Download DNB 2016 Dec RADIOTHERAPY PAPER 2 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016

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RADIOTHERAPY

PAPER - II

Time : 3 hours

Max. Marks :100

Important instructions:

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• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.

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• 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.

1. Write short notes on:
   • Classify salivary gland tumors.
   • List the indications of radiotherapy in carcinoma parotid gland.

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   • Radiotherapy technique, dose and side effects for carcinoma of parotid gland.
   • Human Papilloma Virus (HPV) and head & neck carcinoma with recent evidence.
   • List indications of post operative radiotherapy and post operative chemoradiotherapy in head & neck cancer.
   • Role of brachytherapy in cancer tongue T2NgMo.

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2. A 45 year old lady has a TsNoMo muscle invasive transitional cell carcinoma of the urinary bladder. What is her treatment options with regard to:
   1. Surgery.
   2. Bladder Preservation Protocol.
3. 1. What is Involved Field Radiation Therapy (IFRT), Involved Nodal Radiation Therapy (INRT) and Involved Site Radiation Therapy (ISRT)?
   2. ISRT technique- for bulky mediastinal adenopathy and its advantages

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4. • List the risk factors of carcinoma vulva.
   • What are the indications of post-operative radiation in carcinoma vulva?
   • Techniques of radiotherapy in carcinoma vulva.
   • Radiotherapy dose and dose limiting structures in carcinoma vulva.

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5. • Staging of soft tissue sarcoma of extremity.
   • Pre-operative versus post-operative radiotherapy for soft tissue sarcoma.
   • Role of brachytherapy in soft tissue sarcoma of extremity.

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6. With regard to Wilm’s tumor, write the:
   1. Staging
   2. Treatment algorithm based on risk stratification.
7. 1. Treatment options of single metastasis in the brain with controlled extra-cranial disease.
   2. Evidence for focal radiotherapy Vs whole brain radiotherapy.

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   3. What is the use of Recursive Partitioning Analysis (RPA) classification?
8. A 32 year old lady presented with decreased urinary output, bilateral pedal oedema and severe backache. She also gives history of bleeding per vaginum for 3 months. On evaluation, she was found to have creatinine of 5.4mg/dl and Potassium of 7.0mEqg/ml
   1. What other blood investigations will you do for emergency management?
   2. How will you correct her hyperkalemia?
   3. What is the possible diagnosis?

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   4. Outline the treatment algorithm for such a patient.
9. List the indications of Hemibody Irradiation (HBI).
   • What are the types of HBI?
   • Technique and doses involved in HBI.
   • Pre & post procedural precautions to be taken-for delivery of HBI.

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