surggery

Question 1

reinke crystals(pink rod like) painless mass

Answer 1

leydig tumor

Question 2

mc Testicular tumor qstns
1.MC TT
2.MC radio sensitive
3.MC bilateral
4.MC PRIMARY

Answer 2

ALL ANSWR SEMINOMA

Question 3

MC TT in children

Answer 3

yolk sac tumor

Question 4

TT with best prognosis

Answer 4

yolk sac tumor

Question 5

TT with WORST prognoss / HURRICANE tumor. why so?

Answer 5

CHORIOCARCINOMA
bcz it has early blood spread

Question 6

mc primary b/l TT
mc secondary b/l TT

Answer 6

SEMINOMA
LYMPHOMA(IN OLD)

Question 7

MC IN PREPUBERTAL CHILDREN

Answer 7

TERATOMA

Question 8

STONESmicroscopy identtificn
1.STAGHORN/COFFIN SHAPED
2. dumbell shaped
3. envelope shape
4.rosette
5.needles
6. HEXAGONAL

Answer 8

1.struvite/ TRIPLE Phosphate stone
2. ca OX.monO H
3.CA OX. DIH
4. URIC ACID STONE
5. BRUSHITE
6. CYSTEINE

Question 9

triad of MASS, fever, hematuria
painles large mobile tumor
mc in children
other name?
cross midline?
mc spread to?
most imp prognosis factor?
chemo tx regimen?

Answer 9

wilms tumor
painless
mc in young
it cross midline
other name- nephroblastoma
mc spread by hematogenous
to lungs
histology most imp progn factor
VCD( vincristine, cycloP, doxorubucin)

Question 10

most imp P factor IN wilms tx?
most imp progn f in breast CA
ALL OTHER CANCERS- TNM MAINLYY!!!

Answer 10

1. HISTOLOGY
2. LN STATUS, ER/PR STATUS(IN METASTASIS)

Question 11

tender red scotum, nausea, vomiting,- no wrinkling seen but high lying testicle in affected scotum ,caused by
twist of spermatic cord
cause necrosis(black)

Answer 11

test torsion mc post trauma
1.deming sign- aff testicle higher
2.ngel sign - unaff normal lying
3.prehn sigm-pain no relief on elevn of scrotum
4.cremasteric R -VE on aff side

tx- orchidopexy in 4 hrs

Question 12

skin wrinkling seen
diln of pampiniform plexus
key w- “BAG OF WORMS” HANGING SENSN.

Answer 12

varicocele

Question 13

blue dot sign

Answer 13

on test appendage torsion

Question 14

fluid colln in tunica vaginalis/ TRANSillumn + ve

mc type?
other?
dx?

Answer 14

HDROCOELE

primary mc( large unsperated mass)
other- secondary post trauma,tumor,epidydmoorchitis
dx- USG

Question 15

URINARY SX , WORKS IN DYE FACTORY, WHICH TUMOR

Answer 15

BLadder tx- RADICAL CYSTECTOMY

Question 16

un desc testis mc locn

Answer 16

80%- inguinal
rest- abdominal

Question 16

BLADDER TB C/F

Answer 16

XRAY- bladder wall calcifcn outline seen
cycstoscopy- pale uretreic orifice

Question 16

best imaging of choice
1.VUR
2. WILMS TUMOR

Answer 16

1. VCUG
2. MRI SHOWS CALCIFICATION

Question 17

CT HEAD dense lesions and dx
1.BICONVEX( b =e like)
2. crescent shape
3. bleed in ventric les,sulci
4. parenchymal bleed

Answer 17

1. epidural/extradural
2. subdural
   3.sub arachnoid
   4.contusion

Question 18

triad
HTN
hematuria
flank pain

CT- ENLARGED B/L KIDNEYS

+FAM HISTORY, MC IN ADULTS

Answer 18

ans- ADPKD (AD AS IN ADULTS) MC type
both has multiple cystic destrn of kidneys

VS
ARPKD OCCUR IN CHILDREN , less common

Question 19

aff poLycytin gene
chr 16,4
IOC-CECT-
IVPyelopgrSWISS CHEESE/ BUBBLE/ BELL/Sam- PIDER LEG APPEARANCE B/L

Answer 19

ADPKD

Question 20

mc T causing osteoBLASTIC secondary tumors?

mc causing osteoLYTIC sec tx?

mc causing BOTH lytic, blastic

Answer 20

PROSTATE OSTEOBLASTIC

RCC -OSTEOLYTIC)

BREAST CA - BOTH

Question 21

TUMOR- URINARY SYMPTOMS IN MEN
MC SPREAD HEMATOGEN . TO LUMBAR VERTEBRAE
(BACK ACHE)?

Answer 21

PROSTATE CA
1.CHECK FOER PSA- INC
2. DRE- HARD NODULAR prostate
ioc- TRUS GUIDED BIOPSY
FOR STAGING- mri

Question 22

prostate ca ioc?
psa value for dx/
is specific/non specific(psa)

Answer 22

TRUS- biopsy
>20 ng/ml
its non specific marker

Question 23

score for prostate CA
max scre/
high svore ind?

Answer 23

gleason score
max -10

high svcore id aggresssiveness

Question 24

grade 1-5 which is worst diffn

Answer 24

grade 5 poorest diffn has the WORST PROGNOSIS IN ALL CANCERS SAME

Question 25

CECT- LARGE KIdNEYY ballotable fkank mass

Answer 25

dx- RCC
, 4CM- PARTIAL NEPHRECTOMY
>4 CM, VASCULAR INVOLV> RADICAL N/E

Question 26

skin,fat,sup and deep ascia ll extensive excoriayion, red and necrosis of scorum image pyqqqq

Answer 26

necrotisinf facsitis of scotum
FOURNIER GANGRENE
USUALLY poly microbial
mc in dm
in this unaffected are testis,cord,uyretra, cavernosum both