GI SUrgery MCQs from AIIMS over the years
d) Contains columnar, transitional and squamous epithelium
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??
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
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
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
Q. Gallstones are formed most commonly in
A. Gastrinoma
B. VIPoma
C. Somatostatinoma
D. Glucagonoma
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
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
