Download DNB 2019 June SURGICAL GASTROENTEROLOGY SURGICAL GASTROENTEROLOGY PAPER 1 Question Paper

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FINAL EXAM JUNE 2019

SURGICAL GASTROENTEROLOGY

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PAPER-I

Time: 3 hours GIS/J/19/46/1 Max. Marks:100

Important Instructions:

• Attempt all questions in order.
• Each question carries 10 marks.

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• 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.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. What are various esophageal substitutes for corrosive injury of the esophagus? Describe the selection criteria of the individual substitute keeping the advantages and disadvantages of each substitute in mind. (2+8)
2. Define the sigmoid esophagus in achalasia cardia. Discuss the surgical options. (2+8)
3. What are the etiopathogenesis of delayed gastric emptying? Discuss the management. (3+7)

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4. Basis and selection criteria for antibiotic prophylaxis. Discuss multidrug resistant bacteria. (5+5)
5. How will you investigate and manage Siewart Type II carcinoma of gastroesophageal junction? (10)
6. Complications of total parenteral nutrition and its management. (3+7)
7. POEM. (10)
8. H pylori infection and gastric cancer. (10)

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9. Enumerate the causes of esophageal perforation. What are the management options for a patient presenting 48 hours after perforation? (3+7)
10. Bypass surgery vs Sleeve gastrectomy for morbid obesity. (5+5)

POSSESSION/USE OF CELL PHONES OR ANY OTHER GADGET IS NOT PERMITTED INSIDE THE EXAMINATION HALL.