DECEMBER 2019
GENITO URINARY SURGERY
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PAPER-II
Time: 3 hours GUS/D/19/13/1l 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.
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Write short notes on:
- Define oligometastases for carcinoma prostate. Discuss current management. (3+7)
- Describe anatomy of superficial and deep perineal spaces in context to extravasation of urine following bulbar urethral injury. (5+5)
- Evaluation and management of lower urinary tract symptoms in Parkinson’s disease. (5+5)
- Write TNM classification of renal cell carcinoma. Write management of tumour thrombus in inferior vena cava at and above the level of hepatic veins. (5+5)
- Discuss mechanism of bone metastasis and its management in case of carcinoma prostate. (5+5)
- Define stage II non-seminomatous germ cell tumour and discuss management options. (3+7)
- Antenatally detected hydronephrosis — post-natal follow-up protocol and indications for surgical intervention. (5+5)
- Discuss pathophysiology of renal scarring in primary vesicoureteric reflux. Define grades of reflux in voiding cystourethrography. Discuss management of grade V primary vesicoureteric reflux in infant. (3+2+5)
- Discuss mechanism of immune check point targeting for urothelial malignancy. Discuss current role of drugs used for immune check point targeting for urothelial malignancy. (5+5)
- Evaluation of erectile dysfunction in 50-year old diabetic patient. Discuss management options for vasculogenic impotence. (5+5)
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