Q) Correct statement about Boerhaave syndrome is
A. May present with peritonitis
B. Forceful vomiting against open glottis
C. MOst common in upper 1/3 rd of esophagus
D. Most are managed conservatively
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Blood Supply esophagus
Q) Thoracic esophagus blood supply (DNB 2018)
A. Inferior thyroid
B. Aorta and bronchial artery
C. Inferior phrenic
D. Left Gastric
Hepatic blood flow
Q. All are true regarding hepatic blood flow except
A. Liver has dual blood supply from portal vein and hepatic artery
B. 70% of liver oxygen comes from the hepatic artery
C. 70-80% of blood supply to the liver is from portal vein
d) Liver receives 25% of cardiac output
The explanation discusses how much blood and oxygen goes through portal vein and hepatic artery to the liver
What is hepatic artery buffer response??
Esophagus Length
Length of Esophagus – MCQ for Surgery Exams
Q) Length of Esophagus is
A) 20 cm
B) 25 cm
C) 30–35 cm
D) 40 cm
Ludwig’s Angina
Q Cause of mortality in Ludwig’s angina
A. Asphyxia
B. Pneumothorax
C. Hemorrhage
D. Sepsis
Ludwig's angina is an inflammatory condition of the neck which is due to
- Streptococcal infection
- Anaerobic infection
- Infection of malignancy in the neck
Liver trauma
Q) All are true for blunt hepatic trauma except
A. Grade V liver injuries are associated with vascular avulsion
B. Hepatic packing is an expeditious method to control bleeding in blunt hepatic trauma
C. After damage control Surgery and hepatic packing, abdominal compartment syndrome can happen in immediate postoperative period
D. Post conservative management, in the 3rd week anemia MC occurs due to subcapsular
hematoma rupture
Adjuvant Radiotherapy in Head and neck cancer
Indications for adjuvant radiotherapy in Head &Neck cancer are all except
A. Multiple LN disease
B. Extranodal involvement
C. Lymphovascular invasion
D. LN>3cm
anatomy of esophagus
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
Submucus cleft palate
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
Post op chyle leak
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