Download Diplomate in National Board (DNB) 2017 Dec GASTRO GASTRO PAPER II Previous Question Papers
DECEMBER 2017
GASTROENTEROLOGY
PAPER ? ||
Time : 3 hours GASTRO/D/17/10/Il
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 30 year old primigravida presented to outpatient department 3+4+3
with jaundice of 7 days.
a. What are the causes of jaundice in her?
b. How shall you establish diagnosis?
0. How will you treat her?
2. A 50 year old male with advanced cirrhosis, underwent liver 3+4+3
transplantation. On Day 6, post transplant, he developed
jaundice and there was an increase in ALT, AST and alkaline
phosphatase.
a. What are the possible causes?
b. How shall you confirm diagnosis?
0. How shall you treat?
3. Discuss pancreas divisum under the following headings: 4+4+2
a. Embryologicalbasis
b. Anatomical variants (with diagram)
0. Which patients with pancreas divisum have the best
response to endotherapy?
4. a. Classify benign biliary stricture (with representative 4+4+2
diagram)
b. Management based on site of stricture.
0. Indications for surgery.
5. a. Discuss replication cycle of Hepatitis B virus to highlight 6+4
potential target for development of therapeutic strategies
b. What are the evolving drugs for Hepatitis B virus?
6. a. Clinical presentation and management of papillary 5+5
stenosis in HIV patient with CD4 count < 200/mm3.
b. Etiology and histology of vanishing bile duct syndrome.
P.T.0.
1
.1.
POSSESSION/USE OF CELL PHONES OR ANY S UCH ELECTISONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
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DECEMBER 2017
GASTROENTEROLOGY
PAPER ? ll
7. a. Describe the spectrum of ductal plate malformation 5+3+2
b. How do you treat congenital hepatic fibrosis?
0. Enumerate associations of congenital hepatic fibrosis.
8. a. Differences in the pathophysiology of hepatic 7+3
encephalopathy due to acute live failure, acute and
chronic liver failure and chronic liver disease.
b. Outline their management.
9. a. Micro?anatomy of Pancreatic Islets (with diagram) 4+3+3
b. Diagnostic approach for Pancreatic NET.
0. Treatment options for metastatic pancreatic NET.
10. a. Anatomy of hepatic micro?circulation in advanced 4+3+3
cirrhosis versus healthy liver.
b. What is the effect of Nitric Oxide (NO) on the hepatic
micro-circulation?
0. Role of hepatic stellate cells in health and disease.
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?3
.5.
POSSESSION/USE OF CELL PHONES OR ANY S UCH ELECTISONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
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This post was last modified on 17 April 2020