Quiz 2

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Sugical Department/ Prince Zid Hospital/ Tafileh

Quiz Two

In which of the following organs is an arterial thromboembolus least likely to produce an .1


?infarct
A. Brain
B. Liver
C. Kidney
D. Heart
E. Spleen

:Which one of the following tumors is benign .2


A. hepatoma
B. Wilm's tumor
C. seminoma
D. osteoma
E. chlordoma

:Which of the following cell type is most crucial in chronic rejection reaction .3
A. Lymphocytes.
B. Plasma cells.
C. Histiocytes.
D. Tissue eosinophils.
E. Basophils.

:Which of the following substances is the most likely mediator for fever .4
A. Bradykinin
B. Histamine
C. Tumor necrosis factor
D. Myeloperoxidase
E. Phospholipase C

In the sequence of adenoma to colorectal carcinoma which of the following mutations occurs as .5
:the final event
A. Loss of DNA methylation
B. Mutation of ras gene on chromosome 12p
C. Loss of tumour suppressor on chromosome 18q
D. Loss of p53 gene on chromosome 17p
E. Loss or mutation of APC locus on chromosome 5q
?What tumor is MOST LIKELY to change size during radiation therapy . .6

A. Meningioma

B. Oligodendroglioma

C. Craniopharyngioma

D. Brain metastasis from lung cancer

E. Medulloblastoma

According to the AJCC 7th edition staging manual for NSCLC, which of the following is .7

?classified as T3

A. Tumor size more than 5 cm

B. Chest wall invasion

C. Mediastinum invasion

D. Separate tumor nodule(s) in a different ipsilateral lobe

E. Involvement of the main bronchus, ≥ 2 cm distal to the carina

The high- risk feature for T2N0 gastric cancer that mandate the need for Adjuvant therapy .8
: after surgery include all of the following except

A. Lymph vascular invasion


B. High grade
C. Tumor size
D. R0 resection
E. Age more than 50

The presence of Psammoma bodies in a thyroid neoplasm supports the diagnosis of which one .9
?of the following

A. Papillary carcinoma

B. Medullary carcinoma

C. Follicular carcinoma

D. Hiirthle cell carcinoma

E. Insular carcinoma

:A Klatskin tumor is best defined as a .10


.A. liver metastasis involving the portal vein

.B. hepatocellular carcinoma in a cirrhotic liver

.C. gallbladder carcinoma involving the cystic duct

.D. cholangiocarcinoma involving the confluence of right and left hepatic bile ducts

E. cholangiocarcinoma involving the bile duct

?The uterine arteries run to the uterine fundus via what ligament .11

A. Broad

B. Round

C. Cardinal

D. Uterovaginal

E. Uterosacral

Which one of the following findings is a contraindication to breast conservation therapy after .12
?neoadjuvant chemotherapy

A. Invasive lobular histology

B. Diffuse microcalcification on mammography

C. LCIS

D. Lymph vascular space invasion

E.Localized DCIS

?Which one of the following is the MOST common bladder cancer histology .13

A. Adenocarcinoma in females

B. Squamous cell carcinoma in males

C. Transitional cell carcinoma in males and females

D. Squamous cell carcinoma in patients more than 70 years old


E. Adenocarcinoma in patients less than 50 years old

Which one of the following statements is CORRECT about malignant thyroid epithelial .14
?tumors

.A. Medullary carcinoma is not associated with calcitonin

.B. Follicular type is the most common

.C. Papillary carcinoma has a poor prognosis

.D. Hurthle cell carcinoma commonly metastasizes to lymph node at presentation

E. Anaplastic carcinoma is more common in elderly pt

?What is the most common histologic subtype for rhabdomyosarcoma of the extremities.15

A. Alveolar

B. Botryoid

C. Embryonal

D. Spindle cell

E. Mixed type

Good Luck

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