Download DNB 2015 Dec SURGICAL GASTERO P II 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 — II

Time : 3 hours

Max. Marks : 100

Important instructions:

1. Attempt all questions in order.

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2. Each question carries 10 marks.
3. Read the question carefully and answer to the point neatly and legibly.
4. Do not leave any blank pages between two answers.
5. Indicate the question number correctly for the answer in the margin space.
6. Answer all the parts of a single question together.

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7. Start the answer to a question on a fresh page or leave adequate space between two answers.
8. Draw table/diagrams/flowcharts wherever appropriate.

Write Short Notes On:

1. What is portal hypertensive gastropathy? How is it diagnosed and graded? What are the implications of its presence in the management of patients with portal hypertension? 2+(2+2)+4
2. a) Classification of choledochal cysts. 4
   

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   b) Outline the management of a patient with Caroli’s disease. 6
3. Role of percutaneous transhepatic biliary drainage in patients with malignant biliary obstruction and the possible peri-procedure complications. 5+5
4. Outline the evaluation and management of an incidentally detected space occupying cystic lesion of the pancreas. 10
5. What do you understand by the term “Borderline resectable pancreatic cancer”? Discuss the management options. 5+5
6. "Endoscopic management of chronic pancreatitis is a better treatment modality than surgical management’. Critically analysis this statement. 10

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7. Outline preoperative evaluation and assessment of a potential living donor for right lobe liver graft. 10
8. Salient features of the Revised Atlanta classification and its implications on management of patients with acute pancreatitis. 5+5
9. a) What is Autoimmune pancreatitis? 2
   b) Clinical presentation, evaluation of a suspected case of autoimmune pancreatitis and its management. (2+3+3)
10. Prevention and management of a patient with post-liver resection liver failure. 5+5

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