TIPS

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Q) Absolute contraindication to TIPS are all except ?

a)PVT

b) Multiple hepatic cysts

c) Chronic heart falure

d) Severe TR

FAP

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Q) False regarding FAP

a) Mean age of development of cancer is 40

b)50% population develop gastric polyp and duodenal adenoma

c) 2nd most common cause of death is desmoid

d) 

AIIMS November MCQs

Parotid tumors (AIIMS ONCO 2019)

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Q7. 70 year old smoker, with right parotid swelling, histopath- lymphocytic  stroma with oncocytes and proteinaceous background. What is the diagnosis?

a) Oncocytoma

b) Warthin tumor

c) Pleomorphic adenoma

d) Mucoepidermoid

Paraneoplastic syndrome in HCC

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Q) Paraneoplastic Syndrome in HCC which also occurs in End stage liver disease ?

a) Hypercholesteremia

b) Hypoglycemia

c) Hypercalcemia

d) Carcinoid

Ans -  b

Hypoglycemia (also seen in end stage liver disease) 

Erythrocytosis

Hypercalcemia

Dysfibrogenimea

Carcinoid Syndrome

Thyroxin binding globulinincreases

Porphyria cutanea tarda

Gynecomastia, testicular atrophy, early puberty

Enteropathy in T cell lymphoma

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Q. Not true about enteropathy in T cell lymphoma
a) It is an  variant of intestinal lymphoma mainly in jejunum and ileum
b) Associated with coeliac disease
c) Perforation is frequently seen with ETL (Enteropathy T cell lymphoma)
d) This type of lymphoma is commonly seen
Ans. d
Enteropathy T cell lymphoma is an unusual variant of intestinal lymphoma. It is associated with celiac disease and responds to gluten free diet. It has a higher rate of perforations because of circumferential ulcers. It is commonly seen in jejunum and ileum
Ref- Schakelford Surgery of Alimentary canal  pg 1205
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Duodenal Adenocarcinoma

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Q) Which of the following is not true about duodenal adenocarcinoma

a) Adenocarcinoma is the most common malignancy affecting duodenum

b) Most of the patients with duodenal adenoacarcinoma have a palpable mass

c) Surgery is the main stay of management

d) GOO is the most common presentation

A day at the office

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Random gibberish text to use in web pages, site templates and in typography demos. Get rid of Lorem Ipsum forever. A tool for web designers who want to save time.

Biliary fistula in Hydatid cyst liver

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Q) Which is not true in terms of biliary fistula in  hydatid cyst liver

a) Cyst diameter more than 10 cm is a predictor of intrabiliary rupture

b) Minor communications are revealed by post op bile leak

c) Major biliary communication is fistula more than 5 mm or communication in the bile duct

d) Major biliary communication is seen in 15-20%

Response to chemotherapy in Carcinoma Esophagus

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Q) A patient with carcinoma lower 1/3 of esophagus, receives chemo Radiotherapy and dysphagia shows complete response. What is the next step in management

a) Reassure

b) Follow with CT scan every  6 months 

c) Esophagectomy

d) EUS to look for residual disease

 Ans c

Clinical trials and meta‐analyses have shown that a CRT + surgery regimen could significantly improve the survival of locally advanced esophageal carcinoma patients compared to surgery alone

Endoscopic biopsy, endoscopic ultrasonography, MRI (at various sequences), and PET‐CT all had shortcomings for evaluating cCR and the therapeutic effect of nCRT.