MCQs (150-211) Surgical pathology 2DD Prof. Kou Kimheak 2nd2017

When assessing a patient for breast cancer risk, the nurse considers that the patient has a significant family history of breast cancer if she has a:
Cousin who was diagnosed with breast cancer at age 38.
Mother who was diagnosed with breast cancer at age 42.
Sister who died from ovarian cancer at age 56.
Grandmother who died from breast cancer at age 72.
When should you start CBE (Computer-Based Exam)?:
Upper outer quadrant, ductal areas
Every 3 years from ages 20-39 and annually after age 40
Estrogenic and progesterone
Breast cancer
A client comes into the clinic for a routine breast and axilla exam. Which assessment technique does the nurse use first during this examination?:
Inspection
Auscultation
Palpation
Percussion
When teaching a 22-year-old patient about breast self-examination (BSE), the nurse will instruct the patient that:
BSE will reduce the risk of dying from breast cancer.
Performing BSE right after the menstrual period will improve comfort.
BSE should be done daily while taking a bath or shower.
Annual mammograms should be scheduled in addition to BSE.
. During the breast exam, the nurse palpates a series of lymph nodes. Why is this a part of the breast exam?:
It's not. It's done because the chest area is exposed.
It's not. It's done because the chest area is exposed.
To assess the deep lymph nodes which drain the mammary lobules.
To assess shoulder range of motion.
Which of these findings in the breast of a patient who is suspected of having breast cancer would support the diagnosis?:
Complaints of dull, achy, pain
Palpation of a mobile mass
Presence of an inverted nipple
Area of discoloration skin
If a patient reports a recent breast infection, then the nurse should expect to find _____ node enlargement.:
Nonspecific
Ipsilateral axillary
Contralateral axillary
Inguinal and cervical
. Which of the following types of cysts most commonly ruptures?:
Endometriomas
Corpus luteum cysts
Dermoid cysts
Cystadenomas
Which of the following statements relate to the ovarian dermoid cysts, except one? :
They are heterogeneous in ultrasound examination
They twist readily, for they are heavy
They are sometimes radio visible
Their breakdown is frequent
A follicular cyst forms . . .?:
When the follicle enlarges after ovulation
Within the developing follicle before ovulation
Within the corpus luteum after ovulation
 None of these are correct
Among these propositions concerning the usual spontaneous evolution of the functional cysts of the ovary, which seems to you the most constantly exact?:
Evolution towards an organic cyst
Possible malignant degeneration
Hormonal hypersecretion responsible for endometrial hyperplasia
Significant volume increase with abdominal distention
Spontaneous regression
. Which of the following cystic ovarian formations has the highest potential for malignancy?:
Dermoid cyst
Serous Cystademone
Yellow corpus cyst
Cyst accompanying the hydatiform mole
Mucoid cyst
In the Demongs-Meigs syndrome, all but one of these propositions can be found. Which?:
Ovarian fibroids
Ascite
Alteration of general condition
Ovarian Cancer
Pleuresy
. The combination hydrothorax + ovarian tumor + ascites makes you evoke the diagnosis of:
Ovarian Cancer
Mephs Demon's Syndrome
Demons Meigs Syndrome
Krukenberg tumor
Lower back pain, pelvic pain, abnormal bleeding:
Common signs of large ovarian cysts
Cysts on the ovaries are usually malignant.
How soon after removal of an ovarian cyst can a woman resume sexual intercourse
Compare signs of non-ruptured ovarian cysts with the signs of ruptured ovarian cyst.
. A 25-year-old female has a unilateral ovarian cyst measuring 6 to 7 cm in diameter. On ultrasound, it is anechoic. This may be one or more of the following:
Functional cyst
Mucus cyst
Mucus cyst
Serous cyst
All the above
None the above
Necrosis and rupture of ovary:
What is the big danger from torsion
What is the 1 reason why MD's remove ovarian cysts
What are the 3 most common signs of ovarian cyst rupture
What other disorders resemble rupture of ovarian cysts
Which of the following ovarian tumor is most prone to undergo torsion during pregnancy?:
Serous cystadenoma
Mucinous cystadenoma
Dermoid cyst
Theca lutein cyst
A tongue of peritoneum that precedes the migrating testes through the inguinal canal:
processus vaginalis
paramesonephron
mesonephron
gubernaculum
Mullerian duct
Also known as cryptorchidism:
Undescended testis
Direct hernai
Varicocele
Indirect hernia
Hydrospadia
Failure of this perineal extension to obliterate after birth may lead to the development of an inguinal hernia or hydrocele
Processus vaginalis
Mesonephron
Gubernaculum
Paramesonephron
Mullerian duct
. A hydrocele is defined as an abnormal fluid collection between the:
Two layers of the tunica vaginalis
Tunica albuginea and the tunica vaginalis
Spermatic cord and the tunica albuginea
Spermatic cord and the tunica vaginalis
Which of the following is not seen in undescended testis?:
Hydrocele.
Seminoma.
Teratoma.
Hernia.
. An anechoic structure arising from the rete testes describes which of the following structures?:
Spermatocele
Epididymal cyst
Testicular cyst
Hydrocele
Prostate cyst
A hydrocele develops between:
Visceral and parietal layers of the tunica albuginea
The tunica albuginea and tunica vaginalis
Parietal and visceral layers of the tunica vaginalis
Scrotum and tunica albuginea
Cause of hydrocele in infants:
Patent processus vaginalis.
Impaired drainage
Patent gubernaculum
Patent vitelling duct.
A 42 yo male came to you because of painless swelling, in the left testis, he gives Hx of mild trauma few days earlier. Swelling is cystic, involving testis only and is not transilluminatable. Diagnosis is :
Spermatocele.
Varicocele.
Tumor
Hydrocele.
. A male infant is presented in two months by his parents who have discovered a mass in the inguinal region of very recent appearance, a little painful. I tis irreducible to the abdomen; one does not feel well at the upper pole of the inguinal ring, it is transillumination. The testicle is seen below this mass. What diagnosis do your call?:
Cyst of the spermatic cord
Inguinal-scrotal herniastrangulated
Strangulated inguinal hernia
Vaginal hydrocele
Inguinal adenopathy
. A 22 years old man has had a constant swelling in his testicle for the past 2 years. There is no pain, fever or tenderness. It is brilliantly transilluminant and is not palpable separately from the testicle. The cord is uninvolved. What is the most likely diagnosis?:
Vaginal hydrocele
Infantile hydrocele
Congenital hydrocele
Spermatocele
Torsion
180. Large scrotum cold called chronic suggest following diagnoses: 1 - Vaginal haematocele 2 - Vaginal hydrocéie 3 - Testicular Cancer 4 - Varicocele 5 - Strangulated inguinal hernia
2 +3 +4
1 +2 +3
2 +5 +4
1 +3 +4
3 +4 +5
Hydrocele is a which type of cyst:
Retention
Distension
Exudation
Traumatic
. Asymptomatic scrotal swelling, often bilateral, and sometimes with a blueish discolouration. Contains peritoneal fluid.:
Hydrocele
Hydrospadia
Direct hernai
Varicocele
Indirect hernia
A patient who has had a swollen, nontender scrotum for one week is found to have a mass within the tunica vaginalis that transilluminates readily. The family nurse practitioner suspects:
A hydrocele.
A varicocele.
An indirect inguinal hernia
Carcinoma of the testis.
A cystic translucent mass above the testicle is probably a:
Hydrocele
Spermatocele
Varicocele
Hematocele
. Which of the following conditions does not predispose to urolithiasis?:
Hydrocele.
Hydronephrosis
Chronic pyelonephritis
Hypercalcemia
Cystitis
Surgery for correction of cryptorchidism is best done before?:
1 year of age
1 month of age
6 months of age
2 years of age
Surgical placement of the testes in the scrotum
Orchidopexy
Testoplexy
Orchistatis
Orchidectomy
Orchidotomy
Stones in the kidneys are termed:
Urethrolithiasis/Urethrolithiasis
Cystolithiasis/Cystoliths
Ureterolithiasis/Ureteroliths
Nephrolithiasis/Nephroliths
. Stones in the ureters are termed:
Cholelithiasis
Urethrolithiasis
Cystolithiasis/Cystoliths
Nephrolithiasis/Nephroliths
Ureterolithiasis/Ureteroliths
Stones in the bladder are termed:
Nephrolithiasis/Nephroliths
Ureterolithiasis/Ureteroliths
Cholelithiasis
Urethrolithiasis
Cystolithiasis/Cystoliths
. Cryptorchism is associated with an increased risk in developing:
Architis
A varicocele
A spermatocele
Testicular torsion
Microcalcifications
A14-year-old boy presents with sudden onset of pain and swelling of his right testicle. There was no history of trauma, he is not sexually active, and denies any history of penile discharge. On examination, the scrotum is swollen and tender. The cremasteric reflex is absent. A testicular flow scan shows a “cold spot” or absent flow to the affected side. Which of the following is the most likely cause?:
Inguinal hernia
Hydrocele
Epididymitis
Testicular torsion
Torsion of the appendix testis
"Bell Clapper" is another term used to describe which of the following abnormalities?:
Hydrocele
Varicocele
Microcalcifications
Testicular torsion
Cryptorchidism
Twisting of the spermatic cord upon itself is a predisposing factor of which of the following abnormalities?:
Orchitis
Prostatitis
Epididymitis
Spermatocele
Testicular torsion
In patients who have an inappropriately high attachment of the tunica vaginalis, the testicle can rotate freely on the spermatic cord within the tunica vaginalis. This congenital anomaly is called the;:
Bell clapper deformity
Hydatid of Morgagni
Bellend deformity
Hypospadia
Epididymo-orchitis
. Sudden onset of severe scrotal pain in an adolescent patient is most suspicious for:
Orchitis
A hydrocele
Epididymitis
Testicular rupture
Testicular torsion
The prostate gland...:
Makes fluid that nourishes sperm
Sterilizes urine in men
Filters urine in men
Is backup storage for sperm.
. The prostate gland is located where in your body?:
Right next to the kidneys.
Below the bladder and in front of the rectum.
At the tip of penis.
None of the above
All of the above
The adenoma of the prostate:
Develops at the expense of the caudal prostate
Is a benign prostatic hypertrophy
Is a precancerous state
Should be operated as soon as it is voluminous
Prostate growth is stimulated by which of the following hormones?:
Testosterone
Dihydrotestosterone
Thyroxine
Progesterone
Prolactin
The observation (finding) of following signs must think at BPH, except one, which?:
A pollakiuria.
Imperious micturition.
Terminal haematuria.
Weak urine stream.
Initial dysuria.
. A prostatic adenoma can be revealed by all the below except:
A urinary tract infection
Dysuria
Hematuria
Acute urine retention
An Incontinence
The adenoma of prostate:
Is developed from periurethral gland.
Is benign tumor which sometime degenerate.
Is rare after 70 years old.
Manifested often by incontinence of urine.
A doctor can usually detect an enlarged prostate by...:
Visual diagnosis
Urinalysis
Rectal exam
All of the above
. The main mechanism of urine leakage during the course of an unoperated adenoma is:
Insufficiency of the striated sphincter
The existence of chronic bladder distention
Superinfection
A destruction of the vesical neck by the adenoma
Decrease in urethral pressure
. In men with benign prostatic hyperplasia, the signs of obstructive syndrome are dysuria and:
Late drops
Nocturia
Pollakiuria
Micturition burns
Decreases the force of the jet
The obstructive and irritative symptom complex caused by benign prostatic hypertrophy is termed
Prostatitis.
Prostaglandin.
Prostatectomy.
Prostatism
The rectal examination at a man carrying a typical BPH can feel
A hard and irregular tumor.
A pain tumor.
A hard with respect median groove.
A smooth and homogenous tumor.
A tumor fixed at pelvis wall.
A complication of benign prostatic hyperplasia includes:
Liver failure.
Myocardial infarction.
Deep venous thrombosis.
Urinary tract infection
Disseminated intravascular coagulation
BPH can complicate of:
Acute retention of urine with bladder distension.
Renal failure.
Inability to control urine by overflow.
All of the above
None of the above
Which of the following is a TRUE statement regarding benign prostatic hyperplasia?:
Ten percent of men will have it by age 80 years
It is an uncommon condition.
The prostate is largest at birth and continues to shrink.
It may be problematic if urethral compression occurs.
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