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5986 Surgery

A 45-year-old woman presents with a pigmented lesion on her right thigh. She undergoes an incisional biopsy which reveals malignant melanoma with a thickness of 3 mm. Findings on examination of the groin are normal. Which of the following is the most appropriate next step in management?

AWide local excision with a 1-cm margin, followed by radiotherapy
BWide local excision with a 1-cm margin and groin lymph node dissection
CWide local excision with a 2-cm margin and sentinel lymph node biopsy
DWide local excision with a 2-cm margin and groin lymph node dissection
Surgery
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5988 Surgery

What is veebroplasty ?

AStabilization of veebral compression fracture
BReplacement of veebral body only
CReplacement of veebral body with interveebral disc
DFusion of the adjacent veebrae
Surgery
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5990 Surgery

A 64-years-old previously healthy man is admitted to to a hospital because of a closed head injury and ruptured spleen Following a road side accident following an automobile accident. During the first 4 days of hospitalization, following laparotomy and splenectomy, he receives 5% dextrose 0.5% normal saline solution at a rate of 125 mL/h. Recorded daily fluid outputs include 450 to 600 mL of nasogastric drainage and 700 to 1000 mL of urine. The patient is somnolent but easily aroused until the morning of the 5th hospital day, when he noted to be in deep coma. By the after-noon, he begins having seizures. The following laboratory data are obtained: Serum electrolytes (meq L): Na+130: K+1.9; CI 96; HC03 19.Serum osmolality: 260 mOsm/L; Urine electrolytes (meq/L):Na+ 61; K+18. Which of the following statements about diagnosis or treatment of this patient’s condition is TRUE?

AEmergency carotid aeriogram to be done
BSecondary to metabolic acidosis their is hypokalemia
CA small qantity of hypeonic saline to be given
DIV infusion of 20ml of 50% MgS04 given for 4 hrs
Surgery
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