Download DNB 2016 Dec SURGICAL GASTROENTEROLOGY PAPER 3 Question Paper

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FINAL EXAM

DECEMBER 2016

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SURGICAL GASTROENTEROLOGY

PAPER - II

NATIONAL BOARD OF EXAMINATIONS

SURG.GASTRO/D/16/46/II

Time: 3 hours

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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.

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• 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.

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1. Write short notes on: (8+2)
2. In the context of a randomized controlled trial, what do the terms random sequence generation, allocation concealment, blinding, sample size and outcome assessment mean? What is the purpose of trial registration? (2+2+2+2+2)
3. What do the terms - odds ratio, hazard ratio, relative risk, absolute risk and confidence interval mean and where are these used? (4+4+2)
4. What is the Clavien-Dindo method for grading complications after gastrointestinal surgery? What are its benefits and drawbacks? List two possible improvements to this method. (2+3+5)
5. What is the Surviving Sepsis Campaign? What is Care bundle in critical care? How can these be used to improve outcome in a critical care unit after a gastrointestinal surgical procedure? (2+3+5)

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6. How would you suspect and confirm an anastomotic leak which occurs after a small bowel resection for Crohn’s disease. Outline your approach to the management of such a patient. (3+3+4)
7. What are the symptoms, signs and management of a patient with an abdominal Cocoon? (2+3+2+3)
8. 1. What are the indications for doing a diverting ileostomy after anterior resection for carcinoma rectum? (4+3+3)
   2. List the advantages and disadvantages of a diverting ileostomy in such a patient over a diverting colostomy.

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9. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in patients with pseudomyxoma peritonei. (10)
10. Role of Diffusion-weighted MRI and Secretin-stimulated MRI in the evaluation of GI disorders. (5+5)

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List Truelove and Witts’ criteria for assessing severity of ulcerative colitis.

List the components of intensive regimen for medical management of acute severe ulcerative colitis.

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List the indications for use of infliximab in patients with ulcerative colitis.

List the indications for surgery for acute severe ulcerative colitis.