Bone tumors

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Q) A 16 year old boy presents with severe groin pain after kicking a football. Imaging confirms a pelvic fracture. A previous pelvic x-ray performed 2 weeks ago shows a lytic lesion with 'onion type' periosteal reaction. What is the lesion?

a) Giant cell tumor

b) Ewing's 

c) Osteosarcoma

d) Osteomalacia

Question  from theme of test 14 

 

Pancoast tumor

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Q) 50 year old male with NSCL carcinoma of upper Rt lung which infiltrates the brachial plexus. WHat will be the managament? 

Lung and Thorax MCQS

a) Surgical resection

b) CCRT and resection

c) CCRT and access for response

d) Neoadjuvant and resection

Cystic lesion of pancreas

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Q) A 48-year-old female presents with an incidental imaging finding of a microcystic pancreatic lesion with a stellate scar. Cyst fluid analysis reveals low viscosity, CEA, CA 19-9, and amylase. These findings are most consistent with:
A. Serous cystic lesion
B. Mucinous cystic lesion
C. Intraductal pancreatic mucinous neoplasm
D. Pseudocyst

Lung cancer

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Q) A 73 year male,  old heavy smoker presents with haemoptysis. On examination he is cachectic and shows evidence of clubbing. Imaging shows a main bronchial tumour with massive mediastinal lymphadenopathy together with widespread visceral metastases. Which of the following variant is likely in him? ( Theme from mock test 12- 24) 

a)  Adenocarcinoma
B.  Small cell lung cancer
C. Large cell lung cancer
D. Squamous cell carcinoma

Ans  b

 Small cell lung cancer
Small cell carcinoma is associated with disseminated disease at presentation in the majority of cases. Most cases occur in the main airways and paraneoplastic features are common

Adenocarcinomas are the most common tumour type present in never smokers. They are usually located at the periphery.

Squamous cell carcinomas are reported to be more slow growing and are typically centrally located

Mediastinal mass

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Q) A 25-year-old man presents to the emergency center with complaints of vague chest  discomfort.  patient is noted to have a large anterior mediastinal mass. The alpha.-fetoprotein levels are markedly elevated. What is the likely diagnosis? ( Theme of next mock test ) 
A. Non seminomatous germ cell tumor
B. Seminoma
C. Thymoma
D. Lymphoma

Graft loss after kidney transplant

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Q) After kidney transplant highest graft loss is seen in which condition?

a) Hemolytic uremic Syndrome

b) Ig A nephropathy

c) MPGN type 2

d) Systemic lupus