Basmah - High Yield - Sem 10
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السؤال ده عشان نؤكد على معلومة
For evaluating the risk of intraoperative bleeding, a thorough personal and family bleeding history is the single most sensitive and specific screening tool.
A history of previous surgeries without bleeding is one of the strongest reassuring signs.
A 30-year-old woman with a history of an uneventful tonsillectomy at age four is scheduled for exploratory laparotomy. Preoperative assessment that identifies the risk of intraoperative bleeding is which of the following?
(A) Bleeding time
(B) Platelet count
(C) PT and PTT
(D) Complete blood cell count
(E) Obtaining a detailed history
All of the following are indications for adjuvant radiotherapy in head and neck cancers except:
SCC of the oral cavity and lips tend to metastasize to lymph nodes at which levels:
All of the following are precancerous lesions for carcinoma of the oral cavity except:
A 70-year old male presented with asymptotic white patch on oral cavity following application of denture. Treatment of choice is:
A 59-year-old woman has discomfort in the posterior part of her tongue. A biopsy confirms that the lesion is a carcinoma. What is true in carcinoma of the (posterior third) of the tongue?
(A) Lymphoid tissue is absent.
(B) Lymph gland spread is often encountered.
(C) There is an excellent prognosis.
(D) The tissue is well differentiated.
على عكس في حالة الmelanoma
حتى لو هي negative nodes لازم أعمل sentinel lymph node biopsy SLN
أتأكد إنها free
بما إن الmelanoma دي very aggressive
ركزوا في الكلام ده عشان مهم
Negative nodes aren’t dissected in oral cavity cancers except in
1- locally advanced tumours with high depth of invasion
2- Tumours of the base of the tongue or at/approaching the midline
In this case:
1.5 cm / mobile not fixed / clinically negative lymph nodes —> early stage SCC —> Wide local excision with adequate free margins margins is the treatment of choice
A 62-year-old alcoholic presents with an indurated ulcer, 1.5 cm in length, in the left lateral aspect of her tongue (not fixed to the alveolar ridge). There are no clinically abnormal glands palpable in the neck, and a biopsy of the tongue lesion reveals squamous cell carcinoma. What should she undergo?
A) Chemotherapy
(B) Wide Local excision of the ulcer
(C) Wide excision and left radical neck dissection
(D) Antibiotic therapy and should be encouraged to stop smoking
(E) Wide excision of ulcer and radiotherapy
A 58-year-old fisherman has been heavily exposed to the sun for more than 30 years. He develops a thickened, scaly lesion extending over two-thirds of the lower lip. There is no ulceration. Histology reveals hyperkeratosis. What should he undergo?
(A) Steroid ointment application three times daily
(B) Antihistaminic medications
(C) Lip stripping and resurfacing with mucosal advancement
(D) Radical neck dissection
(E) Observation and biopsy of any new ulcers
A 43-year-old male tennis champion develops cancer of the lip. What is true of this condition?
(A) It involves the upper lip in 90% of patients.
(B) It is more common at the lateral commissure than in the middle.
(C) It usually appears on the exposed lower lip.
(D) It results in cure in about 60% of cases.
(E) It requires radical neck dissection.
Malignant tumors of the hard palate commonly arise from minor salivary glands, and therefore adenocarcinoma is the predominant malignant type.
Adenocarcinoma is the predominant malignant lesion in which of the following?
