A clinical picture of breast cancer originated from the mammary duct.

Biopsy was done ad there

were neoplastic cells found. Choose the histological picture of the cancer.

Desc: The key is C. Small cells with round nucleus and scant indistinct cytoplasm (Lobular carcinoma)

A:) Neoplastic cells are arranged in small clusters occupying a space between collagen bundles
(Seirrhous

carcinoma)

B:) Spindle cell neoplasms with margins, which infiltrate adjacent structure, fat invaded (Breast sarcoma)

C:) Small cells with round nucleus and scant indistinct cytoplasm (Lobular carcinoma)

Correct: C

Q:16) A 22yo man has a reduced conscious level and a fixed dilated pupil after being involved in a MVC.

Choose the single most appropriate option?

Desc: The key is B. Oculomotor nerve. [3 rd nerve damage can cause fixed dilated pupil].

A:) Facial nerve

B:) Oculomotor nerve

C:) Olfactory nerve

D:) Optic nerve

E:) Trigeminal nerve

Correct: B

Q:17) A man with suspected active TB wants to be treated at home. What should be done to prevent

the spread of disease?

Desc: The key is D. Universal prevention application protocol.

A:) Immediate start of the tx with Anti-TB drugs

B:) All family members should be immediately vaccinated with BCG vaccine

C:) Patient should be isolated in a negative pressure chamber in his house

D:) Universal prevention application protocol

Correct: D
Q:18) A 7yo child is brought to the ED with a 1 day hx of being listless. On examination, the child is
drowsy

with an extensive non-blanching rash. What advice would you give the parents?

Desc: The key is D. All family members should be given rifampicin prophylaxis. [Meningococcal disease.

Diagnosis is done with blood or CSF PCR. Initial prehospital management: Benzyl penicillin or

cefotaxime].

A:) All family members need antibiotic therapy

B:) Only the mother should be given rifampicin prophylaxis

C:) All family members need isolation

D:) All family members should be given rifampicin prophylaxis