DNB 2019 Dec Previous Question Papers-(Diplomate of National Board) Under NBE
FINAL EXAM
DECEMBER 2019
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SURGICAL GASTROENTEROLOGY
PAPER-I
Time: 3 hours GIS/D/19/46/1 Max. Marks:100
Important Instructions:
- 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:
- Role of liquid biopsy in Gl cancer. 10
- a) Define and classify morbid obesity. 2+8
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b) Discuss management options for a 40-year-old female with BMI of 50 along with diabetes mellitus. - a) Define high pharyngo-esophageal corrosive stricture. 2+8
b) Discuss various management options in such a patient. - a) Enumerate causes of tracheo-esophageal fistula. 3+7
b) How will you investigate and treat a 22-year-old female with TEF following corrosive injury? - Role of neo-adjuvant chemotherapy/chemo-radiotherapy in management of carcinoma stomach. Give an evidence based approach. 10
- a) Classify post gastrectomy complications. 3+7
b) How will you investigate and manage patient with duodenal stump blow out after subtotal gastrectomy? - Compare and contrast laparoscopic esophagectomy Vs robotic esophagectomy in carcinoma esophagus. 10
- a) What is Boerhaave's syndrome? 2+8
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b) Outline treatment options in a patient of Boerhaave's syndrome based on timing of presentation. - a) Describe High Resolution Manometry (HRM). 5+5
b) Classify achalasia cardia based on HRM and its clinical relevance. - a) Define and classify obscure Gl bleed. 2+8
b) How you will investigate a 33-year-old male presenting with obscure Gl bleed?
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POSSESSION/USE OF CELL PHONES OR ANY GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
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