questions for interactive session

CHEtan has send the following sessions for interactive sessions
we will disscuss it inshallah
The treatment of choice for primary Grade 5 VUR involving both kidneys in a 6 month old boy is
1. antibiotic prophylaxis
2. ureteric reimplantation
3. cystoscopy f/b suburetric inj of teflon
4.B/l uretrostomies


most of Qs on tumors r either regarding their controversial Rx regimens or on its complex staging... thou most of dem follow TNM staging 'm felin it diff t correlate b/w dem... can u throw some light on d specific differences in TNM staging of atleast some imp tumors.. here s a Q..
A pt has Ca of Rt TONGUE on its lat border of ant 2/3rd with lymph node of size 4cm in level 3 on left side of neck, staging of tumor is....
1. No
2. N1
3.N2
4. N3


next difficulty in pathology s regardin CD MARKERS.....lots of dem... how t remember dem logically.... here s a Q.....
which of d followin surface glycoprotiens is most often expressed in human hematopoietic stem cell...
1. CD22
2. CD40
3. CD15
4. CD34



a 35 yr old woman G3 P2 at 39 weeks of gestationcomes t labor room wit contractions. Past obstettric h/o is significant wit 2 normal spontaneous vag deliveris at term. Examination shows cervix t b 4cm dilated & 50% effaced. Pt s contracting every 4 mins. over next 2 hours the pt progresses t 5cm dilation . An epidural is placed . Artificial rupture of membranes s done, demonstratin copious clear fluid . 2 hours later pt s stil at 5cm dilation & contraction hav spaced out to every 10min.
which of d followin s d most appropriate next step in management....
1. expectant management
2. iv oxytocin
3. Cesarean section
4. forceps assisted labor
5. vacuum assisted labor

lookin forward for ur valuable sessions tmrw...... thanks fo everythin.....

chetan M
hello sir.... my fren anil kh has a Q fo u........


A pt was brought t d hosp with h/o RTA 8hours back with... few drops of blood noted at his ext urethral meatus, he has not passed urine & a palpable mass s felt in hypogastrium wit no signs of peritonitis.. the diagnosis probably s.....

1. Ant urethral injury wit extra peritoneal rupture of bladder
2. Post urethral inj with extra peritoneal rupture of bladder
3. Post urethral inj wit intra peritoneal ruptur of bladder
4. Post urethral inj wit intact bladder