Download DNB 2020 December SurgIcal Oncology Paper II Question Paper

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FINAL EXAM

DECEMBER 2020

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SURGICAL ONCOLOGY

PAPER-II

Time: 3 hours

Max. Marks: 100

SURGONCO/D/20/47/II

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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.

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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. a) General principles in neoadjuvant therapy in rectal cancers. 5+5
   b) Role of neo-adjuvant therapy in sphincter salvage.

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2. a) What are the risk factors for endometrial cancers? 2+3+5
   b) Molecular based classification of endometrial carcinoma.
   c) Current evidence for minimal invasive surgery for carcinoma endometrium.
3. a) Significance of HPV in head and neck cancers. 5+5
   b) Difference in management and outcomes of HPV related squamous cell carcinomas (HNSCC) of head and neck as compared to non HPV-HNSCC.

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4. Discuss Broncho-pulmonary segments. Write the current TNM staging for lung cancer. Discuss the adjuvant treatment for a patient who underwent surgery with tumor size 5 cms and a single N1 positive node. 3+3+4
5. a) Staging systems of Hepatoblastoma. 4+6
   b) Management of Hepatoblastoma in Pediatric populations.
6. Work-up and management of carcinoma of an unknown primary. 5+5
7. a) Current status of tools available for risk assessment for adjuvant therapy following surgery in breast cancer. 5+5
   

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   b) Assessment and work up of an asymptomatic 32 year old sister of a 35 year old patient with history of breast cancer in mother.
8. a) Discuss the options for limb salvage in a patient with locally advanced synovial sarcoma of lower limb. 5+5
   b) Briefly describe the options and factors affecting the management decision for patient of synovial sarcoma presenting with a metachronous pulmonary metastasis.
9. a) Mandibular reconstruction. 5+5
   b) Management of anastomotic leak following esophagectomy.

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10. a) Indications and regimes of chemotherapy for testicular tumors. 5+5
    b) Types and indications of RPLND.

P.T.O.

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