GI SUrgery MCQs from AIIMS over the years
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
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
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
Q. Hyergastrinemia occurs in all except
a)Retained antrum
b)Excluded antrum
c)Brunner gland adenoma
d)GOO
Q) Most sensitive investigation for Gastrinoma ?
a)Contrast CT
b) Selective angiography
c) SRS
d) EUS
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
