MCH Gen Surgery Sept 2020

Similar to NEET Gen Surgery Paper Sept 2020

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

Sabiston page 837


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