Download DNB 2019 June UROLOGY GUS GENITO URINARY SURGERY PAPER 2 Question Paper

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FINAL EXAM
JUNE 2019

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Time: 3 hours GUS/J/M9/13/II
Max. Marks: 100

Important Instructions:

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• 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.

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• 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. Define angiogenesis. Specify the activators and inhibitors of tumour angiogenesis used in urological diseases. Mention the important adverse effects of use of such agents. (2+4+4)

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2. a) Classify iatrogenic ureteral injuries. (2+(4+4))
   b) Diagnosis and outline of management of ureteral injuries during obstetrical & gynecological surgery.
3. Indications, justifications and outline of active surveillance for small renal masses. (2+4+4)
4. Idiopathic Retroperitoneal Fibrosis: Pathogenesis, diagnosis and outline of management. (3+3+4)
5. Describe the anatomy of pelvic lymph nodes. Define the extent of standard and extended pelvic lymph node dissection for management of invasive TCC of urinary bladder. (5+5)

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6. What is prostate specific membrane antigen (PSMA)? Discuss role of PSMA PET .CT Scan in diagnosis and follow up of adenocarcinoma of prostate. (4+(3+3))
7. Discuss the options of management of a 13 mm sized kidney stone in lower pole calyx. Discuss the pros & cons of each options. (4+6)
8. Define goals of management for a 15-year-old girl with solitary functioning right kidney, contracted urinary bladder (capacity of 25-30 ml) and nadir serum creatinine of 1.5 mg/dl who completed ATT for GU tuberculosis one year back. Discuss the various options of management with pros and cons of each. (2+8)
9. Describe the presenting features, diagnosis, and staging for cancer of penis. Discuss indication and options of treatment with organ preservation for a 50-year-old man with squamous cell carcinoma of penis. ((2+2+2)+(2+2))
10. Diagnosis and management options of urinary bladder injuries following blunt abdominal trauma. (5+5)

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