DNB 2019 June Previous Question Papers-(Diplomate of National Board) Under NBE
FINAL EXAM
JUNE 2019
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Time: 3 hours
SURGICAL ONCOLOGY
PAPER-III
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.
- 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.
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Write short notes on:
- How you will evaluate a middle aged man presenting with localized non-small cell carcinoma right upper lobe of lung planned for surgery? How do you interpret the pulmonary function test, for planning surgery?
- A 55-year old lady was incidentally detected to have multiple bilateral liver SOLs on an ultrasound, biopsy of which was a low grade neuroendocrine tumour, Ki-67 of 3%.
- What other investigations will you ask for?
- Describe the various options of treatment for this lady.
- Briefly describe details of one randomized-trial each supporting the use of medical and radiopharmaceutical agents in metastatic carcinoid tumors.
5+5
- How do you classify soft tissue sarcomas? What is the role of immunohistochemistry and cytogenetics in diagnosis of soft tissue sarcoma?
2+5+3
- Describe in brief the molecular classification of breast cancer? How is Her2-neu and hormone receptor testing done for breast cancer and how are the results interpreted?
3+7
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- Briefly describe the rationale of hyperthermic intraperitoneal chemotherapy (HIPEC).
- Briefly describe the evidence supporting cytoreductive surgery and HIPEC in peritoneal metastasis from:
- Colorectal cancer
- Ovarian cancer
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5+5
- What is the role of Minimally Invasive Surgery for Carcinoma Cervix? What are the advantages and disadvantages? Mention some latest evidence.
2+(4+4)
- Describe the 8th edition of AJCC TNM classification of carcinoma esophagus. Discuss the evidence supporting neoadjuvant chemoradiation in carcinoma esophagus.
3+4+3
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- Classify cystic neoplasms of the pancreas.
- How will you investigate a person who was found to have a cystic lesion in the pancreas on ultrasound?
- Outline treatment of the various cystic neoplasms of the pancreas?
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6+4
- How will you investigate and manage a lady diagnosed with locally advanced breast cancer in the second trimester of pregnancy, if the patient wishes to continue her pregnancy?
2+4+4
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- What is the role of sentinel node biopsy in malignant melanoma? Describe the role of isolated limb perfusion in locally advanced malignant melanoma.
10
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