FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GASTROENTEROLOGY
PAPER III
GASTRO/J/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. Breath tests in Gastroenterology: Applications, principle
limitations.

2. Post infectious Irritable Bowel Syndrome Risk factors,
pathogenesis management.

3. Pathogenesis of reactivation of TB following usage of
Biological therapy for Inflammatory Bowel Disease (IBD).
Approach to patient with latent TB in a patient being
considered for biological therapy for refractory IBD.
5+5
4. FODMAP's intervention approach for functional GI disorders.
Eosinophilic esophagitis: Clinical presentation and
management.
5+5
5. Management of peri-anal disease in patients with Crohn's
disease.
10
6. Articular manifestations in patients with IBD: Classification,
clinical presentation and management.
Adverse events of immunomodulators used in IBD.

7. Enteropathy associated T Cell Lymphoma in Celiac disease.
Approach to diarrhoea in a patient with HIV and CD4 count
150.
5+5
8. Guidelines for endoscopic disinfection and reprocessing.
Biofeedback therapy for defecatory disorders.
5+5
9. Neuro-endocrine tumors of the Foregut.
Cholangioscopy: Techniques and utility.
5+5
10. Post operative recurrence of Crohn's disease: Grading of
severity and management.
Very early onset IBD.
5+5