Download DNB 2020 June Surgical Oncology Paper III Question Paper

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

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Time: 3 hours
SURG ONCO/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.
Mention the Gene Expression Assays available for management of Early

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3+7
Breast Cancer. Critical y assess their clinical utility, with evidence.
2.
Outline impact of trials in cutaneous melanoma with respect to:
3+3+4

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a) Margins.
b) Sentinel node biopsy.
c) Adjuvant immunotherapy.
3.
Define precision oncology. Enumerate dif erent precision oncology trial

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2+8
designs with examples.
4.
a) Phase II Randomized Control Trials.
5+5

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b) Discuss about a non-inferiority trial, based on one landmark. trial
which was designed as a non-inferiority trial.
5.
a) Discuss the role of neoadjuvant therapy in bladder cancer
5+5

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b) Discuss the various urinary diversion methods after a radical
cystectomy
6.
Outline organ-preservation approaches in laryngeal carcinoma. Mention
6+4

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the important evidences to support organ preservation in laryngeal
carcinoma.
7.
What is ALPPS procedure? Outline the advantages, disadvantages and
2+3+3+2

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evidences pertaining to the procedure.
8.
a) Role of neck dissection in a clinical y N0 neck in oral cancers.
5+5
b) Sentinel lymph node biopsy in head and neck cancers.

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9.
Outline the risk-based approaches to organ-confined prostate cancer
10
with evidence.
10. a) Nephrometry score.

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5+5
b) Evidence for Radical nephrectomy versus partial nephrectomy.
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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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