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4600 Surgery

A 37-year-old woman presents to AIIMS OPD with a lump in the left breast.Family history is negative for breast cancer. On Examination the mass is rubbery, mobile, and nontender to palpation. No overlying skin changes and the axilla is negative for lymphadenopathy Ultrasound repo suggest a simple 1-cm cyst in the area of the palpable mass in the left breast. Most appropriate management of this patient?

AReassurance and re-examination
BFluoroscopically guided needle localization biopsy
CAspiration of the cyst with cytologic analysis
DImmediate excisional biopsy,
Surgery
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4605 Surgery

An elderly male develops fever 3 days after cholecystectomy. He becomes sho of breath, andCXR shows a new right lower lobe infiltrate. Sputum Gram stain shows gram-positive cocci in clumps, and preliminary culture results suggest staphylococci. Initial antibiotic of choice is

ANafcillin
BVancomycin
CAntibiotic therapy should be based on the incidence of methicillin-resistant staphylococci in that hospital
DQuinolones is the drug of choice for pneumonia
Surgery
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