Download DNB 2020 December MedIcal Gastroenterology Paper II Question Paper

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

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
MEDICAL GASTROENTEROLOGY
PAPER-II
Time: 3 hours
GASTRO/D/20/10/II
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. Describe the following in context of inflammatory bowel disease:
5+5
a) Treat the target.
b) Therapeutic drug monitoring.
2. a) Current and evolving therapeutic drugs for non-alcoholic fatty liver
7+3
disease.
b) Is the change of its nomenclature to MAFLD justified? Give reasons
for your argument.
3. In relation to acute on chronic liver failure(ACLF):
4+6
a) Assessment and prognostication of ACLF
b) Management of ACLF
4. a) Treatment of chronic hepatitis B in patients with chronic renal failure.
5+5
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.
6. Describe following characteristics that differentiate intestinal tuberculosis 2+2+2+2+2
from Crohn's disease:

a) Clinical

b) Endoscopic features

c) Histological features

d) Radiological features

e) Microbiological features





P.T.O.
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
MEDICAL GASTROENTEROLOGY
PAPER-II
7. Hepatorenal syndrome:
3+3+4
a) Definition.
b) Classification.
c) Management.
8. a) Pathophysiology and management of pruritus in liver diseases.
5+5
b) Assessment and implication of sarcopenia in liver diseases.
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
a) Methods used to assess the severity of disease.
b) Role of liver transplantation in its management.
*************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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