AIIMS MCQ

GI SUrgery MCQs from AIIMS over the years

Maltoma Stomach

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Q) False about Maltoma of stomach

a Rituximab based therapy is useful in  resistant cases

b) Most respond to anti H pylori eradication 

c) T (11, 18) respond to h pylori eradication

d)

Role of TARE in HCC

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Q)Regarding the role of TARE in HCC False  statement is

a) Diagnostic angiography required
b) Portal Vein Thrombosis is a contraindication

c) Beta particle and tissue penetration is  from 2.5 to 11 mm

d) Preprocedural albumin bind technitium  scintigraphy is  required.

THE vs TTE

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Q. Trans hiatal esophagectomy as compared to trans thoracic anastomosis-
A More pulmonary complications
B Less  anastomotic leak
C ) Two field resection possible in THE

d) More pain

 

Colon Transposition

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Q . In colon transposition after esophageal resection which of the following is false? (AIIMS 2018)

a) It has a more robust blood supply

b) Chances of anastomotic leak are more

c) Ischemia at tip

d) Becomes redundant in long run

Pouchitis Disease severity index

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Q) Pouchitis disease activity index includes all except (AIIMS 2019)

a)  Fever
b)  Malaise
c)  Fecal urgency
d)  Bleeding PR

Pouchitis is commonly asked in AIIMS and JIPMER MCH exams. Previous year questions are here and here 

Ans b ) Malaise, Clinical data includes Frequency, urgency and rectal bleed

Summary of the PAS

Range
I. Clinical
 1. Stool frequency (0, 2, 4, 6)
 2. Fecal urgency (0, 3)
 3. Rectal bleeding (0, 3)
Maximal clinical subscore: 12
II. Endoscopic findings
 1. Oedema (0, 1)
 2. Granularity (0, 1)
 3. Friability (0, 1, 2)
 4. Erythema (0, 2, 3)
 5. Mucosal flattening (0, 2)
 6. Ulcerations/erosions (0, 2, 3)
Maximal endoscopic subscore: 12
III. Histological Acute inflammation
 1. Polymorphonuclear infiltration (0, 1, 2, 3)
 2. Ulcerations/erosions (0, 1, 2, 3)
Chronic inflammation
 1. Mononuclear infiltration (0, 1, 2, 3)
 2. Villous atrophy (0, 1, 2, 3)
Maximal (total) histological subscore: 12
Maximal total PAS: 36

 

Gastrinoma

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Q) True about gastrinoma is 

a) At the time of diagnosis most are benign and only 20% are malignant

b) In Pancreas most tumors  are confined to the body and tail

c) All cases of gastrinoma should be screened for MEN 1

d) They are highly malignant and even after complete resection 5 year survival is 30%

Another Mcq on gastrinoma

Intestinal Tuberculosis

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False about Intestinal TB - MCQ

Q) Which of the following statements about intestinal tuberculosis is false?

1. Hyperplastic type commonly causes colonic strictures
2. Raised inflammatory markers, anemia, and positive sputum culture support the diagnosis
3. Barium meal follow-through may show a pulled-up cecum
4. Interferon-gamma release assay is diagnostic

Answer: A) Strictures are of the small bowel, not the colon

Explanation:

Intestinal tuberculosis occurs in two main forms:

1. Ulcerative type – Characterized by transverse ulcers with undermined edges, and the serosa is studded with tubercles. This represents a more severe form of the disease.

2. Hyperplastic type – Involves hyperplasia and thickening of the terminal ileum. It leads to narrowing of the lumen, stricture formation, and fibrosis of the terminal ileum, not the colon.

Other key points:

  • Raised inflammatory markers and anemia are commonly seen.
  • Interferon-gamma release assays help in detecting subclinical infection but are not diagnostic.
  • Barium meal follow-through typically shows a pulled-up or subhepatic cecum.
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