Download DNB 2020 December SurgIcal Gastroenterology Paper II Question Paper

Download Diplomate of National Board (DNB) 2020 December SurgIcal Gastroenterology Paper II Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
SURGICAL GASTROENTEROLOGY
PAPER-II
Time: 3 hours
GIS/D/20/46/II
Max. Marks:100
Important Instructions:
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.
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. Outline the management of a bile duct injury detected intraoperatively
10
while doing a cholecystectomy.
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.
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?
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
3+3+4
of any one complication.
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.
P.T.O.
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
SURGICAL GASTROENTEROLOGY
PAPER-II
9. a) Left sided portal hypertension.
3+3+4
b) List the possible options for portosystemc 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.
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-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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