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Cystic lesion of pancreas

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Q) A 53-year-old woman is found to have an incidental pancreatic lesion on abdominal imaging. CT scan reveals a microcystic mass with a central stellate scar located in the body of the pancreas. Cyst fluid analysis demonstrates low viscosity, and low levels of CEA, CA 19-9, and amylase. Which of the following is the most likely diagnosis?

A. Serous cystic lesion
B. Mucinous cystic lesion
C. Intraductal pancreatic mucinous neoplasm
D. Pseudocyst
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Lung cancer

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Q) A 73 year male, old heavy smoker presents with haemoptysis.

On examination he is cachectic and shows evidence of clubbing. Imaging shows a main bronchial tumour with massive mediastinal lymphadenopathy together with widespread visceral metastases.

Which of the following variant is likely in him?

(Theme from mock test 12-24)
a) Adenocarcinoma
b) Small cell lung cancer
c) Large cell lung cancer
d) Squamous cell carcinoma

Mediastinal mass

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Q) A 25-year-old man presents to the emergency center with complaints of vague chest discomfort. Patient is noted to have a large anterior mediastinal mass. The alpha-fetoprotein levels are markedly elevated. What is the likely diagnosis?

A. Non seminomatous germ cell tumor
B. Seminoma
C. Thymoma
D. Lymphoma
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Graft loss after kidney transplant

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Q) After kidney transplant highest graft loss is seen in which condition?

a) Hemolytic uremic Syndrome

b) Ig A nephropathy

c) MPGN type 2

d) Systemic lupus

MRSA infection

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Q) A 50-year-old male  with past history of MRSA presents to the emergency department 7 days after sigmoid colectomy with complaints of purulent drainage from his surgical incision 

Temp is 102 F

Vitals stable

Purulent drainage is easily expressed from the most inferior aspect of the incision.

Which of the following is the most appropriate management of this patient?

a) Open the incision, obtain a fluid culture, and start on an empiric course of IV Vancomycin and Piperacillin-Tazobactam

b) Open the incision, obtain a fluid culture and start on an empiric course of IV Vancomycin alone

c) Open the incision, obtain a fluid culture, and hold off on starting antimicrobial therapy until culture data returns

d) Discharge home on a 7-day course of oral Cephalexin

Gen Surgery Questions on Infection