Q ) Treatment of choice in Acute Mesenteric Ischemia
a) Anticoagulation
b) Iv fluids and antibiotics
c) Revascularisation and Resection
d) Angiographic infusion of papaverine
Jejunum
Roux stasis
Q) True about Roux stasis syndrome
a) Dilated Roux limb present
b) Can be prevented by inter positioning 20 cm jejunum between stomach n duodenum
c) Delayed gastric emptying of solids
d) It is not related to the size of gastric remnant
Answer
Small bowel syndrome
Q) Drug combination not recommended for diarrhea in the early treatment of SBS
a) Loperamide and PPI
b) Loperamide and octreotide
c) Octreotide and PPI
d) Cholestyramine and Oxalate
Arc of riolon
Q . Engorged dilated Riolan arc vessel with retrograde flow suggests? ( Jejunum Mcqs 31-40)
a) SMA occlusion
b) IMA occlusion
c) Normal flow
d) Iliac artery occlusion
Acute mesenteric ischemia
Q) All are findings in acute mesenteric ischemia findings except?
a) Slow filling intramural vein
b) Spasm of arterial arcade / distal vessels
c) String of sausages/beaded appearance
d) Dilated and ring enhancement of SMV in CT
SMA syndrome
Q True in SMA syndrome
- Causes Medial Arcuate Ligament syndrome
- Causes nut cracker syndrome
- Low AM distance and Narrow AM angle <25 degree is sensitive finding
- It can be treated by releasing the DJ and keeping duodenum to the right of the artery
Meckel’s diverticulum
Q Meckel’s diverticulum true is
A. Mc congenital anomaly of the intestine
B. Always heterotopic mucosa
C. Pseudodiverticula
D. Located on mesenteric border
Intestinal adaptation
Q) Bowel segment showing best adaptation
a) Jejunum
b) Ileum
c) Colon
d) Duodenum