Download DNB 2020 December MedIcal Gastroenterology Paper II Question Paper

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FINAL EXAM

DECEMBER 2020

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MEDICAL GASTROENTEROLOGY

PAPER-II

Time: 3 hours

Max. Marks: 100

GASTRO/D/20/10/II

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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.

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• 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.

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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. Describe the following in context of inflammatory bowel disease: 5+5

   1. Treat the target.

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   2. Therapeutic drug monitoring.

2. a) Current and evolving therapeutic drugs for non-alcoholic fatty liver disease. 7+3

   b) Is the change of its nomenclature to MAFLD justified? Give reasons for your argument.

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3. In relation to acute on chronic liver failure (ACLF): 4+6

   1. Assessment and prognostication of ACLF
   2. Management of ACLF

4. a) Treatment of chronic hepatitis B in patients with chronic renal failure. 5+5

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   b) Treatment and monitoring of Hepatitis B Virus infection in patients with NHL undergoing chemotherapy.

5. a) Portal vein thrombosis in patients with cirrhosis and its management. 5+5

   b) Management of acute mesenteric ischemia.

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6. Describe following characteristics that differentiate intestinal tuberculosis from Crohn's disease: 2+2+2+2+2

   1. Clinical
   2. Endoscopic features
   3. Histological features
   4. Radiological features

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   5. Microbiological features

7. Hepatorenal syndrome: 3+3+4

   1. Definition.
   2. Classification.

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   3. Management.

8. a) Pathophysiology and management of pruritus in liver diseases. 5+5

   b) Assessment and implication of sarcopenia in liver diseases.

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9. a) Efficacy of midodrine in refractory ascites. 5+5

   b) Management of hyponatremia in cirrhosis

10. In relation to alcoholic hepatitis, please explain: 5+5

    1. Methods used to assess the severity of disease.

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    2. Role of liver transplantation in its management.

P.T.O.

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE

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