MCH Preparation
Q) A 73 year male, old heavy smoker presents with haemoptysis. On examination he is cachectic and shows evidence of clubbing. Imaging shows a main bronchial tumour with massive mediastinal lymphadenopathy together with widespread visceral metastases. Which of the following variant is likely in him? ( Theme from mock test 12- 24)
a) Adenocarcinoma
B. Small cell lung cancer
C. Large cell lung cancer
D. Squamous cell carcinoma
Q) A 25-year-old man presents to the emergency center with complaints of vague chest discomfort. patient is noted to have a large anterior mediastinal mass. The alpha.-fetoprotein levels are markedly elevated. What is the likely diagnosis? ( Theme of next mock test )
A. Non seminomatous germ cell tumor
B. Seminoma
C. Thymoma
D. Lymphoma
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Q) After kidney transplant highest graft loss is seen in which condition?
a) Hemolytic uremic Syndrome
b) Ig A nephropathy
c) MPGN type 2
d) Systemic lupus
Q) A 50-year-old male with past history of MRSA presents to the emergency department 7 days after sigmoid colectomy with complaints of purulent drainage from his surgical incision
Temp is 102 F
Vitals stable
Purulent drainage is easily expressed from the most inferior aspect of the incision.
Which of the following is the most appropriate management of this patient?
a) Open the incision, obtain a fluid culture, and start on an empiric course of IV Vancomycin and Piperacillin-Tazobactam
b) Open the incision, obtain a fluid culture and start on an empiric course of IV Vancomycin alone
c) Open the incision, obtain a fluid culture, and hold off on starting antimicrobial therapy until culture data returns
d) Discharge home on a 7-day course of oral Cephalexin
High Yield Question on General Surgery from Bailey , Schwartz and Sabiston
Useful for NEET SS and INI
