Breast Endo

GENESIS : SIF 1/5/23, 2:30 AM
GENESIS
(Post Graduation Medical orientation Centre)
Exam : FCPS P-1 Breast and Endocrine: [50-53] Jan'23
Course: FCPS Part-1 Discipline: Surgery & Allied
Batch: Online Foundation Batch-3 Jan'23
Year: 2022 Session: January'23 P-I Candidate
(1 of 30 )
Following are goitrogens
a) Cabbage T
b) Kale T
c) Rape T
d) Calcium T
e) Excessive Iodine T
(2 of 30 )
Indication for thyroid surgery
a) Hyperplastic goiter F
b) Multinodular goitre F
c) Nodudler goiter with features of malignancy T
d) Swallowing symptoms T
https://genesisedu.info/question-answer-list/69834/5280 Page 1 of 14
e) Cosmetic purpose T
(3 of 30 )
Regarding FNAC of thyroid gland-
a) Highly Specific & Sensitive T
b) Gold standard to determine physical properties F
c) Should be used as primary investigation F
d) Reliable for papillary thyroid Cancer T
e) Excellent in distinguishing follicular aderome & carcinoma F
(4 of 30 )
Medullary Carcinoma of thyroid gland
a) Most common thyroid malignancy F
b) Frequent lymph node metastasis F
c) Derived from C cells T
d) High level of S. Calcitonin is characteristic T
e) Diarrhoea is a Common feature T
(5 of 30 )
Parathyroid gland
a) Derived from3rd &4th pharyngeal arches F
b) Blood supply for both superior & inferior thyroid gland are from inferior thyroidal
T
artery
c) Freely mobile T
d) Superior Parathyroid gland are most Constant in position T
e) Inferior Parathyroid gland are related to lower pole of thyroid T
(6 of 30 )
Target organs of aldosterone
a) Kidney T
b) Sweat gland T
c) Parotid gland F
d) Salivary gland T
e) Intestinal mucosa T
(7 of 30 )
Disease associated with adrenal insufficiency
a) Tuberculosis T
b) Hemorrhage T
c) Metastases T
d) Wilson’s disease T
e) HIV infection T
(8 of 30 )
Wermer’s Syndrome includes
a) Pituitary gland tumor T
b) Parathyroid tumor T
c) Medullary Carcinoma of thyroid F
d) Pheochromocytoma F
e) Pancreatic tumor T
(9 of 30 )
Adrenal glands
a) Retroperitoneal organ T
b) Right adrenal gland is located between IVC & duodenum F
c) Left adrenal gland lies close to the lower pole of left kidney F
d) left adrenal gland is covered by pancreatic head & Spleen F
e) Both adrenal vein drains into the IVC T
(10 of 30 )
MRI is a very useful investigation modality for breast. It is useful in
a) To distinguish Scar from recurrence T
b) To assess multifocality T
c) To assess metacentricity T
d) To assess high grade ductal carcinoma T
e) Screening tool for young women with no family history F
(11 of 30 )
Discharge from nipple draws attention highly as it is related with a variety of pathology.
Causes of blood stained nipple discharge from single ducts-
a) Intraduct papilloma T
b) Intraduct carcinoma T
c) Fibrocystic disease F
d) Duct ectasia T
e) Ductal carcinoma F
(12 of 30 )
ANDI involves disturbance in the breast physiology extending from a perturbation of normally
to well defined process. It includes-
a) Cyst formation T
b) Hyperplasia T
c) Metaplasia F
d) Fibrosis T
e) Papillomatosia T
(13 of 30 )
Breast cysts-
a) Usually occurs in early decade of reproductive life F
b) Often bilateral T
c) Occurs due to non integrated involution of stroma & epithelium T
d) Can mimic carcinoma T
e) Cytological examination is a routine practice F
(14 of 30 )
Which of the following possess “no increased risk” for invasive breast carcinoma-
a) Atypical hyperplasia F
b) Papilloma with fibrovascular core F
c) Apocrine metaplasia T
d) Squamous metaplasia T
e) Fibroadenoma T
(15 of 30 )
Musculocutaneous flap for reconstructive breast surgery can be constructed from-
a) Pectoralis major F
b) latissimus dorsi T
c) External oblique muscle F
d) Transversus abdominis T
e) Rectus abdominis F
(16 of 30 )
What amount of normal tissue can be left after subtotal thyroidectomy-
a) Upto 4 gm
b) Upto 6 gm
Correct
c) Upto 8 gm
Ans
d) Upto 10 gm
e) Upto 12 gm
(17 of 30 )
Gold standard investigation to determine the physical characteristics of thyroid swelling?
Correct
a) USG
Ans
b) FNAC
c) Radiology
d) Laryngoscopy
e) Core biopsy
(18 of 30 )
A woman of reproductive ago group admitted in emergency department due to sudden

fracture of shaft of femur due to fall from bed. On query, patient complain of weight loss. On
general examination a palpable thyroid swelling was found. What is the diagnosis?
a) Papillary Ca of thyroid
b) Medullary Ca of thyroid
Correct
c) Follicular Ca of thyroid
Ans
d) Anaplastic Ca of thyroid
e) Lymphoma
(19 of 30 )
Medullary carcinoma is of para follicular cell origin, derived from neural crest. Following
which is tested in suspected cases as a tumor marker?
a) Ϩ feto protein
Correct
b) Carcino embryogenic antigen
Ans
c) S. calcium
d) Thyroglobiulin
e) Ca 15-3
(20 of 30 )
Most common site of superior parathyroid gland-
a) Upper pole of thyroid
b) Carotid sheath
c) Paraesophageal and below ITA
Correct
d) Around intersection of ITA & RLN
Ans
e) Intrathyroidal
(21 of 30 )
Most common clinical manifestation of symptomatic primary hyperparathyroidism-
a) Osteoporosis
Correct
b) Nephrolithiasis
Ans
c) Pancreatitis
d) Psychosis
e) Band keratopathy
(22 of 30 )
A patient presents with acute confusion, abdominal pain, vomiting, dehydration. On ECG,
prolongation of P –R interval. His S. calcium level was 4.2 mmo/L. which of the following
plays a pivotal rote for treating the patient?
a) Bisphosphonate
b) Furosemide
c) Calcitonin
d) Glucocorticoids
Correct
e) Aggressive rehydration
Ans
(23 of 30 )
A patient of Cushing disease underwent a bilateral adrenalectomy after failed pituitary

surgery, the pituitary adenoma causes nelson syndrome due to continued ACTH secretion at
high levels causing hyperpigmentation. Which of the following hormone has chemical
synergist with ACTH causing it’s hyper section.
a) TSH
b) ADH
c) FSH
Correct
d) MSH
Ans
e) LH
(24 of 30 )
Most common site of pancreatic gestrinomas?
Correct
a) Head
Ans
b) Body
c) Neck
d) Tail
e) Uncinate process
(25 of 30 )
In MEN1 which of the endocrine gland is affected most?
a) Pancreas
Correct
b) Parathyroid
Ans
c) Pituitary
d) Adrenals
e) Thyroid
(26 of 30 )
Best imaging modality for the breast of women with implants?
a) Ultrasonogram
b) Mammogram
Correct
c) MRI
Ans
d) CT Scan
e) CXR
(27 of 30 )
A lactating mother visited outpatient department with fever, tenderness over brand, swelling
reddish is color. She was diagnosed a case of breast abbcess. Responsible organism-
Correct
a) Staphylococeus aureus
Ans
b) Streptococcus pyogen
c) Psuedomonas
d) E. coli
e) Klebsiella
(28 of 30 )
Most common form of breast carcinoma-
a) Lobular carcinoma
b) Tubular carcinoma
Correct
c) Ductal carcinoma
Ans
d) Inflammatory carcinoma
e) In situ carcinoma
(29 of 30 )
Which of the following route of skeletal metastasis is more common is order of frequently?
a) Thoracic vertebrae
b) Femur
Correct
c) Lumber vertebra
Ans
d) Rib
e) Skull
(30 of 30 )
Most widely used hormonal treatment for breast cancer -
Correct
a) Tamoxifen Ans
b) Anastrozole
c) Lentrizole
d) Fulvestrant
e) LHRH agonist

Breast Endo

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GENESIS : SIF 1/5/23, 2:30 AM

Course: FCPS Part-1 Discipline: Surgery & Allied

Batch: Online Foundation Batch-3 Jan'23

Year: 2022 Session: January'23 P-I Candidate

Following are goitrogens

Indication for thyroid surgery

c) Nodudler goiter with features of malignancy T

Regarding FNAC of thyroid gland-

a) Highly Specific & Sensitive T

b) Gold standard to determine physical properties F

c) Should be used as primary investigation F

d) Reliable for papillary thyroid Cancer T

e) Excellent in distinguishing follicular aderome & carcinoma F

Medullary Carcinoma of thyroid gland

a) Most common thyroid malignancy F

b) Frequent lymph node metastasis F

c) Derived from C cells T

d) High level of S. Calcitonin is characteristic T

e) Diarrhoea is a Common feature T

a) Derived from3rd &4th pharyngeal arches F

d) Superior Parathyroid gland are most Constant in position T

e) Inferior Parathyroid gland are related to lower pole of thyroid T

Target organs of aldosterone

Disease associated with adrenal insufficiency

Wermer’s Syndrome includes

a) Pituitary gland tumor T

c) Medullary Carcinoma of thyroid F

b) Right adrenal gland is located between IVC & duodenum F

d) left adrenal gland is covered by pancreatic head & Spleen F

e) Both adrenal vein drains into the IVC T

MRI is a very useful investigation modality for breast. It is useful in

a) To distinguish Scar from recurrence T

d) To assess high grade ductal carcinoma T

e) Screening tool for young women with no family history F

a) Usually occurs in early decade of reproductive life F

c) Occurs due to non integrated involution of stroma & epithelium T

d) Can mimic carcinoma T

e) Cytological examination is a routine practice F

b) Papilloma with fibrovascular core F

Musculocutaneous flap for reconstructive breast surgery can be constructed from-

c) External oblique muscle F

What amount of normal tissue can be left after subtotal thyroidectomy-

Gold standard investigation to determine the physical characteristics of thyroid swelling?

A woman of reproductive ago group admitted in emergency department due to sudden

Most common site of superior parathyroid gland-

a) Upper pole of thyroid

c) Paraesophageal and below ITA

Most common clinical manifestation of symptomatic primary hyperparathyroidism-

A patient of Cushing disease underwent a bilateral adrenalectomy after failed pituitary

Most common site of pancreatic gestrinomas?

In MEN1 which of the endocrine gland is affected most?

Best imaging modality for the breast of women with implants?

Most common form of breast carcinoma-

Most widely used hormonal treatment for breast cancer -

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