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Detailed answer according to weightage from standard textbooks

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All four questions are now answered comprehensively. Here is a summary of what's covered, weighted by marks:

Summary of Coverage

Q1 - Carcinoma Penis (30 marks) ✓

Covered in five major sections: premalignant conditions (PeIN/Erythroplasia of Queyrat/Bowen's disease, leukoplakia, lichen sclerosus, condylomata, chronic balanoposthitis), etiopathology (HPV, smegma, circumcision, risk factor table), pathology and TNM staging, clinical features (presentation, timing, discharge, lymphadenopathy), and management (organ-preserving surgery, Mohs' surgery, partial/total penectomy, lymph node management with SLNB, radioiodine, chemotherapy, prognosis).

Q2 - Painless Haematuria (20 marks) ✓

Covered causes using the TIN mnemonic (neoplastic, traumatic, infective, calculi, glomerular, coagulopathy, BPH, vascular), differential diagnosis of red urine (haemoglobinuria, myoglobinuria, porphyria, drugs), timing significance in the urinary stream, and a full investigations ladder from urine dipstick/microscopy → imaging (USS KUB → CT urogram) → cystoscopy.

Q3 - Management of Thyrotoxicosis (20 marks) ✓

All three pillars covered in detail: antithyroid drugs (carbimazole, PTU - mechanism, dosing, block-and-replace, pregnancy considerations), surgery (preoperative preparation with carbimazole/beta-blockers/Lugol's iodine, extent of resection, complications), and radioiodine (indications, advantages, disadvantages). Choice of therapy by disease type and management of thyroid storm included.

Q4(a) - Glasgow Coma Scale (15 marks) ✓

Complete GCS table with all three components (E1-4, V1-5, M1-6), scoring interpretation (mild/moderate/severe), how to apply stimulus, clinical applications (ATLS, head injury, ICU), and limitations. AVPU comparison included.

Q4(b) - NSV (15 marks) ✓

Full account of NSV: history, special instruments (ring-tipped clamp + mosquito haemostat), step-by-step operative technique, vas occlusion methods with AUA-recommended techniques and OFRs, advantages over conventional vasectomy, PVSA timings, complications, and role in India's Family Welfare Programme.
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