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Esophagus perforation

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Q) A 45 year old man who has been drinking regularly for the past 15 years vomits after a large meal and complains of severe chest pain. Cardiac cause is ruled out and boerhavve's syndrome is suspected. Which of the following is not true about this condition

a) Gastrograffin tests will confirm the diagnosis

b) Perforation is most common in the left lower end

c) Exploration and full thickness suturing of perforation should be done

d) This condition has a high morbidity and mortality if not diagnosed at time

Answer for premium members  - Discussion on Boerhaave's syndrome

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Q7. Which of the following is not true pancreatic cysts?

 a) Associated with Von Hippel-Lindau Disease in 50%

b) It is associated with cysts of liver and kidney

c) Most go on to be associated with chronic pancreatitis

d) Pancreatic cysts are quite rare

Reno vascular hypertension

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Q) Which of the following is true about reno vascular hypertension

a) Seen in young age group

b) Both kidneys are of same size

c) It is familial

d) Diuretics will control the hypertension

a

Renal artery occlusion creates ischemia of the kidney which releases renin. Hypereninemia leads to secondary hypertension. This further leads to conversion of angiotensin I to angiotensin II and vasocontriction and eventually release of aldosterone.

It is a disease of young adults and children

Size of the kidneys vary and diuretics do not control hypertension because the mechanism is high renin secretion which is unresponsive to diuretics.

 

Colon Bleeding

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Q) True statement about  colonic bleeding:     More Questions on colon

a) Bleeding from diverticulitis is severe and often requires interventional procedures to stop it

b) In colitis risk of brisk bleeding is less and diarrhea is absent

c) In haemaorrhoids,  haemodynamic compromise is rare

d) Bleeding from angiodysplasia is always slight and managed endoscopically