Download DNB 2017 Dec GASTRO GASTRO PAPER III Question Paper

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DECEMBER 2017

Time : 3 hours

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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.

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• 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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GASTROENTEROLOGY

PAPER — III

GASTRO/D/17/10/11

1. Write short notes on:
   1. Sources of intra-luminal gas. (2+3+2+3)
      1. How these gases are produced intraluminally?
      2. Enumerate the conditions with enhanced intraluminal gas production.

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      3. How do you treat them?
   2. Pathophysiology of celiac disease. (5+5)
      1. Enumerate the potential target for alternative therapy for celiac disease.
   3. How is dietary fat digested and absorbed? (5+5)
      1. Tests for evaluation of fat malabsorption.

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   4. Common variable immunodeficiency (CVID): (2+3+2+3)
      1. When do you suspect?
      2. Diagnostic criteria for CVID?
      3. Characteristic features on duodenal biopsies
      4. How do you treat CVID?

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   5. Screening and Surveillance of colorectal cancer: (3+4+3)
      1. Basis of screening for colorectal polyp and cancer
      2. Screening schedule based on host and genetic factors.
      3. Post polypectomy surveillance.

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   6. Pelvic floor dyssynergia: (2+3+3+2)
      1. When do you suspect pelvic floor dyssynergia in a patient with chronic constipation?
      2. Diagnostic criteria.
      3. How do you investigate?
      4. Biofeedback.

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2. 1. Pathophysiological steps to highlight potential therapeutic target in Crohn’s disease. (6+4)
   2. Emerging drugs in Crohn’s disease.
3. 1. Clinical presentation, endoscopic appearance and histology of Invasive Intestinal Amoebiasis. (4+4+2)

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   2. Normal anatomy of anal sphincter (with diagram)
   3. Role of EUS in diagnosis of ano-rectal diseases.
4. A small approximately 2 cm, neuroendocrine tumour was detected in the duodenum on an endoscopic examination done for dyspepsia. (2+3+5)
   1. Factors on which you will decide the treatment.
   2. How will you investigate?

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   3. How will you treat?
5. 1. Enumerate types of microscopic colitis (2+3+5)
   2. Diagnostic criteria.
   3. Short and long term treatment of microscopic colitis.

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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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