Small Bowel NET

Q) 45 year old male with 2 cm Jejunal Neuroendocrine tumor ( NET).

Dota Scan Shows no metastasis What would be the best management in him?

a) Octreotide

b) Resection & Anastomoses of jejunum

c) Resection and Anastomoses with mesenteric excision

d) Radiotherapy

 

Small Bowel Adenocarcinoma & its Risk Factors

Small Bowel Adenocarcinoma MCQ
Q) Which of the following is not a risk factor / least associated with small bowel adenocarcinoma?
a) Familial adenomatous polyposis (FAP)
b) Hereditary nonpolyposis colorectal cancer
c) Peutz-Jeghers syndrome
d) Juvenile polyposis coli
Correct Answer: d) Juvenile polyposis coli
Explanation: Juvenile Polyposis Coli is least associated with small bowel adenocarcinoma. Risk factors for Small Bowel Adenocarcinoma: 1. Hereditary polyps: - Familial adenomatous polyposis (FAP) - Hereditary nonpolyposis colorectal cancer - Peutz-Jeghers syndrome 2. Inflammatory and metabolic: - Crohn disease - Gluten-sensitive enteropathy (celiac sprue) - Prior peptic ulcer disease - Cystic fibrosis - Biliary diversion (e.g., previous cholecystectomy) 3. Lifestyle: - Smoking - Heavy alcohol use (>80 g/day ethanol) - Red meat/salted food intake 4. Genetic: - Kras - 5q (APC gene) - 17q (p53 gene) - 18q - DPC4 - SMAD4 - MSI-H (Microsatellite Instability-High)

Type of statistical errors

Q) A Surgical thesis was completed but later found to have Type II  error. This means ?

a) Benefit is perceived when really there is none (false positive).

b) Benefit is missed when it was there to be found (false negative).

c) Sample size was wrong

d) None of the above

Nylon suture

Q) Nylon is now commonly  used in abdominal wall closure. It is made of ?

a) Polyamide

b) Polyester

c) Nickel

d) Polybutylene

 

 

Perio OP Management Chronic Kidney disease

Q) 45 year old male is on chronic dialysis for MGN. He is due to undergo Right colonic resection for ca caecum. Which of the following parameters will be of least worry to the anesthetists due to chronic kidney disease?

a) Cardiac

b) Fluid and electrolyte

c) Coagulational

d) Pulmonary

Peri Op management MCQs