Abbe Estlander Flap

Q) Abbe Estlander flap is for?
a) Lip
b) Tongue
c) Breast
d) Nose
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Bile leak after lap Cholecystectomy

Q) 60 year old female undergoes lap cholecystectomy and is discharged She comes back 8 days later with pain abdomen, distension, fever and tachycardia. USG shows a 500 ml collection in Morrisons Pouch. Next step?

a) Conservative, I V antibiotics

b) USG guided drainage

c) LAP exploration and ligation of cystic duct stump

d) CECT followed by open exploration

#NEET SS 22

# Questions on BIliary system

# Free Questions on Bile ducts

Anal malformation

MCQ on Newborn with Abdominal Distension
Q) Newborn with abdominal distension on day 2, not passed meconium. There is absent anal orifice. What is the next step? # NEET SS 22
Answer: A. Cross table X ray

🔍 Explanation:
The first step in such cases is to rule out congenital abnormalities of the spine, sacrum, kidneys, and heart.

- The second step is a Cross-table X-ray. If the X-ray shows perineal fistula, perform Anoplasty.
- If the X-ray shows rectal gas below the coccyx, perform a PSARP (Posterior Sagittal Anorectoplasty) with or without a colostomy.
- If the X-ray shows gas above the coccyx with associated defects, perform a colostomy.

🧠 Key Point: Cross-table X-ray is crucial to determine the presence of rectal gas and other associated defects, guiding the next step in management.

📘 Reference: Table 67.14 Sabiston