Download NTRUHS (Dr. NTR University of Health Sciences) MD/MS PG 2019 April Paper-II 165 NR Radiotherapy Previous Question Papers
DR NTR UNIVERSITY OF HEALTH SCIENCES:: VIJAYAWADA
M.D. DEGREE EXAMINATION ? APRIL, 2019
RADIOTHERAPY
Paper-II : Principles and Practice of Radiotherapy
Time: 3 Hours Max. Marks:100
Note: Answer all questions
All questions carry equal marks
Draw neat diagrams wherever necessary
WRITE SHORT ESSAYS ON THE FOLLOWING:
1) A 45 year old male presented with 3 month history of slowly
enlarging lumps in his left axilla and left supraclavicular fossa.
Physical examination revealed a 30mm hard, fixed mass in his left
supraclavicular fossa and a 40mm hard, mobile mass in his left axilla.
The reminder of the physical examination was normal. An incisional
biopsy of the supraclavicular fossa mass showed metastatic poorly
differentiated carcinoma. He had not undergone any further
investigations and has been referred to you for further management.
a) What investigations would you recommend for this patient?
b) Histopathology review confirmed a diagnosis of poorly
differentiated carcinoma (non-small cell) and investigations failed
to identify a primary site. Staging investigations confirmed nodal
disease in his left axilla and supraclavicular fossa, but no evidence
of disease elsewhere. What would be your recommended
management plan for this patient?
2) a)Describe the potential endocrine and metabolic side effects of
cancer treatment in adults, giving examples.
b)How would you prevent and manage these effects in a man with
prostate cancer on long-term androgen deprivation therapy?
3) a) Discuss the causes of renal failure in patients with malignancy.
b) What factors would you take into consideration in determining the
management of renal failure in a cancer patient under your care?
Contd?.2
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This post was last modified on 09 March 2020