FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
RADIOTHERAPY
PAPER II
RTH/APRIL/16/41/II
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. Merits and demerits of concurrent chemo-radiation.
Enumerate the sites where concurrent CT-RT is the standard of
care.
5+5
2. What are the goals of palliation in a cancer patient?
What aspects will you take care of in a terminally ill cancer
patient admitted in your ward for the past one week?
4+6
3. What is APBI (Accelerated Partial Breast Irradiation)?
What are its indications?
What are the methods that have been used in literature to
deliver APBI?

4. How will you treat a case of carcinoma nasopharynx T3N1M0
(WHO type III) in a 45 year old male with history of diabetes for the
last 4 years with good performance score (KPS 80).
10
5. Define the levels of lymph nodes in the neck.
What are the guidelines for delineation of LN bearing regions
(i.e high risk and low risk CTV) in the neck?
4+6
6. How will you treat a pregnant woman diagnosed with stage IB
cancer cervix during her pregnancy?
10
7. Indications, dose schedules and results of targeted therapy in
renal cell carcinoma.

8. Rationale of using hormone therapy in breast cancers.
What are its indications?
Role of Anastrazole in post menopausal breast cancers.

9. How would you treat stage I seminoma of testes? Describe the
radiation portals and dose schedule?

10. Enumerate various skull base tumors.
How will you treat skull base chordoma?
5+5