A:-Radiotherapy is a better option according to the results of a meta-analysis analyzing 7 randomized trials
B:-Radiotherapy is approximately thrice as effective as non-steroidal anti-inflammatory medications
C:-Gain in absolute benefit is shown to be small (<2%)
D:-The recommended dose is 6 or 7 Gy in one fraction
Correct Answer:- Option-B
Question62:-52 years old female has been sent to radiation oncology to be evaluated for keloid prophylaxis following
planned forearm surgery because of her keloid scar experience after a cesarean section. Which is correct statement ?
A:-There is currently no real standard. However, experience with post-operative radio therapy is well documented

B:-A recent metaanalysis demonstrated a better decrease in recurrence rates when the biological effective dose is
greater than 30 Gy, which results in a recurrence rate of less than 20%

C:-18 Gy in three fractions or 12 Gy in one fraction can be recommended within 7 days of surgery
D:-None of these
Correct Answer:- Option-A

Question63:-Fifty eight year old female has status post-total gastrectomy with stage Illa gastric cancer with pT4aN1MO
gastric adenocarcinoma. Which statement is false ?

A:-Chemotherapy (5-FU/LVx1 cycle) followed by chemo radiation (concurrent 5-FU/LVx1 cycle) and adjuvant
chemotherapy (5-FU/LVx2 cycles) is a recommended treatment option

B:-Dihydro Pyrimidine Dehydrogenase deficiency (DPD deficiency) an autosomal dominant metabolic disorder may be
suspected when the patient has very severe life-threatening toxicity after one cycle of chemotherapy

C:-In case of DPD deficiency a combination of oxaliplatin and docetaxel is a reasonable option

D:-In case of DPD deficiency there is no or significantly decreased activity of the enzyme involved in the metabolism of
uracil and thymine. These patients may develop life-threatening toxicity following exposure to 5-FU.

Correct Answer:- Option-B

Question64:-A fine-needle aspiration of the head of the pancreas revealed adenocarcinoma. Based on his imaging studies,
he was found to have a 2.5x3.2x2.3 cm uncinate mass in the pancreas, which was encasing the superior mesenteric artery
by approximately 180°. The mass is separate from the celiac axis and portal vein and the SMV abuts the mass for less than
90° of its circumference. There appear to be a few lymph nodes in the vicinity workup revealed no distant metastasis. This
disease is

A:-Inoperable
B:-Unresectable
C:-Borderline resectable
D:-Needs further details
Correct Answer:- Option-C
Question65:-Which is adverse cytogenetics in AML 7
A:-t(9:22) (q34:q11)
-t(15:187) (q22:q21)
C:-t(8:21) (q22:q21)
D:-All the above are adverse
Correct Answer:- Option-A
Question66:-With respect to CNS prophylaxis in acute lymphoblastic leukemia is true ?
A:-It reduces CNS relapse from 30% to 5%
B:-Include CSI of 18-24 Gy in 12 fraction plus IT chemotherapy in induction phase
C:-Intrathecal therapy is not given in maintenance phase while its given in consolidation phase
D:-All are true
Correct Answer:- Option-D

Question67:-In staging of lymphoma the use of A or B is based on the absence or presence of three symptoms respectively.
What does "A" stand for ?

A:-It denotes "Ann Arbor" after the person its known
B:-It denotes "Ann Arbor" after the place its known
C:-It denotes both "Ann" after the person its known and "Arbor" after the place its known
D:-None of the above
Correct Answer:- Option-D
Question68:-As per GHSG which among the following is not included in the risk factor for Hodgkin lymphoma ?
A:-Extra nodal disease
B:-23 involved nodal regions
:-Age 250 yrs.
D:-Large mediastinal mass
Correct Answer:- Option-C
Question69:-Which is not correct match with regard to international prognostic score for advanced Hodgkin lymphoma ?
A:-Number of risk factors 0-15 yrs. OS 90%
B:-Number of risk factors 2-5 yrs. OS 81%