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3. Gastric ca inoperable
a. invaded omentum F (invades omentum is T4, not stage 4) (inoperable depends
on the stage: stage 4 and recurrent)
b. N4 invasion F (no N4 in gastric ca, only till N3b)
c. Peritoneal seeding T (associated with poor prognosis and treated with palliative
chemotherapy)
d. involve submucosa F (invade submucosa; stage II maximum)
e. multiple metastasis to liver T (stage 4 inoperable; palliative)
A…
B.hyperthyroidism F – cause diarrhea
C.pudendal nerve neuropathy T – alcock canal (entrapment)
D.acute anal fissure F
E.proctalgia fugax F - severe, intermittent episodes of rectal pain that are self-limited.
70. Episiotomy
A. Allow widening birth canal T
B. Mediolateral episiotomy practice in Malaysia T
C. Midline episiotomy less bleed compare to mediolateral episiotomy T
D. Done on crowning T
E. Must be performed for instrumental delivery F (not necessarily. “In the absence of
robust evidence to support routine use of episiotomy in operative vaginal delivery,
restrictive use of episiotomy, using the operator’s individual judgement, is supported”;
RCOG 2011)
c. Morphine T
d. Diclofenac T
e. Fentanyl F (IV)