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Neoplasia

মোট প্রশ্ন৫৫এই পাতা৫৫প্রতি পাতা১০০
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উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Neoplasia

PrepBank · পাতা / · ৫৫ / ৫৫

.
Which of the following is most important risk factor for lung cancer?
  1. ক) Smoking
  2. খ) Genetic predisposition
  3. গ) Air pollutant
  4. ঘ) Atopy
ব্যাখ্যা
Explanation: Cigarette smoking is the most important risk factor for lung cancer
.
Bony metastasis is not occurs in -
  1. Breast
  2. Bronchus of lungs
  3. Kidney
  4. GIT
ব্যাখ্যা
Explanation :
Bony metastasis occurs in -
Papillary carcinoma of thyroid
Breast
Bronchus of lungs
Kisney
Prostrate 
Testes
Ovary
.
Which of the following is the tumor marker of for pancreatic cancer?
  1. ক) AFP.
  2. খ) Beta-hCG.
  3. গ) CA 19-9.
  4. ঘ) CA 125.
ব্যাখ্যা
Explanation: The most useful tumour marker for pancreatic cancer is CA 19-9, of which the sensitivity and specificity for pancreatic carcinoma are 80% and 90% respectively.
.
Which of the following is the tumor marker of HCC?
  1. ক) ALP
  2. খ) AFP
  3. গ) CA 19.9
  4. ঘ) PSA
ব্যাখ্যা
Explanation: Alpha-fetoprotein (AFP) is produced by 60% of HCCs. In HCC patients with elevated AFP levels, serial measurements can be a useful biomarker of disease progression or response to treatment
.
Which one is malignant tumour?
  1. ক) Leiomyoma
  2. খ) Lymphoma
  3. গ) Fibroma
  4. ঘ) Lipoma
.
Protooncogene is converted to oncogene by
  1. ক) Periodic mutation
  2. খ) Deletions
  3. গ) Mosaicism pull
  4. ঘ) Translocation
ব্যাখ্যা
Protooncogene is converted to oncogene by translocation
.
Commonest glial tumor-
  1. ক) Astrocytoma
  2. খ) oligodendroglioma
  3. গ) Ependymoma
  4. ঘ) Ganglioglioma
ব্যাখ্যা
Astrocytoma is commonest glial tumour
.
Most common site of carcinoid tumor-
  1. ক) The vermiform appendix
  2. খ) small intestine
  3. গ) rectum
  4. ঘ) Stomach
ব্যাখ্যা
Vermiform appendix is most common site Carcinoid tumour
.
Common site of local invasion of gastric carcinoma excludes
  1. ক) Duodenum
  2. খ) Jejunum
  3. গ) Pancreas
  4. ঘ) Retroperitonium
ব্যাখ্যা
• The depth of invasion and the extent of nodal and distant metastases at the time of diagnosis remain the most powerful prognostic indicators in gastric cancer.
• Local invasion into the duodenum, pancreas, and retroperitoneum is common.
১০.
Malignant tumor of skeletal muscle-
  1. ক) Chondrosarcoma
  2. খ) Osteogenic sarcoma
  3. গ) Angiosarcoma
  4. ঘ) Rhabdomyosarcoma
ব্যাখ্যা
[Robbins 9th 268]
১১.
TNM staging of a malignant tumour -
  1. ক) Is only a clinical assessment
  2. খ) Cannot be done after surgery
  3. গ) Takes account of the secondary tumour size
  4. ঘ) Is not important for treatment planning
ব্যাখ্যা
Ref: Robbins 9th p 332
১২.
Gastric metastasis to pouch of Doglas is known as
  1. ক) Irish node
  2. খ) Virchow gland
  3. গ) Blumer shelf
  4. ঘ) Sister mary joseph nodule
ব্যাখ্যা

Gastric Metastases are often detected at time of diagnosis. Sites most commonly involved include
 The supraclavicular sentinel lymph node(virchow node)
 Periumbilical lymph nodes (sister mary joseph nodule)
 The left axillary lymph node (irish node)
 The ovary (krukenberg tumor)
 The pouch of douglas (blumer shelf)

১৩.
Which type of tumour mainly follows heamtogenous spread?
  1. ক) Carcinoma
  2. খ) Sarcoma
  3. গ) Adenoma
  4. ঘ) Fibroma
ব্যাখ্যা

Dissemination of cancers may occur through one of three pathways:
• Direct seeding of body cavities or surfaces,
• Lymphatic spread- mainly carcinoma
• Hematogenous spread- mainly Sarcomas

১৪.
Which is called Governor of the cell cycle -
  1. APC
  2. P53
  3. NF2
  4. RB
ব্যাখ্যা
Explanation :
RB gene is called Governor of the cell cycle. 
It inhibit cell cycle in G1-S phase.
১৫.
Angiogenesis is promoted by
  1. ক) Hypoxia inhibitory factor
  2. খ) Endostatin
  3. গ) Thrombospondin
  4. ঘ) PDGF
ব্যাখ্যা
Angiogenesis is promoted by PDGF
১৬.
Carcinoma of breast metastasizes
  1. ক) Lymphatic route
  2. খ) Hematogenous route
  3. গ) Direct seeding of surfaces
  4. ঘ) Indirect seeding of cavity
ব্যাখ্যা
Carcinoma of breast metastasizes lymphatic route
১৭.
Premalignant condition of female genitalia except -
  1. Cervical dysplasia
  2. Endometrial hyperplasia
  3. Lichen sclerosus
  4. Fibroid uterus
ব্যাখ্যা
Explanation -
Premalignant condition of female genital tract :
Cervical dysplasia including CIN
LSIL,HSIL
Endometrial hyperplasia 
Leucoplakia
Dysplasia
Lichen sclerosus of vulva
১৮.
Colorectal carcinoma peaks at age
  1. ক) 30-40
  2. খ) 40-50
  3. গ) 50-60
  4. ঘ) 60-70
ব্যাখ্যা
• Colorectal cancer incidence peaks at 60 to 70 years of age, with fewer than 20% of cases occuring before age 50.
১৯.
CA -125 is raised in :
  1. Medullary carcinoma of thyroid
  2. Ovarian carcinoma
  3. Lung carcinoma
  4. Pheochromocytoma
২০.
Which type of tumour mainly follows lymphatic spread?
  1. ক) Carcinoma
  2. খ) Sarcoma
  3. গ) Adenoma
  4. ঘ) Fibroma
ব্যাখ্যা

Dissemination of cancers may occur through one of three pathways:
 Direct seeding of body cavities or surfaces,
 Lymphatic spread- mainly carcinoma
 Hematogenous spread- mainly Sarcomas

২১.
Which of the following are the most common benign liver tumours?
  1. ক) Hepatic adenomas
  2. খ) Haemangiomas
  3. গ) Fibroadenoma
  4. ঘ) Focal nodular hyperplasia
ব্যাখ্যা
Explanation: Haemangiomas are the most common benign liver tumours and are present in 1–20% of the population
২২.
Neuronal tumor of CNS-
  1. ক) Astrocytoma
  2. খ) Gangliocytoma
  3. গ) schwannoma
  4. ঘ) medulloblastoma
ব্যাখ্যা
gangliocytoma is a neuronal tumour of CNS
২৩.
CA 19-9 is related to carcinoma of
  1. ক) Pancreas
  2. খ) Stomach
  3. গ) Liver
  4. ঘ) Breast
২৪.
Lung cancers particularly related to paraneoplastic syndrome
  1. ক) Adenocarcinoma
  2. খ) Squamous cell carcinoma
  3. গ) Small cell carcinoma
  4. ঘ) Large cell carcinoma
ব্যাখ্যা
Lung cancers, particularly small cell lung carcinomas, can cause paraneoplastic syndromes.
২৫.
Oncogenic microbes excludes
  1. ক) HTLV-1
  2. খ) HPV
  3. গ) EBV
  4. ঘ) VZV
ব্যাখ্যা

• HTLV-1: adult T-cell leukemia/lymphoma
• HPV: benign warts, cervical cancer, and oropharyngeal cancer
• EBV: Burkitt lymphomas, B-cell lymphomas in patients with T-cell immunosuppression
• Hepatitis B virus and hepatitis C virus: hepatocellular carcinomas
• H. pylori: gastric adenocarcinoma and MALT lymphoma

২৬.
Guardian of the Genome
  1. ক) APC
  2. খ) TP53
  3. গ) RB
  4. ঘ) VHL
ব্যাখ্যা
[Robbins 9th 293]
২৭.
Childhood tumor occurs in cerebellum -
  1. ক) medulloblastoma
  2. খ) astrocytoma
  3. গ) oligodoendroglioma
  4. ঘ) Meningioma
ব্যাখ্যা
Medulloblastoma is childhood tumour in cerebellam
২৮.
Bone forming benign tumor -
  1. Myeloma
  2. Osteochondroma
  3. Osteoblastoma
  4. Osteosarcoma
২৯.
Osteoblastic metastasis occurs in -
  1. Prostate
  2. Kidney
  3. Thyroid
  4. Lung
ব্যাখ্যা
Explanation :
Causes of -
Osteoblastic metastasis following carcinoma :
Prostate 
Breast ( Mixed)
Osteolytic metastasis following carcinoma :
Kidney
Thyroid
Lung
Breast
৩০.
CA 15-3 is related to carcinoma of
  1. ক) Pancreas
  2. খ) Colon
  3. গ) Liver
  4. ঘ) Breast
৩১.
CA-125 is a tumour marker for
  1. ক) Ca ovary
  2. খ) Ca breast
  3. গ) Ca pancreas
  4. ঘ) Ca lung
ব্যাখ্যা
CA-125 is a tumour marker for Ca ovary
৩২.
Benign tumor -
  1. Well differentiated to anaplastic
  2. Hyperchromatic nucleus
  3. No local invasion
  4. Not capsulated
৩৩.
Criteria of malignant tumour excludes
  1. ক) Anaplasia
  2. খ) Erratic growth
  3. গ) Usually cohesive
  4. ঘ) Frequent metastasis
৩৪.
Which of the following is the commonest glial tumor?
  1. ক) Oligodendroglioma
  2. খ) Astrocytoma
  3. গ) Ependymoma
  4. ঘ) Ganglioglioma
ব্যাখ্যা
Explanation: Astrocytoma is commonest glial tumour
৩৫.
Childhood tumor occurs in cerebellum -
  1. ক) medulloblastoma
  2. খ) astrocytoma
  3. গ) oligodoendroglioma
  4. ঘ) Meningioma
ব্যাখ্যা
Medulloblastoma is childhood tumour in cerebellam
৩৬.
Malignant tumour of urethrae -
  1. ক) Squamous cell papilloma
  2. খ) Transitional cell papilloma
  3. গ) Adenocarcinoma
  4. ঘ) Urothelial carcinoma
ব্যাখ্যা
Urothelial carcinoma is malignant tumour of urethra
৩৭.
Peripheral nerve sheath tumor
  1. ক) Schwannoma
  2. খ) Neurocytoma
  3. গ) Neuroblastoma
  4. ঘ) Meningioma
ব্যাখ্যা
Schwannoma is a peripheral nerve sheath tumour
৩৮.
Which of the following is the peripheral nerve sheath tumor?
  1. ক) Neurocytoma
  2. খ) Neuroblastoma
  3. গ) Schwannoma
  4. ঘ) Meningioma
ব্যাখ্যা
Explanation: Schwannoma is a peripheral nerve sheath tumour
৩৯.
Carcinoma in situ includes
  1. ক) CIN
  2. খ) Pernicious anaemia
  3. গ) Chronic gastritis
  4. ঘ) Cirrhosis of liver
ব্যাখ্যা
Carcinoma in situ includes CIN
৪০.
Cancers grows by all of the followings except
  1. ক) Infiltration
  2. খ) Invasion
  3. গ) Destruction
  4. ঘ) Cohesion
ব্যাখ্যা
Cancers grow by progressive infiltration, invasion, destruction, and penetration of the surrounding tissue.
৪১.
Most common primary cardiac tumour in adults
  1. ক) Myeloma
  2. খ) Myxoma
  3. গ) Rhabdomyoma
  4. ঘ) Sarcoma
ব্যাখ্যা
Myxoma is the most common cardiac primary tumour
৪২.
Primary cardiac tumor(myxoma) is usually occuring which of the following area?
  1. ক) Right atrium
  2. খ) Left atrium
  3. গ) Right ventricle
  4. ঘ) Left ventricle
ব্যাখ্যা
Explanation: Cardiac primary tumor myxoma occurs mainly in left atrium.
৪৩.
Which is sex cord tumor of ovary according to WHO -
  1. Seminoma
  2. Teratoma
  3. Granulosa cell tumor
  4. Choriocarcinoma
ব্যাখ্যা
Explanation :
Sex cord tumor of ovary -
Leydig cell tumor
Sertoli cell tumor
Granulosa cell tumor
Thecoma
Fibroma
৪৪.
Cells implicated in tumor immunity -
  1. Natural killer cell
  2. Neutrophil
  3. Eosinophil
  4. Plasma cell
ব্যাখ্যা
Explanation :
Cells implicated tumor immunity -
Natural killer cell
Macrophage
Cytotoxic T cell
৪৫.
ACTH is related to following paraneuplastic syndrome -
  1. Hypercalcemia
  2. Cushing syndrome
  3. Syndrome of inappropriate ADH
  4. Hypoglycemia
৪৬.
Metastatic gastrointestinal tumor-
  1. ক) Cystadenocarcinoma
  2. খ) Kulchitsky cell tumour
  3. গ) Adenocarcinoma
  4. ঘ) Krukenberge tumour
ব্যাখ্যা
Krukenbegre tumor is metastatise to ovary from stomach
৪৭.
Which is not childhood benign carcinoma -
  1. Haemangioma
  2. Neuroblastoma
  3. Benign fibrous tumor
  4. Mature teratoma
ব্যাখ্যা
Explanation -
Benign childhood tumor -
Haemangioma
Lymphangioma
Benign fibrous tumor
Mature teratoma
৪৮.
Which of the following is the most common cause of cancer related mortality worldwide?
  1. ক) Breast cancer
  2. খ) Lung Cancer
  3. গ) Leukaemia
  4. ঘ) Gastric cancer
ব্যাখ্যা
Explanation: Lung cancer is currently the most frequently diagnosed major cancer in the world and the most common cause of cancer mortality worldwide
৪৯.
Human papilloma virus is responsible for
  1. ক) Burkitt lymphoma
  2. খ) Kaposi sarcoma
  3. গ) Carcinoma of cervix
  4. ঘ) Merkel cell carcinoma
ব্যাখ্যা
Human papilloma virus is responsible for carcinoma of cervix
৫০.
Feature of anaplastic tumour is
  1. ক) Normal nuclear morphology
  2. খ) Pleomorphism
  3. গ) Typical mitotic figure
  4. ঘ) Normal polarity
ব্যাখ্যা
Feature of anaplastic tumour is pleomorphism
৫১.
Which one is not urinary bladder tumor -
  1. ক) transitional cell tumor
  2. খ) squamous cell tumor
  3. গ) small cell tumor
  4. ঘ) Epithelial cell tumor
ব্যাখ্যা
Epithelial cell tumour is not urinary bladder tumour
৫২.
Pleomorphic adenoma is a benign tumor of
  1. ক) Thyroid
  2. খ) Placenta
  3. গ) Salivary gland
  4. ঘ) Liver
৫৩.
Most common tumor of the salivary gland
  1. ক) Adenocarcinoma
  2. খ) Pleomorphic adenoma
  3. গ) Warthin tumour
  4. ঘ) Mucoepidermoid carcinoma
ব্যাখ্যা
Pleomorphic adenoma:
Benign tumor composed of stromal (e.g., cartilage) and epithelial tissue; most common tumor of the salivary gland. Usually arises in parotid; presents as a mobile, painless, circumscribed mass at the angle of the jaw
৫৪.
Procarcinogens excludes
  1. ক) Benzanthene
  2. খ) Cycasin
  3. গ) Clorambucil
  4. ঘ) Benzidine
ব্যাখ্যা
Ref. Robbins 9th p323, T-7.10
৫৫.
Wilms tumour is a malignant tumour of
  1. ক) Thyroid
  2. খ) Kidney
  3. গ) Placenta
  4. ঘ) Liver