Recent Advances In Gastroenterology DM Question Bank : web.tnmgrmu.ac.in

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : D.M
Branch : Branch IV – GASTROENTEROLOGY
Subject Name : 1254/RECENT ADVANCES IN Gastroenterology
Paper : IV
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Recent Advances In Gastroenterology :

August 2008 :
Sub. Code: 1254
D.M. DEGREE EXAMINATION

Related : TNMGRMU Basic Sciences Applied to Gastroenterology DM Question Bank : www.pdfquestion.in/4415.html

(Higher Specialities)
Branch IV – GASTROENTEROLOGY
(Revised Regulations)
Paper IV – RECENT ADVANCES IN THE SPECIALITY
Q.P. Code: 161254
Time: Three hours
Maximum: 100 Marks
Answer ALL questions L
Draw suitable diagrams wherever necessary. :
I. Essays: 2 x 20 = 40
1. Describe various causes of liver diseases in HIV patients. Discuss the guidelines for management of combined infections with HIV, HBV and HCV viruses.
2. Discuss recent advances in approach to diagnosis and management of dysphagia.
II. Write short notes on: 10 x 6 = 60
1. Bariatric surgery for nafld.
2. Maintenance antiviral therapy in treatment failure of chronic HCV hepatitis.
3. Endoscopic pancreatic necrosectomy.
4. HCV infection in post liver transplant.
5. Aquaretics.
6. Resistin.
7. Treatment of Gastroparesis.
8. Rome III criteria for diagnosis of IBS.
9. Microscopic colitis.
10. Extrahepatic involvement in congenital hepatic fibrosis.

August 2009 :
I. Essays: 2 x 20 = 40
1. Discuss intestinal failure and role of intestinal transplantation.
2. Discuss long term strategy for management of liver transplant recipient.
II. Write short notes on: 10 x 6 = 60
1. Surveillance in chronic pancreatitis.
2. Neonatal hemochromatosis.
3. NOTES.
4. Refeeding syndrome.
5. High resolution manometry.
6. Pathobiology and management of gastro intestinal stromal tumors.
7. Sorafenib.
8. Recent trends in managing pruritis in liver disease.
9. Compare the efficacy of capsule endoscopy versus double balloon endoscopy in obscure gastrointestinal bleed.
10. Role of PET scan in gastroenterology.

February 2011 :
I. Essays: 2 x 20 = 40
1. Cancer risks and screening recommendations for juvenile polyposis.
2. Criteria for liver transplantation and contraindications for transplant.
II. Write short notes on: 10 x 6 = 60
1. KIT (tyrosin kinase inhibitor) in gastrointestinal stromal tumours.
2. Noninvasive absorptive and digestive functional evaluation of malabsorption.
3. Microsatellite instability in colorectal cancer.
4. Natural Orifice Transluminal Endoscopic Surgery (NOTES).
5. Nitazoxanide.
6. Radiological imaging in diagnosis of pancreatic cancer.
7. Advances in palliation of esophageal cancer.
8. Mutation analysis in Wilson disease.
9. Prophylaxis recommendation for patients on clopidogrel and aspirin.
10. Turmeric for inflammatory bowel disease.

August 2011 :
Answer ALL questions in the same order. :
I. Elaborate on :
1. Liver donor transplantation for Liver Failure. Discuss indications, complications in donor and recipient.
2. Principles and outcome of photodynamic therapy in GI Cancer.
II. Write notes on :
1. Magnetic resonance enterography.
2. Evaluation and management of nocturnal reflux.
3. Endoscopic procedures for pancreatic leak.
4. New mesalamine preparations.
5. Model for End Stage Liver Disease for liver disease severity assessment.
6. Causes and management of Mirizzi’s syndrome.
7. Biological features of tumour metastasis.
8. Indications, contraindications and complications of Balloon Enteroscopy.
9. Endoscopic mucosal resection.
10. Budesonide: current indications in GI practice.

August 2012 :
I. Elaborate on : Pages Time Marks
1. Recent advances in the management of upper GI bleeding. Discuss scoring systems used to risk stratify patients with upper GI bleed.
2. Management of Barrett’s oesophagus.

II. Write notes on :
1. Clinical utility of genetic testing for Wilson’s disease :
2. Natural history of hepatitis B infection : clinical relevance.
3. Short chain fatty acids : importance in Gastrointestinal system.
4. Newer drugs to treat Hepatitis C.
5. Management of achalasia cardia.
6. Narrow band imaging: utility in GI disorders.
7. Deceased donor versus live related liver transplantation : discuss the merits and demerits of each.
8. Balloon enteroscopy : types, indications.
9. Minimal hepatic encephalopathy : clinical relevance, management.
10. Thrombophilic factors and Budd Chiari syndrome : investigations and treatment.

August 2013 :
I. Elaborate on :
1. Role of intestinal transplant – discuss the various problems associated with intestinal transplant.
2. GERD – discuss the merits and demerits of various current modalities of treatment.

II. Write notes on :
1. Mention the mechanism of action, indications, side effects of Tacrolimus.
2. Discuss in brief the merits and demerits of various Enteral stents.
3. What is ConFocal Endoscopy? What are its uses ?
4. Mention the advantages of using Positron emission tomography in GI cancers.
5. What is the mechanism of action, uses of Levosulphride?
6. State the various advantages in using Lactic Dehydrogenase in various Liver diseases.
7. Discuss in brief the various interventions in Hemobilia.
8. What are the merits and demerits of PAIR therapy in Hydatid Cyst management.
9. Mention the uses and problems in using Diltiazem gel.
10. Discuss in detail the diagnostic criteria for Typhoid hepatitis.

August 2014 :
I. Elaborate on :
1. Discuss the current indications and results of liver transplantation for Hepato Cellular Carcinoma (HCC)
2. Discuss the mechanism of action, indications and regimes of newer drugs in HCV treatment

II. Write notes on :
1. Mention the principles and indications of photodynamic therapy in cholangiocarcinoma
2. Natural Orifices Transluminal Endoscopic Surgeries (NOTES)
3. Virtual colonoscopy
4. Endoscopic management of Obesity
5. Non surgical management of pancreatic pseudo cyst
6. Endoscopic management of choledocholithiasis
7. Narrow band imaging and its uses
8. Aquaretics
9. Pegelated interferon in HBV infection
10. Malarial hepatitis