Download DNB 2019 June RADIOTHERAPY RADIOTHERAPY PAPER 2 Question Paper

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FINAL EXAM

JUNE 2019

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Time: 3 hours

RADIOTHERAPY

PAPER-II

Max. Marks: 100

Important Instructions:

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• 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.

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• 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. Role of Radiotherapy in non-small cell lung cancer (NSCLC) — in radical, postoperative and palliative setting. (10)

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2. a) Early and late effects of radical course of radiation in head and neck malignancies. (5)
   b) Management of the acute, subacute and late radiation toxicities. (5)
3. a) Staging and prognostic factors of Wilms’ tumour. (4)
   b) Management of Wilms’ tumour. (6)
4. Stage-wise management algorithm of endometrial cancers along with relevant/practice changing evidence in literature. (10)

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5. a) Etiology and staging of nasopharyngeal carcinoma. (3)
   b) Management of a male patient of 42 year of age with stage T2N1Mo of nasopharyngeal carcinoma. (7)
6. APBI- rationale, indications, techniques and dose schedule. (10)
7. a) Advantages and disadvantages of two field versus four field radiation in cancer cervix with schematic diagram. (5)
   b) Lymphatic trapezoid of Fletcher. (5)

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8. a) Describe FIGO 2018 staging of carcinoma of cervix. (5)
   b) High risk CTV and intermediate risk CTV in image based brachytherapy in carcinoma of cervix. (5)
9. a) Histopathological features of different types of Hodgkin’s lymphoma. (5)
   b) Pre-treatment work up and staging in case of Hodgkin’s lymphoma. (5)
10. a) Ovarian ablation (4)
    

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    b) Palbociclib (3)
    c) Fulvestrant (3)

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