DECEMBER 2017
GASTROENTEROLOGY
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PAPER — I
Time : 3 hours GASTRO/D/17/10/1 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:
- a. Enumerate the risk factors for Barrett's esophagus. 2+4+4
b. Surveillance strategy for esophageal adenocarcinoma in a patient with Barrett’s esophagus.
c. How do you treat Barrett's esophagus? - a. Internal adaptation in a patient with short bowel syndrome. 3+3+4
b. How do you assess nutrition in a patient with short bowel syndrome?
c. Management plan of a patient with short bowel syndrome. - a. Intestinal dysbiosis in inflammatory bowel disease. 5+5
b. Intestinal dysbiosis and immune system interaction. - a. Enumerate the clinical signs which provide direct clue to the etiological-diagnosis of chronic liver disease. 3+4+3
b. Enumerate the collaterals which drain blood from portal to systemic and systemic to systemic collaterals in a patient with hepatic venous outflow tract obstruction.
c. Enumerate the clinical signs which provide clue to the etiological diagnosis of obscure gastrointestinal bleeding. - a. Pathophysiology of vomiting.
b. Classify anti-emetic drugs.--- Content provided by FirstRanker.com ---
c. Mechanism of action of anti-emetic drugs
d. Enumerate class wise side effects of anti-emetic drugs. - a. Pathophysiology and management of diarrhoea in a patient with diabetic mellitus. 5+5
b. Pathophysiology and management of dyspepsia in a patient with diabetic mellitus. - a. Relevance of Helicobacter pylori in a patient with dyspepsia. 5+5
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b. Evidence to support eradication of H. pylori in patient with gastric cancer. - Mention and justify the statistical tests which would be most appropriate for the following data: 3+3+2+2
a. Comparison of two groups of sample size 150 each where the parameter /data is a continuous variable and is normally distributed.
b. Comparison of two different groups of sample size 20 each where the data is a continuous variable but is not normally distributed.
c. Comparison of bilirubin values pre and post therapy (4 weeks) in patients with acute hepatitis E who are given an experimental new drug. Sample size is 200 patients.--- Content provided by FirstRanker.com ---
d. Comparison of outcome (alive or dead) in patients given an experimental drug for severe enteric fever. The control group was given inj. Ceftriaxone. Sample size 50 in each group. - a. How do you plan nutrition in a patient with intestinal stricture? 3+4+3
b. How do you plan nutrition in a patient with acute severe pancreatitis?
c. How do you plan nutrition in a patient with acute corrosive injury (high grade)? - a. Enumerate the tests which are used to evaluate a patient with suspected neuroendocrine tumour (NET) of the small intestine. 3+3+4
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b. What is the pharmacological basis of the DOTA-NOGC scan?
c. What is the pharmacological/biological basis of the carcinoid flush /syndrome?
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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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This download link is referred from the post: DNB 2017 Dec Previous Question Papers-(Diplomate of National Board) Under NBE