admin

by

Q. A 45 year old male has severe coughing followed by sudden Bilateral pain in lower abdomen. At the same time he develops a swelling in the mid line, lower abdomen which does not change in size on raising the leg muscles. What has really happened?

a) Ruptured aortic aneurysm

b) Obturator hernia

c) Spigelian Hernia

d) Rectus sheath hematoma

Answer

Dumping Syndrome

by

Q) Which of the following is true about dumping syndrome

a) Somatostatin analogues are effective in controlling symptoms

b) Symptoms always include flushing and tachycardia 

c) Diarrhea is always part of dumping syndrome

d) Part of treatment includes combining solids with liquids in frequent small meals

Answer Premium only

Contraindication of liver transplantation

by

Q)Contraindications of liver transplantation have changed over the years. Which is an absolute contraindication of  liver transplantation

a) Previous breast cancer

b) Portal vein thrombosis

c) Active tuberculosis

d) Active substance abuse

d

Previous history of breast cancer if completely treated is not an contraindication of liver transplant. Portal vein thrombosis was earlier considered a relative contraindication but almost all series have shown similar results in patients with PVT than patients without PVT.

IN portal vein thrombosis, inflow to the new liver can me taken in many ways

a) thrombectomy

b) Jump grafts from Superior mesenteric vein 

c) Anastomosis have been done from big collaterals

Active tuberculosis can be managed after transplant.

Modified ATT regimens without INH and Rifampicin are being  used.  Any kind of active substance abuse alcohol,  drugs etc are absolute contraindications for liver transplant because the disease will recur.

Nutrient Absorption

by

Q) What is true regarding absorption of nutrients from small intestine?

a) Bile salt is required for absorption of Vitamin B12

b) Parathyroid hormone increases calcium absorption

c) Triglycerides are synthesized by intestinal epithelial cells before being released in portal circulation

d)  Iron deficient individual can absorb 80% of dietary iron

Answer

b

Calcium absorption is due to Vitamin D and Parathyroid hormone.

Bile salt is required for absorption of fat soluble vitamins like Vitamin A, D, E& K

Vitamin B12 requires intrinsic factor. Triglyceride absorption occurs in the form of Free fatty acids and monoglycerides.

Only 20% iron is absorbed by iron deficient individuals

 

 

by

Key Features of Surgery Questions

  Well researched MCQs                             Study at your leisure                         Nominal Subscription

                                                                             

    Most of these questions                                      You can study at your own                        We understand your 

      are from entrance exams                                    pace and lesiure. This is a                        issues and unlike most of 

      like MCH, DNB CET SS                                     surgery resource for practice                    the other online sites, 

      and NEET- SS.  Answers                                    and intends to remain one.                       subscription rates are as 

     are  from standard books                                                                                                                    low as 3 rupees/day.

      like Sabiston 2oth  edition,

      Schakelford 7th Edition

      and Blumgart 6th edition. 

Appendicitis in Pregnacy

by

Q) Which of the following statement is true about appendicitis in pregnancy?

a) Typical symptoms of appendicitis  are seen in more than 90% of patients.

b) 50% cases of appendicitis occur in 2nd trimester

c) Rate of negative explorations remain low based on clinical presentation alone

d) The sensitivity and specificity of ultrasound diagnosis remain the same in appendicitis in pregnancy

Answer b

Appendicitis  the most common non obstetric emergency in pregnancy. The diagnosis is difficult because the symptoms of pain abdomen, nausea, vomiting, anorexia, raised TLC are common in pregnancy. Appendicitis has a typical presentation in only 50% to 60% cases.

If untreated preterm labor and even fetal loss can occur due to the complications.

Based on clinical presentation alone, the incidence of negative exploration is as high as 25-50%

Ultrasound with graded compression is still a good imaging option but has lower sensitivity and specificity than in normal clinical situation. If ultrasound is equivocal the next best option is MRI which is safe.

Ref Sabiston 20th edition

Complications of duodenal diverticulum

by

Q) True statement regarding complications of duodenal diverticulum is

a) Perforation is the commonest complication

b) Obstruction is caused by extra luminal duodenal diverticulum

c) Bleeding is the most common complication of duodenal diverticulum.

d) Diverticulitis is common and easily diagnosed.

Answer

c

Complications of duodenal diverticulum are rare with a reported incidence of 5-10% in those with duodenal  diverticulum. Operative intervention is required in about 1% cases

Perforation is the rarest but the most severe complication of duodenum diverticulum. The most common cause of perforated duodenal diverticulum is diverticulitis. They perforate in the retroperitoneum, adding to diagnostic uncertainty. Ct Scans are most diagnostic to help in this diagnosis.

Read more

error: Content is protected !!