Download DNB 2020 December MedIcal Gastroenterology Paper I Question Paper

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FINAL EXAM

DECEMBER 2020

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MEDICAL GASTROENTEROLOGY

PAPER-I

GASTRO/D/20/10/1

Time: 3 hours

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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.

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• 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.

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• 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
   

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   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
   

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   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.

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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.

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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.

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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

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