Download DNB 2016 Dec SURGICAL GASTROENTEROLOGY PAPER 2 Question Paper

Download Diplomate of National Board (DNB) 2016 Dec SURGICAL GASTROENTEROLOGY PAPER 2 Previous Question Paper

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
SURGICAL GASTROENTEREOLOGY

PAPER ? II
SURG.GASTRO/D/16/46/II
Time : 3 hours
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 legibly.
? 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/flowcharts wherever appropriate.

Write short notes on:

1. Diagnosis and management of a patient with asymptomatic portal
cavernoma cholangiopathy in a patient with extra hepatic portal
venous obstruction.

5+5
2. a) List the predisposing factors for development of a hepatocellular
carcinoma.
b) Diagnosis and staging of hepatocellular carcinoma.

3+7
3. a) Step up approach to the management of a patient with severe
necrotizing pancreatitis.
b) List the indications for surgical intervention in the first four
weeks after onset of the disease.

8+2
4. a) How would you diagnose a ?small-for-size? syndrome after liver
resection or transplantation?
b) How will you manage such a patient?

4+6
5. Advantages and disadvantages of pancreatico-duodenectomy
performed laparoscopically.

5+5
6. Management of a patient with intra-operatively recognized
transection of the common bile duct during laparoscopic
cholecystectomy being done by a general surgeon at a district
hospital.

10
7. Clinical presentation, diagnosis and management of a patient
suspected to have an insulinoma.

3+3+4
8. In a patient with surgical obstructive jaundice:
a) List the various methods of percutaneous biliary drainage.
b) Complications of any one method.
c) List the absolute and relative indications for percutaneous biliary
drainage.

2+5+3
9. Compare the advantages and disadvantages of deceased donor
and living donor liver transplantation.

5+5
10. Diagnosis and management of a patient with suspected
xanthogranulomatous cholecystitis.
4+6
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