Download DNB 2016 Dec RADIOTHERAPY PAPER 2 Question Paper

Download Diplomate of National Board (DNB) 2016 Dec RADIOTHERAPY PAPER 2 Previous Question Paper

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
RADIOTHERAPY

PAPER ? II
RTH/D/16/41/II
Time : 3 hours
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.

Write short notes on:

1. a) Classify salivary gland tumors.
b) List the indications of radiotherapy in carcinoma parotid gland.
c) Radiotherapy technique, dose and side effects for carcinoma of
parotid gland.

3+2+5
2. a) Human Papilloma Virus (HPV) and head & neck carcinoma with
recent evidence.
b) List indications of post operative radiotherapy and post operative
chemoradiotherapy in head & neck cancer.
c) Role of brachytherapy in cancer tongue T2N
0
M
0
.

4+4+2
3. A 45 year old lady has a T3N
0
M
0
muscle invasive transitional cell
carcinoma of the urinary bladder. What is her treatment options with
regard to:
a) Surgery.
b) Bladder Preservation Protocol.

4+6
4. a) What is Involved Field Radiation Therapy (IFRT), Involved Nodal
Radiation Therapy (INRT) and Involved Site Radiation Therapy
(ISRT)?
b) ISRT technique for bulky mediastinal adenopathy and its
advantages





6+4
5. a) List the risk factors of carcinoma vulva.
b) What are the indications of post-operative radiation in carcinoma
vulva?
c) Techniques of radiotherapy in carcinoma vulva.
d) Radiotherapy dose and dose limiting structures in carcinoma
vulva.

2+2+4+2
6. a) Staging of soft tissue sarcoma of extremity.
b) Pre-operative versus post-operative radiotherapy for soft tissue
sarcoma.
c) Role of brachytherapy in soft tissue sarcoma of extremity.

3+4+3



P.T.O.
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
RADIOTHERAPY

PAPER ? II
RTH/D/16/41/II
Time : 3 hours
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.

Write short notes on:

1. a) Classify salivary gland tumors.
b) List the indications of radiotherapy in carcinoma parotid gland.
c) Radiotherapy technique, dose and side effects for carcinoma of
parotid gland.

3+2+5
2. a) Human Papilloma Virus (HPV) and head & neck carcinoma with
recent evidence.
b) List indications of post operative radiotherapy and post operative
chemoradiotherapy in head & neck cancer.
c) Role of brachytherapy in cancer tongue T2N
0
M
0
.

4+4+2
3. A 45 year old lady has a T3N
0
M
0
muscle invasive transitional cell
carcinoma of the urinary bladder. What is her treatment options with
regard to:
a) Surgery.
b) Bladder Preservation Protocol.

4+6
4. a) What is Involved Field Radiation Therapy (IFRT), Involved Nodal
Radiation Therapy (INRT) and Involved Site Radiation Therapy
(ISRT)?
b) ISRT technique for bulky mediastinal adenopathy and its
advantages





6+4
5. a) List the risk factors of carcinoma vulva.
b) What are the indications of post-operative radiation in carcinoma
vulva?
c) Techniques of radiotherapy in carcinoma vulva.
d) Radiotherapy dose and dose limiting structures in carcinoma
vulva.

2+2+4+2
6. a) Staging of soft tissue sarcoma of extremity.
b) Pre-operative versus post-operative radiotherapy for soft tissue
sarcoma.
c) Role of brachytherapy in soft tissue sarcoma of extremity.

3+4+3



P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
RADIOTHERAPY

PAPER ? II

7. With regard to Wilm?s tumor, write the:
a) Staging
b) Treatment algorithm based on risk stratification.

4+6
8. a) Treatment options of single metastasis in the brain with controlled
extra-cranial disease.
b) Evidence for focal radiotherapy Vs whole brain radiotherapy.
c) What is the use of Recursive Partitioning Analysis (RPA)
classification?

5+3+2
9. A 32 year old lady presented with decreased urinary output, bilateral
pedal oedema and severe backache. She also gives history of
bleeding per vaginum for 3 months. On evaluation, she was found to
have creatinine of 5.4mg/dl and Potassium of 7.0mEq/ml
a) What other blood investigations will you do for emergency
management?
b) How will you correct her hyperkalemia?
c) What is the possible diagnosis?
d) Outline the treatment algorithm for such a patient.






2+3+2+3
10. a) List the indications of Hemibody Irradiation (HBI).
b) What are the types of HBI?
c) Technique and doses involved in HBI.
d) Pre & post procedural precautions to be taken for delivery of HBI.

2+2+4+2

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