Download DNB 2016 Dec GASTROENTEROLOGY PAPER 2 Question Paper

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

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY

PAPER ? II
GASTRO/D/16/10/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. a) Role of antiviral treatment for hepatocellular carcinoma (HCC)
prevention.
b) Integration of genomic information in the clinical management of
HCC.
c) Prognosis prediction and staging.

3+3+4
2. a) IgG4 related sclerosing cholangitis.
b) IgG4 related autoimmune hepatitis.
c) Current concepts and diagnosis of IgG4 related pancreatitis.

2+2+6
3. a) Definition and diagnosis of acute-on-chronic liver failure (ACLF).
b) Inflammatory response and immune function in ACLF.
c) Prognosis and biomarkers in ACLF.
d) Management of ACLF.

2+2+3+3
4. a) Diagnosis of drug induced liver injury (DILI).
b) Drug induced hepatic steatosis.
c) Anti-tuberculosis therapy induced DILI.

3+3+4
5. Regarding antiviral therapy of Hepatitis C:
a) Interferon-free strategies with a nucleoside/nucleotide
analogue.
b) Interferon-free strategies without a nucleoside/nucleotide
analogue.
c) Interferon-free regimens in the liver transplant setting.

4+4+2
6. a) Immunopathogenesis of Hepatitis E virus (HEV).
b) HEV infection in immunosuppressed patients: Natural history
and therapy.
c) Hepatitis E vaccine.





3+4+3






P.T.O.
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY

PAPER ? II
GASTRO/D/16/10/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. a) Role of antiviral treatment for hepatocellular carcinoma (HCC)
prevention.
b) Integration of genomic information in the clinical management of
HCC.
c) Prognosis prediction and staging.

3+3+4
2. a) IgG4 related sclerosing cholangitis.
b) IgG4 related autoimmune hepatitis.
c) Current concepts and diagnosis of IgG4 related pancreatitis.

2+2+6
3. a) Definition and diagnosis of acute-on-chronic liver failure (ACLF).
b) Inflammatory response and immune function in ACLF.
c) Prognosis and biomarkers in ACLF.
d) Management of ACLF.

2+2+3+3
4. a) Diagnosis of drug induced liver injury (DILI).
b) Drug induced hepatic steatosis.
c) Anti-tuberculosis therapy induced DILI.

3+3+4
5. Regarding antiviral therapy of Hepatitis C:
a) Interferon-free strategies with a nucleoside/nucleotide
analogue.
b) Interferon-free strategies without a nucleoside/nucleotide
analogue.
c) Interferon-free regimens in the liver transplant setting.

4+4+2
6. a) Immunopathogenesis of Hepatitis E virus (HEV).
b) HEV infection in immunosuppressed patients: Natural history
and therapy.
c) Hepatitis E vaccine.





3+4+3






P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY

PAPER ? II

7. Write the following in relation to pancreatic calculi:
a) Composition.
b) Endoscopic therapy.
c) Extracorporeal shock wave lithotripsy.
d) Pancreatoscopy.
e) Role of Surgery.

2+2+2+2+2
8. Write the following clinical perspectives on sphincter of Oddi
dysfunction.
a) Definition and consensus criteria.
b) Pharmacologic therapy.
c) Endoscopic therapy.
d) Current state of knowledge.

3+2+2+3
9. Pancreatic walled off necrosis (WON):
a) Epidemiology.
b) Diagnosis of WON.
c) Diagnosis of infection.
d) Indications for treatment.
e) Endoscopic management.

2x5
10. Write the following with relation to benign liver tumours:
a) Imaging of hepatic hemangioma.
b) Clinical presentation and diagnosis of hepatic adenoma.

5+5
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