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10180 Surgery

A 29-year-old woman comes to the physician for follow-up of a right breast lump. The patient first noticed the lump 4 months ago. It was aspirated at that time, and cytology was negative, but the cyst recurred about 1 month later. The cyst was re-aspirated 2 months ago and, again, the cytology was negative. The lump has recurred. Examination reveals a mass at 10 o’clock, approximately 4 cm from the areola. Ultrasound demonstrates a cystic lesion. Which of the following is the most appropriate next step in management?

AMammography in 1 year
BUltrasound in 1 year
CTamoxifen therapy
DOpen biopsy
Surgery
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10187 Surgery

60-year-old man presented to the OPD with symptoms suggestive of acute pancreatitis. He consumes high quantities of alcohol regularly. His symptoms staed 4 days ago. But he continued to consume alcohol. He was admitted for fuher evaluation. Presently, he has severe vomiting. He also complains of dizziness when standing. Examination revealed tenderness in the epigastrium and right hypochondrium. A reddish discolouration is noted in the flanks. Which of the following statements regarding the patient is most accurate?

AThe patient should be evaluated for concomitant appendicitis
BUSG is likely to demonstrate pseudocyst of pancreas
CContrast CT scan of the abdomen will reveal severe necrotising pancreatitis
DPancreatic calcification will be seen in X-ray abdomen
Surgery
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