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.
RADIOTHERAPY
PAPER III
RTH/J/16/41/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. Indications of treatment, staging system and chemotherapy
schedule of choice in multiple myeloma.

2. Management of:
i. Extravasation of chemotherapeutic agent.
ii. Radiation induced haemorrhagic cystitis.
iii. Hypersensitivity reaction following administration of
chemotherapeutic agent.

3. Indications, rationale and schedule of choice for metronomic
chemotherapy in head and neck cancer along with expected
response rates.

4. Indications, dose schedules and results of radiation therapy in
osteogenic sarcoma.

5. Indications, dose schedules and results of chemoradiation
therapy in gliomas.

6. Indications, dose schedules, technique and results of
preoperative radiation therapy in Ca Rectum.

7. Rationale of combining chemotherapy with radiation in
head and neck cancers.
How would you maintain nutrition of these patients during
chemoradiation?
4+6
8. Classify reticulo-endothelial tumours and role of Radiotherapy
in one of them.
5+5
9. Classify targeted therapy.
Axitinib.
5+5
10. What is gated radiation therapy and what are the
malignancies where it has been found useful?
6+4