General Surgery

NEET, DNB questions from general surgery

Blood transfusion

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Surgery MCQ | mcqsurgery.com
Q81) In trauma what is the ratio of PRBC: FFP to be transfused?
a) 1:1
b) 1:2
c) 1:3
d) 1:4
Correct Answer: a) 1:1

When there is requirement of more than 6 units of PRBC, FFP and other blood products are required. FFP and platelets should be transfused first and then PRBC. For every 7–12 Units of PRBC, ideally 6 units of FFP and one unit of platelets should be given.
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lymphatics of colon

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Q ) Which of the following group of lymph nodes  lymphatics of the colon first drain to?

a) Paracolic

b) Epicolic

c) Nodes along SMA/IMA

d) Para aortic

Ans ) b

Lymphatics first drain to epicolic group along the bowel wall

Then it goes to  paracolic group along the marginal artery

Intermediate group along the named vessels SMA/IMA

Finally to para aortic 

Colon and upper 2/5 of rectum --- Para aortic

Lower 1/5 of rectum and anal canal - Superficial inguinal lymph nodes

Ref Sabiston-1317

Abdominal Compartment Syndrome

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Q) What is not a management option in Abdominal compartment syndrome?

a) Drainage of Intra abdominal collections

b) Muscle relaxation

c) Mesh closure

d) High PEEP

Ans d)  

Intra Abdominal Hypertension leads to Abdominal Compartment syndrome.

The decision to intervene surgically is not based on IAH alone but rather on the presence of organ dysfunction in association with IAH. Few patients with a pressure of 12 mm Hg have any organ dysfunction, whereas IAP greater than 15 to 20 mm Hg is significant in every patient

With grade III IAH, decompression may be considered when the abdomen is tense and signs of extreme ventilatory dysfunction and oliguria develop. In grade IV IAH, with signs of ventilator and renal failure, decompression is indicated

Measures to lower IAH are implemented are 

• Drainage of intra-abdominal fluid collections

• Muscle relaxation Avoid primary closure of the incision—laparotomy or mesh, Bogota bag, biologic mesh, or vacuum-assisted closure.

Malabsorbtive procedure in bariatric Surgery

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Malabsorptive Procedure in Bariatric Surgery | MCQSurgery
Q) Malabsorbtive procedure in bariatric Surgery
a) Biliopancreatic division
b) Roux en Y Gastric bypass
c) Sleeve gastrectomy
d) LAp band
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Bleeding on Clopidogrel

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Q)  Patient on Clopidogrel has  Intraop bleeding  Which component will you transfuse to control it? ( #NEET 2018)

a) Platelets
b) FFP
c) Cryoprecipitate

d) PRBC

Ans ) A, platelets

Patients on clopidogrel who are actively bleeding and undergoing major surgery may require almost continuous infusion of platelets during the course of the procedure. Arginine vasopressin or its analogues (DDAVP) have also been used in this patient group

Platelet shelf life is 5 days and stored at temp of -24

Bailey 27th 

 

Bariatric Surgery

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Surgery MCQ · Bariatric Surgery

Which of the following statements regarding bariatric surgery is false?

A. Vertical banded gastroplasty (VBG) produces less weight loss compared to Roux-en-Y gastric bypass (RYGB).
B. Jejunoileal bypass is no longer commonly performed.
C. Dumping syndrome occurs primarily due to non-compliance with dietary advice.
D. Laparoscopic adjustable gastric banding (LAGB) requires follow-up only once every 4–6 weeks.
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