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.
RADIOTHERAPY
PAPER II
RTH/D/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. Classify salivary gland tumors.
List the indications of radiotherapy in carcinoma parotid gland.
Radiotherapy technique, dose and side effects for carcinoma of
parotid gland.

2. Human Papilloma Virus and head neck carcinoma with
recent evidence.
List indications of post operative radiotherapy and post operative
chemoradiotherapy in head neck cancer.
Role of brachytherapy in cancer tongue T2N0M0.

3. A 45 year old lady has a T3N0M0 muscle invasive transitional cell
carcinoma of the urinary bladder. What is her treatment options with
regard to:
Surgery.
Bladder Preservation Protocol.
4+6
4. What is Involved Field Radiation Therapy Involved Nodal
Radiation Therapy (INRT) and Involved Site Radiation Therapy

ISRT technique for bulky mediastinal adenopathy and its
advantages
6+4
5. List the risk factors of carcinoma vulva.
What are the indications of post-operative radiation in carcinoma
vulva?
Techniques of radiotherapy in carcinoma vulva.
Radiotherapy dose and dose limiting structures in carcinoma
vulva.

6. Staging of soft tissue sarcoma of extremity.
Pre-operative versus post-operative radiotherapy for soft tissue
sarcoma.
Role of brachytherapy in soft tissue sarcoma of extremity.

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.
RADIOTHERAPY
PAPER II
7. With regard to Wilm's tumor, write the:
Staging
Treatment algorithm based on risk stratification.
4+6
8. Treatment options of single metastasis in the brain with controlled
extra-cranial disease.
Evidence for focal radiotherapy Vs whole brain radiotherapy.
What is the use of Recursive Partitioning Analysis
classification?

9. A 32 year old lady presented with decreased urinary output, bilateral
pedal oedema and severe backache. She also gives history of
bleeding per vaginum for 3 months. On evaluation, she was found to
have creatinine of 5.4mg/dl and Potassium of 7.0mEq/ml
What other blood investigations will you do for emergency
management?
How will you correct her hyperkalemia?
What is the possible diagnosis?
Outline the treatment algorithm for such a patient.

10. List the indications of Hemibody Irradiation (HBI).
What are the types of HBI?
Technique and doses involved in HBI.
Pre post procedural precautions to be taken for delivery of HBI.