6000+ High-Yield MCQs & Explanations – NEET SS MCH
GI SUrgery MCQs from AIIMS over the years
Q Post cholecystectomy Injury, which is true?
a. Bile duct leak in approx 1%
b. Open cholecystectomy bile duct injury 0.5 to 1 %
c. Most common cause of bile leak is cystic stump blowout and duct of lushka injury
d. Type E injury is due to clipping of CBD by mistake
Q) Non hereditary polyp in colon
a) Peutz Jeghers Syndrome
b) Turcot
c) Cowden
d) Cronkhite Canada
Q. Regarding percutaneous cholecystostomy A/E
a. Technical success in 90 – 98 % of cases
b. Indicated in Grade II cholecystitis with significant pericholecystic inflammation & GOO
c. Indicated in Gr III cholecystitis with significant comorbidity
d. In Grade III cholecystitis with biliary peritonitis, PCC results in significant improvement
Q ) Modified Nissen's Fundoplication is
a) 2700 anterior wrap around esophagus
b) 2400 wrap
c) 3600 wrap over > 52 Fr for 1 – 2 cm
d) 600 wrap over 42 Fr for 4 cm
Answer
c
Nissen fundoplication is complete 360 degree but has high incidence of gas bloat. To counter, this modification done to wrap over 52 F tube for 1-2 cm
Belsey - Left thoracotomy, mobilization of distal esophagus and stomach, hiatus opened from above, fundus is brought 270 degrees around distal esophagus. Then the whole assembly is brought down and crura is repaired.
Hill procedure - No fundoplication is done
Toupet is anterior fundoplication either 240 degree or 270 degree.
Q. Early adenocarcinoma of Esophagus
a) Around one third have lymph node mets
b) EMR curative in approx 90%
c) EMR can remove all dysplastic epithelium
d) In high grade dysplasia esophagectomy reveals around 50% invasive malignancy
Premium answer
This question in another format was also discussed at www.mcqsurgery.com/esophagus4
Q. Blood supply of esophagus are all except (SS 2012)
a) Inferior thyroid A
b) Middle thyroid A
c) Tracheobronchial A
d) Bronchoesophageal A
Q. Patients with gallstones and choledocholithiasis in a centre with endoscopy, interventional radiology and tertiary care
a. Single setting lap chole + CBDE better than endoscopy followed by lap chole
b. In choledocholithiasis endoscopic clearance alone without lap chole can be done without any long term complication
c. For impacted ampullary stones with CBD dilatation that requires biliary enteric drainage is performed with a preferred open approach
Q) Which is not included in two field esophagectomy in carcinoma esophagus
a) Supra carinal and cervical
b) Infra carinal and celiac
c) Superior mediastinal
d) d) Posterior mediastinal
Discusss the lymph node stations
Japanese and european classifications of esophageal spread
Two field esophagectomy
Q) Most common pathological finding on defecography studies is
a) Rectocele
b) Intussusception
c) Anismus
d) Sigmoidocele
Discuss what is defecography? Diseases diagnosed by it