Download DNB 2015 Dec SURGICAL GASTERO P I Question Paper

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NATIONAL BOARD OF EXAMINATIONS
SURG. GASTRO/D/15/46/1
FINAL EXAM
DECEMBER 2015
SURGICAL GASTROENTEROLOGY

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PAPER — I

Time : 3 hours
Max. Marks : 100

Important instructions:
Attempt all questions in order.

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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.

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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. Anatomy of the thoracic duct and outline management of a patient with postoesophagectomy leak from thoracic duct.
2. Siewert’s classification and its role in the management of patients with gastro-esophageal junction tumours. (4+6)

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3. Perioperative assessment of nutrition and the pros & cons of parenteral nutrition in the G.I. surgical patient. (4+3+3)
4. G.I lymphoma: Clinical presentations, evaluation and treatment approach (3+3+4)
5. Zenker's diverticulum: Clinical presentations, evaluation and management. (3+3+4)
6. Lymphatic drainage of the oesophagus and the rationale for field lymphadenectomy for esophageal cancer. (5+5)
7. Management approach of patient with post D2 gastrectomy duodenal leak. (10)

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8. Critically analyse:-“Achalasia cardia is best treated by pneumatic dilatation”. (10)
9. a) What do you understand by micrometastasis? (3)
   b) Methodology for detection and current status in the management of gastric malignancy. (3+4)
10. a) Define brain stem death. (2)
    b) What are the requirements for declaration of brain stem death in India and the implications for organ transplantation? (4+4)

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POSSESSION / USE OF CELL PHONES IS NOT PERMITTED INSIDE THE EXAMINATION HALL.