General Surgery

NEET, DNB questions from general surgery

Spontaneous Pneumothorax

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Q) 15 year old boy, with Spontaneous pneumothorax. He is dyspneic with increased RR

Next best step

a) Vats and pleurodesis

b) Needle aspiration

c) Tube thoracostomy

d) Any of the above

Ans c

Primary spontaneous pneumothorax occurs in young patients without significant lung disease, whereas secondary spontaneous pneumothorax occurs in patients with COPD.

The most common cause of primary spontaneous pneumothorax is rupture of small apical blebs. Tube thoracostomy with water seal drainage is the usual first-line treatment of a moderate-to-large pneumothorax in a patient with a first-time occurrence.

Claudication pain

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Q) 70 year old male has pain in right buttock on standing and gets relieved on sitting. What will be the next relevant  test to be ordered in him?

a) Doppler B/l lower limbs

b) MRI spine

c) Echo cardiography

d) Ankle Brachial Index

Perio OP Management Chronic Kidney disease

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Q) 45 year old male is on chronic dialysis for MGN. He is due to undergo Right colonic resection for ca caecum. Which of the following parameters will be of least worry to the anesthetists due to chronic kidney disease?

a) Cardiac

b) Fluid and electrolyte

c) Coagulational

d) Pulmonary

Peri Op management MCQs

 

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