Download DNB 2020 December SurgIcal Oncology Paper III Question Paper

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FINAL EXAM

DECEMBER 2020

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SURGICAL ONCOLOGY

PAPER-III

Time: 3 hours SURGONCO/D/20/47/111 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. a) What is anterior skull base? 2+5+3
   b) Recent advances in skull base surgery.
   c) Complications of skull base surgery.
2. a) What is a trans-anal total Meso-rectal excision(TaTME)? 3+4+3
   

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   b) Describe the procedure.
   c) Describe the evidence supporting it.
3. a) Embryo cryopreservation. 3+3+4
   b) Semen cryopreservation.
   c) Ovarian transposition.

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4. Genetic counselling: 3+4+3
   a) Indications.
   b) Components of a counselling session.
   c) Issues in cancer genetic counselling.
5. Clinical and therapeutic significance of ITC (Isolated Tumor Cell) and 5+5
   

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   micro-metastases.
6. a) What is HIPEC and EPIC? 2+4+4
   b) Role of HIPEC in various cancers.
   c) Describe evidence for therapeutic indications for HIPEC in advanced epithelial ovarian cancers.
7. a) Mention main approaches in cancer immunotherapy. 5+5
   

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   b) Cancer vaccines and current evidence.
8. a) What is next generation sequencing in cancer and its application in (4+3)+3
   clinical oncology?
   b) Describe comprehensive molecular characterisation of gastric adenocarcinoma.
9. Hyperbaric oxygen therapy(HBOT): 4+3+3
   

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   a) General principles and mode of its action.
   b) Its technical details.
   c) Oncological applications of HBOT.
10. Classify skin adnexal tumours. Mention the layers of skin and tumours 4+3+3
    arising from each layer. Mohs micrographic: Indications and techniques.

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