Download DNB 2016 Dec SURGICAL GASTROENTEROLOGY PAPER 1 Question Paper

Download Diplomate of National Board (DNB) 2016 Dec SURGICAL GASTROENTEROLOGY PAPER 1 Previous Question Paper

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

PAPER ? I
SURG.GASTRO/D/16/46/I
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) Enumerate causes of upper gastrointestinal haemorrhage.
b) Provide an algorithm for the resuscitation and evaluation of a
patient with massive upper gastrointestinal haemorrhage.
c) List the indications for surgical intervention in a patient with
massive upper gastrointestinal haemorrhage.

2+5+3
2. a) Couinaud?s segmental anatomy of the liver- Diagrammatic
representation.
b) Glissonian approach to liver resection.

4+6
3. Compare the risks and benefits of trans-thoracic vs trans-hiatal
esophageal resection in a middle third esophageal carcinoma.

5+5
4. a) Lymphatic drainage of the stomach.
b) Draw a diagram to illustrate the position of various lymph node
stations in relation to D2 gastrectomy for carcinoma stomach.

6+4
5. a) Evaluation and management of an incidentally detected,
asymptomatic gastrointestinal stromal tumour (GIST) in the fundus
of the stomach.
b) List the indications for adjuvant therapy in such tumors.

(3+4)+3
6. a) List causes of faecal incontinence.
b) Pathophysiology of faecal incontinence.

3+7
7. How would you assess and manage a duodenal stump ?blow out? after
a BILLROTH II gastrectomy for a giant duodenal ulcer?

3+7
8. a) Indications and contraindications for neoadjuvant
chemoradiotherapy in a patient with esophageal carcinoma.
b) How will you assess such a patient after completion of therapy?

(4+3)+3
9. Pathophysiological basis of pain in patients with chronic pancreatitis.

10
10. a) List motility disorders of the esophagus.
b) How will you evaluate a patient with a suspected motility disorder
of the esophagus?
3+7
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