questions oncology 2009 28.12.2009.doc

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Questions oncology 2009 (28/12/2009)

1. A 36 years old man has been hositali!ed "or #asoharyngeal $arcinoma. %he tumor is&uite large as he had s'allo'ing di""iculty "or solid "ood. Anthroometric eaminationreealed his height 168 cm* 'eight +, -g* mid uer arm circum"erence (A$)21.+cm*blood assay sho'ed b 10.8 g/d serum albumin 2.8 g/d* %otal ymhocyte$ount(%$) 11, sell/mm34hich o" the "ollo'ing statement is correct 5A. nasogastric tube (#%) is needed "or enternal "eeding7 %otal arenteral nutrition is re&uired to increase 'eight$. is body mass inde(7) is 18.9. o' %$ is due to decreased serum albumin:. iron sulementation 'ould normali!e b

2. A 'omen aged 66 is admitted to hosital "or late stage o" colon cancer. ietaryeamination reeal she is seerely undernourished (7 13.) 'ith inta-e less than 0; o"calorie re&uirement. <he gies a history o" inade&uate egetable and "ruit inta-e.

4hich o" the "ollo'ing statements regarding her dietary management is correct5A. the atient needs heriheral =arenteral #utrition7. %otal calorie re&uirement can be achieed through nutrition er oral$. %otal calorie re&uirement can be achieed through enteral nutrition. arenteral nutirition is to gie as the main source o" calorie:. ietary treatment>s goal is to attain maimum inta-e o" 0; calorie re&uirement

3. A 6 year old 'omen is seen in hosital 'ard "or late stage o" oary carcinoma 'ithascites. Anthroometric eamination sho's her height is 16 cm* 'eight a"ter correction "orascites is 36 -g and A$ is 18 cm* ietary eamination reeals her inta-e is only +3 -cal(about 23; o" calorie need) she comlains "eel "ullness a"ter a little "ood and and eigastricain. <he re"uses tube "eeding.

4hich o" the "ollo'ing dietary management "or this atient can be alied5A. #utrition er oral should be terminated7. #utrition er oral should maimally be gien$. :nteral nutrition should be gien in small amount but "re&uent. %otal arenteral nutrition ia central ein should be gien eclusiely:. #utrition er oral should be combined 'ith eriheral or central erenteral nutirition.

+. A man aged 6+ years has been hositali!ed "or heatoma. =:?< reeals enlargedlier 'ith a stonyhard consistentancy* nodular sur"ace and ascites. e also reorts haingalcoholic "eces. Anthroometric eamnation sho's his height is 16,cm* 'eight is +,-g.:dema o" dorsum edis is reeals increased <@%*<=%*albumin 2,g/d and b 10.g/d.4hich o" the "ollo'ing dietary management "or this atient are correct5

A. increase "at inta-e7. sulement 'ith $%(medium chain triglyceride)$. 7 is 1+.,. acolis "aeces is associated 'ith eleated bile acid secretion:. $urcumin could be the agent cause o" the heatoma

. ?ood lays role in reention o" carcinogenesis in 'hich o" the "ollo'ing stage5



A. nitiation7. =romotion$. =rogression. nitiation and rogressionE. initiation, promotion and progression

6. mineral as a strong antioidant and inoles n cancer reention and robably also inarticularly in early stage o" cancer is5A. magnesium7. #atriumC. Selenium

. alium:. =hoshor

,. yernehroma arises "rom BA. Renal tubular epithelium7. Cenal casule

$. ntrarenal adrenal rests. Cenal medulla:. Cenal elis

8. 4hich o" the "ollo'ing study is #@% adisable n atient susected o" haing transitionalcell carcinoma5A. <7. 7/D$. Cetrograde yelograhy. Antergrade pyelography:. $% scan

9. 4hich s the most common cancer o" the urinary bladder5A. sarcoma7. Transitonal cell carcinoma $. adenoc arcinoma. <&uamous cell carcinoma:. $lear cell carcinoma

10. %he "ollo'ing are not high ris-s "actors "or deeloment o" carcinoma urinary bladderBA. chemical carcinogens7. cigarette smo-ing7. Artificial sweeteners. $o""ee drin-ing

:. %ea drin-ing

A ,1 years old man resented 'ith the history o" chronic retention o" urine 'ith oer"lo'incontinence. e had dysuria and "re&uency o" urination since last many years. s bloodurea 'as 100mgs; and serum creatnine 'as +.mgs;. %here s no history o" any systemicdisease.

11. 4hich o" the "ollo'ing is the most robable diagnosis5A. <tricture urethra



B. Benign prostatic hyperplasia $. $arcinoma bladder>. Desical calculus:. Desical dierticulum

12. 4hich o" the "ollo'ing is the inestigation o" choice5A. 7D7. <$. Cenal scans. ro"lo'metry:. C

13. 4hich o" the "ollo'ing is the biomar-er inestigation o" choiceA. A?=7. $:A$. PSA. 7$

:.

13 years girl came to the hosital because there is a lum at the right shoulder 'hich isnotice since she 'as at -indergarden. ?rom hysical eamination the consistency o" thelum d "irm and 'ell de"ine border. %he "inger can be utting bet'een the lum and thehumerus and "rom the Eray the lumb gro'th "rom meta"isis to dia"isis1+. the "ollo'ing signs are a bengn tumor ecet FA. the si!e o" tumor is a marble si!e7. the si!e o" umor is a tennis ball$. ill de"ine:. no ain

1. "rom the history aboe* the other in"ormation 'e should get "rom Eray to suortdiagnosiss BA. coliflower appareance7. sunburst arreance$. onion s-in areace. codman triagle:. nidus

16. the diagnosis isA. osteogenic sarcoma7. :'ing sarcoma

$. asteroid asteomaD. steochondroma

1, All the "ollo'ing are indication o" oeration ecetBA. $omression to neuroascular bundle7. $osmetic$. alignant dangerD. The doctor want operate:. %he atient need



12 year old boy came to hosital because o" right tibia "racture as a result o" sli and "ell.%he boy already "elt some ain since a 'ee- ago and esecially at night. %he result o"biosy is Cound cell tumor. ?rom hysical eamination there is s'ellingat tibia 'ith ill de"ineborder and increase o" temerature comare to the noral site. ?rom Eray sho'n there is"racture at the middle o" tibia and onion s-in aearances

18. =athologic "racture because o"A. t haen at 12 years old7. 7ecause o" chronic osteomyelitis!. Because tri"ial trauma . =ossibility o" bone %7$:. t haens at a boy

19. %he "ollo'ing signs are alignant tumor ecetBA. %he si!e tumor a marble si!e7. %he si!e tumor a tennis ball si!e$. <lo' gro'th

. ll de"ineE. #o pain

20. %he diagnosis isA. @steogenic sarcomaB. Ewing$s sarcoma $. @steod oesteoma. @steochondroma:. $hondroma

1 years old came to the hosital because o" s'elling at her right -nee 'hich she su""ers "or3 months. At the beginning the si!e li-e a marble ball and increasing until the si!e li-e a

ta-ra' ball. ?rom hysical eam there are enectasis at the mass* the colour dar-er andtemerature 'armer than adGacent side. $onsistency is bony hard* ill de"ine and ain onalation. Eray sho'n the tumour at the metahysic o" the "ermur 'ith osteolytic andosteoblastic area.

21. n"ormation that 'e should be "ound to con"irm the diagnosis isA. $auli"lo'er aearaces7. <unburst aearance$. @nion s-in aearance. $odman triangle:. #idus

22. %he lab "indings 'hich can suort the diagnosisA. Al%ali phosphate increase7. Al-ali hoshate decrease$. Acid hoshate increase. Acid hoshate decrease:. :rythrocyte sediment rate increase

23 %he diagnosis isA. steogenic sarcoma 7. :'ing>s sarcoma$. @stiod oestoma



. reair:. reoygenation

+3. combination bet'een chemotheray and radiotheray can be in "ro!en o" BA. neo adGuant chemotheray7. adGuant chemotheray$. concomitant chemotheray. concurrent chemoirradition:. all aboe correct

++. cell damage 'hich is must haened because o" ioni!ed radiation isA. directly damage o" #A7. damage in nucleus$. damage in acuoles. indirectly damage in the "orm o" "ree radical:. damage in cell membrane

+. Acute comlication o" raditionA. teleangiectasis7. "ibrosis$. mucocitis. A.and 7 correct:. A*7* and $ correct

+6. %he case 'hich cannot be gien radiationA. mammae carcinoma7. #asoharyngeal carcinoma$. malignum melanoma. s&uamous cell carcinoma

:. malignum lymhoma

+,. cerical cancer stage a can be theray byA. eternal beam radiation7. surgically$. brachytheray. all aboe correct:. a and c correct

+8. cancer that has radiosensitie characterA. malignum lymhomas7. :'ing>s sarcoma

$. s&uamous cell carcinoma. so"t tissue sarcoma:. none correct

+9. eri oeratie radiation meanA. radiation gien 6 a"ter surgically7. generally in brachytheray "orm$. alicator in installation done in oerating room. all aboe correct:. a and c correct



0. a 1+ year old boy came to the eye clinic 'ith the comlaint o" rohosis o" the right eyethat had been undergone "or 6 months* slo'ly accomanied by rois symtom eyemoement 'as bloc-ed "or all direction. ?rom the slit lam eamnation ... hyeraemicconGunctia uil dilatation* clear lens*D@ 20/+0* D@< 20/20* no history o" trauma andin"ection.4hat is the best diagnose "or the case aboe5

A. Cetinoblastoma7. Adenoma cystic carcinoma$. 7asal cell carcinoma. Chab:. elanoma maligna

1. A 60 year 'oman in comlaining the lum at the suerior alebra 'ith the si!e o"10*10.cm* lumy sur"ace easily bleed* attached 'ith the ...ding tissue. %he result od thebiosy is s&uamous cell ca.4hat is the best management "or the case aboe5

A. 4ide eition 'ith "ro!en section

7. %umor etiration$. :ye ball surgery. $hemotheray:. Cadiotheray

2. a 2 years old child 'ith 'hite sot on the le"t uil that has been aeared since 1 year.%he result o" the eamination o" eye anterior segment obli&ue ... is normal. ?ollo'ing target(). Cight eye normal. ?amily history 'ith the ... disease is not eist. %he $% scan reeals atumor that "illed almost all o" the eye ball.4hat is the most ossible diagnose o" the atient aboe5

A. Cetinoblastoma std 7. Cetinoblastoma std

$. Cetinoblastoma std . Cetinoblastoma std D:. Cetinoblastoma std D

3. in the case aboe* the result o" enucleation is inaded otic nere. 4hat is the mostaroriate adance management "or this atient5A. radiotheray7. chemotheray$. brachytheray. cryotheray:. aation

+. a 6 year old man* "armer came to the dermatology clinic 'ith the comlaint o" redimle at right chic- that 'et bigger eeryday. %his had been eerienced "or 3 year*easilybleed4hen scratched and there 'as ulcer in the middle o" the lesion. ermathology state..erythema aule 'ith ulcer at the central o" the lesion* blac- crust*soliter lesion ....4hat is the diagnosis o" the case aboce5

A. 7asal cell carcinoma nodular tye7. <&uamous cell carcinoma$. elanoma maligna. 7asal cell carcinoma:. ermal nerus

. Coden ulcer is included in basal cell carcinoma tye5A. <uer"icial . ulcer



7. orheus :. #odular$. =igmented

6. A boy hositali!ed 'ith the diagnosis o" 'ilm>s tumor. %he comlaint 'hile entering thehosital 'as enlarge abdomens since 8 months ago accomanied by hematuria andreducement o" body 'eight.

4hat data that "inds to be comleted to hel con"irming the dianogsis5A. unger . ?eeling "ull o" abdomen7. ?eeling hot at the abdomen :. Abdominal ain$. ?eeling thic- at the abdomen

,. :am that can be er"orm con"irming the diagnosis o" the cancer aboe isA. $<? . D=7. :$ :. ::$. Hoint "luid8. anagement that can be er"ormed to the diagnosis o" the case aboe

A. $hemo J <urgery J antimicrobial J blood trans"usion7. $hemo J Cadiotheray J <urgery$. Cadiotheray J $hemo J mmunotheray. <urgery J Cadiotheray J 7lood trans"usions:. <urgery J Cenal %ranslantation J Cadiotheray

9. A +0yo man came to the hosital 'ith the comlaint o" sei!ure. %he atient 'as a heaysmo-er. %he result o" C eam is there is a multinodal mass at the lobes temoralissometimes that absorbed the contrast and creat a seere oedema to the brain. %his tumor issusected not a rimer tumor so 'e er"orms comlete blood eam and thora andabdominal $% scan that reised normal result.

4hat diagnostic eam that is adised "or this case5A. umbar unction . ::7. astroscoy and colonoscoy :. $onseratie K obsere C$. :cision biosy

60. 33 yo man comes 'ith the comlaint o" reeated sei!ure that is usually controlled bystandard sei!ure theray. %he eam reeal cm temoral mass in C. C %1 hiodensand not accomanied by contrast enhance or mass e""ect. %he histoathology eam reealan oliga osteositoma 4@ grade . 4hat is the best management "or this case5

A. <trict @bseration7. Cadiotheray

$. $hemo. Cadiotherhy J adGuant chemotheray (=$D)

61. 4hat is the entral nere system tumour that one o" the redisositional "actor ishereditary "actor5A. eningioma7. Astrocytoma$. #euro"ibromatosis tye 1. @ligodendriglioma

62. 4hich o" the "ollo'ing statement is true "or oligodendriglioma (@) tumor5A. @>s rognosis is better that astrocytoma7. =rimary theray should be chemotheray because it is chemosensitie$. ?or rogressie @ 'e should consider radiotheray



. #eoadGuant theray 'ith =$D has been sho'ed imroing @>s atient li"e &uality:. A K $ true

A 38 year old man came to the clinic 'ith the comlaint o" lum at the le"t armit 'ith thesi!e o" a table tennis ball since 1 'ee- ago. @ne month be"ore he 'as comlaining o" lumat the inguinal that 'as ain"ree. %here is "eer* roductie cough* decreasing body 'eight*and no aetite since 3 'ee-s ago. ab % 18gr;* 47$ 1+.000/min* =% 30.000/mm3.<etelah dila-u-an incision biosy =AB dislayed lymhocyte.

63. %he most ossible diagnosis "or the case aboe isBA. im"oma maligna odg-in7. im"adenitis tuner-ulosa$. im"oma maligna #on odg-in. im"odenitis ba-teriosa

6+. 7ased on anamnesis and hysical eamination* %he atient aboe is in stadiumBA. A

7. 7$. A. 7

6. <uortie management "or the atient aboe isBA. Analgesic7. Anti diuretic$. Antitusie. Antibiotic

66. <ubstitution theray that is also needed "or the atient aboe isBA. $oncentrate thrombocyte LLLLLL 7. Ced cell ac-age trans"usion$. ?resh "ro!en lasma trans"usion. $ryoreciitate trans"usion

A 6 year old 'oman* 'ith colon cancer is being consulted to the hematologyoncologymedic deartment "or chemotheray. %he atient has undergo chemotheray and the resultis colon cancer stadium 7. %he result o" hysical eamination is 7= 110/80. =ulse 80/mnt. 1,;. ab % 30;* 47$ 12.000/mm3* =% 10.000/mm3.

6,. $hemotheray aboe is an action o"BA. AdGuant management7. #eo adGuant management$. <uortie management. =aliatie management

68. %he obGectie o" chemotheray "or the case is asBA. <uortie theray7. $urratie theray$. =aliatie theray. #eo adGuant theray

69. @ther suortie management that can be er"ormed beside the chemotheray "or theatient aboe isB



A. Antibiotic7. Analgesic$. igh calorie =rotein iet. igh "at diet

,0. A +8 year old 'oman 'ith the diagnosis o" breast cancer () c%+c#0m0 stadium 7.A"ter undergoing neoadGuant chemotheray "or 3 cycles* clinically the tumour is 2;reduced. 4hat is the chemotheray resonse5A. $omlete resonse M $C7. =artial Cesonse M =C$. #o change M #$. =rogressie disease M =

,1. " a susected malignant neolasm atient comes to the oncology clinic than the atient 'ill get a serice that is based on the malignant neolasm atient management 'hich areetermining conse&uentielyF iagnosis* staging* aearance status* management lan*management eecution* and ealuation.

4hich o" the rincile management that has the obGectie o" determining the tumoretension*A. iagnosis7. <taging$. Aearance status. anagement lan:. :aluation

,2. A 2 year old man comes to the hosital 'ith the comlaint o" lum at the le"t mandible"or 8 months* slo'ly gro'* no other symtom. istory o" tooth in"ection (J). n alation theconsistency is solid hard* diameter 2 cm. Cadiology eaminationB round radioluscent

aearance* and radiooa&ue surrounding the cyst edge.A. entigerous cyst7. ermoid cyst$. ?ollicular cyst. @dontogenic cyst:. Canula cyst

,3. A +0 year old man comes to the hosital 'ith the comlaint o" lum at the mandible*history o" trauma and irritation (J)* osition o" teeth on to o" the tumor is irregular* the tumoris "elt hurt under ressure ain.%he ossible disorder o" the case aboe is5A. #eolasm

7. #on #eolasm$. n"lammation. %rauma:. <aliary gland disorder

,+. A year old man comes to the clinic 'ith the comlaint o" ulcer at the right side o" thetongue since N + months ago. :er medicated be"ore but neer cured. istory o" smo-ing(J). Alcohol (J). n clinical eamination ulcer (J)* induration (J)4hat is the eamination that is adised to con"irm the aboe diagnosis5A. :oliatie cytology7. =aanicolcau$. %oluidine blue eamination. 7iosy:. onoclonal antibody test



,. A +0 year old 'oman comes to the clinic 'ith the comlaint o" lum at the le"t chic- (in"ront o" le"t ear)* slo'ly gro'* ainless* and mobile.4hat is the ossible diagnosis o" the case aboe5A. 7enign cyst7. ymhoeithelial$. =leomorhic Adenoma. 4arthin>s %umor:. @ncocytoma

,6. A 30 year old 'oman 'ith the comlaint o" right breast lum* susected because o"hormonal imbalance. %he dominant morhologic changes arB $yst "ormation and "ibrosis*:ithelial hyerlasia* <clerosing adenosis.4hat is the disorder o" breast aboe5A. ?ibrocystic disorder7. ?ibroadenoma$. %umor hlloides

. =ailoma intraductal:. Adenosis sclerosis

,,. A 2+ year old 'oman comes to the clinic 'ith the comlaint o" breast lum* since 2months ago* round* soliter* rubber consistency* mobile* ainless* diameter 2 cm* location atthe uer lateral &uadrant.4hat is the disorder o" the breast aboe5A. ?ibrocytic disorder7. ?ibroadenoma$. %umor =hylloides. =ailoma intraductal:. Adenosis sclerosis

,8. A +, year old 'oman comes to the oncology clinic 'ith the comlaint o" right breast lumsince 6 months ago* history o" le"t breast surgery 1 year ago 'ith histoathologyB?ibroadenoma. arried* no children. n clinical eamination* there is a s-in colour changingo" the breast* dimling (J)* "elt solid hard* diameter 3* cm* attached to the s-in* there is aregional gland enlargement.4hat is the suortie eamination to con"irm the diagnosis o" this case5A. %rue cut needle asiration7. ?ine needle asiration$. ?ro!en section. ncision 7iosy:. :icion 7iosy

,9. A 0 year old 'oman comes to the hosital 'ith the comlaint o" lum and ulcer at thele"t breast. lcer is eerienced since + months ago* lum history since 1 year ago. ?irstmenstruation at 12 years old* married* one child (12years old). ?amily history o" the samedisease (). n clinical eamination there is breast s-in colour changing* eau d>orange (J)*ulcer (J). =alated a solid hard tumor mass* at the uer lateral &uadrant* attached to thes-in but nor to the thora 'all* diameter cm* gland enlargement (J) 'ith the diameter o" 2cm and mobile. istoathology eaminationB nasie ductal carcinoma. %he atient isdiagnosed 'ith ulcer carcinoma mamma.7ased on $$ / AH$$* 'hat is the %# clinical classi"ication o" the case aboe5A. c%2#107. c%2#1$. c%3#10. c%3n1



:. c%+#1

80. A 6 year o-d 'oman* multiara*ost menoause* come to hosital 'ith the comlainto" slightly smelly "lour albus* sometimes there is a aginal bleeding esecially a"terintercourse. %his has been eerienced since 3 month ago. n seculo eamination there isa bigger lesion 'ith irregular sur"ace*accomanied 'ith blood. arital history*married at 13years old4hat is the imortant eamination i" there is orsio condition as to case aboe5A. a smear7. coloscoy$. ?#A. biosy:. oeration

81. the histoathology result "or the case aboe is carcinoma ceri. n aginal touce thereis a nodular lesion limited in the ceri 'ith the diameter less than + cm.4hat is the stadium o" this case 5A. stadium 07. stadium 1$. stadium . stadium :. stadium D

82. a 38 years old 'oman arity o" 3* comes to the clinic 'ith the comlaint o" "louralbus*itchy* since 9 months ago. <ometimes there is a slightly bleeding. %he a smear

result is inconclusie. %he result o" the nest a smear a"ter 3 months is still inconclusie.4hat is the net eamination to -no' the cause o" the atient comlaint5A. a smear7. aginoscoy$. coloscoy. hysteroscoy:. biosy

83. a 38 years old 'oman* arity o" 3* comes to the clinic 'ith the comlaint o" "louralbus*itchy* since 9 months ago. <ometimes there is a slightly bleeding. %he a smearresult is inconclusie. %he result o" the nest a smear a"ter 3 months is stillinconclusie.one 'ee- later the atient comes 'ithe the result o" histoathology

eaminationB abnormal cells are "ound in the 'hole eithelial layer*basal membrane is inta-e4hat is the diagnose "or the atient aboe5A. cerical intraeithelial neolasm 7. cerical intraeithelial neolasm $. cerical intraeithelial neolasm . microinasie carcinoma:. inasion carcinoma

8+. A 26 year old 'omen*araty o" 1*comes to the clinic 'ith the comlaint o" aginalbleeding* since 1 month ago. %his atient has been curratage be"ore because o" molahidatidosa. 4hat is the eamination that is needed "or this disease5A. 7$ tumor mar-er eamination7. thora Eray$. < eamination



. $%<can eamination:. C eamination

8. a 36 years old 'oman*arity o" 1* comaes to the clinic 'ith the comlaint o" aginalbleeding*since 1 month ago. %his atient has been currattage be"ore because o" molahidatidosa. 4hich management o" this case i" the diagnosis is lignant %hrohoblastdisease5A. @bseration7. $urrattage$. ysterectomy. $hemotheray:. Cadition

86. a 2 year old 'oman*nullarity*comes to the clinic 'ith the comlaint o" lum at thelo'er abdomen since 6 months ago. arried 3 years ago. Ceeatedly come to the doctor tohae children. 7ody 'eight drastically decreased 'ithin last 2 months.4hat is the most ossible diagnosis "or this case5

A. cerical carcinoma7. oarian carcinoma$. endometrium carcinoma. malignant throhoblast disease:. tube carcinoma

8,. a 38 years old 'oman comes to the clinic 'ith ost menoause bleeding. :ndometriumbiosy sho's adenocarcinoma. %otal hysterectomy and bilateral elic lymhadectomy iser"ormed. %he athology eamination result a"ter oeration reeal tumor has etend toceri. ymh gland sho' no malignant cell.4hat is the stadium o" endometrial carcinoma o" this case 5A. stadium 0

7. stadium $. stadium . stadium :. stadium D

88. A 6 year old 'oman comes to the clinic 'ith the comlaint o" abdominal distension "or3 month. n abdominal ercussion there in undulation moement o" li&uid 'ith the thymanisound. n elic eamination there is mass at the right adnea 'ith diameter o" 8 cm nodulerand limited to the elic. e"t oarium is not alated. 7lood chemistry* urinalysis* a smearand chest ray is normal.4hich mar-er that has to be eamined to suort this case diagnosis5A. $A12

7. <$$ Ag$. A?=. O$:. $:A

89. %o "ind out a ris- "actor "or a 'oman 'ith diagnosis o" lung cancer* 'e hae to oint outin anamnesis aboutA. o' long time su""er7. =assie smo-er or not (husband is smo-er)$. o' much body 'eight loss. $arsinogeni "ood consumtion:. the history o" toic gas eiration



90. A man I@ come to clinic 'ith hematoe* since days ago accomanied 'ith chestain. as been hae cough about 2 months* body 'eight loss about -gs* a history o"smo-er and has been long time 'or- in cement "actory. %here hoto sho'ed a mass in theright lung 'ith diameter about 3 cm. =:?< are normal.4hich o" the "ollo'ing statement is the cause o" cough5A. smo-e7. resiratory obstruction$. irritation o" bronchial ascularisationd. secondary in"ection:. rolong cough A man 63 years old came to surgery oliclinic 'ith abdomen ain*history o" "re&uentobstiation* "re&uent "eeling o" "ullness and i" "latus* he "eel getting better de"ecationsometimes 'ith "resh bloody ain and neer satis"ied. 91. the eamination that you should to do as the "irst ste to suorting diagnosis isA. %otal colonoscoy7. =lain Eray abdomen

$. ouble contrast barium enemia. Cectal toucher:. esenterial angiograhy

93. %he most ossibly diagnosis in this case aboe is BA. 1/3 roimal rectum carcinoma7. 1/3 mid rectum carcinoma$. 1/3 distal rectum carcinoma. Cectosigmoid carcinoma:. ecendens colon carcinoma

12 years old boy came to hosital 'ith chie" comlaint diahysis right tibia ain since a 'ee-

ago. %he result o" athology eamination is Cound cell %umor 'ith malignant characteristic.

9+. "rom the scenario aboe. %he ossibly diagnosis must be BA. osteomielitis7. @steosarcoma$. chondrosarcoma. :'ing>s sarcoma:. osteochondroma

9. Eray "rom the scenario aboe 'ill "oundA. codman triangle7. sunrays aearance

$. onions-in aearance. codman triangle and sunrays aearance:. cloaca

A 60 years old 'oman came to the doctor because ain in all body and "eel "atigue. =unchthe onion in cranium 'as "ound "rom radiology eamination

96. diagnosisA. multile meiloma7. tumor metastasis$. osteosarcoma. osteoorosis:. osteochondroma



9,. suorting eaminationA. ct scan7. C$.. benceGones rotein:. al-ali hoshate 98. the disease included in grou o"a. in"ection7. osteoorosis$. metastasis. round cell tumor:. nutrition disorder

99. according obler ... stage hysiologic reaction 'hen atient getting cancer stage 5 A. bargaining

7. eression$. angry. <hoc-:. Accetance

100. the D stage isA. bargaining7. angry$. eression. shoc-:. accetance



1, All the "ollo'ing are indication o" oeration ecetBA. $omression to neuroascular bundle7. $osmetic$. alignant danger. %he doctor 'ant oerate:. %he atient need

12 year old boy came to hosital because o" right tibia "racture as a result o" sli and "ell.%he boy already "elt some ain since a 'ee- ago and esecially at night. %he result o"biosy is Cound cell tumor. ?rom hysical eamination there is s'ellingat tibia 'ith ill de"ineborder and increase o" temerature comare to the noral site. ?rom Eray sho'n there is"racture at the middle o" tibia and onion s-in aearances

18. =athologic "racture because o"

A. t haen at 12 years old7. 7ecause o" chronic osteomyelitis$. 7ecause triial trauma. =ossibility o" bone %7$:. t haens at a boy

19. %he "ollo'ing signs are alignant tumor ecetBA. %he si!e tumor a marble si!e7. %he si!e tumor a tennis ball si!e$. <lo' gro'th. ll de"ine:. #o ain

20. %he diagnosis isA. @steogenic sarcoma7. :'ing>s sarcoma$. @steod oesteoma. @steochondroma:. $hondroma

1 years old came to the hosital because o" s'elling at her right -nee 'hich she su""ers "or3 months. At the beginning the si!e li-e a marble ball and increasing until the si!e li-e ata-ra' ball. ?rom hysical eam there are enectasis at the mass* the colour dar-er andtemerature 'armer than adGacent side. $onsistency is bony hard* ill de"ine and ain on

alation. Eray sho'n the tumour at the metahysic o" the "ermur 'ith osteolytic andosteoblastic area.

21. n"ormation that 'e should be "ound to con"irm the diagnosis isA. $auli"lo'er aearaces7. <unburst aearance$. @nion s-in aearance. $odman triangle:. #idus

22. %he lab "indings 'hich can suort the diagnosisA. Al-ali hoshate increase7. Al-ali hoshate decrease$. Acid hoshate increase



. Acid hoshate decrease:. :rythrocyte sediment rate increase

23 %he diagnosis isA. @steogenic sarcoma7. :'ing>s sarcoma$. @stiod oestoma. @steochondroma:. $hondroma

. Coden ulcer is included in basal cell carcinoma tye5A. <uer"icial . ulcer7. orheus :. #odular$. =igmented



6. A boy hositali!ed 'ith the diagnosis o" 'ilm>s tumor. %he comlaint 'hile entering thehosital 'as enlarge abdomens since 8 months ago accomanied by hematuria andreducement o" body 'eight.

4hat data that "inds to be comleted to hel con"irming the dianogsis5A. unger . ?eeling "ull o" abdomen7. ?eeling hot at the abdomen :. Abdominal ain$. ?eeling thic- at the abdomen

,. :am that can be er"orm con"irming the diagnosis o" the cancer aboe isA. $<? . D=7. :$ :. ::$. Hoint "luid8. anagement that can be er"ormed to the diagnosis o" the case aboeA. $hemo J <urgery J antimicrobial J blood trans"usion7. $hemo J Cadiotheray J <urgery

$. Cadiotheray J $hemo J mmunotheray. <urgery J Cadiotheray J 7lood trans"usions:. <urgery J Cenal %ranslantation J Cadiotheray

9. A +0yo man came to the hosital 'ith the comlaint o" sei!ure. %he atient 'as a heaysmo-er. %he result o" C eam is there is a multinodal mass at the lobes temoralissometimes that absorbed the contrast and creat a seere oedema to the brain. %his tumor issusected not a rimer tumor so 'e er"orms comlete blood eam and thora andabdominal $% scan that reised normal result.

4hat diagnostic eam that is adised "or this case5A. umbar unction . ::

7. astroscoy and colonoscoy :. $onseratie K obsere C$. :cision biosy

60. 33 yo man comes 'ith the comlaint o" reeated sei!ure that is usually controlled bystandard sei!ure theray. %he eam reeal cm temoral mass in C. C %1 hiodensand not accomanied by contrast enhance or mass e""ect. %he histoathology eam reealan oliga osteositoma 4@ grade . 4hat is the best management "or this case5

A. <trict @bseration7. Cadiotheray$. $hemo. Cadiotherhy J adGuant chemotheray (=$D)

questions oncology 2009 28.12.2009.doc

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