Question

6. A 36 year old female patient has discovered a lump through breast self-examination (BSE). Through senetic testing it is discovered she is poslove for BRCAL. Mammography indicates a tumor of 3cm in the upper our quadrant of her left breast. Biopsy confirms carcinoma and lymph node involvement. Most common course of action is: a Lumpectomy b. Simple mastectomy Radical mastectomy to prevent reoccurrence d. Modified radical mastectomy (just beast and affected lymph nodes) e. Hysterectomy 7. The most important buffer regulator of pH in the extracellular fluid is a. Renal System b. Respiratory System C. Protein System d. Bicarbonate System e. Solar System 8. A 45 year old female patient complains of fatigue, sleep difficulties, headache, paresthesias, and stiffness and joint pain and swelling for over a year. No laboratory abnormalities were found. The most likely diagnosis is: A. Fibromyalgia syndrome B. Myasthenia gravis C. Osteoarthritis D. Rheumatoid arthritis 9. Antibodies against the acetylcholine receptors in the motor end plate of neuromuscular junction is an autoimmune disorder called: A. Rheumatoid arthritis B. Myasthenia gravis C. Fibromyalgia syndrome D. Osteoarthritis 10. Which one is false about Crohn Disease? a. Also called regional enteritis or granulomatous colitis b. Affects proximal portion of the colon or terminal ileum c. Acute inflammation of all layers of intestinal wall resulting from blockage and inflammation of lymphatic vessels d. Suggestive findings are ulcerations, strictures, fibrosis, and fistulas.

Answer 1

6. Right answer is option D. Considering her age, modified radical mastectomy has a chance to reconstruction of breast.

Lumpectomy- only lump removal

Simple mastectomy- removal of breast tissue.nipple etc but not all lymph nodes.

Radical mastectomy is a procedure like modified radical mastectomy but there is no chance for the reconstruction of breast.

Hysterectomy- removal of uterus

7.the important buffer regulator of pH in extracellular fluid is protein(acid) system. Bicarbonate (week base) system is primary buffering system for intracellular fluid.

8.the most likely diagnosis is fibromyalgia. Its a condition of severe muscle pain accompanied by tenderness,fatigue,stiffness,altered sleep,joint pain, headache, and paresthesia. This pain occurs at night and it leads to slee disturbances.

9.myasthenia gravis is an autoimmune disorder. The acetylcholine receptor antibody test is used to detect the autoimmune disorder called myasthenia gravis.

10. The false statement is option B. Condition can be affected in any part of the colon and ileum. Crohns disease is also called as regional enteritis. The extreme inflammation may lead to the blockage of food with in the intestine and may lead to further problems of ulcerations.structures, fibrosis and fistulas.