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| choice5="" | | choice5="" |
| correctchoice="2" | | correctchoice="2" |
− | feedback1="Incorrect. Review STS before retrying." | + | feedback1="'''Incorrect'''. Review STS before retrying." |
− | feedback2="'''Correct.'''" | + | feedback2="'''Correct'''." |
| feedback3="" | | feedback3="" |
| feedback4="" | | feedback4="" |
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| <center><WikiQuiz | | <center><WikiQuiz |
| questionnumber="8" | | questionnumber="8" |
− | question="" | + | question="Haematology, biochemistry and urinalysis before surgery are within normal limits. What is your preferred option for treatment of the local tumour?" |
− | choice1="" | + | choice1="Amputation alone OR chemotherapy alone" |
− | choice2="" | + | choice2="Marginal excision with adjuvant radiation therapy OR excision with widest margins possible and reconstruction with a skin flap" |
− | choice3="" | + | choice3="Amputation OR marginal excision with adjuvant radiation therapy" |
− | choice4="" | + | choice4="Radiation therapy alone OR amputation" |
− | choice5="" | + | choice5="Chemotherapy alone OR marginal excision alone" |
− | correctchoice="4" | + | correctchoice="3" |
− | feedback1="" | + | feedback1="'''Incorrect'''. Amputation is a valid treatment option, as wide margins without amputation will be difficult to guarantee with the size of the tumour and its location. However, STS is minimally, if at all, responsive to chemotherapy. Choose again" |
− | feedback2="" | + | feedback2="'''Incorrect'''. Marginal excision with adjuvant radiation therapy is expected to provide long-term control of local disease, with 70% of local STS of all grades controlled for at least 1 year. However, excision with widest margins possible and reconstruction with a skin flap is not a preferred treatment option, as wide margins without amputation will be difficult to guarantee with the size of the tumour and its location. However, if radiation therapy is not available and the clients refuse amputation, this could be tried and may give favourable results if margins prove to be clean. Choose again. " |
− | feedback3="" | + | feedback3="'''Correct'''. These are the two best options to achieve cure or long-term control." |
− | feedback4="" | + | feedback4="'''Incorrect'''. STS as gross, large-volume disease is minimally responsive to radiation, so this should not be a preferred option. This dog could be cured! However, amputation is a valid treatment option, as wide margins without amputation will be difficult to guarantee with the size of the tumour and its location. Choose again." |
− | feedback5="" | + | feedback5="'''Incorrect'''. STS is minimally, if at all, responsive to chemotherapy. Marginal excision alone is also not a preferred treatment option as local recurrence is expected within 1 year in 60% of cases. Choose again." |
| image= ""> | | image= ""> |
| </WikiQuiz></center> | | </WikiQuiz></center> |