Q) ASD most commonly associated with mitral insufficiency
a) Secundum defect
b) Sinus Venosus defect
c) Ostium primum
d) Coronary sinus defect
AIIMS MCQ
GI SUrgery MCQs from AIIMS over the years
Ventricular Septal defect
Q. Which of the following statements about VSDs is wrong ?
A. Spontaneous closure occurs in 25-50% of patients during childhood.
B. Tachypnea and failure to thrive are symptoms frequently associated with large VSDs.
C. Patients with normal pulmonary vascular resistance and left-to-right shunting across the VSD have Eisenmenger’s complex.
D. Patients with a large VSD and low pulmonary vascular resistance can present with a mid diastolic murmur at the apex.
Premalignant conditions in carcinoma gall bladder
Q) Least likely to be associated with carcinoma Gall bladder
a. PSC ,
b. Porcelain GB
c. Multiple 2 cm stones.
d. Choledochal cyst
Investigations in lower GI Bleed
Q) Least useful investigation in a patient with recurrent Lower GI bleed, multiple upper and lower GI endoscopies negative?
a) BMFT
b) Double balloon enteroscopy
c) Capsule endoscopy
d) Push endoscopy
Answer: a) BMFT
Investigations in lower GI bleed should be specific and less time consuming.
Small bowel enteroclysis (BMFT), which uses barium and contrast infusion, has a very low yield and is poorly tolerated, hence rarely used.
Capsule endoscopy is excellent for stable patients, with success rates up to 90% in detecting small bowel pathology.
Push enteroscopy can reach 50–70 cm beyond the ligament of Treitz and permits both diagnosis and therapy; success ~40%.
Double-balloon enteroscopy provides complete small bowel evaluation and allows biopsy and therapy, with yield 77–85%.
Therefore, BMFT is the least useful investigation.
Blood supply duodenum
Q) Supraduodenal artery of Wilkie is a branch of
a) GDA
b) Rt gastroepiploic
c) Rt gastric
d) Sup Pancreaticoduodenal
Discuss blood supply of 1st part of duodenum, and course of all arteries mentioned in choices.
Esophagus Perforation
Q) Elderly healthy male with impacted denture. Removed endoscopically. Pt developed fever, dyspnoea and respiratory distress over 24 hrs. X-ray revealed Lt hydrothorax and mediastinal emphysema.
a) ICD and NG feeds
b) ICD and TPN
c) Cervical esophagectomy, FJ, debridement, ICD
d) Debridement, primary repair with buttress and ICD
Premium answer
Management of GERD
Q. 40 yr old lady with symptoms of GERD. Endoscopy shows hiatus hernia. Symptoms controlled with PPI. Next step
a) Leave alone
b) Manometry with Ph study
c) Ba swallow with Manometry
d) Ba swallow with Ph study
Answer
Primary Graft non function
Q) Causes of primary graft non function are A/E
a) Recipient with renal failure
b) Microsteatosis > 60%
c) Cold ischaemia time > 12hrs
d) Non heart beating donor
Discuss the causes of PNF-Primary non function of liver
Causes of hypergastrinemia
Q. Hyergastrinemia occurs in all except
a)Retained antrum
b)Excluded antrum
c)Brunner gland adenoma
d)GOO
Gastrinoma
Q) Most sensitive investigation for Gastrinoma ?
a)Contrast CT
b) Selective angiography
c) SRS
d) EUS