Q) Which of the following is true about phyllodes tumor?
a) It has a fast spread and is locally invasive
b) It is benign proliferative in ANDI
c) Mammography is diagnostic
d) Young patients less than 20 years old are more commonly involved
Discuss about Phyllodes tumor and their malignant potential.
Q . Barrett's esophagus is a premalignant condition. Which of the following statement is false regarding Barrett's esophagus
b) Risk of Cancer is 0.5% per year
c) Prevalence of Barrett's esophagus in general population is 2-7%
d) Intestinal type of mucosa with goblet cells is the most common histopathological finding
Q ) Endovenous Laser Ablation (EVLA) of varicose veins is best suited for those :
a) With needle phobia
c) Excess tortuousity
d) Primary varicose veins
EVLA is thermal ablation of varicose veins in which laser fibre is inserted in the lumen and ablation is done from inside. It is a good modality for primary and recurrent varicose veins and work in both long and short segments.
This treatment is not effective in cases where there is needle phobia or the veins are having excessive tortuousity or thrombophlebitis. This procedure is done under ultrasound guidance and wire is passed from the superficial to the deep veins.
Tumescent local anesthesia also helps
Ref Bailey: Page 909
Q) Endocardial cushion defects seen with:
a) Mitral stenosis
b) Pulmonary stenosis
c) Mitral regurgitation
d) Aortic regurgitation
- Discuss what is Endocardial cushion defects
- Associated conditions
Q) Total anomalous pulmonary venous drainage (TAPVD) is associated with
a) Endocardial cushion defect
b) Sinus Venosus ASD
c) Defects in Fossa ovalis
d) Completely separate entity
Q) Most common site for traumatic aortic rupture is
a) Distal to the origin of left subclavian artery
b) Point of entry of aorta above the diaphragm
c) Root of aorta
d) Point distal to Left carotid artery
a) Distal to origin of subclavian artery
Traumatic aortic rupture leads to sudden death after high impact automobile accident or fall from height. Aorta is relatively fixed distal to ligament arteriosum just distal to the origin of subclavian artery and this is the most common site of traumatic rupture especially partial rupture in which adventitia is intact.
Specific clinical findings are
- Asymmetry of BP in upper limbs or upper and lower limbs
- Widened pulse pressure
- Chest wall contusions
Bailey page 355
Q) Not a true statement about desmoid tumors?
a) Common in young pregnant females
b) Radiotherapy is the only treatment
c) Histologically they comprise of plasma cells
d) Recurrence is a frequent problem
In exams like DNB SS questions on ASD and VSD are common. Most cardiac surgery questions are here
Q) Most common ASD is
a) Ostium Primum
b) Ostium Secundum
C) Sinus Venosus
d) All are equal
■ Common defects
Ostium secundum: fossa ovalis defect (approximately 70 per cent of ASDs)
Ostium primum: atrioventricular septal defect (approx imately 20 per cent of ASDs)
Sinus venosus defect: often associated with anomalous pulmonary venous drainage (approximately 10 per cent of ASDs)
Patent foramen ovale: common in isolation, usually no left-to-right shunt (not strictly an ASD)
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