General Surgery

NEET, DNB questions from general surgery

Catheter Related sepsis

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Q ) Not True about catheter related sepsis in TPN? (More Questons on  INFECTIONS) 

a) Catheter-related sepsis occurs in 3–14% of patients.

b) It  occurs both  at the time of line insertion or afterwards by migration of skin bacteria along the external catheter surface.

c)It can occur from bacteraemia from a remote source may also cause catheter infection.

d) Catheter should be removed in all cases

 

Post op pulmonary complications

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Q) What does not decrease post op pulmonary complications?

  a) Smoking cessation

b) Epidural Anesthesia

c) Nasogastric tube

d) Preop and post op Spirometry

Free Questions

 Questions on Gen Surgery Peri op care

Ans c) Routine Naso gastric tube placement

Postop pulmonary complications occur in approximately 6% of patients after major abdominal operations and

It includes pneumonia/infection, respiratory failure requiring prolonged ventilation, exacerbation of chronic obstructive pulmonary disease (COPD), and lobar/parenchymal collapse with or without associated effusion.

More recently, standard patient care protocols (e.g., Cough) have been developed to decrease the risk of pulmonary complications, which include incentive spirometry, coughing and deep breathing, oral care (brushing teeth and using mouthwash), elevating the head of bed,
and getting out of bed three times a day.

Multimodal pain contro and judicious use of regional analgesia (e.g., thoracic epidurals) may
also help to prevent pulmonary complications in surgical patients.
Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice

Ref Sabiston 21 page 247

Surgery for Gastric volvulus

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Q)   Which is not an operative approach in  in gastric volvulus? ( Click for  more Questions on Stomach) 

a) Tanner

b) Opolzsr

c) Grey Ghimmenton

d) Gavrilu

Ans  d ) Gavrilu

Gavrilu is  trans-abdominal myotomy and antireflux procedure using a flap of greater curvature of stomach to be sutured over esophageal mucosa through a left subcostal incision

Division of gastro colic ligament and gastropexy is tanner

Splitting the meso colon and doing a gastropexy is grey ghimelton

Fundo antral gastrogastrostomy - opolzsr
Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice

Extra 

There are two main types of gastric volvulus:

  1. Organo-axial volvulus: In this type, the stomach twists along its long axis, causing the stomach to rotate excessively. This type is often associated with conditions that result in an elongated stomach, such as diaphragmatic hernias or paraesophageal hernias.
  2. Mesentero-axial volvulus: This type involves the stomach twisting around its mesentery, a fold of tissue that connects the stomach to other organs. It is less common than organo-axial volvulus and can be associated with conditions that cause the stomach to be in an abnormally mobile position.

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