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40. Diagnosis of Hirschsprung disease:

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39. Red currant jelly stool is seen in:

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38. Double bubble sign indicates:

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37. Which paraneoplastic syndrome is associated with Renal Cell Carcinoma?

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36. A 65-year-old male presents with painless gross hematuria. The most likely diagnosis is:

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35. Fournier’s gangrene is characterized by all EXCEPT:

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34. A 70-year-old male presents with acute inability to pass urine and a palpable suprapubic mass. The most likely diagnosis is:

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Triad: Hematuria + Flank pain + Palpable mass (classic but seen in only ~10–15% of cases) Other possible features: weight loss, fever, hypertension, polycythemia (paraneoplastic syndromes)

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33. A 60-year-old male presents with hematuria, flank pain, and a palpable abdominal mass. The most likely diagnosis is:

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32. Complications of urethral catheterization include:

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31. The preferred therapy for a 4 mm mid-ureteric stone is:

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30. Bag of worms appearance in testis is seen in:

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29. The sign differentiating testicular torsion from epididymo-orchitis is:

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28. Renal Calcull associated with proteus Infection

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27. A 60-year-old man presents with a gradual, painless swelling of the right scrotum. On examination, the swelling is soft, non-tender, and transilluminates. Most likely diagnosis:

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26. Management of uric acid stones includes:

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25. Which of the following urinary tract calcull is radiolucent?

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24. Which of the following is FALSE regarding renal cell carcinoma?

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23. In case of testicular torsion, the best management is

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Mnemonic / Tip: “SITS muscles = Rotator cuff” → Supraspinatus, Infraspinatus, Teres minor, Subscapularis. Teres major is not part of the cuff; think of it as the “big helper” for adduction and internal rotation, not stabilization.