First three Questions are free, rest are for Premium Members
Q) Carcinoma Penis invading into the Corpora Spongiosum is ?
a) T1a
b) T1b
c) T2
d) T3
Q) NSGCT post BEP, Residual Retroperitoneal mass of 2 cm. What will be the further treatment. A. Observe B. Complete RPLND C. Two cycles of BEP D. Radiotherapy
Q3) Origin of prostatic carcinoma is from which zone A. Transition zone B. Peripheral zone C. Central zone D. AMS
Ans3 b
The peripheral zone constitutes 70% of the prostate gland and is the area palpated during digital rectal examination (DRE).
The area around the ejaculatory ducts is called the central zone and accounts for 25% of the gland.
The transitional zone comprises 5% of the prostate gland around the urethra. In a pathologic review of 104 prostate glands from patients who underwent radical prostatectomy, 68% of the cancers were located in the peripheral zone, 24% in the transitional zone, and only 8% in the central zone. Almost all stage T1 (nonpalpable) cancers in that study were found in the transitional zone
Ref Anderson 818
Q) Most common PSA in prostatic cancer tissue is
a) Intact PSA
b) Complexed PSA c) Nick PSA
d) PRO PSA
Ans d
There are 3 forms of fPSA (free PSA) : inactive PSA, known as proPSA, and 2 other forms; BPSA (nicked PSA) and intact PSA (iPSA).
BPSA and iPSA have been associated with benign disease of the prostate while proPSA has been found in prostate cancer tissue.
Bailey 1379
Q Which value doesn't change in stauffer syndrome? 1)Bilirubin 2)ALP 3)ESR 4)Prothrombin time
Ans ) c ESR
Paraneoplastic syndromes of RC C include hypercalcemia, hypertension, polycythemia, and hepatic dysfunction (Stauffer syndrome).
Stauffer syndrome is a paraneoplastic syndrome associated with RCC that results in elevated liver function tests. If hepatic function does
not normalize after nephrectomy, persistent hepatic dysfunction is indicative of persistent disease.
It is characterized by hepatic dysfunction in the absence of metastasis, and elevated alkaline phosphatase, aminotransferases and prolonged prothrombin time. Raised bilirubin is seen in 30%