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7120 Surgery

A 25 year old lady presents with spontaneous nipple discharge of 3-months duration. On examination the discharge is bloody and from a single duct. The following statements about management of this patient are true except –

AUltrasound can be a useful investigation
BRadical duct excision is the operation of choice (Correct Answer)
CGalactogram, though useful, is not essential
DMajority of blood-stained-nipple discharges are due to Papillomas or other benign condition
7126 Surgery

When a down fracture Le Fort I osteotomy is performed

Anecrosis is prevented by a blood supply to the maxilla from the palatine arteries
Ba patient with a cleft palate is more likely to develop necrosis (Correct Answer)
Cthe operation is easier on a cleft palate patient because the lesser segment does not have to be detached from the nose
Da tear in the nasal mucosa makes postoperative infection more likely