Lumps And Bumps

Front 1

What is End ileostomy usually associated with?

Back 1

IBD - whole bowel out

Front 2

End colostomy associates with?

Back 2

Bowel ca or diverticular disease usually from Hartman’s disease

Front 3

Looo ileostomy

Back 3

Usually to protect Anastasia is

Front 4

Above and medial to pubic tuberclie (above groin crease)

Back 4

Inguinal

Front 5

Below and leateral to pubic tubercle (below groun crease)

Back 5

Femoral

Front 6

Manoeuvre for deterring indirect versus direct hernias?

Back 6

Reduce, cover the deep ingyindl ring mide of asis and pubic tubercle. Ask to cough and still see hernia determine its direct.

Front 7

Epidemiology if direct hernias?

Back 7

Old fat men

Front 8

Epidemiology of femoral

Back 8

For exams generally female

Inguinsl more common in femdild however

Front 9

If hernia irreducible? No blockage of bowel?

Back 9

Incarcaerated

Front 10

Hernia non reduceible and no bowel

Back 10

Obstructed

Front 11

Hernia irreducible and no bowel and ischaemic

Back 11

Bloody painful strangulated metabolic acidosis

Front 12

Definition of a hernia

Back 12

Protrusion of a viscus or part of a viscus through the walls of its containing cavity into an abnormal position

Front 13

Pantaloon hernia?

Back 13

Simultaneous direct and indirect hernias

Front 14

Obturator hernia clinical features?

Back 14

Old age F>M

Sac protrudes through obturator foramen

Pain on inner aspect of thigh or knee

Frequently obstructed/strangulated

Front 15

Features of a thyroglossal cyst?

Back 15

Midline, moves with tongue protrusion

Front 16

Discharging hole on anterior border of SCM - what is it?

Back 16

Branchial fistula

Front 17

20y/o with red, inflamed lump on anterior border of SCM, what is the histology expected on FNA?

Back 17

Squamous cell epithelium

Branchial cyst

Front 18

Decreased pulse on external rotation and abduction of the arm? A lump on posterior triangle of neck?

Back 18

Cervical rib - overgrowth of C7 transverse process

Front 19

Lump which transilluminates in infant, posterior triangle?

Back 19

Cystic hygroma

Front 20

Diffuse painless goitre, what is it, what can be the causes?

Back 20

Simple goitrue

Iodine deficiency, autoimmune

Front 21

Painless goitre with multiple nodules, what do you expect the thyroid tests to show?

Back 21

Euthyroid, multinodular goitre

Front 22

Plummer's?

Back 22

Toxic multinodular goitre - thyrotoxicosis

Front 23

Grave's typical goitre?

Back 23

Diffuse goitre with bruit and other signs of Grave's

Front 24

Diffuse painless goitre with transient thyrotoxicosis and then hypothyroidism?

Back 24

Hashimoto's thyroiditis

Front 25

Diffuse painful goitre following URTI, going from thyrotoxicosis -> hypo -> euthyroid? What organism?

Back 25

de Quervain's, coxsackie commonly causes this

Front 26

Single thyroid nodule, can be "hot" or "cold"

Back 26

Follicular adenoma

Front 27

Solitary nodule on thyroid, asymptomatic

Back 27

Thyroid cyst

Front 28

Most common thyroid cancer? What age group?

Back 28

Papillary, 20-40

Front 29

Medullary thyroid cancer associated with what syndrome?

Back 29

MEN 2

Front 30

Cell origin of medullary ca?

Back 30

Parafollicular cells

Front 31

Thyroid cancer with worst prognosis?

Back 31

Anaplastic

Front 32

Facial palsy with rapid growth of lesion on side of face, what's likely diagnosis?

Back 32

Parotid gland malignancy. Most commonly adenoid-cystic

Front 33

Most common non-malignant parotid gland neoplasm?

Back 33

Peiomorphic adenoma

Front 34

Breast cancer screening, years?

Back 34

Every 3 years 47-73

Front 35

Persistent eczema on breast, cause?

Back 35

Paget's

Front 36

Medical treatment for cyclical mastalgia?

Back 36

EPO

Front 37

Slit like nipple, bilateral, thick white/green discharge, 50y/o

Back 37

Duct ectasia, close f/up and needs to be distinguished from ca

Front 38

Painless, palpable, non-mobile mass following trauma. Calcified

Back 38

Fat necrosis, this may calcify mimicking cancer

Front 39

Lactating patient with painful, red breast. Tx?

Back 39

Acute mastitis, flucloxicillin

Front 40

Bloody discharge from nipple, no palpable mass

Back 40

Duct papilloma - benign, remove due to increased risk of ca

Front 41

Occurs during menstrual cycle, painful, cyclical

Back 41

Fibrocystic disease (benign mammary dysplasia)

Front 42

Painless, mobile, rubbery mass, popcorn calcification

Back 42

Fibroadenoma

Front 43

Fibroadenoma treatment?

Back 43

Reassurance, if >2.5cm surgical

Front 44

Microcalcification on mammogram, sometimes with Paget's/ d/c / lump

Back 44

DCIS

Front 45

Incidental biopsy finding, in young women, often bilateral, high chance of becoming malignant

Back 45

LCIS

Front 46

Role of letrozole and other aromatase inhibitors in breast ca? Which group?

Back 46

THose that are oestrogen receptor positive and in women >menopause as peripheral production of oestrogen is higher than from ovaries, so insteasd of tamoxifen use aromatase inhibitors

Front 47

Young woman, bloody discharge from nipple

Back 47

Intraductal papilloma