Download Pre test step 2 Ck medicine Ebook PDF Latest Edition
A 17-year-old boy presents to the emergency room with testicular pain of 5 hrs duration. The pain was of acute onset and woke the patient from sleep. On physical examination, he is noted to have a high-riding, indurated, and markedly tender left testis. Pain is not diminished by elevation. Urinalysis is unremarkable. Which of the following statements regarding the patient’s diagnosis and treatment is true?
a. Patient should be observed for 6 hours after starting IV antibiotics b. Operation should be delayed until a color doppler confirms the
c. The majority of testicles that have undergone torsion can be
salvaged if surgery is performed within 24 h
d. If torsion is found, both testes should undergo orchiopexy
2. A 45 year old post-menopausal lady presents with a 3 cm malignant right breast lump in the upper inner quadrant. On examination she has no axillary lymphadenopathy and her biopsy report is positive for ER and PR receptors but negative for HER-2- neu. Mammography shows a BIRADS VI lesion in the right breast and a normal study on the other side. The surgeon wants to discuss her treatment plan with her. Which one of the following options best describes her treatment plan?
a. MRM followed by adjuvant chemotherapy
b. Breast conservation surgery with sentinel lymph node biopsy followed by chemotherapy, radiotherapy and hormonal therapy
c. BCS with radiotherapy followed by hormonal therapy
d. MRM followed by chemotherapy plus hormonal therapy.
3. 36 year old farmer presents to the OPD with gradual blackening of the left great toe. He has been smoking one bundle of bidis for the last 15 years. All of the following statements regarding the condition this patient is suffering from are true EXCEPT?
a. It commonly affects males less than 40 years of age
b. It is only seen in the lower limb
c. Lumbar sympathectomy does not offer permanent cure
d. Artery and vein, both are involved in the disease process.
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