SCA

Question 1

Name four differential diagnosis of cotton wool appearnace in lung

Answer 1

CXR P/A view showing multiple irregular rounded shadow of variable size and shape involving both lung fields
Four causes:
1. Germ cell tumor
2. Renal cell carcinoma
3. Soft tissue sarcoma
4. Malignant melanoma

Question 2

Common causes of bone metastasis

Answer 2

Thyroid
Breast
Lung
Kidney
Prostate

Question 3

Identify the instrument?
Prescribe dose for the treatment of stage IIB disease of uterine cervix

Answer 3

Fletcher suit applicator with one central tandem and two vaginal ovoid
Dose:
EBRT: 50 Gy in 25 fractions plus ICRT 7 Gy in 3 fraction

Question 4

What are the indication of post operative concurrent chemoradiation after surgery of a case of carcinoma cervix

Answer 4

Margin positive
Node positive
Parametrial or more involvement

Question 5

Write down the morbidities of brachytherapy

Answer 5

Uterine perforation
Vaginal laceration
Deep vein thrombosis
Proctatitis

Question 6

Coomon causes of brain metastases

Answer 6

Lung 50% of male
Breast
Git
Melanoma
Kidney
Ovary
Bladder
Prostate