Download DNB 2020 June Genito Urinary Surgery Urology Paper I Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
GENITO URINARY SURGERY (UROLOGY)
PAPER-I

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Time: 3 hours
GUS/J/20/13/I
Max. Marks:100
Important Instructions:
Attempt all questions in order.

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Each question carries 10 marks.
Read the question careful y 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.

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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. a) Describe the development of male urethra and the pathogenesis of
3+3+4

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hypospadias.
b) What is GMS (Glans Meatus Shaft) score and discuss its significance?
c) Briefly outline the management of penoscrotal hypospadias.
2. Histopathological features of Gleason grade 3,4 & 5 carcinoma prostate.
4+3+3

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3. a) ECG changes in a patient with hyperkalemia.
4+6
b) Stepwise management of hyperkalemia.
4. a) Abiraterone - mechanism of action.
3+(4+3)

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b) What hormones are reduced, and what hormones are increased in a
patient on abiraterone?
5. a) Pathogenesis of bony changes in patients with chronic kidney disease.
5+5
b) Methods to reduce/reverse these changes.

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6. a) Mechanism of occurrence of ureteric avulsion during uretero-renoscopy,
6+4
with the help of line diagrams.
b) What are the possible management options?
7. Contraindications and complications of ESWL, and management of the

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3+3+4
complications.
8. a) Is treatment of asymptomatic bacteriuria in pregnancy necessary?
5+5
Describe the rationale for and against treatment.

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b) How do you treat a pregnant woman with symptomatic febrile urinary
infection?
9. Define post-obstructive diuresis, its mechanism and clinical management.
3+3+4
10. Describe methods to estimate GFR in prospective renal donor with

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10
advantages and limitations of each.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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