Download DNB 2020 December SurgIcal Oncology Paper I Question Paper

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FINAL EXAM

DECEMBER 2020

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SURGICAL ONCOLOGY

PAPER-I

Time: 3 hours SURGONCO/D/20/47/1 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.

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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.

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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.

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Write short notes on:

1. 1. Cancer cachexia syndrome. 5+5
   2. Role of nutritional supplementation in cancer patients.
2. 1. Role and rationale of lymphadenectomy in solid tumors. 5+5

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   2. Describe various methods of sentinel lymph node detection.
3. 1. Pre-habilitation and its advantages in cancer surgery. 5+5
   2. ERAS Protocols for colorectal cancer surgery.

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4. 1. Field cancerization. 5+5
   2. Margin assessment methods in cancer surgery.
5. 1. Mechanism of viral carcinogenesis with examples. 5+5
   2. HPV vaccination in cervical cancers.

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6. 1. Radiosensitizers and their role in radiation oncology practice. 5+5
   2. Proton beam therapy.
7. 1. What are TKis (tyrosine Kinase Inhibitor)? 5+5

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   2. Discuss their mechanism of action, indications for use and toxicity.
8. 1. Define pharmacokinetics, pharmacodynamics and pharmacogenomics. 5+5
   2. Phases of anti-cancer drug development.

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9. 1. Clavien-Dindo classification for surgical morbidity assessment. 5+5
   2. Classification of Surgical Site Infection (SSI) and principles of SSI management.
10. 1. Principles of palliative surgery. 5+5
    2. Principles of cancer pain management.

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