Afmg Dec Surgery Breast & Thyroid Test
- 1.All are true ductal ca in situ except
- A.
Mammographically visible microcalcification
- B.
It has increased malignant potential
- C.
Comedo & papillary forms are the most common and are associated with multicentric disease
- D.
Grading was suggested by lagios and his collegues
- 2.Fine needle aspiration cytology choose the correct answer
- A.
The false positive rates are high
- B.
The false positive does not occur
- C.
The false negative rate is hight
- D.
The false negative rate is low
- 3.The following are classic features of breast cancer on mammography except
- A.
Tissue asymmetry
- B.
Mass effect
- C.
Micro calcification
- D.
Skin thickening
- E.
Nipple inversion
- F.
None of the above
- 4.The treatment of choice for early breast cancer where conservative breast surgery is not possible
- A.
Modified radical mastectomy
- B.
Radical mastectomy
- C.
Extended radical mastectomy
- D.
RT
- 5.37year old premenopausal lady left breast carcinoma with axillary lymph node positive, MRM done, next procedure is
- A.
Adriamycin associated chemotherapy with tamoxifen if ER/PR positive
- B.
Only adriamycin
- C.
Radiotherapy
- D.
Option 4
- 6.True about male breast cancer
- A.
Doesn’t follow gynaecomastia
- B.
Lobular variety common
- C.
Estrogen receptor negative
- D.
Surgery treatment of choice
- 7.Which of the following is not associated with fat necrosis
- A.
Liposuction
- B.
Radiotherapy
- C.
Mammography
- D.
Breast carcinoma Trauma
- 8.Mutated p53 gene is formed in most of
- A.
Anaplastic Ca
- B.
PTC
- C.
Follicular
- D.
Medullary
- 9.Distant metastasis to lungs more commonly encountered is
- A.
Adult
- B.
Children
- C.
Advanced age
- D.
Any of the above
- 10.A 18 year old Manju, smart looking girl comes with symptoms of thyrotoxicosis and diagnosed as graves disease. She doesn’t have eye signs. What is the procedure of choice
- A.
Lobectomy
- B.
Partial thyroidectomy
- C.
Subtotal thyroidectomy
- D.
Radio iodine
- 11.Thyroiditis which is more common in areas of iodine except
- A.
Hashimotos thyroiditis
- B.
De-Quervain’s thyroiditis
- C.
Ridel’s thyroiditis
- D.
Acue suppurative thyroiditis
- 12.36 years old shweta with diffuse enlargement of thyroid with increase TSH, decrease T4 T3, FNAC suggestive of chronic lympocytic thyroiditis. What will you do?
- A.
Thyroxine
- B.
Total thyroidectomy
- C.
Radio iodine
- D.
Antithyroid drugs
- 13.The investigation of choice in patients with thyroid nodule is
- A.
FNAC
- B.
USG
- C.
CT
- D.
Iodine uptake
- 14.The most common cause of hypothyroidism is
- A.
Hashimoto’s
- B.
Thyroidectomy
- C.
131 I therapy
- D.
Anti thyroid drugs
- 15.The predominant thyroid cancer in children
- A.
PCT
- B.
MCT
- C.
FCT
- D.
Anaplastic
- 16.Kalloo 45 year’s presents with a swelling in the thyroid gland and a lymph node in the neck. Aspiration of the node shows amyloid material. What is the management of choice for this patient
- A.
Hemithyroidectomy with neck dissection
- B.
Total thyroidectomy with neck dissection
- C.
Total thyroidectomy with neck irradiation
- D.
Hemithyroidectomy
- 17.Damage to the superior laryngeal nerve causes
- A.
No effect
- B.
Hoarseness
- C.
Loss of timbre and resonance
- D.
Loss of speech
- 18.Commonest complication after subtotal thyriodectomy is
- A.
RLY aplsy
- B.
Tetany
- C.
Progressive exophtnalmos
- D.
Haematoma
- 19.Treatment of choice in cold nodule is
- A.
I-131
- B.
Hemithyroidectomy
- C.
Subtotal thyroidectomy
- D.
Wait and watch
- 20.Hyoid bone is removed to prevent the recurrence of
- A.
Thyroid nodule
- B.
Throglossal cyst
- C.
Ectopic thyroid
- D.
Papillary carcinoma
- 21.High levels of calcitonin are seen in
- A.
Follicular ca
- B.
Papillary ca
- C.
Anaplastic ca
- D.
Medullary ca
- 22.Respiratory distress on the fifty day is due to
- A.
Hypopaarathyroidism
- B.
Wound haematoma
- C.
Laryngeal edema
- D.
RLN palsy
- 23.Sings and symptoms of hyperthyroidism include all of the following except
- A.
Sleeping tachycardia
- B.
Exopthalmos
- C.
Pretibialmyxedema
- D.
Decreased sweating
- 24.Surgery in thyroiditis is necessary because
- A.
To prevent concerous dengeneration
- B.
For relief of pain in the ear
- C.
To overcome pressure on the trachea
- D.
Cure toxic reaction
- 25.Treatment of hashimoto disease is
- A.
Carbimazole
- B.
Thyroxine
- C.
Radioiodine
- D.
STT
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