General Surgery

NEET, DNB questions from general surgery

Retroperitonuem tumor

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Q) A 42 year old lady undergoes exploration for a retroperitoneum mass. In OT it is suspected that this is a liposarcoma. Which of the following is  not true about liposarcoma? ( Some MRCS Questions) 

a) Liposarcoma is the most common variant of sarcomas

b) They have a  pseudocapsule

c) They can grow quite large before producing symptoms

d) They are locally invasive and do not metastatize

Inflammatory Carcinoma breast

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Q) In terms of cure best results in inflammatory carcinoma breast  are seen with-

a) Surgery alone

b) Chemotherapy

c) Radiotherapy

d) All of the above

Ans wer 

d) 

Inflammatory carcinoma of the breast is a rare aggressive tumor that blocks the sub dermal lymphatics as a result of which cutaneous edema is common . Differentiating it from a breast abscess is important and biopsy is diagnostic. It is also responsible to peau d orange

Treatment is multidisciplinary and involves, chemotherapy followed by surgery followed by radiotherapy.

 

 

 

Surgical Gastro NEET type Exam Questions

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Q) Type II gastric ulcer as described by Johnson  is 

a) Pre pyloric

b) Ulcer on body of stomach combined with duodenum

c) High on lesser curvature

d) Ulcer near the antrum

Devices for Surgeons

Answer b

Type II gastric ulcers, as described by Johnson, refer to:

b) Ulcer on body of stomach combined with duodenum

Type II ulcers are characterized by the presence of both gastric ulcers and duodenal ulcers.

In Johnson’s classification of peptic ulcers, Type II gastric ulcers are those that occur in both the stomach and the duodenum simultaneously. Here are the details:

  • Location: The gastric ulcer typically occurs in the body of the stomach, usually on the lesser curvature, while the duodenal ulcer is found in the first part of the duodenum.
  • Pathophysiology: This type of ulcer is associated with increased gastric acid secretion, which contributes to the development of both gastric and duodenal ulcers. The co-occurrence is often due to the same underlying factors like Helicobacter pylori infection or hyperacidity.

Thoracic outlet syndrome

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Q Not a true statement about thoracic outlet syndrome:

a) Elevation of  arm causes occlusion of subclavian artery

b) T1 nerve supply is mainly compressed

c) There is altered sensorium in T1 nerve distribution

d) Embolism of subclavian artery may occur

Answer This page will lead you to other questions in NEET and DNB

Ameloblastoma

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Q) Which of the following is true about ameloblastoma 

a) It is seen in children below 5 years

b) It is the most common odontogenic tumor

c) Mandible is the most common site 

d) It is highly malignant

Ans 

c Mandible is the most common site

It is the 2nd  most common odontogenic tumor. It is locally invasive and can cause severe deformity. It is seen in middle age group and not children.

Mandible is the most common site of origin seen in 80% cases. It is slow growing  but it remains locally aggressive with high rates of recurrence.

Given the choices above, c  is the most probable one.

Ameloblastoma is a benign, slow growing, locally invasive odontogenic tumor. It is the second most common odontogenic neoplasm. It accounts for 11% of all odontogenic tumors.

Ref:  http://atlasgeneticsoncology.org/Tumors/AmeloblastomID5945.html

Multinodular goitre

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Q) Management of multinodular goitre with dysphagia and neck pain in a 35-year-old lady:

A. Iodine treatment
B. Surgery
C. Thyroxine (T3 and T4)
D. FNAC and Radioactive Iodine

Giant Gastric ulcer

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Q) Which of the following is true about giant gastric ulcer?

a) 70-80% of these ulcers  are malignant

b) By definition giant gastric ulcer is more than 1.5 cm in size

c) Medical therapy can heal 80% of  such ulcers

d) They are more common on the greater curvature and invade surrounding organs like spleen, liver etc

Answer for premium members