Thyroid Questions

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Q) Which of the following thyroid cancers do not take up radio active iodine a) Medullary carcinoma thyroid b) Papillary  carcinoma c) Follicular carcinoma d) Hurthle cell carcinoma Free Answer a – Medullary carcinoma Medullary carcinoma of the thyroid is a tumor that arises from the C cells ie the parafollicular cells and not from cells of thyroid follicles. These are not TSH dependent and hence do not take up radioactive iodine Hurthle cell carcinoma is a variation of follicular carcinoma only. In these tumors lymph node involvement is about 60% Bailey page 769  

Breast Cancer Management

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Q) Management of occult breast cancer with N1 lymph nodes: a) Modified radical mastectomy (MRM) with axillary dissection b) MRM with radiotherapy to axilla c) Only axillary dissection with radiotherapy and chemotherapy to axilla d) Simple mastectomy with chemotherapy Answer for premium members

GIST Questions

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Q) Not true about GIST? a) It is more common in females b) They are mesodermal in origin c) More than 5 cm are malignant d) They can occur anywhere in the GI tract Answer for premium members  

Phyllodes tumor

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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 answer for Premium members only-   Discuss about Phyllodes tumor and their malignant potential.

Barrett esophagus

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Q . Barrett’s esophagus is a premalignant condition. Which of  the following statement is false regarding Barrett’s esophagus  a) Barrett’s mucosa predisposes to Squamous cell carcinoma of 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 Answer for Premium members

Q) Site of Insulinoma

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Q) Most common site of insulinoma is  a) Head of Pancreas b) Body of Pancreas c) Tail of Pancreas d) All equal Answer for premium

Peritonitis

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Q) True statement regarding peritonitis is  a) Raised serum amylase is only seen in pancreatitis b) Rectal examination is better diagnostic of appendicitis than per abdominal examination c) Ultrasound has diagnostic accuracy of 90% for diagnosing acute appendictis d) Catarrhal appendicitis mostly leads to gangrene of appendix and perforation Answer for premium members https://www.mcqsurgery.com/appendix  

Endovenous Laser Ablation of varicose veins

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Q )  Endovenous Laser Ablation (EVLA)  of  varicose veins is best suited for those : a) With needle phobia b) Thrombophlebitis c) Excess tortuousity d) Primary varicose veins