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Roux en Y Gastric bypass

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Q 35) To prevent bile reflux gastritis in RYGB, false is

a) Jejunum divided at 45cm from the DJ

b) Roux loop length is 40 cm and above

c) Enteroenterostomy done at 45cm from the GJ


Answer q 35

Achalasia cardia with perforation

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Q) What is the management of achalasia cardia with perforation ?

a) Suture ligation of the perforation

b) Suture ligation with myotomy on opposite side with fundoplication

c) Suturing with fundoplication

d) esophagectomy

Answer 

GI bleed

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Q) Which of the following statement is incorrect for  GI bleeding?

a) Clear nasogastric aspirate rules out Upper gi bleed

b) RBC scan detects bleed upto 0.1-0.5 ml/min

c) Angio detects 0.5-1 ml/min

d) UGI bleed is responsible for 15% of haematochezia

Answer

Anal Fissure

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Q )  45 year old male is diagnosed with Anal fissure. What is not indicated in the management of  anal fissure

A. Inj BOTOX
B. Topical steroids
C. Topical Calcium Channel Blockers
D. Topical Nitro glycerine

Answer Premium 

Haemangioma Liver

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Q) False statement about haemangioma liver is ?

a) They are the most common lesions of the liver

b) Giant haemangiomas should be resected because of malignant potential

c) Symptomaic haemangioma should be resected

d) Most of the haemangioma liver are asymptomatic

Answer click here 

Incidence of haemangioma liver is increasing because of increased use of CT and MRI. 

Post Lap Cholecystectomy Ca Gall Bladder

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Q) Post Lap cholecystectomy, biopsy comes as Ca gall bladder with invasion of peri muscular connective tissue. Most appropriate for this patient is
A. IVB &  V resection nodal clearance
B. IV B &  V plus nodal clearance with port site excision
C. Wedge excision of liver with Lymphadenectomy
D. Wedge excision, Lymphadenectomy and Port excision