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anatomy of esophagus

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Q Which of the following is true about anatomy of esophagus?
A. Oesophageal hiatus is superior to aortic hiatus
B. Thoracic duct crosses esophagus at T3-T4level at the level of azygos vein arch
C. Laimer triangle is superior to the Killians triangle
D. In the mediastinum right vagus runs anteriorly and left vagus runs posteriorly

Answer

Submucus cleft palate

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Q) Submucosal Cleft soft palate : True is 
A. Velopharyngeal insufficiency
B. Normal feeding
C. Normal Uvula
D. Cleft of hard palate remains attached to the vomer and nasal septum

Answer 

Post op chyle leak

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Q. Which of the following statements about postoperative chyle leak following esophagectomy is true?

A. Prophylactic intraoperative thoracic duct ligation reduces the risk of chyle leak
B. Conservative management results in spontaneous resolution in nearly all cases within 3 weeks
C. Surgical management requires transthoracic thoracic duct ligation exclusively
D. Conservative treatment includes antibiotics and enteral nutrition only

Answer 

 

Malignant chest wall tumors

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Q  Most common malignant chest wall tumor
A. Chondrosarcoma
B. Osteosarcoma
C. Synovial sarcoma
D. Rhabdomyosarcoma

Answer to Q 46

Most common tumors of the chest wall are secondaries from elsewhere. The most common malignant tumor of chest wall is .......

Ref Sabiston page 1602

 

Melanoma

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 Q) Pigmented lesion suspicious melanoma of size 1cm with ulceration and features of ABCD,
next step
A. Wide Local Excision  with 1cm margin
B. Excision biopsy with 1-2mm margin
C. Punch biopsy at the edge of the lesion
D. Incisional biopsy

Answer in Q 44 

Blood supply to rectum

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Q) Blood supply to rectum - all are true except
A. Inferior rectal artery pierces the levator ani to supply the distal rectum
B. Middle rectal artery is a branch of hypogastric
C. Arc of riolan is an anastomosis between ascending branch of IMA and Middle Colic Artery
D. Left Colonic Artery arises 3-4 cm distal to the IMA origin

Answer to Q14 

 

Hereditary Pancreatic Cancer

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Q. All of the following predisposing syndromes for pancreatic adenocarcinoma are AD except? ( # Pancreas Q 21-25) 
A. PJS (Peutz Jeghers) 
B. CFTR (Cystic fibrosis) 
C. HNPCC
D. FAMMM

Points : Several hereditary cancer syndromes (e.g., Peutz-Jeghers syndrome, familial atypical mole and multiple melanoma syndrome, hereditary breast and ovarian cancer syndrome) are known to be associated with increased risk of pancreatic cancer

Choledochal cyst

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 Q) False  about choledochal cysts ? (AIIMS GI 2018) 
A. Upto 90% is associated with APBJ
B. 30% are associated with chronic pancreatitis
C. Most common association in adults is cholecystolithiasis
D. Malignancy risk is eliminated by cyst excision

Answer  Q 22

Oropharyngeal dysphagia

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 Q) Oropharyngeal dysphagia false is
A. Nasal twang in voice, ptosis
B. Treatment is most often not satisfactory if conservative
C. Associated with myesthenia gravis and Parkinsonism
D. Water brasch and regurgitation presentation

Answer