Download DNB 2020 June Surgical Oncology Paper II Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
SURGICAL ONCOLOGY
PAPER-II

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Time: 3 hours
SURGONCO/J/20/47/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. Define Borderline Resectable Pancreas Cancer (BRPC). Outline the 2+5+3
management protocol for BRPC. Discuss merits and demerits of SMA-first

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approach.
2.
a) Breast conservation surgery after neoadjuvant chemotherapy.
5+5
b) Surgical options in a breast cancer patient with unfavourable breast tumour

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ratio who desires breast conservation surgery.
3.
Define and sub-classify FIGO Stage I I ovary/fal opian-tube/primary peritoneal
5+5
carcinoma. Discuss the role of neoadjuvant chemotherapy in Stage II ovary

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carcinoma, with evidence.
4.
a) Enumerate the genetic mutations associated with colorectal cancers.
5+5
b) Rectal sparing options in colorectal cancer syndromes.

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5.
Outline Siewert's Classification of gastroesophageal junction carcinoma.
3+7
Discuss the role of perioperative therapy in gastroesophageal junction
carcinoma, with evidence.

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6.
Imaging, biopsy considerations and management of a deep situated 6 cm soft 3+2+5
tissue mass in upper thigh of a 35 year male.
7.
a) Near total laryngectomy.

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5+5
b) Indications of supra-cricoid laryngectomy and its complications.
8.
a) Anatomic basis of total mesorectal excision in rectal cancer.
5+5

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b) Outline the role of MRI in the management of rectal cancer, with evidence.
9.
What are the relevant lymph node stations for non-smal cel lung cancer?
5+5
Outline the strategies for mediastinal staging in NSCLC.

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10. a) Evaluation of an asymptomatic renal mass.
5+5
b) Discuss Partial Nephrectomy, focusing on the technical aspects of the
surgery.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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