GI SUrgery MCQs from AIIMS over the years
Q1) False about role of PET scan in Ca esophagus
a) Upstages disease in 15% cases
b) Used to assess response to pre op chemo radiation
c) Used for selecting patients for surgery after neoadjuvant chemo Rt
d) Assessment of response is seen after 2 weeks of pre op chemo RT
Q) Which of the following is Not a risk factor for pouchitis post IPAA in ULcerative colitis
A) Smoking
B ) NSAIDs use post op
C) Elderly patients
D) UC with extra intestinal manifestation
Ans a
Pouchitis is the complication of Ileal Pouch Anal Anastomosis (IPAA) for Ulcerative colitis. The incidence of pochitis for the same proedure for familial Adenomatous polyposis is less than 10% but for ulcerative colitis can go as high as 50%.
Risk factors for development of pouchitis are
5. Other reported factors that may associate with pouchitis include extent of UC, thrombocytosis,and PPI use with NSAId
Ref - https://onlinelibrary.wiley.com/doi/full/10.1111/den.12744
Q) False about diverticulitis of colon
a) Diverticulitis results from the perforation of a colonic diverticulum,
b) MOst common site is sigmoid and descending colon
c) CT scan is the diagnostic modality of choice
d) Sigmoidoscopy should be done in all cases urgently
Q) . Not a risk factor in colonoscopic stenting in colonic cancer causing obstruction
A. Short stricture of length <10 cm
B. Extrinsic compression
C. Treatment with bevacizumab
D. Strictures and obstructions at multiple levels
Q 35) Not a step in Gastric pull up mobilization?
a) Lesser sac entering
b) Posterior mobilization of the duodenum
c) dilatation of hiatus
d) ligation of lesser curve vessels
Answer 35
Stomach is the best esophageal substitute. It has a single anastomosis, consistent blood supply and is durable
Disadvantage is reflux in the long term.
Check the answer to the question on gastric pull up in the answer
Q ) False regarding Caustic injury to Esophagus
a) Gastric lavage not done as it increases the chances of more injury
b) Neutralising agents not given as it produces more injury than preventing it
c) Milk and albumin not given as it causes more damage
d) Activated charcoal not given as it doesn’t effectively absorb alkali
Check one more question on caustic injuries to esophagus here
In caustic injuries to the esophagus, early decisions have to be taken. The involvement of surgeon should be done early and patient should be placed under close monitoring.
Blind nasogastric and orogastric tubes should not be inserted and initially CT of chest and abdomen with contrast should be done to guide the subsequent procedures. Read on
