Download DNB 2015 Dec GASTROENTEROLOGY II Question Paper

Download DNB (Diplomate of National Board) Under NBE 2015 Dec GASTROENTEROLOGY II Previous Question Paper

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY

PAPER ? II
GASTRO/D/15/10/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) What are the risk factors to predict bleeding from
esophageal varices?
b) Pharmacotherapy of acute variceal bleed.
c) Primary prevention of variceal bleed.
d) Secondary prevention of variceal bleed.

2+4+2+2
2. a) Medical therapy of pain due to chronic pancreatitis.
b) Role of endotherapy in complications of chronic
pancreatitis.
c) Role of surgery in complications of chronic pancreatitis.

3+4+3
3. Indeterminate biliary structures:
a) Various modalities for diagnosis & their advantages &
limitations.
b) Treatment strategy.

8+2
4. HBsAg quantification:
a) Role of HBsAg quantification in HBeAg positive and HBeAg
negative patients.
b) Correlation of HBsAg with HBV DNA levels.
c) Significance of HBsAg quantification and treatment
response.
d) The ?Stop Rule? for treatment using HBsAg quantification.

3+3+2+2
5. Liver transplantation:
a) Long term complications after liver transplant.
b) Risk factors for post transplantation lympho proliferative
disorder (PTLD).
c) Clinical presentation of PTLD.

4+3+3
6. Acute on chronic liver failure (ACLF):
a) Compare definitions according to APASL, AASLD: EASL
Consensus and WGO.
b) Pathophysiology.
c) Specific management options for ACLF.

4+3+3




P.T.O.
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY

PAPER ? II
GASTRO/D/15/10/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) What are the risk factors to predict bleeding from
esophageal varices?
b) Pharmacotherapy of acute variceal bleed.
c) Primary prevention of variceal bleed.
d) Secondary prevention of variceal bleed.

2+4+2+2
2. a) Medical therapy of pain due to chronic pancreatitis.
b) Role of endotherapy in complications of chronic
pancreatitis.
c) Role of surgery in complications of chronic pancreatitis.

3+4+3
3. Indeterminate biliary structures:
a) Various modalities for diagnosis & their advantages &
limitations.
b) Treatment strategy.

8+2
4. HBsAg quantification:
a) Role of HBsAg quantification in HBeAg positive and HBeAg
negative patients.
b) Correlation of HBsAg with HBV DNA levels.
c) Significance of HBsAg quantification and treatment
response.
d) The ?Stop Rule? for treatment using HBsAg quantification.

3+3+2+2
5. Liver transplantation:
a) Long term complications after liver transplant.
b) Risk factors for post transplantation lympho proliferative
disorder (PTLD).
c) Clinical presentation of PTLD.

4+3+3
6. Acute on chronic liver failure (ACLF):
a) Compare definitions according to APASL, AASLD: EASL
Consensus and WGO.
b) Pathophysiology.
c) Specific management options for ACLF.

4+3+3




P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

GASTROENTEROLOGY

PAPER ? II

7. An epidemiologist is conducting a survey to evaluate the
presence of hepatitis B infection among the different age
groups in a village with 5 lakh population. He also wants to
identify the possible risk factors that may be associated with
hepatitis B injection in this population.
a) Briefly describe the kind of study that is being conducted.
b) Describe the different sampling methods that can be used.
c) Define the common measures of association of risk factors
that the epidemiologist can use.
d) What kind of bias is the researcher likely to encounter in
this study?

3+3+2+2
8. Regarding bile duct calculi:
a) Define the ?difficult? bile duct calculus.
b) What are different techniques available for bile duct
clearance in these patients?
c) Discuss results with these techniques.
d) Suggest an algorithmic approach to bile duct clearance in
patients with ?difficult? calculi.

1+2+3+4
9. Histological features of following diseases:
a) Alcoholic hepatitis.
b) Autoimmune pancreatitis.
c) Primary biliary cirrhosis.
d) Non cirrhotic portal fibrosis.
e) Primary sclerosing cholangitis.

2x5
10. Hepatitis E virus infection:
a) Chronic Hepatitis E infection.
b) Extrahepatic manifestations.
c) Treatment of chronic HEV infection.
d) HEV Vaccine.

3+3+2+2
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This post was last modified on 29 April 2020