admin

by
Q) A 60-year-old woman is found to have a 3.2 cm pancreatic cystic lesion on MRI. EUS shows internal echogenic material within the cyst cavity. To accurately determine whether this represents mural nodules rather than intraluminal debris, which of the following is the most definitive diagnostic approach?
🔒 This answer and explanation are available to Premium Members only.
👉 Upgrade to Premium to access full content.

Breast cancer TNBC

by

Q: Which of the following patients with operable breast cancer is the most appropriate candidate for preoperative systemic therapy?

A) A patient with ER-positive, HER2-negative breast cancer with a 1 cm tumor and clinically node-negative disease who desires breast conservation
B) A patient with HER2-positive breast cancer with a 3 cm primary tumor and clinically node-positive disease
C) A patient with triple-negative breast cancer with a 1 cm tumor and clinically node-negative disease who prefers mastectomy
D) A patient with ER-positive, HER2-positive breast cancer with a 1.5 cm tumor and no lymph node involvement
🔒 This is a premium MCQ. Only logged-in premium members can view the answer.

Anticoagulation in valve surgery

by

Q: In which operative valve procedure is lifelong anticoagulation required?

# Theme from mock test on 13.10.24 (Plastic and Cardiac)

a) Valve Repair
b) Mechanical valve replacement
c) Biological valve stentless
d) Biological valve homogenous
🔒 This is a premium MCQ. Only logged-in premium members can view the answer and explanation.

Zones in Hand injury

by

Q: What is the zone of injury due to a glass cut on the distal phalanx of the middle finger, flexor aspect?

Zone I
Zone II
Zone III
Zone IV
🔒 This is a premium MCQ. Only logged-in premium members can view the answer and explanation.

Bariatric surgery in special circumstances

by

Q: Which bariatric surgery procedure is preferred in patients who cannot comply with frequent follow-ups?

# Theme from Mock Test 5 on 13.10.24

a) Roux en Y Bypass
b) BPD
c) Duodenal switch
d) Sleeve gastrectomy
🔒 This is a premium MCQ. Only logged-in premium members can view the answer and explanation.

Facial nerve pointers

by

Q: What is the most consistent anatomical landmark of the facial nerve?

A) Anterior border of the posterior belly of the digastric muscle.
B) Posterior border of the posterior belly of the digastric muscle.
C) Superior border of the posterior belly of the digastric muscle.
D) Inferior border of the posterior belly of the digastric muscle.

Ivor Lewis Esophagectomy leak

by

Q) After Ivor Lewis esophagectomy, on postoperative day 5 (POD 5), bile is seen in the chest tube.

The patient presents with a heart rate of 120 bpm, a temperature of 101°F, and blood pressure of 100/70 mmHg. What is the next appropriate step in management?

  • a) Stenting
  • b) Colonic replacement of gastric conduit
  • c) IV antibiotics
  • d) Conduit excision and esophageal diversion
Correct Answer: d) Conduit excision and esophageal diversion

In patients who develop a completely necrotic conduit post-esophagectomy, the risk of sepsis is high. These patients often require urgent surgical intervention. Upon confirming conduit necrosis, the conduit must be resected, and the patient should undergo diversion, which includes:

  • End esophagostomy
  • Venting gastrostomy
  • Feeding jejunostomy

It is crucial to maintain as much length of the remaining esophagus as possible to facilitate future reconstructive procedures.

Key Points:

  • Postoperative Day 5: Critical time for monitoring complications after esophagectomy.
  • Symptoms of Concern: Tachycardia, fever, and hypotension may indicate sepsis or other complications.
  • Surgical Intervention: Timely recognition and management are vital for patient outcomes.

For further reading, refer to Schakelford’s Surgical Anatomy of the Gastrointestinal Tract, page 477.

More on Esophagus ›

Bone tumors

by

Q) A 16 year old boy presents with severe groin pain after kicking a football. Imaging confirms a pelvic fracture. A previous pelvic x-ray performed 2 weeks ago shows a lytic lesion with 'onion type' periosteal reaction. What is the lesion?

Question from theme of Test 14

  • a) Giant cell tumor
  • b) Ewing's
  • c) Osteosarcoma
  • d) Osteomalacia
This is a premium question. Click here to access all answers ›

Pancoast tumor

by
Pancoast tumor
Q) 50 year old male with NSCL carcinoma of upper right lung which infiltrates the brachial plexus. What will be the management?

Lung and Thorax MCQs
🔒 This answer and explanation are available to Premium Members only.
👉 Upgrade to Premium to access full content.

Giant cell tumor femur

by

Q) A 22-year-old woman presents with a giant cell tumor (GCT) of the distal femur. Appropriate treatment would be:

A. Curettage and debridement
B. Amputation
C. Radiation
D. Preoperative chemotherapy, resection, and adjuvant chemotherapy
🚫 This answer is available only for Premium Members. Join Premium Surgery Course to view explanations.