Comparison of bilirubin values pre and post therapy
(4 weeks) in patients with acute hepatitis E who are
given an experimental new drug. Sample size is
200 patients.
d. Comparison of outcome (alive or dead) in patients
given an experimental drug for severe enteric fever.
The control group was given in]. Ceftriaxone.
Sample size 50 in each group.
9. a. How do you plan nutrition in a patient with intestinal 3+4+3
stricture?
b. How do you plan nutrition in a patient with acute
severe pancreatitis?
c. How do you plan nutrition in a patient with acute
corrosive injury (high grade)?
10. a. Enumerate the tests which are used to evaluate a 3+3+4
patient with suspected neuroendocrine tumour
(NET) of the small intestine.
b. What is the pharmacological basis of the DOTA-
NOC scan?
0. What is the pharmacologicaI/biological basis of the
carcinoid flush /syndrome?
**********
?3
.5.
POSSESSION/USE OF CELL PHONES OR ANY S UCH ELECTISONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
www.FIrstRanker.com
This post was last modified on 17 April 2020