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قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤ » Telegram Web
Colorectal Ca
Q1/ In colorectal carcinoma all are true, Except:
Q1/ In colorectal carcinoma all are true, Except:
Anonymous Quiz
3%
A. Diet is a risk factor
72%
B. Is rare in North Africa and Middle East
14%
C. Alteration of the bowel habit is an early presentation
4%
D. Rectal cancer may present with tenesmus and blood with mucous per rectum
7%
E. Can present as an emergency with obstruction or perforation
❤4
Q2/ Pre-malignant conditions of colon and rectum include all of the following Except:
Anonymous Quiz
7%
A. Ulcerative colitis
13%
B. Gardner's syndrome
50%
C. melanosis coli
7%
D. Familial adenomatous polyposis
22%
E. Crohn's colitis
❤2
Q3/ In colonic cancer, the False statement is:
Anonymous Quiz
64%
A. Crab-claw deformity in barium enema
1%
B. Right colonic cancers present with features of anemia
9%
C. Left colonic cancers present with rectal bleeding
11%
D. Left colonic cancers present with obstructive symptoms
15%
E. Synchronous cancers occur in 5 %
❤1
Q4/ Screening for colonic cancer in general public is performed:
Anonymous Quiz
8%
A. Sigmoidoscopy
24%
B. Colonoscopy
6%
C. Barium enema
18%
D. Stool occult blood
45%
E. All are true
🔥1
Q5/ Cancer rectum involving the meso-rectum and two inferior mesenteric lymph nodes with no liver metastasis is :
Anonymous Quiz
12%
A. T1N2M0
42%
B. T3N1M0
15%
C. T4N2M1
30%
D. T3N2M0
Q6/ Most common site of Colo-rectal carcinoma is:
Anonymous Quiz
2%
A. Hepatic flexure
6%
B. Descending colon
1%
C. anal canal
88%
D. Recto-sigmoid
3%
E. Ascending colon
🥰1
Q7/ In a work up of the newly diagnosed case of carcinoma colon all of the following investigations may
be needed, Except:
be needed, Except:
Anonymous Quiz
3%
A. Colonoscopy to detect any synchronous tumors
1%
B. C. T. Scan of abdomen
23%
C. Chet X-ray
6%
D. Ultrasound of the liver
66%
E. Alfa fetoprotein level
❤1
Q8/ Regarding recto-colonic cancer which statement is false:
Anonymous Quiz
3%
A. The rectum is the most frequently involved
2%
B. More than 50% within the reach of sigmoidoscope
14%
C. Duck's B, the growth is extends through the rectal wall
77%
D. No benefit from bowel preparation in colonic cancer surgery
4%
E. Post-surgery wound infections are sadly about 50%
❤1
Q9/ A colorectal carcinoma that invades submucosa and has two positive mesenteric lymph nodes and no
distant metastasis it is:
distant metastasis it is:
Anonymous Quiz
7%
A. Dukes A
14%
B. Dukes B1
39%
C. Dukes B2
26%
D. Dukes C1
15%
E. Dukes C2
❤4
🔘 Common tumor markers :
*Breast cancer CA 15-3
*Ovarian cancer CA 125
*Pancreatic cancer CA 19-9
*Colorectal cancer CEA
*Prostatic cancer PSA
*Hepatocellular carcinoma AFP
*Teratoma AFP
*Testicular seminoma LDH
*Breast cancer CA 15-3
*Ovarian cancer CA 125
*Pancreatic cancer CA 19-9
*Colorectal cancer CEA
*Prostatic cancer PSA
*Hepatocellular carcinoma AFP
*Teratoma AFP
*Testicular seminoma LDH
❤15
أصبحنا وأصبح الملك لله رب العالمين 💙
اللهّم إنّا نسألك من كل خيرٍ خزائنه بيدك 💙
ياحي ياقيوم برحمتك أستغيث أصلح لي شأني كله ولا تكلني إلي نفسي طرفة عين 💎
اللهّم إنّا نسألك من كل خيرٍ خزائنه بيدك 💙
ياحي ياقيوم برحمتك أستغيث أصلح لي شأني كله ولا تكلني إلي نفسي طرفة عين 💎
❤19
A 50 years old woman having an end colostomy after colonic resection, she complained that her stoma is not working properly. Which of the following is the commonest compliction of an end colostomy :
Anonymous Quiz
28%
Para stoma hernia
5%
Bleeding
12%
Sking ulcer
27%
Stenosis
28%
Stoma prolaps
👍4❤1
All the following are DD of tenesmus except :
Anonymous Quiz
4%
Rectal cancer
13%
UC
23%
Amabic disease
46%
Diverticulosis
15%
Villous adenoma in rectum
❤2😁1
Forwarded from 𝗠𝗼𝗵𝗮𝗺𝗺𝗲𝗱 𝗮𝘁𝘁𝗮
عمليات
✔️ Herniorrhaphy : by suture or
stitch
✔️ Hernioplasty : by mesh (Tension-free repair)
✔️ herniotomy : commonly associated with congenital indirect hernias , open sac , reduce contents , ligate
✔️ Herniorrhaphy : by suture or stitch مش ضروري نفتحو sac
✔️ Hernioplasty : by mesh (Tension-free repair)
✔️ herniotomy : commonly associated with congenital indirect hernias , open sac , reduce contents , ligate no suture or mesh
✔️ shouldice repair : four-layer inguinal hernia repair by sutures
( best one in emergency and can used elective ) + recuts release
✔️ Bassini repair : suturing the transversalis fascia and the conjoined tendon to the inguinal ligament ( old )
✔️ Lichtenstein repair : best one in inguinal hernia by mesh
✔️ Mc-evedy repair : best one in femoral hernia ( high approach )
✔️ lookwood : low approach for femoral hernia from thigh
✔️ Lotheissen’s : inguinal approach for femoral hernia
stitch
( best one in emergency and can used elective ) + recuts release
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❤13👍5
الله يسهل علينا ويجعلنا في أخر خطوة النجاح حليفنا ويجعل تعبنا وتوترنا شفيعآ لنا يوم يُسأل المرء عن شبابه فيما أفناه ❤️
"من سَلك طريقًا يلتمِس فيه علمًا سهَّل الله له طريقًا إلى الجنّة"
"من سَلك طريقًا يلتمِس فيه علمًا سهَّل الله له طريقًا إلى الجنّة"
❤49
Forwarded from قناة دفعة (43) طب بشري جامعة طرابلس ❤
قبل أن تنام إعلم أن يومك انتهى بفرحه بحزنه قد مضى وغداً أجمل بإذن الله الوتر ،الاستغفار،الصلاة على النبي وأذكارُ النوم خيّر ختام ❤
❤27
Commenst congnital hernia is :
Anonymous Quiz
4%
Femoral hernia
50%
Indirect inguinal hernia
7%
Direct inguinal hernia
39%
Umbilical hernia
1%
Incidional hernia
❤2🤔1
📌Causes of bloody nipple discharge:
1- intraductal papilloma ( the commonest cause)
2- Duct carcinoma
3- Trauma ( in the acute phase)
4- Infection (bacterial mastitis with breast abscess)
5- Duct ectasia (often occur with periductal mastitis with abscess
1- intraductal papilloma ( the commonest cause)
2- Duct carcinoma
3- Trauma ( in the acute phase)
4- Infection (bacterial mastitis with breast abscess)
5- Duct ectasia (often occur with periductal mastitis with abscess
🔥7👍2