1. SECTION B RECALL DAY 2( COLON RECTUM and ANUS, SOFT TISSUE SARCOMA, BREAST,
APPENDIX)
1. Branch of superior mesenteric artery
a. Left colic
b. Superior rectal
c. Middle colic
d. Sigmoid
2. Oncogene in colorectal CA except:
a. Activation of KRAS
b. DCC
c. p53
d. APCC
3. Which of the tumorsupressor genes inactivate something, except:
A. APC
B. DCC
C. KRAS
D. P53
4. Bacteria made up what percentage of weight in dry feces?
a. 10
b. 30
c. 50
d. 20
5. Origin of Middle rectal Artery
a. inferior mesenteric
b. Inferior iliac
c. Inferior duodenal
d. Middle sacral
6. Extensive perianal condylomataaccuminata is treated with:
a. Topical steroid
b. Antibacterial cream
c. Topical podophylin
d. Surgical resection
7. Dysfunction of external anal sphincter
a. Anal manometry
b. Defacography

2. c. External sonography
d. A&C
e. All of the above
8. Treatment of choice for acute anal fissure
a. Excision and primary closure
b. Lateral internal sphincterotomy
c. Laxatives, steroids, sitz bath
d. Fulguration
9. Abdominal metastasis occur in which of the ff. Tumor
a. Synovial sarcoma
b. Rhabdomyosarcoma
c. Leiomyosarcoma
d. myxoidliposarcoma
10. Most applicable method in a 6cm leg mass
a. Core biopsy
b. Open biopsy
c. Fine needle biopsy
11. Risk factor for developing soft tissue sarcoma -chronic lymphedema
12. A 45y/o M was seen at the ER with multiple soft tissue masses. In w/c of the ff. Would excisional
biopsy be amendable?
A. 2cm flank mass
B. 1.5cm
C. 2cm calcaneus
D. 5 cm superficial thigh mass
13. Determinant of prognosis for patients with soft tissue sarcoma – Histologic Grade
14. Small tumors
A. Radiation- ANS.
B.?
C. Regional Limb perfusion
D. ?

3. 15. The following sarcoma is malignant except?
A. Chondrosarcoma
B. Dermatofibrosarcomaprotuberans -Ans
C. Liposarcoma
D.?
16. Female patient with cancer cells in this LN will have poor prognosis.
a. external mammary LN
b. Central LN
c. internal thoracic LN
d. Apical LN
17. The anatomy of female breast:
a. the organ is controlled by prolactin from the pituitary gland
b. mammary gland is….superficial fascia of thoracic wall
c. mammary gland is….pectoralis fascia by cowper’s ligament
d. AOTA
18.
A. A type of biopsy for breast that can also be used as management:
a. Incisional biopsy
b. Excisional biopsy
c. Suction biopsy
d. Core needle biopsy
B. radiological procedure used to screen breast lesion
a. mammography
b. ductography
c. biopsy

4. d. MRI or CT scan
19.
A. Radiographic test for breast lesion
a. Mammography
b. ductography
c. biopsy
d. MRI or CT-scan
B. A type of breast biopsy that can be considered as management?
a. incisional
b. excisional
c. suction biopsy
d. core needle biopsy
20. bloodgood cyst is a large blue dome cyst of what breast lesion?
a. mammary duct ectasia
b. chronic cystic mastitis
c. fibroadenoma
d. intraductal papilloma
21. Management of bloody nipple discharge without palpable mass.
a. ____
b. ____
c. Ductography for localization then total mastectomy
d. Ductography to localize and excise if benign
22. Feature of phyllodestumor
a. most have its malignant counterpart
b. diff to distinguish benign and malignant through size, consistency
c. both can be treated by mastectomy
d. AOTA
23. Histologic classification of colloid
answer: adenocarcinoma
24. A female patient with cancer cell will have the worst prognosis
a. A.externalmamillary LN

5. b. B.Central LN
c. C.Internal thoracic group of LN
d. D.Apical LN
25. Most common site of fecalith.
Ans. proximal 1/3
26. The most common cause of luminal obstruction of the appendix causing appendicitis:
a. Ascarislumbricoides
b. Tumor
c. Vegetable seed
d. None of the Above ---> ANSWER
27. Pin point abscess seen In congestive wall of appendix indicates what stage of appendicitis
A. Congestive stage
B. Suppurative stage
C. Gangrenous stage
D. Stage of rupture
28. most common aerobic bacteria present in the lumen of the appendix
a. B. fragilis
b. E. coli
c. P. mirabilis
d. pepto....churva
29. Common symptom of appendicitis that leads pt seek consultation
a. anorexia
b. abdominal pain
c. nausea and vomiting
d. ... with high grade fever
30. Abdominal signs on PE that points to appendicitis
a. rovsing
b. obturator
c. psoas
d. AOTA