FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
RADIOTHERAPY
PAPER III
RTH/D/17/41/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. Compare preoperative versus postoperative radiation
in locally advanced rectal cancer.
Compare long versus short course preoperative
radiotherapy in rectal cancer.
Radiotherapy versus chemoradiotherapy in rectal
cancer.

2. Initial diagnostic work up of a suspected multiple
myeloma
Mention major minor diagnostic and prognostic
criteria.
Management of a solitary plasmacytoma.

3. What is the role of sealed and unsealed radionuclide
sources in cancer management?
Discuss different altered fractionation schemes and
their rationale.
What are the different types of immobilization devices
used in head and neck radiotherapy?

4. Write the rationale behind, giving examples:
Neoadjuvant chemotherapy followed by radiotherapy
Radiotherapy followed by adjuvant chemotherapy
Concurrent chemoradiotherapy

5. What is asymmetric collimation?
Use of wedges
Use of tissue compensators

6. Management of:
Superficial bladder cancer
Muscle invasive bladder cancer
5+5
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
7. Role of:
EBRT in carcinoma oesophagus
Chemoradiotherapy in carcinoma oesophagus
Brachytherapy in carcinoma oesophagus

8. Integration of molecular targeted approaches with
radiotherapy:
Give examples
Rationale
Clinical trials

9. What is the purpose of IGRT? In what way it differs
from 2-D RT, 3-D CRT and IMRT?
Describe different methods of imaging techniques used
for IGRT.
KV versus MV imaging.

10. Current status of neoadjuvant chemotherapy in
carcinoma cervix.
What is radical trachelectomy?
What basic fundamentals should be taken into
consideration while planning a patient for
radiotherapy?