Download DNB 2015 Dec MEDICAL ONCOLOGY II Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2015

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MEDICAL ONCOLOGY

PAPER — 1

MED.ONCO/D/15/17/11

Time : 3 hours

Max. Marks : 100

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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.

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• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Draw table/diagrams/flowcharts wherever appropriate.
• Write short notes on:
• Start the answer to a question on a fresh page or leave adequate space between two answers.

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1. A 70 year old male has been detected to have pancytopenia.

   1. Differential diagnosis and plan of investigations.
   2. Management for hypoplastic myelodysplastic syndrome.

   (3+3)+4

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2. 1. Differential diagnosis of malignant ascites in a 65 year old male.
   2. Plan investigations with rationale.
   3. Outline the treatment for cancer colon.

   3+3+4

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3. A 45 year old lady presented with painless generalized lymphadenopathy of 4 months duration. Comment on approach to investigations & treatment with special emphasis on malignant causes.

4. 1. Goals of National Cancer Control Programme.
   2. Functions and working of a Regional Cancer Centre.
   3. List 4 common cancers among men and women in India.

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   4+4+2

5. 1. What are components (structures) of oropharynx?
   2. Etiology & pathology of carcinoma of base of tongue.
   3. Outline management and long term outcome.

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   2+(2+2)+4

6. Role of metastatectomy in patients presenting with oligo metastasis in:

   1. Breast cancer.
   2. Non-seminomatous germ cell tumor.

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   3. Clear cell renal cell carcinoma.

   3+4+3

7. A 3 year old female child presented with 7 cm abdominal lump of 2 months duration. Comment on the differential diagnosis, suggested investigations and management plan.

   2+3+5

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8. 1. What are various methods for screening of cervical cancer?
   2. Current recommendations for screening of breast cancer, lung cancer and oral cancer.

   4*(2+2+2)

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9. How does imaging (X Ray, CT Scan, MRI) and pathology help in the management of pediatric bone tumors?

   6+4

10. 1. TNM staging of breast and lung cancer.
    2. What is expected 5 year survival rates for each stage.

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    (3+3)+(2+2)