Download DNB 2019 Dec 2019 Dec SURGICAL GASTROENTEROLOGY PAPER II Question Paper

FINAL EXAM

DECEMBER 2019

SURGICAL GASTROENTEROLOGY

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PAPER-II

Time: 3 hours GIS/D/19/46/11 Max. Marks:100

Important Instructions:

1. Attempt all questions in order.
2. Each question carries 10 marks.

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3. Read the question carefully and answer to the point neatly and legibly.
4. Do not leave any blank pages between two answers.
5. Indicate the question number correctly for the answer in the margin space.
6. Answer all the parts of a single question together.
7. Start the answer to a question on a fresh page or leave adequate space between two answers.

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8. Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Enumerate direct and indirect pancreatic exocrine function. 4+6
   b) Discuss role of PERT after Whipple's Pancreato duodenectomy.
2. a) Classify liver space occupying lesions. 3+7
   

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   b) How will you evaluate and treat a patient with Hepatitis B cirrhosis found to have 1.5cm SOL on ultrasound abdomen?
3. a) What is non-selective shunt? Give two examples. 2+8
   b) Discuss the role of shunt surgery in portal hypertension in present era.
4. a) Discuss concept of mesopancreas and pancreatic segmentation. 3+1+6
   b) Define borderline pancreatic tumours.
   

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   c) How will you manage a 45-year-old male with border line pancreatic head mass with bilirubin 5mg/dl?
5. Compare liver first Vs simultaneous resection in patient with colorectal liver metastasis. 10
6. Evidence based approach to compare resection Vs transplant in HCC. 10
7. a) How do you classify surgical complications? 2+3+5
   b) What is the importance of classification?
   

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   c) What is bench marking as an outcome parameter in surgical practice and its importance?
8. a) Classify choledochal cysts. 2+2+6
   b) Enumerate its complications.
   c) How will you evaluate and treat a patient with type 4a choledochal cyst?
9. a) Recurrent pyogenic cholangitis. 5+5
   

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   b) Immuno- suppression in liver transplant.
10. a) Enumerate various tumour markers used in HPB cancer. 3+7
    b) Discuss their role in diagnosis and management.

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