AIIMS MCQ

GI SUrgery MCQs from AIIMS over the years

ELAPE (Extra Levator Abdomino perineal Excision)

by

Q) What is not true about  extra levator Abdomino Perineal Resection (APE) (AIIMS 2019) 

a) Anal canal dissected from levator

b) Patient  in prone jack knife position

c) Specimen is resected en block with sacrum

d) Entire levator is resected along with mesorectum

chemodectoma

by

Q) Paraganglionoma and chemodectoma is seen in (AIIMS onco) 

a) Carotid space

b) Prevertebral space

c) Parapharyngeal Space

d) Masticator space

Zenker’s divertculum

by

Q) Incorrect statement about zenker's diverticulum (AIIMS GI)

a) More common in the elderly on the left side

b) Barium swallow is diagnostic

c) Diverticulopexy means fixation of diverticulum to prevertebral fascia

d) Dohlman Procedure is for large sized diverticuli

Post Hepatectomy Liver Failure

by
Q) Which finding best describes post hepatectomy liver failure (AIIMS GI)?
A) INR and Bilirubin raise on or after day 5
B) Refractory INR even after FFP
C) Hyperbilirubinemia
D) Hepatic encephalopathy
This question is for Premium Members only.

Click here to join

Facial nerve

by

Q) Not a branch of facial nerve?

a) Greater auricular nerve

b) Post Auricular nerve

c) Nerve to Chorda tympani

d) Nerve to Stapedius

Ans a

The posterior auricular nerve arises from the facial nerve close to the stylomastoid foramen.

The great auricular nerve (or greater auricular nerve) originates from the cervical plexus, composed of branches of spinal nerves C2 and C3. 

The chorda tympani is a nerve that arises from the mastoid segment of the facial nerve

The nerve to stapedius arises from the facial nerve to supply the stapedius muscle.

Primary Hyperparathyroidism

by
Primary Hyperparathyroidism MCQ - Free Question
Q) Which is not a feature of primary hyperparathyroidism?
a) Increase Parathormone
b) Increase Calcium
c) Decreased phosphate
d) Dystrophic calcification
Answer – Free

Answer: d) Dystrophic calcification

Explanation: Clinical features of primary hyperparathyroidism include subperiosteal bone resorption, increased serum calcium, decreased phosphate levels, and elevated PTH. Dystrophic calcification is not typically seen in this condition.

Primary hyperparathyroidism is most commonly caused by parathyroid adenoma (75%) and can be localized using sestamibi scan. Kidney stones are the most frequent symptomatic manifestation. It is defined by hypercalcemia with inappropriately normal or elevated PTH.

Associated disorders: peptic ulcers, pancreatitis, bone disease, and CNS symptoms.

Indications for surgery in asymptomatic patients include:

  • Age < 50 years
  • High urinary calcium excretion
  • Low creatinine clearance
  • Kidney stones
  • Very high serum calcium

Reference: Bailey and Love, 27th Edition, Page 826

#FreeQuestion #Hyperparathyroidism #BaileyAndLove

🔓 Explore More Free Surgery Questions