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.
SURGICAL ONCOLOGY
PAPER III
Time 3 hours SURG.ONCO/D/17/47/III
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. A 60 year old man with multiple lytic lesions of bones:
How will you evaluate?
Clinical features management of multiple myeloma.
Mechanism of action and indications of Bortezomib in myeloma.

2. Management of a 56 year old man with castration resistant
prostatic cancer.
Advantages of Robotic surgery over laparoscopic surgery in
prostate cancer.
5+5
3. Enumerate paraneoplastic syndromes
Skin manifestations of cancers with five examples.
5+5
4. Role of stem cell transplant in solid tumours.
Cancer vaccines.
5+5
5. Photodynamic therapy in cancer: mechanism, indications and
advantages.

6. Psychological issues in cancer
Psychotrophic medication
Hospice Care

7. Morbidity due to radiotherapy in breast cancer
What is IMRT?
Advantages of IMRT over conventional radiotherapy.

8. Multistep models in colorectal tumourigenesis,
Screening and management of gastro-intestinal cancers of familial
adenomatous polyposis.
4+6
9. Diagnosis and management of anaplastic carcinoma of thyroid.
Enumerate recent advances in its management.
5+5
10. Landmark trials in breast conservative surgeries
Sentinel node biopsy in breast cancer.
5+5