FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
GASTROENTEROLOGY
PAPER-III
GASTRO/J/20/10/III
Max. Marks:100
Important Instructions:
Attempt al questions in order.
Read the question careful y 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.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. What is 16S rRNA? How is it used to study gut flora? List the strengths
2+3+5
2. Involvement of the liver in Covid-19, including its frequency, clinical 1+2+3+2+2
manifestations, laboratory findings, pathology/pathogenesis and its
significance.
3. a) Define the term `sarcopenia'.
b) What is the relationship of this condition with chronic liver disease?
c) Discuss the methods for assessment of sarcopenia, and the particular
challenges in using these in patients with chronic liver disease.
4. a) Peritonitis associated with continuous ambulatory peritoneal dialysis.
b) Pseudomyxoma peritonei.
5. A 45-year-old patient underwent ERCP for bile duct stone. She developed
5+5
acute abdominal pain after 1 hour of the procedure. Discuss:
b) Management options.
6. a) Immune check point inhibitors.
5+5
b) Vonoprazan.
5+5
variceal bleeding?
b) What are the current therapeutic strategies for treating fundal variceal
bleeding?
3+4+3
a) Types and imaging features.
b) Approach to a 70-year-old patient with branch duct-IPMN.
c) Surveil ance strategy for IPMN.
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
JUNE 2020
GASTROENTEROLOGY
PAPER-III
9. In relation to Peutz-Jegher's syndrome, indicate:
a) The underlying genetic defect and inheritance.
b) Clinical manifestations.
c) Management.
10. a) CRISPER-Cas 9.
b) Whole exome sequencing.
************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
GASTROENTEROLOGY
PAPER-III
--- Content provided by FirstRanker.com ---
Time: 3 hoursGASTRO/J/20/10/III
Max. Marks:100
Important Instructions:
Attempt al questions in order.
--- Content provided by FirstRanker.com ---
Each question carries 10 marks.Read the question careful y 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.
--- Content provided by FirstRanker.com ---
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. What is 16S rRNA? How is it used to study gut flora? List the strengths
2+3+5
--- Content provided by FirstRanker.com ---
and weaknesses of this method for studying the gut flora?2. Involvement of the liver in Covid-19, including its frequency, clinical 1+2+3+2+2
manifestations, laboratory findings, pathology/pathogenesis and its
significance.
3. a) Define the term `sarcopenia'.
--- Content provided by FirstRanker.com ---
1+3+6b) What is the relationship of this condition with chronic liver disease?
c) Discuss the methods for assessment of sarcopenia, and the particular
challenges in using these in patients with chronic liver disease.
4. a) Peritonitis associated with continuous ambulatory peritoneal dialysis.
--- Content provided by FirstRanker.com ---
5+5b) Pseudomyxoma peritonei.
5. A 45-year-old patient underwent ERCP for bile duct stone. She developed
5+5
acute abdominal pain after 1 hour of the procedure. Discuss:
--- Content provided by FirstRanker.com ---
a) Differential diagnosis.b) Management options.
6. a) Immune check point inhibitors.
5+5
b) Vonoprazan.
--- Content provided by FirstRanker.com ---
7. a) How do you classify fundal varices? What are the risk factors for fundal5+5
variceal bleeding?
b) What are the current therapeutic strategies for treating fundal variceal
bleeding?
--- Content provided by FirstRanker.com ---
8. Pancreatic cystic neoplasms:3+4+3
a) Types and imaging features.
b) Approach to a 70-year-old patient with branch duct-IPMN.
c) Surveil ance strategy for IPMN.
--- Content provided by FirstRanker.com ---
P.T.O.-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
--- Content provided by FirstRanker.com ---
NATIONAL BOARD OF EXAMINATIONSJUNE 2020
GASTROENTEROLOGY
PAPER-III
9. In relation to Peutz-Jegher's syndrome, indicate:
--- Content provided by FirstRanker.com ---
2+4+4a) The underlying genetic defect and inheritance.
b) Clinical manifestations.
c) Management.
10. a) CRISPER-Cas 9.
--- Content provided by FirstRanker.com ---
5+5b) Whole exome sequencing.
************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
--- Content provided by FirstRanker.com ---
EXAMINATION HALL.