NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
SURGICAL GASTROENTEROLOGY
PAPER-II
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Time: 3 hoursGIS/J/20/46/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
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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 al 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. Enumerate non shunt surgical options in the management of acute variceal
3+7
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bleeding. Discuss their indications and limitations.2. Outline work up of patient for disease donor transplantation.
10
3. Discuss the different approaches for artery first pancreaticoduodenectomy.
10
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4. a) Indications of Preoperative biliary drainage before liver resection.3+7
b) Evidence based comparison for and against.
5. Caudate lobe anatomy and its surgical relevance.
5+5
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6. Endoscopic Vs surgical management of benign biliary strictures; discuss pros10
and cons of each with evidence.
7. IG4 related diseases in HPB surgery.
10
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8. a) Factors related to stricture hepatico-jejunostomy.5+5
b) Role of percutaneous trans-hepatic bal oon dilatation in stricture hepatico-
jejunostomy.
9. Non-surgical management options for HCC.
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1010. Enumerate the surgeries for chronic pancreatitis and rationale, and their
10
outcome for procedures involving head resection.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THEEXAMINATION HALL.