Download DNB 2017 Dec GASTRO GASTRO PAPER III Question Paper

Download Diplomate in National Board (DNB) 2017 Dec GASTRO GASTRO PAPER III Previous Question Papers

F'NAI? EXAM www.FirstRanker.com NATIOWMPSQRWW
DECEMBER 2017
GASTROENTEROLOGY
PAPER? |||
Time : 3 hours GASTRO/D/17/10/III
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/flowchans where ver appropriate.
Write short notes on:
1. a. Sources of intra?Iuminal gas. 2+3+2+3
b. How these gases are produced intraluminally?
0. Enumerate the conditions with enhanced intraluminal
gas production.
d. How do you treat them?
2. a. Pathophysiology of celiac disease. 5+.5
b. Enumerate the potential target for alternative therapy
for celiac disease.
3. a. How is dietary fat digested and absorbed? 5+5
b. Tests for evaluation of fat malabsorption.
4. Common variable immunodeficiency (CVID): 2+3+2+3
a. When do you suspect?
b. Diagnostic criteria for CVID?
0. Characteristic features on duodenal biopsies
d. How do you treat CVID?
5. Screening and Surveillance of colorectal cancer: 3+4+3
a. Basis of screening for colorectal polyp and cancer
b. Screening schedule based on host and genetic
factors.
0. Post polypectomy surveillance.
6. Pelvic floor dyssynergia: 2+3+3+2
a. When do you suspect pelvic floor dyssynergia in a
patient with chronic constipation?
b. Diagnostic criteria.
0. How do you investigate?
d. Biofeedback.
P.T.O.
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.1.
POSSESSION/USE OF CELL PHONES OR ANY S UCH ELECTISONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
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F'NAI? EXAM www.FirstRanker.com NATIOWWBQMPQRWW
DECEMBER 2017
GASTROENTEROLOGY
PAPER?lll
7. a. Pathophysiological steps to highlight potential 6+4
therapeutic target in Crohn?s disease.
b. Emerging drugs in Crohn?s disease.
8. a. Clinical presentation, endoscopic appearance and 4+4+2
histology of Invasive Intestinal Amoebiasis.
b. Normal anatomy of anal sphincter (with diagram)
0. Role of EUS in diagnosis of ano?rectal diseases.
9. A small approximately 2 cm, neuroendocrine tumour was 2+3+5
detected in the duodenum on an endoscopic examination
done for dyspepsia.
a. Factors on which you will decide the treatment.
b. How will you investigate?
c. How will you treat?
10. a. Enumerate types of microscopic colitis 2+3+5
b. Diagnostic criteria.
0. Short and long term treatment of microscopic colitis.
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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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