AIIMS ONCO 2020

HPV and cancers

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Q) All are true about HPV induced cancers except

a) HPV 16 and 18 cause 70% of all cervical cancers

b) HPV 16. 18. 32 and 38 cause 90% of cervical cancers

c) HPV 6 and 11 cause  malignant condyloma acuminata

d) All true

2nd primary tumors

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Q) In buccal mucosa cancer after surgery and CRT, after 2 year patient developed cancer at base of tongue with N3 nodes positive. Best line of management

A Palliative RT
B. CTRT
c. Rehabilitation
D.  Surgery followed CTRT

There are two parts to this questions 

a) Second Primary tumor (SPM)

b) Management of Base of tongue tumors with N3

Both are discussed here ---

 

Radial scar

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Q) Radial scar is seen on 
A. Mammography findings
B. MRI findings
C. Fracture of radius
D. Fracture of ulna

Ans a Mammography

Radial scar, or complex sclerosing lesion, is a rosette-like proliferative breast lesion. It is not related to surgical scarring.

A radial scar is a benign hyperplastic proliferative disease of the breast. Proposed possible causes include localized inflammatory reaction and chronic ischemia with subsequent slow infarction.

In approximately 30% of cases, a radial scar is associated with ductal carcinoma in situ and tubular carcinoma of the breast

Ref 

Oncology is an ever evolving field and for MCH entrance you need to have your concepts clear. This book helps you achieve that with brilliant explanations

 

Lymphoma Head and NECk

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Q) Lymphoma of the head and neck - False statement is 
A. Hodgkin’s disease is common in the oropharynx.
B. Most are of the B-cell type .
C. FNAC of neck lymph nodes is now mandatory.
D. For disseminated non-Hodgkin’s lymphoma, systemic chemotherapy is preferred.

 

Amazon

Smoking treatment

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Smoking Cessation Drugs MCQ | First-Line Therapy

Smoking Cessation Drugs MCQ – First-Line Therapy

📘 Theme: Smoking Cessation & Pharmacology (NEET SS / INI-CET High Yield)

Smoking Cessation Pharmacology MCQ

Which of the following is NOT a first-line drug option for smoking cessation?

A. Clonidine
B. Nicotine replacement (patches)
C. Varenicline
D. Bupropion

Answer: A. Clonidine

Explanation

First-line pharmacologic therapies for smoking cessation include nicotine replacement therapy (NRT), varenicline, and bupropion. These agents have strong evidence supporting efficacy and are recommended in standard smoking cessation guidelines.

Clonidine is considered a second-line agent and may occasionally be used when first-line therapies are contraindicated or ineffective, but it is not routinely recommended because of side effects such as sedation and hypotension.

Why other options are incorrect

  • Nicotine replacement (patches): First-line therapy that reduces withdrawal symptoms.
  • Varenicline: Partial nicotinic receptor agonist and one of the most effective first-line agents.
  • Bupropion: Antidepressant that helps reduce nicotine cravings and withdrawal symptoms.

High-yield teaching points

  • First-line smoking cessation drugs = NRT, varenicline, bupropion.
  • Varenicline has the highest quit rates among pharmacologic therapies.
  • Clonidine and nortriptyline are considered second-line options.
  • Behavioral counseling improves success rates when combined with medication.

Practice More Surgery MCQs

Carcinoid Lung

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Q) All are true about pulmonary carcinoid except?

a) Atypical carcinoid is more common

b) Surgery is done with curative intent

c) Atypical carcinoids are peripheral

d) Typical carcinoids have lymph node metastasis and require lymphadenectomy