admin Q ) A 59 year old male alcoholic male presents with history of upper GI bleed of 1 day duration. During the day he has had three episodes of bleeding each time about 150 ml. Blood is fresh and not associated with retching. He has a history of long standing alcohol intake. What will be the most likely cause of GI bleed?
a) Mallory weiss tear
b) Esophageal varices
c) Gastric ulcer
d) Esophagitis
Q) Which of the following is not a cause of acalculus cholecystitis? Questions on bile duct
a) Kinking of the neck of gall bladder
b) Acalculus cholecystitis Sphincter spasm
c) Thrombosis of cystic artery
d) Over eating
Ans d
Acalculus cholecystitis can be both acute and chronic in the absence of stones. Although it can present acutely, acalculous cholecystitis typically presents more insidiously.
Mostly the acute form is recognized and chronic form is called biliary dyskinesia.
The cause of acalculus cholecystitis are
Jaundice in acalculus cholecystitis is known to occur because of ischemia and inflammation cystic duct gets obstructed due to edema
Diagnosis
Chronic acalculus cholecystitis is a cholescintigraphy nuclear scan (HIDA) with the administration of cholecystokinin (CCK). After the . A calculated ejection fraction of 35% or less may be indicative of hypokinetic functioning of the gallbladder. An ultrasound of the gallbladder may also be useful. If this shows a thickened gallbladder wall of over 3.5 mm, this may be due to cholecystitis.
Acute acalculus cholecystitis - USG CT or HIDA
BEST BOOKSMCQ practise
MRCS Part A: Essential Revision Notes: Book 2
Q) True statement about omental cyst is ?
a) It is always unilocular
b) Commonly seen in old age group
c) Arise from acquired or congenital obstruction of the lymphtaic channels
d) Complications are more common in old age.
Answer c
Q) What is true about the role of EUS in Carcinoma head of pancreas.
a) It has a sensitivity of 50-60% in detecting lesions less than 3 cm in size
b) It has a high negative predictive value
c) Chronic pancreatitis can be easily differentiated from Carcinoma head of pancreas by EUS
d) Small caliber needles have low accuracy than high caliber needles in FNAC
Q) In gastric cancer, lymph node station 12 corresponds to
a) Common hepatic
b) Hepatoduodenal
c) Retropancreatic
d) Superior Mesenteric
Q) True about altemeier procedure?
a) It is proctosigmoidectomy with posterior levataroplasty
b) Done in left lateral position
c) Recurrence rate can be as high as 50%
d) Altemeier was the 1st person to do it
Q) Which of the following is the least common symptom of nutcracker esophagus?
a) Pain in chest
b) Dysphagia
c) Odynophagia
d) Regurgitation
( Sabiston 21st edition MCQs)
