Q) In a patient with a bleeding peptic ulcer, endoscopy is done. Which of the following findings on endoscopy predicts the highest rate of re bleed?
a) Non bleeding vessel
b) Adherent clot
c) Flat pigmented spot
d) Clean base ulcer
AIIMS MCQ
GI SUrgery MCQs from AIIMS over the years
Strongest layer of the intestine
Q) Which is the strongest layer of the intestine?
a) Mucosa
b) Submucosa
c) Muscularis propria
d) Muscularis mucosa
Answer:
b) Submucosa is the strongest and most important layer for intestinal anastomosis. It has fibroblasts that will ultimately release collagen and hold the anastomosis together. This layer should be fully incorporated in the anastomosis.
Inverted vs everted anastomosis of intestine debate has been long going on, but now many prefer inverted because mucosa is exposed to mucosa and eventually degrades, joining the two submucosa layers together to cause healing by primary intention.
Borrmann’s classification for ca stomach
Q) According to Borrmann's Classification of Ca stomach Type II is?
a) Fungating
b) Polypoid
c) Ulcerative
d) Infiltrative
Borrmann’s pathologic classification of gastric cancer is based on gross appearance.
Developed in 1926
Gastric carcinoma is divided into 5 types according to this classification
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Advanced ca Stomach
Q) Management of carcinoma body of stomach which on exploration is only invading the body of pancreas with no distant metastasis
a) feeding jejunostomy and closure
b) Palliative total gastrectomy
c) Total gastrectomy with ......
Endocrine cells of pancreas
Q) Delta cells in the pancreas secrete
a) Insulin
b) Glucagon
c) Somatostatin
d) Secretin
Colon cancer surveillnace
Q) CEA surveillance in normal person whose father and brother had colon cancer is helpful in
a) CEA is highly sensitive in picking up the diagnosis of colon cancer
b) HIGH preoperative CEA is predictive of unresectability in colon cancer
c) Increase in CEA after surgery is indicative of tumor recurrence
d) CEA is present in normal colonic mucosa
GIST Questions
Q) Not true about GIST?
a) It is more common in females
b) They are mesodermal in origin
c) More than 5 cm are malignant
d) They can occur anywhere in the GI tract
Endocardial cushion defect
Q) Endocardial cushion defects seen with:
a) Mitral stenosis
b) Pulmonary stenosis
c) Mitral regurgitation
d) Aortic regurgitation
- Discuss what is Endocardial cushion defects
- Associated conditions
Complications of Whipple’s operation
Q) Most common complication after Whipple's operation is
a) Delayed gastric emptying
b) Pneumonia
c) Wound infection
d) Pancreaticojejunostomy leak
Answer for premium only - We discuss the percentage wise risk of complications.