AIIMS GI 2020

Intra Op Ultrasound vs Lap Ultrasound

by

Q) Which is true regarding comparison of Lap intra op Ultrasound with traditional Intra op Ultrasound in liver surgery?

a) It is more sensitive

b) It is more specific

c) More time consuming

d) Anatomy better delineated with IOUS

Ans c

The procedure can be time consuming in patients with dense adhesions.

Sensitivity and Specificity are same

Anatomy seen equally with both

IUS has been shown to successfully locate insulinomas in 85% of cases. When combined with intraoperative palpation, the detection rate can be in the 95 to 100% range. IUS was shown to detect 83% of gastrinomas in one series, including 100% of intrapancreatic lesions.

 

Handsewn IPAA vs stapled anastomosis

by

Q Handsewn IPAA vs Stapled anastomosis which is the wrong statement?
a. More stricture rate in hand sewn anastomosis
b. More leak is seen in hand sewn anastomosis
c. More pouchitis in hand sewn
d. More incidence of Small bowel obstruction in hand sewn anastomosis

 

Esophagus Lymphatics

by

Q) Esophageal lymphatic- False is 
a. Lymphatics above tracheal bifurcation drain to sub-carinal, and mainly upwards 
b. EUS can access and samples many stations

c. 40 percent submucosal lymphatic drain to thoracic duct
d. T1a nd T2a  has similar lymph node inolvement

CT colonogrpahy

by

Q) Which of the following is not an indication of CT colography

a) Obstructed growth to look for  synchronous lesions
b. Can’t do colonoscopy
c. High risk pt with suspicion of ca colon

d)   50 year old with Average risk