Download DNB 2020 December SurgIcal Gastroenterology Paper II Question Paper

FINAL EXAM

DECEMBER 2020

SURGICAL GASTROENTEROLOGY

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PAPER-II

Time: 3 hours

Max. Marks:100

GIS/D/20/46/II

Important Instructions:

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• You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists of 10 pages excluding the covering jackets.
• Answers to all the questions must be attempted within these 5 answer sheet booklets which must be later tagged together at the end of the exam.
• No additional supplementary answer sheet booklet will be provided.
• Attempt all questions in order.
• Each question carries 10 marks.

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• 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.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Outline the management of a bile duct injury detected intraoperatively while doing a cholecystectomy. 10
2. a) Incidental gall bladder cancer: Define and outline an approach. (2+4)+4
   b) Indications and modalities for palliative management in gall bladder cancer.

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3. a) Classify the different types of choledochal cysts. 2+3+5
   b) List the management options in a patient with Caroli's disease.
   c) Complications following excision of a choledochal cyst.
4. a) Organ failure in acute pancreatitis. 4+6
   b) What do you understand by the step up approach in patients with acute pancreatitis?

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5. a) Pancreas divisum. 4+6
   b) Total pancreatectomy and Islet cell autotransplantation in chronic pancreatitis.
6. a) Delayed gastric emptying following distal pancreatectomy. 4+6
   b) Haemosuccus pancreaticus.
7. a) List the complications of Frey's procedure. Discuss the management of any one complication. 3+3+4
   

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   b) Polycystic disease of the liver.
8. a) Machine perfusion and organ preservation. 4+3+3
   b) Immunosuppression in patients who have undergone a liver transplant and develop Covid-19 infection.
   c) Partial auxiliary liver transplant in acute liver failure.
9. a) Left sided portal hypertension. 3+3+4
   

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   b) List the possible options for portosystemic shunt in a 12-year-old girl with extrahepatic portal venous obstruction.
   c) Long term complications of portosystemic shunt in a patient with non-cirrhotic portal hypertension.
10. a) Functional liver remnant. 5+5
    b) Hepatolithiasis.

P.T.O.

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE

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