Surgery - Surgery of the breast Flashcards
SUR - 5.1
Method used for taking biopsy and exposure of paratracheal and praetracheal lymph nodes:
A) Stemmer (Chamberlain)-biopsy
B) Klassen-biopsy
C) Carlens-biopsy
D) Scalenus lymph node biopsy
ANSWER
C) Carlens-biopsy
SUR - 5.2
Most frequently used treatment method of the spontaneous, primary pneumothorax:
A) bed rest
B) emergency thoracotomy and surgery
C) needle aspiration
D) thoracic drainage and suction therapy
ANSWER
D) thoracic drainage and suction therapy
SUR - 5.3
Usually effective treatment of the pleural empyema:
A) bed rest, antibiotics and pain killers
B) early thoracotomy, decortication
C) thoracic drainage, suction therapy
D) fenestration
E) VATS suctions and drainage
ANSWER
C) thoracic drainage, suction therapy
SUR - 5.5
Which type of the primary lung cancer is the most suitable for lung resection?
A) squamocellular cancer
B) adenocarcinoma
C) small cell lung cancer
D) large cell lung cancer
E) bronchioloalveolar
ANSWER
A) squamocellular cancer
SUR - 5.6
Which type of the primary lung cancer is the „worst” from early dissemination point of view, thinking of not suitable for surgical treatment by many experts?
A) squamocellular cancer
B) adenocarcinoma
C) small cell lung cancer
D) large cell lung cancer
E) bronchioloalveolar carcinoma
ANSWER
C) small cell lung cancer
SUR - 5.7
Which one is an important factor in the development of the mesotehlioma according to our knowledge?
A) specific (TB) pleurisy in the younghood
B) smoking
C) asbestos inhalation
D) repetiting chest wall traumas
E) inhalation of tetra-chlore-ethilene
ANSWER
C) asbestos inhalation
SUR - 5.8
Left upper lobe adenocarcinoma with ipsilateral mediastinal lymph node metastasis. How would you proceed?
A) This tumor is inoperable, because not only the lung but the mediastinum is also affected. Primery radio-chemotherapy is recommended.
B) Left upper lobectomy with radical mediastinal lymphadenectomy is recommended.
C) Induction (neoadjuvant) chemo (-radio) therapy is recommended with lobectomy and radical mediastinal lymphadenectomy later on.
D) Lobectomy, lympahedenectomy followed by adjuvant oncological therapy is recommended.
ANSWER
C) Induction (neoadjuvant) chemo (-radio) therapy is recommended with lobectomy and radical mediastinal lymphadenectomy later on.
SUR - 5.12
When are most of the chest deformity cases (excavated and carinated pectus) discovered?
A) at birth
B) in babyhood
C) in the teenagers
D) in adulthood
ANSWER
C) in the teenagers
SUR - 5.15
Find the examination what is not included in the normal preoperative examinations list of the lung cancer patients.
A) chest X-ray
B) chest CT and MRI
C) bronchoscopy
D) pulmonary angiography
E) sputum cytology
F) spirometry, blood gas analysis
ANSWER
D) pulmonary angiography
SUR - 5.18
Which parameter shows decompensated respiratory insufficiency?
A) pH
B) PCO2
C) PO2
D) BE
E) standard HCO3
ANSWER
A) pH
SUR - 5.21
Which is the best dynamic lung function parameter for examining the obstructive lung diseases?
A) FEV1
B) Tiff%
C) MEF50
D) flow-volume loop
ANSWER
D) flow-volume loop
SUR - 5.25
True for lung cancer, except:
A) never symptom-free
B) can be solitary pulmonary nodule
C) haemoptysis is very common
D) dry, improductive cough can be the only one symptom
E) the endobronchial spread of the tumor can lead to secondary inflammation
ANSWER
A) never symptom-free
SUR - 5.26
The most common malignant tumor of the chest wall bones:
A) single bone metastasis
B) osteosarcoma
C) multiple myeloma
D) Ewing-sarcoma
E) chondrosarcoma
ANSWER
E) chondrosarcoma
SUR - 5.27
Haemoptysis can be caused by the followings, except:
A) malignant bronchial tumor
B) asthma bronchiale
C) bronchiectasis
D) pulmonary infarction
E) tuberculosis
ANSWER
B) asthma bronchiale
SUR - 5.28
The most common cause of vena cava superior syndrome is:
A) advanced cancer of the right upper lobe
B) thymic tumor
C) thyroid cancer
D) mediastinal fibrosis
E) goiter
ANSWER
A) advanced cancer of the right upper lobe