MCQ 2nd week of August, 2015

11

 

  1. A 30 year old G2 P2 woman with episodic hypertension is 28 week pregnant. She is now found to have a 4 cm left adrenal pheochromocytoma. The next step is alpha blockade and phenoxybenzamine and:
a.     Adrenalectomy at time of vaginal delivary after fetal maturity.
b.    Immediate laparoscopic adrenalectomy.
c.     Adrenalectomy at time of caesarian section  after fetal maturity.
d.    Immediate open adrenalectomy.
e.     Elective adrenalectomy after term vaginal delivary.

 

  1. A 60 year old women complain of peristomal pain three days after undergoing a radical cystectomy and ileal conduit for bladder cancer. A 16 F catheter is in the conduit, ureteral stent were not utilized. Her stoma was initially dusky and now is black. The next step is:
a.     Observation.
b.    Remove conduit catheter.
c.     Loop endoscopy.
d.    Loopogram.
e.     Bilateral percutaneous nephrostomy.

 

  1. The most appropriate perioperative management of a patient undergoing adrenalectomy for cushing’s syndrome is:

 

a.     Potassium sparing diuretics, stress dose steroid, and careful glycemic control
b.    Hydration, alpha blockers, and stress dose steroid.
c.     stress dose steroid and careful glycemic control.
d.    Beta Blockers, stress dose steroid, and careful glycemic control.
e.     Potassium sparing diuretics, and stress dose steroid.

 

  1. A 56 year old man undergoes partial penectomy for pT2 squamous cell carcinoma. Examination show no inguinal adenopathy. The primary tumor characteristic most predictive of pathologic lymph involvement is:

 

a.     Corpora cavernosal involvement.
b.    Corpora spongiosum involvement.
c.     Lymphovascular invasion.
d.    HPV status.
e.     Tumor thickness > 5 mm.

 

  1. A 30 year old man is diagnosed with stage 3 NSGCT. He undergoes radical orchiectomy and four cycles of BEP chemotherapy. His tumor markers have normalized. However he has a 10 cm retroperitoneal mass and three 1cm pulmonary masses (50%  size reduction after chemotherapy). after his RPLND, the next step is:
a.     Resection of lung masses if retro peritoneum has teratoma.
b.    Observation with serial imaging.
c.     Resection of lung masses.
d.    Resection of lung masses if retro peritoneum has active tumor.
e.     PET scan with resection of lung masses if positive.

 

Advertisements

1 Comment

Filed under MCQ

One response to “MCQ 2nd week of August, 2015

  1. samir

    1-c
    2-c
    3-c
    4-c
    5-b

    Like

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s