2.GS

Question 1

Gold stander for diagnosis & staging for bladder cancer is….

Answer 1

Cystoscopy * UpToDate

Question 2

Old pt with LGIB , unstable ( hypotensive) despite receiving blood , most appropriate Mx is ?

Answer 2

Angiography

For angioembolization

according to aldelegan : Never take P.t with LGIB to ER even if Unstable, first Put NGT & proctoscopy “anal Exam “ to R/O UGIB & anorectal rectal then go to surgery. -Massive Bleeding “ unstable” : imaging - if p.t is stable : colonoscopy See this Pic from Aldelegan

Question 3

breastfeeding woman presents with localized mass on Rt upper quadrant of Rt breast with axillary lymph nodes swelling, What is the most appropriate management? A. Hot compression and analgesic B. Antibiotics C. Drainage

Answer 3

Dx is ; breast abscess
Mx ; C

Question 4

45 year old male patient , presented with right illiac fossa pain , on examination right illiac fossa mass , admitted to hospital and treated conservatively and complet resolved, U/s appendicular mass without collection , what is your management?
A.No need for follow up
B.Laparoscopic appendictomy 3 to 6 months later
C.lapratomy for appendectomy 3 to 6 months later
D. Colonoscopy

Answer 4

Colonoscopy within 6-8w to role out cancer espically in elderly ( >40 y must undergo with colonoscopy to role out cancer )
By Bailey& love & Dr.Aldlaijan notes

Question 5

Young year old man with appendicitis was treated conservatively with antibiotics. He now presents with an appendicular mass with no collection. How will you manage this case?
A. Interval laparoscopic appendectomy after 6 weeks
B. Interval open appendectomy after 12 weeks
C. No further intervention needed
D. Colonoscopy after 6 weeks

Answer 5

A
Remember ; young man with appendicular mass&raquo_space; interval laparoscopic appendectomy within 6 weeks

Question 6

A scenario about a person having a mass in the triceps muscle suspected to be metastatic. Asked about most appropriate step. Options were
A. CT,
B. MRI
C. biopsy

Answer 6

INTIAL step is ; MRI first to role out vascular ,neuro & bone invasion

Second step is ; Biopsy&raquo_space; according to size ;
- less than 5 cm&raquo_space; excisonal biobsy
>or = 5 cm&raquo_space; Core needle biopsy
Note by Alabeidi

Question 7

Q.Male patient after appendectomy Histology 1cm carcinoid on the tip of the appendix ,Mx is :
1 follow up
2 hemicoloctomy

Answer 7

Follow up

Question 8

Thyroid mass in 14 y girl ,TSH is normal ,FNA done which was not diagnostic,,what to do ?

Answer 8

Repeat FNA
non diagnostic FNA= Bethesda I = need repeat FNA

Question 9

45 yo female came to screen for htn us abdomen done showed gallbladder polyp 0.6 cm No stones Management
? A- surgical consultation
B- fu + us in 6 months
C- no intervention

Answer 9

B

Question 10

Patient 40 years old underwent colectomy for Four hours and on the next day, he had abdominal discomfort with fever and leukocytosis. What is Diagnosis?

Answer 10

Sepsis