C:-Ancel and Vintemberger-biological stress
D:-Bergonie and Tribondeau-differentiation and mitotic activity
Correct Answer:- Option-A
Question38:-Which of the following statements is not correct concerning synovial sarcoma ?
A:-It originates from tenosynovial or mesothelial tissues
B:-More than 50% of cases are seen in the upper extremities
C:-Synovial sarcomas are associated with characteristics chromosomal translocations, t(X ; 18) (p11.2 ; 011.2)
D:-They are generally seen in young adults and almost all are a high grade
Correct Answer:- Option-B
Question39:-Which of the following is not correct for anal canal anatomy ?
A:-The anatomical anal canal lies between the anal verge and dentate line
B:-The surgical anal canal is a 3-4-cm section localized between the anal verge and anorectal ring
:-The anorectal ring is the proximal end point of the internal sphincter muscle puborectal muscle complex

D:-The epithelium proximal to the dentate line is a special non-keratinized squamous epithelium with no hair follicles or
sweat glands, also called the anoderm

Correct Answer:- Option-D
Question40:-Which of the following studies demonstrated the detrimental effect of post-operative radiotherapy on survival
of patients with pancreatic cancer ?

A:-ESPAC-1, 2001

B:-EORTC, 1999

C:-GITSG, 1995

D:-RTOG 97-04

Correct Answer:- Option-A

Question41:-65 year old female presented with vulvar pruritus and a lump in the left groin for further evaluation in
gynecology. During the gynecological examination, a fixed 1x1 cm left groin lymphadenopathy was detected as well as a
mobile 1x1.5 cm vulvar lesion at the labia minora. In her pelvic MRI, the labia minora lesion was 1.2x1.9 cm without
extension to the lower urethra and the lower third of the vagina or anus, in addition to no gross lymphadenopathy except a
left inguinal single lumphadenopathy measuring 1x1.5 cm in size. PET CT workup defined the tumor in the vulva and a
left-sided single inguinal node without distant metastasis. The biopsy of the vulvar lesion revealed squamous cell carcinoma.
What is her FIGO staging ?

A:-Stage IIB
B:-Stage IIA
C:-Stage IIIB
D:-Stage IIIA
Correct Answer:- Option-D

Question42:-The estimated risk of sub-clinical cervical lymph node metastasis is between 20-30% for all the following
EXCEPT

A:-T2 floor of mouth
B:-T1 soft palate
C:-T1 pharyngeal wall
D:-T2 supra-glottic larynx
Correct Answer:- Option-D
Question43:-Which of the following do not belong to papillary variant of thyroid cancer classification ?
A:-Insular variant
B:-Encapsulated variant
:-Follicular variant
D:-Diffuse sclerosing
Correct Answer:- Option-A
Question44:-Which among the following is false with respect of HPV in oropharyngeal cancer ?
A:-HPV-associated oropharyngeal cancers are more likely to occur among men than women (3 : 1)
B:-Most of whom (80%) will not have a smoking history

:-These Cancers are more common among white individuals than other races, are diagnosed in individuals who are 5
to 10 years younger than HPV-unassociated oropharyngeal cancers

D:-HPV-associated oropharyngeal cancers are characterized frequently as well differentiated non-keratinizing or
basaloid in histopathology

Correct Answer:- Option-D

Question45:-In the conventional radiation treatment of hypopharyngeal cancers the anatomical field borders given below
are usually followed EXCEPT

A:-Superior-include base of skull
B:-Posterior-in front of vertebral spinous processes
C:-Inferior-lower aspect of cricoid cartilage unless extensive caudal tumor extension