natural history breast cancer

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Q. True about breast cancer is? a) Doubling time of breast tumor is 1 month b) Skip metastasis in level iii lymph nodes is common c) Lungs are commonly involved by direct invasion d) Dimpling of skin is due to shortening of cooper’s ligaments Ans 

Trauma

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Q12) a 50 year old man with road side accident and injuries on right chest and femoral fracture, He is conscious,  BP is 80/60 , Pulse 104/min, and chest expansion is reduced. JVP is not visible and heart sounds are normal. Respiratory rate is 22/min What does he have a) Left heart failure b) Fat Embolism c) Pneumothorax d) Fluid loss Answer 

MRCS Neurosurgery

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Q)  A 35 year old lady has severe vomiting accompanied with headache and becomes unconscious. She has no similar history in the past and is not on any medicines. She has a GCS of 11/15, BP 140/90, Pulse of 86/min. No cardiac or respiratory cause is noted for the symptoms.She has mild nuchal rigidity and b/l extensor plantar response.  CT scan of the brain is equivocal .Lumbar puncture studies show high RBcs in the aspirate? What is the next step in management? a) MRI brain b) Cerebral Angiogram c) MR angiogram d) IV broad spectrum antibiotic and anti virals Answer

Complications of Surgery of Aortic aneurysm

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Q) A 68 year old man undergoes repair of infra renal aortic aneurysm. On 2nd POD he has abdominal pain, bloody diarrhea and tachycardia. BP is 120/70. Abdomen is mildly distended and tender especially in the left lower quadrant. How will you proceed a) Send stool for clostridium and spores b) CT Abdomen c) Exploratory laparotomy d) Higher antibiotics Answer for premium – Discuss the complications of Surgery for aortic aneurysm

Clinical Paediatric surgery Question

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Q14.  A 6 months old baby is brought to the emergency with continuous crying and drawing his legs up for 1 day. He has vomiting and passage of bloody stools. On examination a lump is found in right hypochondrium. What is the best clinical diagnoses? a) Intussusception b) Gastrochisis c) Hirshprung disease d) Intestinal atresia Answer 

Ureteral injuries

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Q) A 24 year old male suffers low velocity gun shot wound in lower abdomen. On exploration there is a 1 cm segment loss of left ureter above the pelvic brim. Best management is : a) Ureterocystostomy b) Uretero ureterostomy c) Ureterostomy d) Ligation of ureter  Click for answer

Esophagus perforation

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Q) A 45 year old man who has been drinking regularly for the past 15 years vomits after a large meal and complains of severe chest pain. Cardiac cause is ruled out and boerhavve’s syndrome is suspected. Which of the following is not true about this condition a) Gastrograffin tests will confirm the diagnosis b) Perforation is most common in the left lower end c) Exploration and full thickness suturing of perforation should be done d) This condition has a high morbidity and mortality if not diagnosed at time Answer for premium members  – Discussion on Boerhaave’s syndrome

Enzyme deficiency in chronic pancreatitis

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Q) A 45 year old male with carcinoma head of pancreas, complains of stickiness of stools and difficulty in digestion. Which of the following enzyme deficiency does he have? a) Amylase b) Protease c) Lipase d) Elastase Answer for premium members

Reno vascular hypertension

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Q) Which of the following is true about reno vascular hypertension a) Seen in young age group b) Both kidneys are of same size c) It is familial d) Diuretics will control the hypertension  

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