FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY
PAPER III
GASTRO/D/16/10/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. Surveillance of patients with inflammatory bowel disease:
High risk groups screening and surveillance timing.
SCENIC consensus guidelines.
Methods of surveillance.

2. Changing epidemiology of Asian digestive cancers.
Screening of gastric cancer in Asia.
Targeted screening for colorectal cancer in high risk
individuals.

3. Image enhanced endoscopy: Technique
Advanced endoscopic imaging for early gastric cancer.
5+5
4. Non-celiac wheat sensitivity: differential diagnosis, triggers and
implications.
Complications of celiac disease.
Therapeutic approaches for celiac disease.

5. Risk assessment tools in prognostication of patients with non
variceal upper GI bleed.
Management of steroid dependent ulcerative colitis.
5+5
6. Epidemiology, risk factors, patterns of presentation, diagnosis and
management of colon ischaemia.

7. Enumerate newer therapeutic strategies for the following
diseases:
Primary sclerosing cholangitis.
Primary biliary cirrhosis beyond ursodeoxycholic acid.
Targeting dysbiosis for liver diseases.
Alcoholic hepatitis.
Nuclear receptor modulation for non-alcoholic fatty liver
disease.

P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY
PAPER III
8. In relation to functional gastrointestinal disorders
Changes in Rome IV document compared to Rome III.
Multicultural aspects in FGIDs.
Centrally mediated disorders of gastrointestinal pain.

9. Endoscopic management approach to a patient with Type II
Forrest classification of bleeding peptic ulcer.
Management of a patient with diverticular bleed.
5+5
10. Principle and indications of magnetic resonance spectroscopy
in GI Practice.
Indications of Diffusion-weighted magnetic resonance imaging
in GI Practice.
Indications of SX-ELLA Stent Danis.