Download DNB 2019 Dec 2019 Dec NUCLEAR MEDICINE PAPER IV Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019

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Time: 3 Hours NM/D/19/24/IV 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. Response assessment criteria and role of PET-CT in assessment of response to immunotherapy agents. (5+5)
2. Discuss the indications of PET-MRI. What are its advantages and disadvantages? (5+5)

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3. a) PEM — merits and demerits. (5)
   b) PET guided biopsy and its uses. (5)
4. a) PETNET score. (5)
   b) miTNM classification. (5)
5. a) Angiogenesis imaging. (5)
   

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   b) Insulinoma imaging. (5)
6. a) Dose limits for radiation worker. (5)
   b) External contamination monitoring. (5)
7. Discuss the currently available alpha-therapy agents and their indications. What are the benefits and pitfalls of alpha-therapy over conventional beta-particle therapy? (10)
8. Misadministration of radiopharmaceuticals: types, causes, consequences and prevention. (10)

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9. a) UN number and TREM Card. (5)
   b) Transport of radioactive packages. (5)
10. 18F-Fluoro-DOPA: is it a multifaceted imaging agent? Your opinion and justification. (10)