A 35-year-old man develops oliguria, peripheral edema, and shortness of breath over a
two week period. Serum biochemistry ...
A 38 year old woman with a history of multiple sexual partners is most at risk for
which of the following?
A:
Bladder
carc...
response) is associated with squamous metaplasia and squamous cell carcinoma of
the bladder. Some authors have suggested t...
D: Benign prostatic hyperplasia
Correct Ans:C
Explanation
Patient in the question is 65 years old and is a smoker, both th...
of 4

Previous year question on carcinma urinary bladder based on neet pg, usmle, plab and fmge or mci screening exams

Revision with a Master Quiz of 5 questions based on NEET PG Sample Questions on Carcinoma Urinary Bladder from Previous Year NEET PG Online Exams.
Published on: Mar 4, 2016
Source: www.slideshare.net


Transcripts - Previous year question on carcinma urinary bladder based on neet pg, usmle, plab and fmge or mci screening exams

  • 1. A 35-year-old man develops oliguria, peripheral edema, and shortness of breath over a two week period. Serum biochemistry tests show markedly elevated urea and creatinine. Renal biopsy shows many glomerular crescents, and fluorescent antibody studies demonstrate linear deposits of IgG along the glomerular basement membrane. This patient is also at increased risk for developing: A: Bladder carcinoma B: Meningiom a C: Pulmonary hemorrhage D: Rheumatoid arthritis Correct Ans:C Explanation The clinical scenario is that of rapidly progressive glomerulonephritis. Linear deposits of IgG along the basement membrane make the diagnosis of anti-glomerular basement membrane disease, which may either occur as an isolated finding or as part of Goodpasture's syndrome, which also features prominent pulmonary hemorrhage as a result of antibody attack on the alveolar capillary basement membrane. Formerly, the prognosis of patients with these conditions was dismal (most dying within 6 months of either renal failure or pulmonary hemorrhage), but the patients can now often be successfully treated with aggressive management including plasma exchange, renal dialysis, and high-dose immunosuppression. Predisposing factors for bladder carcinoma include industrial chemical exposure, cigarette smoking, and infection with Schistosoma haematobium. There is no link between bladder carcinoma and glomerulonephritis. Predisposing factors for meningiomas include von Recklinghausen's neurofibromatosis and probably small, inconsequential trauma to the meninges. There is no link between meningiomas and glomerulonephritis. Glomerulonephritis was previously considered to be almost nonexistent in rheumatoid arthritis, it is now acknowledged that rheumatoid arthritis may occasionally be associated with mesangial proliferation, membranous nephropathy, and rarely, rapidly progressive glomerulonephritis. Sample Previous Year Question on Carcinoma Urinary Bladder based on previous Year Questions of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit www.medicoapps.org for more such Quizzes
  • 2. A 38 year old woman with a history of multiple sexual partners is most at risk for which of the following? A: Bladder carcinoma B: Cervical carcinoma C: Endometrial carcinoma D: Ovarian carcinoma Correct Ans:B Explanation In a sense, cervical carcinoma can be considered a "sexually transmitted disease," since human papilloma virus (typically strains HPV-16 or HPV- 18) is transmitted venereally. In our culture, HPV-related dysplasia of the cervix is common, even in the 18-28 year old group, and carcinomas of the cervix (more rare now than in the past due to screening and aggressive therapy of dysplasia) can occur in the 35-45 age group. The other cancers listed typically occur in older age groups and are not as clearly related to venereal agents. Ref: Hoffman B.L., Schorge J.O., Schaffer J.I., Halvorson L.M., Bradshaw K.D., Cunningham F.G., Calver L.E. (2012). Chapter 30. Cervical Cancer. In B.L. Hoffman, J.O. Schorge, J.I. Schaffer, L.M. Halvorson, K.D. Bradshaw, F.G. Cunningham, L.E. Calver (Eds), Williams Gynecology, 2e. Sample Previous Year Question on Carcinoma Urinary Bladder based on previous Year Questions of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit www.medicoapps.org for more such Quizzes Which of the following is specifically associated with infection with Schistosoma haematobium? A: Adenocarcinoma of the bladder B: Adenocarcinoma of the renal pelvis C: Squamous cell carcinoma of the bladder D: Transitional cell carcinoma of the bladder Correct Ans:C Explanation Carcinomas of the bladder and renal pelvis are usually transitional cell carcinomas. However, Schistosoma haematobium infection (where Schistosomes lay eggs in the veins near the bladder, thereby inducing a marked inflammatory
  • 3. response) is associated with squamous metaplasia and squamous cell carcinoma of the bladder. Some authors have suggested that medications used to kill the worms may contribute to the etiology. Adenocarcinomas of the renal pelvis and bladder are rare. Ref: Brooks G.F. (2013). Chapter 46. Medical Parasitology. In G.F. Brooks (Ed),Jawetz, Melnick, & Adelberg's Medical Microbiology, 26e. Sample Previous Year Question on Carcinoma Urinary Bladder based on previous Year Questions of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit www.medicoapps.org for more such Quizzes A 65 year old male smoker presents with gross total painless hematuria. Which of the following is the most likely diagnosis? A: Cystolithiasis B: Carcinoma prostate C: Carcinoma of urinary bladder D: Benign prostatic hyperplasia Correct Ans:C Explanation Patient in the question is 65 years old and is a smoker, both these factors predispose to the development of bladder carcinoma. And he is presenting with painless hematuria which is by far the most common symptom and indicator of bladder carcinoma until proven otherwise. Ref: Bailey and Love’s Short Practice of Surgery, 23rd Edition, Pages 1360-3. Sample Previous Year Question on Carcinoma Urinary Bladder based on previous Year Questions of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit www.medicoapps.org for more such Quizzes A 65 year old male smoker presents with gross total painless hematuria. Which of the following is the most likely diagnosis? A: Cystolithiasis B: Carcinoma prostate C: Carcinoma of urinary bladder
  • 4. D: Benign prostatic hyperplasia Correct Ans:C Explanation Patient in the question is 65 years old and is a smoker, both these factors predispose to the development of bladder carcinoma. And he is presenting with painless hematuria which is by far the most common symptom and indicator of bladder carcinoma until proven otherwise. Ref: Bailey and Love’s Short Practice of Surgery, 23rd Edition, Pages 1360-3. Sample Previous Year Question on Carcinoma Urinary Bladder based on previous Year Questions of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit www.medicoapps.org for more such Quizzes

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