Q)What is false regarding the healing by primary intention? ( # Gen surgery Wound Healing)
A)Wound edges opposed.
B)Normal healing.
C)Usually done for dirty wounds
D)Minimal scar.
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Cystic Neoplams of Pancreas Important points
Important points on cystic neoplasms of pancreas
From NEET Questions and discussions
- Old age and no history of pancreatitis, it is cystic neoplasm of pancreas
- Most common is SCN followed by MCN and IPMN
- OLd patient with dilated duct, cystic neoplasm is IPMN
- The most important point of differentiation in cystic neoplasms is whether the epithelium is serous or mucinous.
- All mucinous cystic lesions should be resected; lesions < 2 cm remain controversial.
- Mucinous neoplasm in middle aged female, body and tail of pancreas
- Creeping Resection is for IPMN Intraoperative frozen sectionsin the management of IPMNs. If margins are positive for adenoma or borderline atypia with minimal cytoarchitectural atypia and gastric/foveolar-type epithelium, no further resection is required. If instead they are positive for invasive carcinoma, carcinoma in situ, or borderline atypia exhibiting florid papilla formation, further resection is warranted, if feasible.In such instances, further “creeping” resection toward the head for a tail lesion, or toward the tail for a head or uncinate process lesion, can often be sufficient.
Biliary Atresia
Q1) Most common congenital anomaly associated with biliary atresia?
a) Polysplenia
b) Teratology of falot
c) Malrotation
d) preduodenal portal vein
Gastrinoma
Q) True about gastrinoma is
a) At the time of diagnosis most are benign and only 20% are malignant
b) In Pancreas most tumors are confined to the body and tail
c) All cases of gastrinoma should be screened for MEN 1
d) They are highly malignant and even after complete resection 5 year survival is 30%
Another Mcq on gastrinoma
Abdominal Aortic Aneurysm (USMLE)
Abdominal Aortic Aneurysm (AAA)
Splenic artery Aneurysm General Surgery Free Questions
Age - 60 years
Sex - Male
Who are at risk - Smokers, Hypertension
Specific Questions - Associated with Ehler Danlos and MArfan Syndrome - So common in families
Prophylactic Thyroidectomy
Q) Prophylactic thyroidectomy is done for
a) Medullary Carcinoma thyroid
b) Anaplastic
c) Lymphoma
d) Papillary Ca thyroid
Intestinal Tuberculosis
Q) Which of the following statements about intestinal tuberculosis is false?
1. Hyperplastic type commonly causes colonic strictures
2. Raised inflammatory markers, anemia, and positive sputum culture support the diagnosis
3. Barium meal follow-through may show a pulled-up cecum
4. Interferon-gamma release assay is diagnostic
Answer: A) Strictures are of the small bowel, not the colon
Explanation:
Intestinal tuberculosis occurs in two main forms:
1. Ulcerative type – Characterized by transverse ulcers with undermined edges, and the serosa is studded with tubercles. This represents a more severe form of the disease.
2. Hyperplastic type – Involves hyperplasia and thickening of the terminal ileum. It leads to narrowing of the lumen, stricture formation, and fibrosis of the terminal ileum, not the colon.
Other key points:
- Raised inflammatory markers and anemia are commonly seen.
- Interferon-gamma release assays help in detecting subclinical infection but are not diagnostic.
- Barium meal follow-through typically shows a pulled-up or subhepatic cecum.
Genes in Thyroid Cancer
Q.Tumor suppressor gene involved in thyroid tumorigenesis
A. Braf
B. NTRK1
C.PTEN
4. RET
Pseudocyst Pancreas
Q) True about pseuodocyst of the pancreas is ? ( Questions in pancreas)
a) It is lined by epithelium and collagen
b) Spontaneous regression occurs in less than 50% of cysts
c) Symptoms occur in more than 50% of case
d) Transduodenal endoscopic drainage IS safe and effective approaches for patients with pancreatic pseudocysts in close contact (defined as less than 2 cm)
LES pressure
Q) All are associated with increased LES pressure except
a) Substance p
b) Gastrin
c) Secretin
d) Motilin