Download DNB 2019 June GASTROENTEROLOGY GASTROENTEROLOGY PAPER 1 Question Paper

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FINAL EXAM
JUNE 2019

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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. a) Physiology of anti-reflux barriers. 3+4+3
   

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   b) Pathogenesis of GERD.
   c) High resolution impedance manometry.
2. a) Epidemiology of Helicobacter pylori infection. 2+3+3+2
   b) Pathogenesis of H. pylori.
   c) Non-invasive diagnostic tests for H.pylori.
   

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   d) Clinical manifestations of H.pylori infection.
3. a) Celiac disease in India. 2+2+3+3
   b) Non-Celiac gluten sensitivity.
   c) Diagnostic tests for Celiac disease.
   d) Refractory Celiac disease.

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4. Describe the role of following in intestinal physiology: 4+3+3
   a) Chloride channels
   b) Pumps
   c) Carriers
5. Achalasia Cardia: 3+4+3
   

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   a) Pathogenesis
   b) Manometric evaluation
   c) Complications
6. a) Assessment of Sarcopenia 3+3+4
   b) Clinical evaluation of malnutrition.
   

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   c) Role of nutrition in inflammatory bowel disease (IBD).
7. Ulcerative colitis: 4+3+3
   a) Aetio-pathogenesis
   b) Severity grading
   c) Genetic association

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8. a) Enumerate important steps in writing a Research Project. 5+5
   b) Tests for statistical significance.
9. a) Brain Gut Axis and its relevance in pathogenesis in (3+4)+3
   Irritable Bowel Syndrome (IBS).
   b) FODMAP Diet in IBS.

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10. a) Physiology of acid secretion. 4+3+3
    b) Aetio-pathogenesis of peptic ulcer disease.
    c) Endoscopic interventions in a bleeding peptic ulcer.