Cram 2

Question 1

Cortical Ca of the adrenals is diff in mena and women how?

Answer 1

Women = hyperfunctioning and homogenous 
Men = non functioning and heterogenous

Question 2

Most common malig of panc?

direct signs?

Indirect signs?

Answer 2

Adenocarcinoma

Direct = MASS (panc head = hypo, solid, >2cm)

Indirect = dilated panc duct, CBD dilation, double duct sign, dilated BG

Question 3

Urinary Ca mets to?

Answer 3

Kidneys

Question 4

What is peritoneal carcinomatosis?

Answer 4

Difuse met spread to peritoneum

Question 5

Risks of choleangiocarcinoma?

Answer 5

• chronic stasis/inflamm
• choledochal cyst
• caroli’s

Question 6

Connective tissue cancer?

Answer 6

Sarcoma

Question 7

RCC mets to?

Answer 7

All organs

Check: IVC, renal veins, AO nodes and other kidney

Question 8

Infiltrative liv mets from?

Answer 8

Breast lung melanoma

Question 9

GB mets associated with stones?

Answer 9

No

Question 10

Benign multi small cysts in head of panc?

Answer 10

Serous cystadenoma

Question 11

Differentials of TCC?

Answer 11

• Clots
• Sloughed papilla
• Fungal balls

Question 12

Most common liv CA in children?

Answer 12

Hepatoblastoma

Question 13

What does metastatic lymphoma look like?

Answer 13

Non-specific renal enlargement and diffuse hypoechoic of kidney

Question 14

Gold standard of prostate cancer treatment?

Answer 14

Radical prostatectomy

Question 15

Epithelial cancer?

Answer 15

Carcinoma

Question 16

Non- hodgekins?

Answer 16

• Older
• Cancer of B and T cells
• 50% affecting aorta nodes
• Mets to liv and spleen

Question 17

Rare bladder cancer wth distant mets?

Answer 17

Squamous Cell

Question 18

Nephroblastoma also called?

Answer 18

Wilms tumour

Question 19

Pruritis = ?

Assoc with?

Answer 19

Itching

Cholangiocarcinoma

Question 20

Bladder TCC pres?

Answer 20

Painless hematuria

Question 21

US of lymphomas?

Answer 21

• ane/hypo solid
• lobulated
• compress organs (floating aorta, sandwich sign, silhouette/mantle sign)

Question 22

What can nephroblastoma get confused w/?

Answer 22

Neuroblastoma of adrenal (cant tell origin)

Question 23

Malig large cysts in panc tail?

Answer 23

Macrocystic/mucinous

Question 24

What is a neuroblastoma?

Answer 24

Highly malig adrenal tumor in kids arises from medulla

Question 25

Peritoneum malig affecting middle aged men and associated with asbestos?

Answer 25

Mesothelioma

Question 26

Another name for HCC?

Answer 26

Hepatoma

Question 27

Hypoechoic liv mets from?

Answer 27

Breast, lung lymph

Question 28

Most common renal CA in children?

Answer 28

Nephroblastoma / Wilms

Question 29

Eval steps of prostate CA?

Answer 29

1. DRE (digital exam) 2. PSA (pros specific antigen but does not mean CA) 3. TRUS 4. Biopsy

Question 30

Calcified liv mets from?

Answer 30

Muinous adenocarc of colon

Question 31

Most common type of cholangiocarcinoma?

Answer 31

Hilar-klatskins (bifur of rt and lt hep duct)

Question 32

Most common type of cancer?

Answer 32

Adenocarcnoma

Question 33

Floating aorta?

Answer 33

Nodes around AO and and post make it float

Question 34

GB carcinoma is called

Answer 34

Adenocarcinoma

Question 35

What cancer often invades the portals/hepatics?

Answer 35

HCC

Question 36

Most common liver cancer?

Answer 36

Mets

Question 37

Malignant vasc tumor?

Answer 37

Epitheloid hemiangioendothelioma

Question 38

What is TCC? Pres?

Answer 38

Bladder/uretur CA from epitheleial Gross or micro hematuria

Question 39

Lymphoma?

Answer 39

Cancer of lymph tissue in spleen

Question 40

Triad of RCC?

Answer 40

- Flank pain - Gross hematuria - Renal mass

Question 41

Symptoms of prostate CA?

Answer 41

Asymptomatic

Question 42

Bulls eye.target liv mets from?

Answer 42

Bronchogenic ca

Question 43

Adrenal mets from?

Answer 43

Lung

Question 44

Most common GI tumor in children?

Answer 44

Lymphoma

Question 45

Silhouette/mantle sign =

Answer 45

lymph nodes surrounding the ao and IVC

Question 46

Most common CA in adult kidneys?

Answer 46

RCC

Question 47

What is cholangiocarcinoma?

Answer 47

Adenocarcinoma of the bile ducts

Question 48

Pertioneum CA in aids patients?

Answer 48

Lyphoma non-hodgekins

Question 49

Normal CBD and dilater intrahepatic ducts indicate what ca?

Answer 49

Klatskins (cholangiocarcinoma)

Question 50

Echogenic liv mets from?

Answer 50

GI or HCC

Question 51

Site of prostate cancer?

Answer 51

Peripheral zone

Question 52

What is pseudomyxoma peritoni?

Answer 52

Metestatic Gelly acites from epithelial tumour that looks like displaced bowel loops startburst appearance

Question 53

Sandwich sign?

Answer 53

Nodes around SMA make it stand up

Question 54

Most common cancer in men?

Answer 54

Andenocarcinoma of prostate (2nd leading cause of death in men)

Question 55

Cystic liv mets from?

Answer 55

Cystadenocarcinoma

Question 56

Malig bowel looks like?

Answer 56

- Short segment - asymmetric - thick wall

Question 57

Most common primary liver cancer?

Answer 57

Hepatocellular carcinoma HCC

Question 58

Hemangiosarcoma of spleen looks like and mets where?

Answer 58

Looks like hemangioma and mets to liver

Question 59

Hepatoblastoma associated to?

Answer 59

Beckwith Weidmanb syndome (elevated AFP)

Question 60

Liver enzymes increased w/ HCC?

Answer 60

ALT ALP AST AFP

Question 61

Liver mets look like?

Answer 61

Multiple lesions with hypo halo

Question 62

US of HCC?

Answer 62

1. Hypo w/halo | 2. Hyper (sim to hemangi, lipoma, adenoma)

Question 63

Most common malig of GI tract?

Answer 63

Adenocarcinoma

Question 64

Lymphomas related to?

Answer 64

1. Hodgekins | 2. Non-hodge

Question 65

Hypernephroma is?

Answer 65

RCC

Question 66

Hodgekins?

Answer 66

- Young | - High survival

Question 67

Agressive primary liver CA linked to arsenic/thorotrast/PVC?

Answer 67

Hemangiosarcoma (Angiosarcoma)

Question 68

GB carcnoma associated to?

Answer 68

Gallstones (appears as polypoid lesion with irreg borders)