Download DNB 2016 Dec GASTROENTEROLOGY PAPER 3 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016

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GASTROENTEROLOGY

PAPER - III

Time : 3 hours

Max. Marks : 100

Important instructions:

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• 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.

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• Answer all the parts of a single question together.
• Draw table/diagrams/flowcharts wherever appropriate.
• Start the answer to a question on a fresh page or leave adequate space between two answers.

Write short notes on:

1. Surveillance of patients with inflammatory bowel disease:
   1. High risk groups — screening and surveillance timing.

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   2. SCENIC consensus guidelines.
   3. Methods of surveillance.

   (2+5+3)

2. 1. Changing epidemiology of Asian digestive cancers.

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   2. Screening of gastric cancer in Asia.
   3. Targeted screening for colorectal cancer in high risk individuals.

   (3+3+4)

3. 1. Image enhanced endoscopy: Technique

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   2. Advanced endoscopic imaging for early gastric cancer.

   (5+5)

4. 1. Non-celiac wheat sensitivity: differential diagnosis, triggers and implications.
   2. Complications of celiac disease.

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   3. Therapeutic approaches for celiac disease.

   (4+3+3)

5. 1. Risk assessment tools in prognostication of patients with non variceal upper Gl-bleed.
   2. Management of steroid dependent ulcerative colitis.

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   (5+5)

6. Epidemiology, risk factors, patterns of presentation, diagnosis and management of colon ischaemia.

   (2+2+2+2+2)

7. Enumerate newer therapeutic strategies for the following diseases:
   1. Primary sclerosing cholangitis.

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   2. Primary biliary cirrhosis beyond ursodeoxycholic acid.
   3. Targeting dysbiosis for liver diseases.
   4. Alcoholic hepatitis.
   5. Nuclear receptor modulation for non-alcoholic fatty liver disease.

   (2+2+2+2+2)

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8. In relation to functional gastrointestinal disorders (FGIDs):
   1. Changes in Rome IV document compared to Rome III.
   2. Multicultural aspects in FGIDs.
   3. Centrally mediated disorders of gastrointestinal pain.

   (4+3+3)

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9. 1. Endoscopic management approach to a patient with Type I Forrest classification of bleeding peptic ulcer.
   2. Management of a patient with diverticular bleed.

   (5+5)

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10. 1. Principle and indications of magnetic resonance spectroscopy in Gl Practice.
    2. Indications of Diffusion-weighted magnetic resonance imaging in Gl Practice.
    3. Indications of SX-ELLA Stent Danis.

    (4+3+3)

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