Download DNB 2019 Dec 2019 Dec RADIOTHERAPY PAPER II Question Paper

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FINAL EXAM

DECEMBER 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. 1. What are small round cell tumours?

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   2. Enumerate the investigations to differentiate and make a final diagnosis for this entity.
   3. Describe with regard to the presentation, diagnosis, management and prognosis of small cell carcinoma of the lung.

   2+3+5

2. 1. Enumerate the risk factors for Breast cancer.

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   2. Describe the workup for Carcinoma Breast Stage T1 and T2.
   3. Write a note on the matching of the Tangential and Supraclavicular field when irradiating the breast.

   4+3+3

3. Discuss the management of a case of T2 NO Squamous Cell Carcinoma of the lateral border of Anterior 2/3™ tongue with respect to the:

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   1. Work up.
   2. Treatment.

   4+6

4. With regard to urinary bladder cancer, discuss:

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   1. Aetiology and staging of Carcinoma Bladder.
   2. Treatment recommendations for both Non muscle invasive and muscle invasive bladder cancers.

   4+6

5. In Brachytherapy of the cancer cervix, discuss:

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   1. HRCTV and IRCTV.
   2. Lymphatic trapezoid.
   3. What is Image Guided Brachytherapy?

   3+2+5

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6. 1. What are the causes of unilateral proptosis?
   2. Discuss the management of a case of Orbital Lymphoma.

   3+7

7. Discuss Penile carcinoma with respect to:

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   1. Aetiological factors.
   2. Staging of the disease.
   3. Stage wise management.

   3+2+5

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8. Discuss the role of Radiation in the treatment of benign diseases.

   10

9. With regard to cardiac toxicity related to breast cancer radiotherapy, discuss the:

   1. Aetiopathogenesis

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   2. Critical dose limits and volumes.
   3. Techniques of cardiac sparing radiotherapy in breast cancer treatment.

   2+3+5

10. 1. What is meant by APBI?

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    2. What is the rationale for APBI?
    3. What are the pros and cons of the various techniques of APBI?

    2+2+6

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE

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