Inflammatory Carcinoma breast

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Q) In terms of cure best results in inflammatory carcinoma breast  are seen with- a) Surgery alone b) Chemotherapy c) Radiotherapy d) All of the above Surgery MCQ PDF – Free Answer d)  Inflammatory carcinoma of the breast is a rare aggressive tumor that blocks the sub dermal lymphatics as a result of which cutaneous edema is common . Differentiating it from a breast abscess is important and biopsy is diagnostic. It is also responsible to peau d orange Treatment is multidisciplinary and involves, chemotherapy followed by surgery followed by radiotherapy.      

Inversion of nipple

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Q) Simple nipple inversion is seen in? a) Duct ectasia b) Puberty c) Peri ductal fibrosis d) Carcinoma breast Answer free b Inversion of nipple  is  seen in a lot of conditions, both benign and malignant. Common causes are  Duct ectasia  After breast Surgery Fat necrosis Mondor disease Chronic peri ductal mastitis Carcinoma breast  Rapid unilateral development of inversion of nipple is a dangerous sign and warrants further diagnosis. Further circumferential retraction is also sign of carcinoma. Simple nipple inversion occurring at puberty  or retracted nipple is of unknown cause and is bilateral in 25%. Mostly No treatment is required for this and condition resolves spontaneously during pregnancy and lactation. Suction pumps and cosmetic surgery can also help. Inversion of nipple associated with malignancy may be with or without the presence of lump. Associated discharge from the nipple can point to the diagnosis. Ref – Bailey 801 Grading of benign nipple inversions for management In grade I, the nipple is easily pulled out manually and maintains its projection quite well.  It has minimal fibrosis  thus, manual traction and a single, buried purse-string suture are enough for the correction. Grade II (majority)  the nipples can be pulled out but cannot maintain projection and tend to go back again. These nipples are thought to have moderate fibrosis beneath the nipple. In grade III, to which the least number of inverted-nipple cases belong, the nipple can hardly be pulled out manually. Severe fibrosis made it impossible to reach optimal release of the fibrotic band with the preservation of the ducts. Ref https://www.ncbi.nlm.nih.gov/pubmed/10654681    

Popcorn calcification

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Q) Popcorn calcification in breast is seen in which condition a) Fibroadenoma b) Periductal fibrosis c) Carcinoma breast d) Duct ectasia Free answer to Surgery MCQs a Here is the explanation. 

Surgical Gastro NEET type Exam Questions

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Q) Type II gastric ulcer as described by Johnson  is  a) Pre pyloric b) Ulcer on body of stomach combined with duodenum c) High on lesser curvature d) Ulcer near the antrum The answer to this question asked in 2016 exam is free. It has been there on the site for the last 6 years. Answer b  

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Q) Which of the following liver resections have the least chances of bleeding? a) Previous history of TACE b) A patient with splenomegaly c) The patient with Platelet count 25000 d) Patient with grade III esophageal varices Answer

Imatinib resistant GIST

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  Q. Which of the following is not an option for Imatinib resistant GIST     a) Increase the dose to 800 mg/day     b) Sunitinib     c) Chemotherapy with Cisplatin     d) Radiofrequency Abalation    Answer 

Complications of liver transplant

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Q) True about liver transplant a) Portal vein thrombosis is more common than Hepatic Artery thrombosis b) Bile leak though common is not a significant problem c) Any bleeding in post op period, patient should be taken to OT d) Acute liver rejection is seen in 5-10% cases Answer for members

Caustic injuries to esophagus

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Q) Which of the following is not true about reconstruction in caustic injuries to esophagus a) Caustic injuries to esophagus have 1000 times more risk of developing malignancy b) Right colon replacement is definately better than left colon c) The only indication for elective surgery is refractory strictures and possibility of malignancy d) Most of the surgeons prefer bypass over resection of esophagus Premium Answer