Chapter·SurgeryOncologic Surgery Principles

Neoadjuvant and adjuvant therapy timingDownloads

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Sample Questions

1

An excisional biopsy is performed and the diagnosis of superficial spreading melanoma is confirmed. The lesion is 1.1 mm thick. Which of the following is the most appropriate next step in management?

ASurgical excision with 0.5-1 cm safety margins only

BSurgical excision with 1 cm safety margins only

CSurgical excision with 1-2 cm safety margins only

DSurgical excision with 0.5-1 cm safety margins and sentinel lymph node study

ESurgical excision with 1-2 cm safety margins and sentinel lymph node study

2

A 57-year-old woman with non-small cell lung cancer comes to the physician 4 weeks after her tumor was resected. She takes no medications. The physician starts her on a treatment regimen that includes vinblastine. This treatment puts the patient at highest risk for which of the following?

APulmonary embolism

BInvasive fungal infection

CProgressive multifocal leukoencephalopathy

DPulmonary fibrosis

EHeart failure

3

A 64-year-old woman presents to the surgical oncology clinic as a new patient for evaluation of recently diagnosed breast cancer. She has a medical history of type 2 diabetes mellitus for which she takes metformin. Her surgical history is a total knee arthroplasty 7 years ago. Her family history is insignificant. Physical examination is notable for an irregular nodule near the surface of her right breast. Her primary concern today is which surgical approach will be chosen to remove her breast cancer. Which of the following procedures involves the removal of a portion of a breast?

AArthroplasty

BLumpectomy

CVasectomy

DMastectomy

ELaminectomy

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