FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY
PAPER III
GASTRO/J/17/10/III
Time 3 hours
Max. Marks 100
Important instructions:
• 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. What is fecal microbiota transplantation What is its
rationale?
Current indications of FMT.
What are the results of FMT in inflammatory bowel disease
What are limitations of FMT?

2. Pathophysiology, diagnosis and management of eosinophilic
esophagitis.

3. What is an 'indeterminate' biliary stricture?
How do you evaluate an indeterminate stricture?
What are the endoscopic options for benign biliary strictures?

4. BCLC (Barcelona Clinic Liver Cancer) classification of HCC and
its significance.
Indications for and results with various ablative techniques for
HCC.
Current and newer molecular targeted approaches for treatment of
HCC.

5. Role of genetic mutations in pathogenesis of colorectal cancer
(CRC).
What are current options and results of chemotherapy in
advanced CRC?
5+5
6. Technique, indications and limitations of CT enterography.

7. Mechanism of action, indications and efficacy of the following drugs:
Obeticholic acid
Everolimus
5+5
8. What are endoscopic bariatric procedures?
Principles, techniques and results with commonly practised
procedures.
2+8
9. What are newer biological agents being used in IBD?
Role of newer biological agents in management of IBD.
2+8
10. What is digital chromoendoscopy?
Principles of digital chromoendoscopy.
Kudo's pit pattern in colonic polyps.