Download DNB 2019 Dec 2019 Dec SURGICAL ONCOLOGY PAPER III Question Paper

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FINAL EXAMINATION, DECEMBER 2019

Time: 3 hours

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SURGICAL ONCOLOGY

PAPER-II

Max. Marks: 100

Important Instructions:

• Attempt all questions in order.

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• 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.

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• 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 35-year old man presents with a right testicular mass suspected to be testicular tumour,
   1. Describe the role of tumour markers in diagnosing and staging his cancer? (5+5)
   2. How do you risk stratify the disease?

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2. 1. What is trans-anal total meso-rectal excision (TaTME)? (2+3+3+2)
   2. Describe the procedure.
   3. Describe the evidences supporting it?
   4. In your opinion, can it replace conventional TME in future and why?

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3. 1. What are the minimally invasive approaches for managing esophageal cancers? (3+7)
   2. Discuss the evidence regarding the role of MIS for esophageal cancer.
4. 1. Natural Orifice Transluminal Endoscopic Surgery (NOTES). (5+5)

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   2. Robotic - Assisted Radical Prostatectomy.
5. 1. What is stereotactic body radiation therapy (SBRT)? (3+7)
   2. Compare the role of SBRT and surgery in a patient presenting with T1 lung cancer, quoting evidence.

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6. A 62-year-old male smoker presenting with three metastatic right level 2 nodes from unknown primary. FNAC shows squamous cell carcinoma.
   1. How do you investigate and manage? (5+5)
   2. Briefly discuss use of immunohistochemistry in this scenario.
7. 1. Endoscopic Bronchial Ultrasonography (EBUS). (3+4+3)
   2. Mediastinoscopy.

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   3. Role of PET-CT in lung cancer.

P.T.O

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

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DECEMBER 2019

SURGICAL ONCOLOGY

PAPER-III

8. 1. What is the present role of sentinel lymph node biopsy for carcinoma endometrium? (2+4+4)
   2. Describe various techniques.

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   3. Quote evidence regarding its utility.
9. 1. How do you stage/grade a pancreatic neuroendocrine tumour? (5+3+2)
   2. Describe the role of 68-gallium DOTATATE PET/CT for neuroendocrine tumors.
   3. Indications of (177)Lu-DOTATATE therapy.

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10. 1. Describe the diagnostic evaluation of bone metastases. (3+4+3)
    2. Bone targeted treatment in bone metastases.
    3. Role of surgery in bone metastases.

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

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