MEDICAL EXAM QUESTIONS

1. Carcinoid tumours commonly arise from:
(a) G. cells in pancreas
(b) Colon polyps
(c) Pancreatic endocrine tumour
(d) Argentaffin cells of small intestine

2. 9. In a male patient of road traffic accident with blood at the tip of external meatus, the likely injury is:
(a) Injury to urethra
(b) Injury to all of these
(c) Injury to kidney
(d) Injury to urinary bladder

3. Which of the following viral markers signifies the ongoing viral replication in the case of
Hepatitis-B infection?
(a) HBe Ag
(b) Anti-HBc
(c) Anti-HBs
(d) HBs Ag

4. A 35 year old female has inflammatory carcinoma of left breast, with clinically palpable two left axillary lymph nodes and no clinically or radiologically detectable metastasis. Her TNM staging will be:
(a) T4 N2 M0
(b) T4d N2 M0
(c) T4d N1 M0
(d) T4b N2 M0

5. The following may result in polyuria except:
(a) Chronic renal failure
(b) Lithium carbonate therapy
(c) Hypercalcaemia
(d)  Hypoadrenalism

6.  Milan trial, NSABP trial and EORTC trial in breast cancer compared:
(a) Neo adjuvant chemotherapy vs Adjuvant chemotherapy
(b) Breast conservative therapy vs Mastectomy
(c) Chemotherapy vs Radiotherapy in breast cancer
(d) Hormonal vs Chemotherapy

7. Regarding adult polycystic kidney disease, which one of the following statements is not  correct?
(a) Inherited as autosomal dominant with 100% penetrance
(b) Renal cell carcinoma is a frequent association 
(c) Associated with increased incidence of subarachnoid haemorrhage
(d) Often associated with hepatic cysts

8. Regarding breast conservative therapy and issue of post operative local recurrence, all are true except:
(a) Lumpectomy can be considered in any size provided the tumour can be excised with clear margins and acceptable cosmetic results
(b) Margins should be clear for lobular carcinoma in situ (LCIS).
(c) Margins should be clear for ductal carcinoma in situ (DCIS)
(d) Margins should be clear for invasive cancer

9. A patient with past history of recurrent headache, presents with irregular, dazzling, enlarging visual phenomena that obstructs vision in the affected region and remains for several minutes. The symptoms are indicative of:
(a) Acute angle closure glaucoma
(b) Intumescent cataract
(c) Migraine
(d) Retinal detachment

10. A 75 year old lady came with an incidentally diagnosed splenic artery aneurysm which after radiological investigation confirmed to be calcified. She should be offered:
(a) Endovascular stenting
(b) Embolisation
(c) Observation
(d) Laparoscopic splenic artery ligation and splenectomy

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