FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
GASTROENTEROLOGY
PAPER-I
GASTRO/J/18/10/I
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 question 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. Current understanding of pathophysiology of functional
dyspepsia.
A patient with non-ulcer dyspepsia is found to have
Helicobacter pylori infection. Would you treat this patient for H.
pylori infection? Discuss points for and against.
5+5
2. Pathophysiology of alcoholic hepatitis
Role of gut microbiome in cirrhosis of the liver
5+5
3. Metabolic therapy for diabetes.
Nutritional management of patients after gastric bypass
surgery for obesity.
5+5
4. Approach to gastrointestinal carcinoids.
Management of patient with metastatic pancreatic
neuroendocrine tumour.
5+5
5. Classify chronic constipation.
How would you investigate and manage chronic constipation?
4+6
6. Impedance manometry and its usefulness.
Compare POEM and Heller's myotomy for achalasia cardia.
5+5
7. Iron metabolism in the body
Management of hemochromatosis
5+5
8. Physiology of gastric acid secretion.
What are the potential side effects of proton pump inhibitors
(PPIs) and how would you take a patient off PPIs who does
not require it?
5+5
9. MALTOMA
What are the recommendation for managing upper
gastrointestinal bleeding in patients who are on anti-platelet
and oral anticoagulant medications?
5+5
10. Multivariate analysis.
Cohort study
Kaplan-Meier Analysis