40 year old lady presented with swelling in the right side of the upper part of
the neck below the ear lobule for last 10 years. Swelling is painless and gradually growing.
On examination of the swelling, the surface is smooth, margins are well defined, and is free
from skin and underlying structures. Histologically, architectural pleomorphism is seen.
What is the most probable diagnosis
Options:
1) Lipoma
2) Rhabdomyosarcoma
3) Chronic sialadenitis
4) Mixed parotid tumour

1 Answer

Answer :

Correct Answer: 4) Mixed parotid tumour

Related questions

Description : Which of the following is the most common cause of Hypothyroidism in iodine sufficient area? Options: 1) Iatrogenic hypothyroidism 2) Post-partum thyroiditis 3) Autoimmune thyroiditis 4) Thyroid aplasia

Last Answer : Correct Answer: 3) Autoimmune thyroiditis

Description : A 20 yr. old female patient presents with pain in thyroid region of the neck since few days. She gives recent history of mumps. On palpation thyroid is tender and her thyroid function ... 1) de Quervain's thyroiditis 2) Silent thyroiditis 3) Primary thyrotoxicosis 4) Hashimoto's thyroiditis

Last Answer : Correct Answer: 1) de Quervain’s thyroiditis

Description : A middle aged female presented with following symptoms - Hirsutism, fragility of skin, with easy bruising, broad purplish striae and signs of proximal myopathy. The first step in ... Exclude exogenous Glucocorticoid use 3) Advice plasma ACTH estimation 4) Advice dexamethasone overnight test

Last Answer : Correct Answer: 2) Exclude exogenous Glucocorticoid use

Description : A patient states that for ALMOST a year now she has had a rubbery, firm, painless nodule within the substance of parotid gland. This MOST likely is: A. Mucocele B. Lymph node C. Benign mixed tumour D. Squamous cell carcinoma E. Sialolith with encapsulations

Last Answer : C. Benign mixed tumour

Description : A person was unable to close his right eye. There is dribbling of saliva from right angle of his mouth and he in unable to make a pout. The probable diagnosis is Options: 1) Bell’s Palsy 2) Trigeminal Neuralgia 3) Optic Nerve Injury 4) Oculomotor Nerve Injury

Last Answer : Correct Answer: 1) Bell’s Palsy

Description : A male patient 30 years old with visual acuity of 6/6 in both eyes. Twelve hours ago he presented with drop of vision of the left eye. On examination, visual acuity was 6/6 in the ... : a. Raised intra cranial pressure b. Raised ocular tension c. Central retinal artery occlusion d. Optic neuritis

Last Answer : ANSWER: D

Description : Barium swallow study of a patient suffering from dysphagia revealed Bird's beak appearance of esophagus. The most probable diagnosis is Options: 1) Reflux esophagitis Barrett's esophagus 3) Hiatus hernia 4) Achalasia cardia

Last Answer : Correct Answer: 4) Achalasia cardia

Description : Urine examination (Benedict’s test) of a 40 yr old obese male showed a brick red precipitate. This can result from all except Options: 1) Diabetes Mellitus 2) Drugs 3) Acute post-streptococcal glomerulonephritis 4) Cushing’s syndrome

Last Answer : Correct Answer: 3) Acute post-streptococcal glomerulonephritis

Description : A patient comes with a firm, painless swelling of lower lobe of parotid which has grown progressively for the past year. He complains of paresthesia for the past 2 weeks. This is most likely to be: a. Pleomorphic adenoma. b. Carcinoma of the parotid. c. Lymphoma of parotid.

Last Answer : a. Pleomorphic adenoma.

Description : A patient comes with a firm, painless swelling of lower lobe of parotid which has grown progressively for the past year. He complains of paresthesia for the past 2 weeks. This is most likely to be: A. Pleomorphic adenoma B. Carcinoma of the parotid C. Lymphoma of parotid

Last Answer : A. Pleomorphic adenoma

Description : A 30 years-old male complains of painless swelling in the buccal mucosa. It has been present for  about six months. He admits “playing with it”. He is concerned because this might represent  cancer. The base is narrow; the most likely diagnosis is: 

Last Answer : Irritation fibroma 

Description : Among the following which is not the feature of Paget’s disease of Breast Options: 1) Itching 2) Unilateral presentation 3) Nipples usually destroyed 4) Underlying lump is usually present

Last Answer : Correct Answer: 1) Itching

Description : A patient is complaining of an open sore on the buccal mucosa. The lesion is painless, ulcerated, has  indurated margins, 1.5 cm in diameter, covered by greyish-white exudate, enlarged lymph nodes  and tender, negative tuberculin test and positive serology. The diagnosis is

Last Answer : Chancre /Primary lesion of syphilis 

Description : Which of the following is characteristic feature of Le Fort II fracture Options: 1) The fracture line runs through the root of the nose, lacrimal bone, floor of orbit, upper part of maxillary ... ) Complete separation of the facial bones from the cranial bones 4) Isolated fracture of orbital floor

Last Answer : Correct Answer: 1) The fracture line runs through the root of the nose, lacrimal bone, floor of orbit, upper part of maxillary sinus and pterygoid plates

Description : In the head and neck: a. the lymph from the upper lid drains to the parotid and submandibular lymph nodes b. the facial nerve comes from the first pharyngeal arch c. branches of the ... e. an unilateral cleft lip is a failure of the maxillary process to fuse with the medial nasal process

Last Answer : branches of the ophthalmic division of the trigeminal nerve supply the skin of the scalp as far backward as the vertex

Description : A patient complains of finger-like growth on the lateral aspect of the tongue. The lesion is painless and of normal colour. The MOST PROBABLE diagnosis is: A. Folate papillae B. Filiform papillae C. Neurofibroma D. Papilloma

Last Answer : D. Papilloma

Description : Following observations were made during examination of a newborn child. On the basis of given observations, ascertain the APGAR score (1) Newborn makes grimaces on stimulation of sole of the Foot. (2) Respiration slow & irregular (3 ... 5) Color of the body was pink Options: 1) 5 2) 6 3) 7 4) 8

Last Answer : Correct Answer: 2) 6

Description : During which stage of pressure ulcer development does the ulcer extend into the underlying structures, including the muscle and possibly the bone? a) Stage IV A stage IV pressure ulcer ... area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

Last Answer : a) Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone.

Description : 18 years old female weighting 52Kg and 163cm tall. On dental examination erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history revealed a daily rate of 5000 to 7000 ... . Alcoholism B. Drug abuse C. Bulimia D. Excessive smoking E. Diabetic mellitus type I

Last Answer : C. Bulimia

Description : In testing for mobility, which of the following statement is true:** M07 A. Heavy pressure must sometimes be used to test mobility B. Only lateral mobility is significant in ... examination each tooth should be tested individually for hyper mobility E. Reliance on radiograph is essential

Last Answer : D. During the periodontal examination each tooth should be tested individually for hyper mobility

Description : A 10 years-old boy presents with small greyish white lesion surrounded by a red halos on the soft palate and tonsillar pillars, small vesicles are found. He has fever and pain in the ear. The MOST probable diagnosis is?********** M07 A. Herpangina

Last Answer : A. Herpangina

Description : Sjogren’s syndrome is a chronic disease characterized by which of the following clinical feature: Options: 1) Esophageal dysmotility 2) Keratoconjunctivitis sicca 3) Widespread damage to small blood vessels 4) Libmann Sachs Endocardititis

Last Answer : Correct Answer: 2) Keratoconjunctivitis sicca

Description : Which one of the following type of chronic disease was considered by Hahnemann as most deplorable and most incurable Options: 1) Artificial Chronic diseases 2) Pseudo chronic diseases 3) Epidemic diseases 4) True chronic miasmatic diseases

Last Answer : Artificial Chronic diseases

Description : Which of the following terms is used to describe stone formation in a salivary gland, usually the submandibular gland? a) Sialolithiasis Salivary stones are formed mainly from calcium phosphate. b ... of the salivary glands. d) Stomatitis Stomatitis refers to inflammation of the oral mucosa.

Last Answer : a) Sialolithiasis Salivary stones are formed mainly from calcium phosphate.

Description : Which of the following finding is most important for grading of tumours? C A. Presence of tumour cells in the vascular spaces B. Level of invasion C. Microscopic pleomorphism of nuclei and the number of mitoses D. degree of metastasis

Last Answer : Microscopic pleomorphism of nuclei and the number of mitoses

Description : A young patient with sudden painless loss of vision, with systolic murmur and ocular examination reveals a cherry red spot with clear AC, the likely diagnosis is: a. Central Retinal Artery Occlusion b. Central Retinal Vein Occlusion c. Diabetes Mellitus d. Branch Retinal Vein Occlusion  

Last Answer : ANSWER: A

Description : Which remedy has vomiting, bilious with anxiety and weak pulse, every month after mensturation, cannot lie on right side or back without instantly producing dark green vomiting. Options: 1) Argentum nitricum 2) Antimonium tart. 3) Crotalus horridus 4) Carbolic acid

Last Answer : Correct Answer: 3) Crotalus horridus

Description : A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks ... Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Last Answer : Answers-1 This patient is most likely to have Conn's syndrome as reflected by the hypokalaemic hypertension. Liquorice ingestion or Liddle's syndrome are again possible causes of ... hypertension (often diastolic hypertension), muscular weakness, paresthesias, headache, polyuria, and polydipsia."

Description : A child presents to you with a sore throat, fever and joint swelling; the MOST probable diagnosis is: A. Rheumatic fever B. Rheumatic arthritis C. Osteoarthritis

Last Answer : A. Rheumatic fever

Description : Which of following statement is incorrect according to BBCR Repertory Options: 1) Radiating pain is given under Sensation & Complaints in General 2) Typhoid fever is given under Fever - Pathological types 3) Pregnancy is given under Sexual Impulse 4) Tetters is given in Skin & Exterior body

Last Answer : Correct Answer: 3) Pregnancy is given under Sexual Impulse

Description : ‘Abscess in perineum’ is given in which chapter of Kent's Repertory Options: 1) Genitalia 2) Skin 3) Generalities 4) Rectum

Last Answer : Correct Answer: 4) Rectum

Description : Which of the following area is known as the dangerous area of the scalp Options: 1) Skin 2) Superficial Fascia 3) Deep Fascia 4) Loose Areolar Tissue

Last Answer : Correct Answer: 4) Loose Areolar Tissue

Description : Red infarct are seen in Options: 1) Lungs 2) Kidneys 3) Spleen 4) Bones

Last Answer : Correct Answer: 1) Lungs

Description : Diarrhoea like dirty water, from fruit or sour krout is seen in Options: 1) Cinchona 2) Croton tig. 3) Petroleum 4) Bryonia alba

Last Answer : Correct Answer: 4) Bryonia alba

Description : Asthma worse in foggy weather and relieved by profuse perspiration, is seen in Options: 1) Hypericum 2) Lachesis 3) Sambucus 4) Carbo veg.

Last Answer : Correct Answer: 1) Hypericum

Description : Radiological ‘Colon cut off sign’ is seen in Options: 1) Acute intussusception 2) Acute lobar pneumonia 3) Acute pancreatitis 4) Crohn’s disease

Last Answer : Correct Answer: 3) Acute pancreatitis

Description : Flaying is seen in which type of laceration Options: 1) Split 2) Avulsion 3) Tear 4) Stretch

Last Answer : Correct Answer: 2) Avulsion

Description : Which of these conditions will be associated with steatorrhea.1) Primary lactase deficiency 2) Pernicious anemia 3) Ulcerative colitis 4) Chronic Pancreatitis

Last Answer : Correct Answer: 4) Chronic Pancreatitis

Description : A young child suffering from fever and sore throat began to complain of lacrimation. On examination, follicles were found in the lower palpebral conjunctiva with tender preauricular lymph ... is: a. Trachoma b. Staphylococal conjunctivitis c. Adenoviral conjunctivitis d. Phlyctenular conjunctivitis

Last Answer : ANSWER: C 

Description : An 11 year old girl presents with the following complaints (1) Difficulty in climbing upstairs and combing her hair (2) Maculopapular rash over MCP joints (3) Gower's sign Positive. The most appropriate ... advised is Options: 1) ESR 2) Creatine Kinase 3) RA Factor 4) ANA antibodies test

Last Answer : Correct Answer: 2) Creatine Kinase

Description : Out of the following, which is the most ideal time for insertion of an intra uterine contraceptive device? Options: 1) Immediate post-partum i.e. within first week of delivery2) Post- ... after delivery 3) Immediately after second trimester legal abortion 4) During last week of menstrual cycle

Last Answer : Correct Answer: 2) Post-puerperal i.e. 6-8 weeks after delivery

Description : Which part of the plant of Cinchona officinalis is used for its preparation Options: 1) Bark 2) Stem with leaves 3) Roots 4) Whole plant

Last Answer : Correct Answer: 1) Bark

Description : The most common position of vertex at the time of engagement is Options: 1) Left Occipito transverse 2) Right Occipito transverse 3) Left Occipito-anterior 4) Right Occipito-anterior

Last Answer : Correct Answer: 1) Left Occipito transverse

Description : During which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue? a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is ... area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

Last Answer : a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is noted.

Description : The first edition of the Homeopathic Therapeutics of Diarrhoea by J.B Bell was published in Year Options: 1) 1869 2) 1879 3) 1881 4) 1882

Last Answer : Correct Answer: 1) 1869

Description : A 68-year-old male who underwent a repair of an abdominal aortic aneurysm 5 days ago, develops tachycardia, tachypnea, hypotension with cool, pale, mottled cyanotic extremities. He ... use of moderate doses of inotropic agents e. Afterload reduction with nitroprusside is absolutely contraindicated

Last Answer : Answer: a, b, d Intrinsic cardiogenic shock results from failure of the heart as an effective pump. Coronary artery disease is the most common cause of myocardial ... hemodynamic monitoring. Infusion of afterload-reducing agents can be administered in conjunction with inotropic support

Description : A 63 years old lady presents with abdominal mass and weight loss, was diagnosed as having an ovarian tumour. The most common ovarian tumour in this woman would be: a) Epithelial tumour. b) Germ cell tumour. c) Stromal tumour. d) Sex cord tumour. e) Trophoblastic tumour.

Last Answer : a) Epithelial tumour.

Description : A physician refers a nine years-old boy to you to confirm diagnosis. The boy has a fever of 40°C and coughing. When you focus your light into his eyes he turns away. Intra-orally there are white ... by red margins. The disease and lesions are: A. Measles and Koplik's spots B. AHGS vesicles

Last Answer : A. Measles and Koplik’s spots

Description : In testing for mobility, which of the following statement is true: a.Heavy pressure must sometimes be used to test mobility. b.Only lateral mobility is significant in diagnosis and ... weakened. d.During the periodontal examination each tooth should be tested individually for hyper mobility.

Last Answer : d.During the periodontal examination each tooth should be tested individually for hyper mobility.