Malignant chest wall tumors

Q  Most common malignant chest wall tumor
A. Chondrosarcoma
B. Osteosarcoma
C. Synovial sarcoma
D. Rhabdomyosarcoma

Answer to Q 46

Most common tumors of the chest wall are secondaries from elsewhere. The most common malignant tumor of chest wall is .......

Ref Sabiston page 1602

 

Truncus arteriosus

Q ) Which of the following statements about truncus  arteriosus is false?
A. Most infants do well without operations until late childhood.
B. Cyanosis is a late feature
C. Most infants present with congestive heart failure.
D. Repair requires a conduit from right ventricle to pulmonary arteries.

Answer 

In Truncus arteriosus there is a single arterial trunk arising from the ventricles, with single dysplastic valve with

semilunar leaflets and a subvalvular VSD..

Untreated, most infants  do not survive beyond 6 months. Cyanosis is usually not present early, because mixing
mainly occurs at VSD level and the arterial oxygen saturation is generally greater than  85%, but............Read on 

Blood Supply SA Node

Q) SA Node is supplied by which artery

a) Right coronary

b) Left coronary

c) Left circumflex

d) Anterior interventricular


Coronary arteries originate from ascending aorta, above the aortic valves from the aortic sinuses. Right coronary artery passes between the right atrial appendage and pulmonary trunk in the atrio ventricular septum and continues as .......................

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COA- Coarctation of Aorta

Q) Not A complication of untreated coarctation of aorta
a) Endocarditis
b) CVA
c) Congestive heart failure
d) Pulmonary vascular disease


Coarctation of aorta is narrowing that diminishes the aortic lumen and produces an obstruction to the
flow of blood. In untreated patients complications might develop like endocarditis that occur at sites of
turbulent blood flow which is the site of narrowing,..........

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Vascular ring

Q  ) Which is a true vascular ring?

a) Pulmonary artery sling

b) Double aortic arch

c) Cervical aortic arch

d) Origin of subclavian artery from descending aorta

Answer

Q) ASD most commonly associated with mitral insufficiency
a) Secundum defect
b) Sinus Venosus defect
c) Ostium primum
d) Coronary sinus defect

Answer 

Physiology of TOF

Q . Which of the following has the greatest impact  on the physiology of tetralogy of Fallot?
A. The size of the ASD.
B. The size of the VSD.
C. The degree of pulmonary stenosis.
D. The amount of aortic overriding

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Ventricular Septal defect

Q. Which of the following statements about VSDs is wrong ?

A. Spontaneous closure occurs in 25-50%  of patients during  childhood.
B. Tachypnea and failure to thrive are symptoms frequently associated with  large VSDs.
C. Patients with normal pulmonary vascular resistance and left-to-right  shunting across the VSD have Eisenmenger’s complex.
D. Patients with a large VSD and low pulmonary vascular resistance can  present with a mid diastolic murmur at the apex.

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Tetrology of Fallot

Q Autopsy finding  in a patient who dies of Tetrology of Fallot is

a)  Brachiocephalic vein draining into the left renal vein
b)  Inferior vena cava (IVC) draining to the superior mesenteric vein
c)  Atrial Septal Defect (ASD)
d) Decreased vascularity of the lung field

Answer

Skin cancer

Q) Order of anastomosis in lung transplant is 

a) Pulmonary artery   --------- Pulmonary vein ------------- Bronchus

b) Pulmonary vein   ----------  Bronchus ----------------Artery

c) Pulmonary vein---------- Artery -----------Bronchus

d) Bronchus---   Artery------------- Vein

Answer  

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