Oncosurgery MCQS MCH NEET 2019 Q 1-27

Onco surgery MCH  MCQS 2019

NEET 2019 Onco Q 31-60

Q1. ) Not used in metastatic renal cancer
a) Interferon.
b) Sunitinib
c) Tamoxifen
d) Medroxy progesterone


Q2. Soft Tissue Sarcoma  with tumor margin positive what is Treatment
1. Re- Resection
3. Radiation 


Q3. False about Paget disease  classificatn in TNM
1. Paget without DCIS  is Tis
2. Paget with DCIS  is Tis
3. Paget with underlying tumor classified as per tumor
4. Involvement of skin and nipple is stage 4

Q 4.  About oncotype  Dx Score

a)  21 gene recurrence score
b)  Adding size improves score
c) Poor response to chemo with increasing  score



Q 5 . Lymph node stations in stomach

Hepatoduodenal  12

Subpyloric 6

Q 6. Which is not envoirnmental risk factor for colon ca
a. high calcium diet
b. high calorie diet
c. high red meat
d. excess alcohol

Q7)  For Superficial radiation. which is most commonly used
a)  electron
b) neutron

Q8)   Site for squamous papilloma of esophagus 
b middle
c distal

Q9  xray of radius in 45 yr old female
Ans giant cell tumor more than aneurysmal cyst

Q10) . How many quadrants are there  in PCI index?
a) 12
b)  11

c) 13
d) 10

Q11) . Which is not correct in breast cancer
1. Atypical Ductal Hyperplasia  is not considered as Tis
2. LCIS is considered as Tis

Ans b 

LCIS is not considered Tis. It is an indicator of increased risk of breast cancer. The risk is 1% per year.

Q12) Optimal duration of  tamoxifen in premenstrual women
a. 5 yrs
b. 10 yrs

c 3

d 15

Q13) According to SENTINA trial how many minimum sentinel lymph nodes to be removed (Onco 2019)
A. 1
B. 2
C. 3
D. 4

14)  yrs old child bone tumor with sunray appearance
a. osteosarcoma
b . Ewing sarcoma


15) Moth eaten appearance seen in

Ans - Ewing Sarcoma

16) Location of BRCA1  gene

a) 13p

b) 13 q

c) 17 p

d) 17 q


Q 17 ) Anal Carcinoma  involvement of external iliac group of lymph nodes
a. Stage II
b. Stage III a
c. Stage III b

Q18) Paclitaxel mechanism of action

Q 22) which of the following is risk factor for cholangiocarcinoma
1. HCV
2. chlornochis
3. schistomsomiasis
4. HBV

Q 23)Von Hippel Lindau (VHL) causes all except
1. breast cancer
2. pancreas cancer
3. renal
4. hemangioma of cerebellum

Q24) Which of the following lung cancers  is not commonly operated

a) SCLC (Small Cell Lung cancer)

b) Squamous cell  cancer lung

c) Carcinoid lung

d) Adenocarcinoma lung


a) SCLC tends to be disseminated on presentation and is rarely cured by surgery or radiotherapy. It is chemosenstive  and 2/3 of patients receive partial response on chemo

For Non Small cell lung cancer VATs and radiation play an important role

The standard of care for healthy patients with a clinical stage I NSCLC is surgical resection. This should involve a lobectomy
with at least a systematic mediastinal node sampling and should be performed by VATS in an experienced center.

Stage II - No comorbidities- Surgery + Adjuvant chemotherapy, If positive margins then radiotherapy

Locally Invasive T3N0-N1, Surgery

Q 25) Management of peripheral lesion in lung - Next step
1. CT guided biopsy
2. bronchial biopsy
3. EUS

Ans a) CT guided biopsy

If the probability of lung cancer is high (e.g., >80%), it is generally more efficient to proceed with evaluation of the stage than confirmation of the diagnosis.

Biopsy of a potential solitary metastasis or of a suspicious mediastinal node can confirm both the stage and diagnosis.

An SPN (solitary pulmonary nodule)  is defined as a solitary lesion <3 cm in diameter, surrounded by normal lung, and not associated with other abnormalities in the thorax, such as lymphadenopathy or pleural effusion.

Q 26) First gene to be involved in Carcinoma Pancreas

a) Kras


c) DPC 4


Ans a) K ras

Normal epithelium to PAN IN I A and PANIN I b by Kras is the first

PANIN I b to PAN IN II by CDKN2A gene

Last is p53 and DPC4

Q27) Stauffer's syndrome in RCC is due to 
1)IL 1
2)IL 2
3)IL 6


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