Top Banner
ZAPOROZHYE STATE MEDICAL UNIVERSITY,UKRAINE. ONCOLOGY test for 5 th year students. 1. Indicate method of diagnostic “cancer in situ”. A. Histology; B. Cytology; C. Ultrasonography; D. X-Ray; E. Radiologyc. 2. What is the best method for morphological confirmation of ovarian carcinoma: A Hysteroscopy B Colposcopy C.Laparoscopy with biopsy D. Do puncture through the posterior vaginal vault E Hysterosalpingography 3. Which sort of treatment patient with cancer is the best for convalescence? A. Surgical treatment B. Chemotherapy C. Radiation therapy D. Hormonotherapy E. Immunotherapy 4. What place do malignant tumors occupy in structure of mortality adults? A. First B. Second C. Third D. Fourth E. Fifth 5. What kind of diagnostic methods of malignant tumors is the best? A. Clinical B. Cytology C. X-Ray diagnostic D. Endoscopy E. Gystology 6. Which cancer is number one in structure of male incidence in Ukraine? 1
27

ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

Sep 10, 2014

Download

Documents

ONCOLOGY MCQS
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

ZAPOROZHYE STATE MEDICAL UNIVERSITY,UKRAINE.

ONCOLOGY test for 5th year students.

1. Indicate method of diagnostic “cancer in situ”.A. Histology;B. Cytology;C. Ultrasonography;D. X-Ray;E. Radiologyc.

2. What is the best method for morphological confirmation of ovarian carcinoma:A HysteroscopyB ColposcopyC.Laparoscopy with biopsy D. Do puncture through the posterior vaginal vaultE Hysterosalpingography

3. Which sort of treatment patient with cancer is the best for convalescence?A. Surgical treatmentB. ChemotherapyC. Radiation therapyD. HormonotherapyE. Immunotherapy

4. What place do malignant tumors occupy in structure of mortality adults?A. FirstB. SecondC. ThirdD. FourthE. Fifth

5. What kind of diagnostic methods of malignant tumors is the best?A. ClinicalB. CytologyC. X-Ray diagnosticD. EndoscopyE. Gystology

6. Which cancer is number one in structure of male incidence in Ukraine?A. Cancer of stomachB. Lung cancerC. Cancer of skinD. Rectal cancerE. Breast cancer 7. Which cancer is number one in structure of female incidence in Ukraine?A. Cancer of stomachB. Lung cancerC. Cancer of skinD. Rectal cancerE. Breast cancer

1

Page 2: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

8. Which cancer can be completaly erradicated by radiation therapy?A. Cancer of stomashB. Lung cancerC. Cancer of skinD. Rectal cancerE. Breast cancer

9. What is the meaning of relapse of malignant tumor?A. Return of simptoms of diseaseB. Lessening of symptoms of diseaseC. Increase of symptoms of diseaseD. Disappear of symptoms of diseaseE. Stabilization of symptoms of disease

10. What is the meaning of remission of malignant tumor?A. Return of symptoms of diseaseB. Lessening of symptoms of diseaseC. Increase of symptoms of diseaseD. Disappear of symptoms of diseaseE. Stabilization of symptoms of disease

11. Which sign do we use for poorly histological differentiation of cancer?A. G1B. G2C. G3D. G4E. Gx

12. Which sign do we use for high histological differentiation of cancer?A. G1B. G2C. G3D. G4E. Gx

13. Which sign do we use for undifferentiated cancer?A. G1B. G2C. G3D. G4E. Gx

14. All of the following medication are cytostatic agents EXCEPTA. 5-FluorouracilB. CyclophosphamideC. MetotrexatD. SandostatineE. Taxoter

2

Page 3: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

15. Which method is distinguished for confirmation of gastric cancer ? A. Clinical method B. Ultrasound Examination C. Barium Enema Radiography D. Gastroscopy with biopsy E. Computerised Tomography

16. Which of the following tests will provide the best evaluation of the patient with colorectal cancer ?

A. CA 19 – 9B. CA 125C. CEA (carcinoembryonic antigen)D. AFP (alpha-foetoprotein)E. HCG (human chorionic gonadotropin)

17. Which of the following tests will provide the best evaluation of the patient with liver cancer?A. CA 19 – 9B. CA 125C. CEA (carcinoembryonic antigen)D. AFP (alpha-foetoprotein)E. HCG (human chorionic gonadotropin)

18. Which of the following tests will provide the best evaluation of the patient with cancer of the ovary?

A. CA 19 – 9B. CA 125C. CEA (carcinoembryonic antigen)D. AFP (alpha-foetoprotein)E. HCG (human chorionic gonadotropin)

19. Which of the following tests will provide the best evaluation of the patient with cancer of the testes?

A. CA 19 – 9B. CA 125C. CEA (carcinoembryonic antigen)D. AFP (alpha-foetoprotein)E. HCG (human chorionic gonadotropin)

20. Which of the following tests will provide the best evaluation of the patient with pancreatic cancer?

A. CA 19 – 9B. CA 125C. CEA (carcinoembryonic antigen)D. AFP (alpha-foetoprotein)E. HCG (human chorionic gonadotropin)

21. A 70-year-old woman has undergone radical mastectomy for breast carcinoma pT2N2M0 G3, ER (–) . The best choice of adjuvant treatment would be?

A. Adjuvant chemotherapy

3

Page 4: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

B. Adjuvant radiation therapyC. HormonotherapyD. BiotherapyE. Follow up

22. Which factor is prominent for the development of breast cancer?A. High level estrogeneB. SmokingC. ObesityD. Pollution of environmentE. Using of contraception

23. What is the level of incidents of breast cancer in Ukraine ?A. 1 – 10,0 o/ooooB. 11 - 20,0 o/ooooC. 21 - 30,0 o/ooooD. 31 - 40,0 o/ooooE. 41 - 50,0 o/oooo

24.Which part of breast is malignant tumor the most friquency located?A. Upper external quadrantB. Lower external quadrantC. Upper internal quadrantD. Lower internal quadrantE. Central area (nipple)

25.What does Truasie’s metastasis mean?A. Metastasis in liverB. Metastasis in ovaryC. Tumor’s deposit in Duglas’s pouchD. Metastasis in navelE. Metastasis in supraclaviculares lymphatic nodes

26.Which place is breast cancer situated in structure of general incidence malignant tumors in Ukraine?

A. FirstB. SecondC. ThirdD. FourthE. Fifth

27.Which of the following anatomy structures is target number one for metastasis of breast cancer?

A. Lymph nodesB. LungC. SceletonD. LiverE. Ovary

28. What does Paget’s cancer mean?A. Lobular carcinoma of breastB. Cancer of the nipplyC. Intraductal cancer of breastD. Extraductal cancer of breastE. Inflammatory cancer of breast

4

Page 5: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

29. A woman 60-year-old with a breast cancer T1N0M0. The best choice of treathment would be? A. Radical mastectomy

B. Radical quadrantectomyC. OvariectomyD. Amputation of breastE. Sectoral resection

30. The woman 60-year-old, presents with palpable tumor in left breast. Diagnosis unknown. Which method is distinguished for confirmation of breast cancer?

A. MammographyB. Ultrasaund examinationC. Excision biopsyD. Incision biopsyE. Fine needle biopsy

31. Which country has the highest level of incidence of breast cancer?A.UkraineB. FranceC. USAD. AustraliaE. Japan

32. Which country has the lowest level of incidence of breast cancer?A.UkraineB. FranceC. USAD. AustraliaE. Japan

33. What is the level of incidents of colorectal cancer in Ukraine ?A. 1 – 10.0 o/ooooB. 11 – 20.0 o/ooooC. 21 – 30.0 o/ooooD. 31 – 40.0 o/ooooE. 41 – 50.0 o/oooo

34.Which part of colon is malignant tumor the most friquency located?A. CecumB. Transverse colonC. Ascending colonD. Descending colonE. Sigmoid colon

35.An individual with a colorectal cancer is likely to present with any of the following simptoms EXCEPT.

A. Nausea, vomitingB. Decreased appetiteC. AstheniaD. DisphagiaE. Abdominal pain.

5

Page 6: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

36. A patient with colorectal cancer pT3N1M1 HEP, after palliative resection of sigmoid colon. The best choice of palliative chemotherapy would be?

A. CyclophosphamideB. 5-FluorouracilC. DocetaxelD. 5-Fluorouracil+LeucovorinE. 5-Fluorouracil+Levomizol

37. A 57-year-old patient with cancer of cecum T3NxM0 G2. The best choice of surgical treatment would be?

A. Resection ileocecal regionB. Distal resection of sigmaeC. Left-sided hemicolectomyD. Bypass ileotransversoanastomosisE. Right-sided hemicolectomy

38. A 62-year-old patient with cancer of sigmoid colon T4NxM0 G3, the best choice of surgical treatment would be?

A. ColostomyB. Sigmoid resectionC. Left-sided hemicolectomyD. Bypass sigmotransversoanastomosisE. Right-sided hemicolectomy

39. A 56-year-old patient with cancer of hepatic flexura T3NxM0 G3. The best choice of surgical treatment would be?

A. ColostomyB. Resection of hepatic flexura C. Left-sided hemicolectomyD. Bypass ileotransversoanastomosisE. Right-sided hemicolectomy

40. A 72-year-old patient with cancer of lienalis flexura T3NxM0 G1, the best choice of surgical treatment would be?

A. ColostomyB. Resection of lienalis flexura C. Left-sided hemicolectomyD. Bypass transversosigmaeanastomosisE. Right-sided hemicolectomy

41. A 48-year-old patient with cancer of transverse colon T3NxM0 G1, the best choice of surgical treatment would be?

A. ColostomyB. Transverse colectomyC. Left-sided hemicolectomyD. Bypass transosigmoid anastomosisE. Right-sided hemicolectomy

42. A 64-year-old patient with cancer of ascending colon T3NxM0 G2, the best choice of surgical treatment would be?

A. Colostomy

6

Page 7: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

B. Transverse colectomyC. Left-sided hemicolectomyD. Bypass ileotrasverse anastomosisE. Right-sided hemicolectomy

43. A 66-year-old patient with cancer of descending colon T2NxM0 G3, the best choice of surgical treatment would be?

A. ColostomyB. Transverse colectomyC. Left-sided hemicolectomyD. Bypass transversesigmoid anastomosisE. Right-sided hemicolectomy

44. The patient 60-year-old, was admitted to the hospital and complains of palpable left hypogastric mass, nausea, vomiting, anhedonia, weight loss, abdominal pain, decreased appetite. After examination the diagnose cancer of sigma T4NXM1 HEP with acute colon obstruction was established. Which place for colostomy is the best?

A. CecumB. Transverse colonC. Ascending colonD. Descending colonE. Sigmoid colon

45. The woman 51-year-old, was admitted to the hospital with advanced, non-resectable cancer ascending colon, T4NxM1 HEP. The best choice of surgical treatment would be?

A. Transverse colectomyB. Left-sided hemicolectomyC. ColostomyD. Collateral ileotransverseanastomosisE. Right-sided hemicolectomy

46. The man 59-year-old, was admitted to the hospital with suspect colorectal cancer. Which method of examination is the best?

A. Computed tomography scan of abdomenB. Colonoscopy with biopsyC. X-Ray examination of colon with contrast mediumD. Laparoscopy with biopsyE. Ultrasonography

47. The man 61-year-old, was admitted to the hospital with suspect of present metastasis in liver colorectal cancer. Which method of examination is the best for confirmation of metastasis in liver?

A. Computed tomography scan of abdomenB. Colonoscopy with biopsyC. X-Ray examination of colon with contrast mediumD. Laparoscopy with biopsyE. Ultrasonography

48. Which place is colorectal cancer situated in structure of incidence malignant tumors in Ukraine?

A. FirstB. SecondC. ThirdD. FourthE. Fifth

7

Page 8: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

49. Which of the following anatomy structures is target number one for distant metastasis of colorectal cancer?

A. SpleenB. LungC. BoneD. LiverE. Ovary

50. A 45-year-old woman has undergone radical right-side hemicolectomy for colon carcinoma, pT4N2M0 G3 one month ago. Which folloving treatment are you recomend?

A. Adjuvant chemotherapyB. Adjuvant radiation therapyC. HormonotherapyD. BiotherapyE. Follow up

51. The man 45-year-old with rectal cancer, T3N0M0 G1, is located in 1 cm from anus. Patient hasn’t concomitant diseases. The best choice of surgical treatment would be?

A. Total mesorectumectomy (Abdominoperineal resection)B. Low anterior resectionC. ColostomyD. Hartmann’s operationE. Endoscopy excision

52. The man 50-year-old with rectal cancer, T2N0M0 G3, is located in 8 cm from anus. Patient hasn’t concomitant diseases. The best choice of surgical treatment would be?

A. Total mesorectumectomy (Abdominoperineal resection)B. Low anterior resectionC. ColostomyD. Hartmann’s operationE. Endoscopy excision

53. The man 54-year-old with rectal cancer, T3N0M0 G1, is located in 15 cm from anus. Patient hasn’t concomitant diseases. The best choice of surgical treatment would be?

A. Total mesorectumectomyB. Abdominoperineal resectionC. Anterior resectionD. ColostomyE. Hartmann’s operation

54.Which symptom below early one of rectal cancer?A. Change in bowel habitsB. Blood in the stoolC. Weight lossD. AnorexiaE. Pain in abdomen

55. Which country has the highest level of incidence of colorectal cancer?A.UkraineB. IndiaC. USA

8

Page 9: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

D. AustraliaE. Japan

56. Which country has the lowest level of incidence of colorectal cancer?A.UkraineB. IndiaC. USAD. AustraliaE. France

57.Which part of oesophagus is oesophageal cancer the most friquency located?A. Cervical part of oesophagusB. Upper thoracical part of oesophagusC. Abdominal part of oesophagusD. Middle thoracical part of oesophagusE. Lower thoracical part of oesophagus

58. A Patient, 46-year-old, has obtuse pain behind sternum. Pain become stronger during a meal. Furthermore worry feeling passing hard food on esophagus, periodical regurgitation undigested food, loos weight. On X-ray of oesophageal is define widening of esophagus, relief of mucosis is smooth without peristalsis, in abdominal part of esophagus has contraction. Choose the correct diagnosis?

А. Hernia diaphragm’s outcomeВ. OesophagospasmС. Oesophageal cancerD. Diverticulosis of oesophagusЕ. Sclerodermia

59. A Patient has feeling burn in epigastric area, that attend of pain. Pain spreading in back, become stronger than patien lies and lies on left side. Pain was stopt after receiving alkaline water. Not rarely observe air regurgitation. Listing complaints worred during last two years, after Garloc outcome operations for the oesophageal cancer. Choose the correct diagnosis?

А. Achalasia of cardiaВ. Recurrence oesophageal cancerС. Reflux-oesophagitisD. Diverticulum of oesophagusЕ. Hernia diaphragm’s outcome

60. A Patient, 52-year-old, has abnormality passing food on esophagus and pain behind of sternum after meal, nausea, sometimes voming. What method of diagnostic is the best?

А. X-Ray examination with contrast mediumВ. Computer tomographyС. Oesophagoscopy with biopsyD. Ultrasound examinationЕ. Mediastinoscopy

61. A Patient, 55-year-old, after checkuping in oncology center has diagnosis cancer of lower thoracical part of esophagus. It’s necessary surgical treathment. What operation is need?

А. Torec’s operationВ. GastroenterostomiaС. Operation of LewesD. Duken’s operationЕ. Operation of Garloc

9

Page 10: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

62. A Patient, 60-year-old has a diphagia, loss weight, anemia. It grows progressively worse during last two month. Choose the correct diagnosis?

A. Oesophageal cancer B. Diverticulum of esophagus C. Hernia diaphragm’s outcome D. Achalasia of cardia E. Foreing body of esophagus

63. What is basic to choice surgical method of treatment oesophageal cancer? A. Stage of desiaseB. Localisation of tumorC. General condition of patientD. Heavy concominant diseasesE. All factors

64. What is basic of diagnostic for operable cancer of lower part oesophagus?A. Computer tomographyB. UltrasonographyC. X-rayD. LaparotomyE. Oesophagoscopy

65. A Patient, 70-year-old, has cancer in lower part of esophgus stage IIIb, ulcerous form, disphagia, sometimes poor pass fluid food. What treathment you’ll require to patient?

A. Simptomatical treathmentB. Radiation therapyC. ChemotherapyD. Gastrostomia + Radiation therapyE. Gastrostomia + Chemotherapy

66. What is the level of incidents of oesophageal cancer in Ukraine?A. 1 – 10.0 o/ooooB. 11 – 20.0 o/ooooC. 21 – 30.0 o/ooooD. 31 – 40.0 o/ooooE. 41 – 50.0 o/oooo

67. A Patient, 58-year-old, after checkuping in oncology center has diagnosis cancer of cervical part of oesophagus T2N0M0. What method of treatment is the best?

А. ChemotherapyВ. GastrostomiaС. Operation of LewesD. Radiation therapyЕ. Operatin of Garloc

68. A Patient, 63-year-old, after checkuping in oncology center has diagnosis cancer of abdominal part of oesophagus T3N0M0. It’s necessary surgycal treathment. What operation is need?

А. Torec’s operationВ. GastrostomiaС. Operation of LewesD. Collateral oesophagogastrostomia

10

Page 11: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

Е. Operatin of Garloc

69. An individual has advanced cancer middle part of oesophagus T4NxM1 HEP. He worries feeling passing hard food on oesophagus, periodical regurgitation undigested food, loss weight. Choice the best method of palliative cure?

А. Using of endoprosthesisВ. GastrostomiaС. Radiologyc therapyD. ChemotherapyЕ. Operatin of Garloc

70. Which of the following structures is target number one for distant metastasis of cancer upper thoracical part of oesophageus?

A. SpleenB. LungC. BoneD. LiverE. Ovary

71. Which of the following structures is target number one for distant metastasis of cancer lower thoracical part of oesophageus?

A. SpleenB. LungC. BoneD. LiverE. Ovary

72. Which country has the highest level of incidence of oesophageus cancer?A.UkraineB. IranC. USAD. AustraliaE. Poland

73. Which country has the lowest level of incidence of oesophageus cancer?A.UkraineB. IranC. ChinaD. KazakhstanE. Japan

74. What is the level of incidents of lung cancer in Ukraine ?A. 1 – 10,0 o/ooooB. 11 - 20,0 o/ooooC. 21 - 30,0 o/ooooD. 31 - 40,0 o/ooooE. 41 - 50,0 o/oooo

75. Which place is lung cancer situated in structure of incidence malignant tumors in Ukraine?A. FirstB. SecondC. Third

11

Page 12: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

D. FourthE. Fifth

76. Choose more high risk factor of development of lung cancer?A. HeredityB. Chronic obstructive pulmonary diseaseC. SmokingD. Scars in the lungE. Tuberculosis

77. If cancer developed in the lobular bronchus. Choose the correct diagnosis.A. Pencost’s cancerB. Paget’s cancerC. Central bronchogenic carcinomaD. Peripheral bronchogenic carcinomaE. Mediastinal form of lung cancer

78. All of the following signs are Horner’s syndrome EXCEPTA. PtosisB. MiosisC. EnophtalmusD. Sympathetic nerve paralysisE. Shoulder’s pain

79. A Patient 66-year-old compliance on pain in right supraclaviculares region, cough, shoulder pain, parasthesia, weakness of arm. Ptosis, miosis, enophtalmus was revealed at on time examination. Choose the correct diagnosis.

A. Pencost’s cancerB. Paget’s cancerC. Central bronchogenic carcinomaD. Peripheral bronchogenic carcinomaE. Mediastinal form of lung cancer

80. The man 67-year-old, was admitted with reccurent obstructive pneumonia. He complained of persistent cough, hemoptysis, expectoration of sputum, exertional dyspnea, decreased appetite. Choose the most probable diagnosis?

A. Chronic obstructive pulmonary disease B. Chronic fibrosis of the lungC. Peripheral bronchogenic carcinoma D. Central bronchogenic carcinoma E. Pencost’s cancer

81. The man 63-year-old, was admitted to the hospital. He complained of persistent cough, hemoptysis, expectoration of sputum, exertional dyspnea, decreased appetite. The most appropriate test for confirmation central bronchogenic carcinoma would be?

A. Computed tomography scan of thorax cavityB. Bronchoscopy with biopsyC. X-Ray examination of thorax cavityD. Bronchography with contrast mediumE. Cytologyc examination of the sputum

82. Choose the most probable test for diagnostic peripheral bronchogenic carcinoma?A. SpirographyB. Bronchoscopy with biopsy

12

Page 13: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

C. X-Ray examination of thorax cavityD. Bronchography with contrast mediumE. Cytologyc examination of the sputum

83. Lung cancer is less then 3 cm in diameter. Which one of the following signs is corresponding this?

A. T1B. T2C. T3D. T4E. T0

84. The tumor of lung cancer invades visceral pleura. Which one of the following signs is corresponding this?

A. T1B. T2C. T3D. T4E. T0

85. The tumor of lung cancer invades oesophageus. Which one of the following signs is corresponding this?

A. T1B. T2C. T3D. T4E. T0

86. The malignant cells determinated in sputum or bronchial washings, but tumour cannot be visualized by imaging or bronchoscopy. Which one of the following signs is corresponding this?

A. T1B. T2C. T3D. T4E. Tx

87. The patient 58-year-old with good general conditions has peripheral bronchogenic carcinoma in upper loube right lung T2N0M0. The best choice of surgical treatment would be?

A. Lobectomy (resection of a loube)B. SegmentectomyC. PneumonectomyD. Pneumonectomy with limphodissectionE. Wedge resection of the lobe

88. A patient 62-year-old with good general conditions has peripheral bronchogenic carcinoma in upper loube right lung T2N0M0. The best choice of treatment would be?

A. Surgery treatmentB. Radiologic therapyC. ChemotherapyD. BiotherapyE. Immunotherapy

89. A Smoker 66-year-old with good general conditions has central bronchogenic carcinoma in lower loube left lung T3N0M0. The best choice of surgical treatment would be?

13

Page 14: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

A. Lobectomy (resection of a loube)B. SegmentectomyC. PneumonectomyD. Pneumonectomy with limphodissectionE. Wedge resection of the lobe

90. A Smoker 58-year-old with good general conditions has central bronchogenic carcinoma in lower loube left lung T3N1M0. The best choice of surgical treatment would be?

A. Lobectomy (resection of a loube)B. SegmentectomyC. PneumonectomyD. Pneumonectomy with limphodissectionE. Wedge resection of the lobe

91. A Smoker 63-year-old with good general conditions has central bronchogenic carcinoma in lower loube left lung T3N3M0. The best choice of treatment would be?

A. Surgery treatmentB. Radiologic therapyC. ChemotherapyD. BiotherapyE. Immunotherapy

92. Choose the necessary chemotherapeutic medicine for chemotherapy lung cancer?A. Platin containing agentB. Antitumours antibioticC. Antimetabolits agentD. Alkylating agentE. Hormonotherapy

93. What is the level of incidents of skin cancer in Ukraine ?A. 1 – 10.0 o/ooooB. 11 – 20.0 o/ooooC. 21 – 30.0 o/ooooD. 31 – 40.0 o/ooooE. 41 – 50.0 o/oooo

94. Which place is skin cancer situated in structure of incidence malignant tumors in Ukraine?A. FirstB. SecondC. ThirdD. FourthE. Fifth

95. Choose more high risk factor of development skin cancer?A. HeredityB. Ultraviolet radiation (sunlight)C. SmokingD. Mechanical injuryE. Chronic inflammatory processes

96.Which place of body is the most friquency skin cancer located?A. AbdomenB. Head and neck

14

Page 15: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

C. FootsD. ArmsE. Back

97. Which place of body is the most rarely melanoma located?A. AbdomenB. Head and neckC. FootsD. ArmsE. Back

98. Which country has the most highest level of incidence of melanoma?UkraineMalaysiaUSAAustraliaJapan

99. Which method of treatment is the best for skin cancer of face?A. Surgecal excisionB. Radiation therapyC. ChemotherapyD. BiotherapyE. Immunotherapy

100. Wich method of treatment is the best for melanoma of trunk T2N0M0?A. Wide excisionB. Radiation therapyC. ChemotherapyD. BiotherapyE. Immunotherapy

101. A Patient has a cutaneous melanoma. After excision of primary tumour was determined thickness equal less 0.75 mm. Which one of the following signs is corresponding this ?

A. T1B. T2C. T3D. T4E. T0

102. Patient has a cutaneous melanoma. After excision of primary tumour was determined it thickness equal 1 mm. Which one of the following signs is corresponding this ?

A. T1B. T2C. T3D. T4E. T0

103. A patient has a cutaneous melanoma. After excision of primary tumour was determined it thickness equal less 3 mm. Which one of the following signs is corresponding this ?

A. T1

15

Page 16: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

B. T2C. T3D. T4E. T0

104. A. patient has a cutaneous melanoma with satellite metastases Which one of the following signs is corresponding this ?

A. T1B. T2C. T3D. T4E. T0

105. An individual with a gastric carcinoma is likely to present with any of the following simptoms EXCEPT.

A. Nausea, vomitingB. Decreased appetiteC. AstheniaD. Increasing (put on) weightE. Abdominal pain.

106. The patient with gastric cancer pT3N1M0 G3, after gasterectomy. The best choice of ad’juvant chemotherapy would be?

A. TamoxifenB. 5-FluorouracilC. LevomizolD. CerucalE. Bonefos

107. A 56-year-old patient with gastric cancer T3NxM0 G4, the best choose of surgical treatment would be?

A. Proximal resection of stomachB. Distal resection of stomachC. GastrectomyD. Bypass gastroenteroanastomosisE. Gastrostomia

108. The patient 60-year-old, was admitted to the hospital and complains of palpable epigastric mass, nausea, vomiting, anhedonia, weight loss, abdominal pain, decreased appetite. What is the most likely diagnosis in this case?

A. Chronic gastritisB. Cancer of stomachC. PancreatitisD. Stomach ulcerE. Colitis

109. The woman 63-year-old, was admitted to the hospital and complains of palpable epigastric mass, nausea, vomiting, anhedonia, weight loss, abdominal pain, decreased appetite. The most appropriate test would be?

A. Computed tomography scan of abdomen

16

Page 17: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

B. Gastroscopy with biopsyC. X-Ray examination of stomach with contrast mediumD. Laparoscopy with biopsyE. Examination of the stomach juices

110. A patient presents with advanced gastric cancer. Which of the following sings may be elicited on physical examination EXCEPT?

A. Virhov’s metastasisB. Shnicler’s metastasisC. AscitesD. Metastasis in lungE. Djozefin’s metastasis

111. What does Virchow’s metastasis mean?A. Metastasis in liverB. Metastasis in ovaryC. Tumors deposits in Duglas’s pouchD. Metastasis in navelE. Metastasis in left supraclaviculares lymphatic nodes

112. What does Shnicler’s metastasis mean?A. Metastasis in liverB. Metastasis in ovaryC. Tumor deposits in Duglas’s pouchD. Metastasis in navelE. Metastasis in left supraclaviculares lymphatic node

113. What does Djozefin’s metastasis mean?A. Metastasis in liverB. Metastasis in ovaryC. Tumor deposits in Duglas’s pouchD. Metastasis in navelE. Metastasis in left supraclaviculares lymphatic node

114. What does Krucenberg’s metastasis mean?A. Metastasis in liverB. Metastasis in ovaryC. Tumor deposits in Duglas’s pouchD. Metastasis in navelE. Metastasis in left supraclaviculares lymphatic node

115. What place is stomash cancer situated in structure of incidence malignant tumors in Ukraine?

A. FirstB. SecondC. ThirdD. FourthE. Fifth

116. If a tumor’s marcer CA 19-9 has hight level, it means that?A. Cancer ovaryB. Cancer liverC. Gastric cancer

17

Page 18: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

D. Pancreatic cancerE. Colorectal cancer

117. Which of the following tests will provide the best evaluation of the patient with colorectal cancer ?

A. CA 19 – 9B. CA 125C. CEA (carcinoembryonic antigen)D. AFP (alpha-foetoprotein)E. HCG (human chorionic gonadotropin)

118. What is the level of incidents of gastric cancer in Ukraine ?A. 1 – 10,0 o/ooooB. 11 - 20,0 o/ooooC. 21 - 30,0 o/ooooD. 31 - 40,0 o/ooooE. 41 - 50,0 o/oooo

119.Which of the following structures is target number one for distant metastasis of gastric cancer?

A. SpleenB. LungC. BoneD. LiverE. Ovary

120. A 45-year-old woman has undergone radical gastrectomy for gastric carcinoma. Three years later she started complain about the pain in right upper region of abdomen, loss weight, decriase appetite. Which of diagnosis may you think?

A. CholecystitisB. HepatitisC. CholangitisD. Metastasis in liverE. Metastasis in ovary

121. A 45-old woman has undergone radical gastrectomy for gastric carcinoma. Three years later she starts complain about the pain in right upper region of abdomen, loss weight, decriase appetite. Which of methods is the most useful in this case?

A. GastroscopyB. ColonoscopyC. X-Ray examination with contrast substanceD. Computer tomographyE. Ultra saund examination

122. Does II stage cancer of stomach mean?A. Tis N0 M0B. T1-2 N0 M0C. T3-4 N0 M0D. Any T Any N M1E. Any T N1 M0

123. Does 0 stage cancer of stomach means?A. Tis N0 M0

18

Page 19: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

B. T1-2 N0 M0C. T3-4 N0 M0D. Any T Any N M1E. Any T N1 M0

124. Does III stage cancer of stomach means?A. Tis N0 M0B. T1-2 N0 M0C. T3-4 N0 M0D. Any T Any N M1E. Any T N1 M0

125. Does I stage cancer of stomach means?A. Tis N0 M0B. T1-2 N0 M0C. T3-4 N0 M0D. Any T Any N M1E. Any T N1 M0

126. Does IV stage cancer of stomach means?A. Tis N0 M0B. T1-2 N0 M0C. T3-4 N0 M0D. Any T Any N M1E. Any T N1 M0

127. Tumor of stomach invades lamina propria or submucosa. Which one of the following signs is corresponding this ?

A. T1B. T2C. T3D. T4E. T0

128. Tumor of stomach invades muscularis propria or subserosa. Which one of the following signs is corresponding this ?

A. T1B. T2C. T3D. T4E. T0

129. Tumor of stomach penetrates serosa (visceral peritoneum) without invasion of adjacent structures. Which one of the following signs is corresponding this ?

A. T1B. T2C. T3D. T4E. T0

130. Tumor of stomach penetrates serosa (visceral peritoneum) with invasion of adjacent structures. Which one of the following signs is corresponding this?

A. T1B. T2

19

Page 20: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

C. T3D. T4E. T0

131. Primary tumor cannot be assessed. Which one of the following signs is corresponding this?A. T1B. T2C. T3D. T4E. Tx

132. No evidence of primary tumor. Which one of the following signs is corresponding this ?A. T1B. T2C. T3D. T4E. T0

133. Which patient with gastric cancer has the best chance of cure?A. Tis N0 M0B. T1-2 N0 M0C. T3-4 N0 M0D. Any T Any N M1E. Any T N1 M0

134. Which part of stomach is the most frequency gastric cancer located?A. Antral part of the stomachB. Cardinal part of the stomachC. Fundus of the stomachD. Body of stomashE. Greated curvature of the stomash

135. Which country has the highest level of incidence of gastric cancer?A.UkraineB. MalaysiaC. USAD. AustraliaE. Japan

136. Which country has the lowest level of incidence of gastric cancer?A.UkraineB. MalaysiaC. USAD. AustraliaE. Japan

137. The patient 70-year-old with gastric cancer, stage IV, is located in antral region was admitted to the hospital and complains of palpable epigastric mass, nausea, vomiting, anhedonia, weight loss, abdominal pain, decreased appetite. The best choice of surgical treatment would be?

A. Proximal resection of stomachB. Distal resection of stomach

20

Page 21: ONCOLOGY MCQS PREPARATION FOR 5th yr MBBS

C. GastrectomyD. Bypass gastroenteroanastomosisE. Gastrostomia

138. The man 45-year-old with gastric cancer, T2N0M0 G1, is located in antral region. Patient hasn’t concomitant diseases. The best choice of surgical treatment would be?

A. Proximal resection of stomachB. Distal resection of stomachC. GastrectomyD. Bypass gastroenteroanastomosisE. Gastrostomia

139. The woman 50-year-old with gastric cancer, T3N0M0 G1, is located in cardinal region. Her general condition is good. The best choice of surgical treatment would be?

A. Proximal resection of stomachB. Distal resection of stomachC. GastrectomyD. Bypass gastroenteroanastomosisE. Gastrostomia

140. The patient, 55 years old, after checkuping in oncology center has diagnosis cardioesophageal cancer T3N0M0. It’s necessary surgical treatment. What operation is need?

А. Torec’s operationВ. GastroenterostomiaС. Operation of LewesD. GasterectomiaЕ. Operation of Garloc

21