Download DNB 2020 December MedIcal Gastroenterology Paper I Question Paper

Download Diplomate of National Board (DNB) 2020 December MedIcal Gastroenterology Paper I Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
MEDICAL GASTROENTEROLOGY
PAPER-I
Time: 3 hours
GASTRO/D/20/10/I
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.
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.
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.
Write short notes on:
1. a) Functional anatomy of mucosal immune system.
3+4+3
b) Intraepithelial lymphocytes.
c) Oral tolerance.
2. a) Bulimia nervosa and anorexia nervosa.
3+3+4
b) Refeeding syndrome.
3. a) Air pockets.
3+3+4
b) TLESR.
c) Atypical manifestation of GERD.
4. a) Peptic ulcer bleed and relationship with anti-platelets.
3+4+3
b) Obscure GI bleed and small intestinal pathology.
c) Dieulafoy's lesion: management.
5. a) Coeliac plexus ?branches.
2+2+2+4
b) Colonic ischemia - risks, clinical features and management.
6. a) Randomized control trial.
3+4+3
b) Negative and positive predictive value.
c) Forest Plot.
7. a) Pathophysiology of functional dyspepsia.
4+2+4
b) ROME IV Criteria for IBS and criticism.
8. a) Diabetic dysmotility.
4+3+3
b) Eosinophilic esophagitis.
c) Oropharyngeal dysphagia.
9. Gastroparesis: common types, pathophysiology and management.
3+3+4
10. a) Extracolonic manifestation of IBD.
4+3+3
b) Coagulation disorder and management of liver diseases.
c) Principles of paracentesis.
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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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