Professional Documents
Culture Documents
MCQ
1. Regarding consent
TRUE A. Must explain diagnosis
TRUE B. Must explain other successful treatment options
TRUE C. Side effects of 1 % or less should be explained.
TRUE D. Consent can be taken by junior doctor in surgical department.
TRUE E. Must explain the procedure of choose surgery
3. Bladder cancer
TRUE A. Bladder cancer cause is aniline dye
FALSE B. Happens in young adults
FALSE C. Squamous cell carcinoma most common The most common type is transitional cell carcinoma
TRUE D. Intermittent haematuria common
TRUE E. Intravesical Bacillus Calmette–Guerin (BCG) in early CA
12. Patient with inhalational injury, erythema and blisters on oropharynx and 2nd n 3rd degree burn of 15%.
Carboxyhaemoglobin level of 20%. What’s your immediate management?
A. Fluid restriction
B. Endotracheal intubation
C. High dose corticosteroid
D. Acetylcysteine
13. Male 53 years old 30 years smoking history, post op day 2, tachypneic after cholecystectomy due to biliary
pancreatitis spO2 90%
A. Aspiration
B. Bronchial oedema and bronchospasm
C. Pulmonary atelectasis due to impaired secretion/ shallow breathing
D. Ventilator-associated pneumonia
17. 55 years old patient with leg pain after walking 100m. Also associated with rest pain. Popliteal and pedal
not palpable. Good femoral pulse.
A. Common iliac obstruction
B. Internal iliac stenosis
C. Posterior popliteal obstruction
D. Profunda femoral stenosis
E. Superficial femoral artery obstruction
18: A 54 years old male with 12 years history of GERD. Previous GI endoscopy 10 years ago revealed mild
Barret oesophagus and since then was started on PPI. Recent follow up he started having dysphagia to solid
foods. What is most probable diagnosis?
A. Squamous cell carcinoma of oesophagus.
B. Esophageal stricture.
C. Adenocarcinoma of oesophagus.
MEQ
40 years old lady presented with breast lump.
She has moderate risk factor. Examination revealed mobile ipsilateral axillary node. Mammography revealed
3.6 cm mass on the breast.
3. What is your next step?
Fine needle aspiration cytology
4. Laboratory, imaging investigations, indications of bone scan?
5. Clinical staging of this patient?
Biopsy revealed differentiated Invasive ductal carcinoma (IDC)
6. What are tumour receptors?
7. Significance of tumour receptors?
Cortical abnormalities include a focal or diffuse thickening of > 3 mm, the presence of focal bulges and a
peripheral vascularization with the color Doppler.
Late morphological abnormalities due to metastatic lymph node infiltration. After infiltrating the cortex, the
tumor invades the lymph node hilum. Diffuse tumoral infiltration cause loss of normal oval shape and lymph
node takes a round shape. Finally, the tumor invades the perinodal fat, making the contours of the node blurry.
9. She has DM and on Metformin OD. How do we manage?
10. Definitive treatment.
There are two main types of local treatments for IDC: surgery and radiation therapy.
Systemic treatments for IDC include:
chemotherapy
hormonal therapy
targeted therapies
Some students are unfortunately still unable to distinguish SB from LB on plain abdo. X-ray.
You need to improve on this by looking at textbooks pictures and some radiology demonstration, there
are thousands online. You just need the motivation to look.
I am happy with your management plan, this compensated well on your final scores .
Your management outline was satisfactory, but remember to cover the exposed loop in sterile moist
dressing or a plastic sheet. Antibiotics are essential here.
Since the question says isolated injury, it means that no other regions injured although I consider it
right to follow standard systemic approach.
FAST is an adjunct investigation in blunt trauma cases but not usually for penetrating trauma where
laparotomy or laparoscopy is clearly indicated.