First four Questions are free to see. Other 36 Questions for Premium members
Thyroid
Breast
Hernia
Trauma
Q1) True statement about this clinical scene: Child with inguino scrotal swelling that increases in size in evening, you cannot get above the swelling and testis is not palpable separately
a) Bowel is the content
b) It is a hernia
c) Urgent surgery needed
d) It is Abdomino scrotal hydrocele
Ans d
This is abdomino scrotal hydrocele, cant get above and testis is not separately palpable. A hydrocoele can occasionally extend back up into the canal or abdomen (abdomino-scrotal hydrocoele).
Hernia - testis will be palpable separately, it will increase in size on cough and crying. Sometimes In infants they can transilluminate like a hydrocoele.
Urgent surgery not needed
Its not a hernia so no content
Q2) PSA types in Prostate cancer (Q in uro onco section)
Q3. Bosniak classification question
Q4 . Malignancy in DCIS is associated with which HPE type?
a) Cribriform
b) Solid
c) Papillary
d) Pleomorphic
Ans B Solid
The basement membrane layer is an important boundary in differentiating in situ from invasive breast cancer. Continuity of this layer is maintained in ductal carcinoma in situ (DCIS), also termed noninvasive breast cancer
Depending on the size of the imaging abnormality, approximately 10% to 20% of patients with a diagnosis of DCIS on core needle biopsy are found to have some invasive carcinoma at definitive surgery
There are four broad types of DCIS: papillary, cribriform, solid, and comedo
The papillary and cribriform types of DCIS are generally lower grade lesions and may take longer to transform to invasive cancer. The solid and comedo types of DCIS are generally higher grade lesions
