Mucinous cystic neoplasm

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Q) Which of the following statements about Mucinous Cystic Neoplasms (MCNs) of the pancreas is incorrect?
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Management of biliary strictures

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Q) Which of the following is false about management of benign biliary stricture?

a) After HJ,success rate of 80-90% for benign biliary stricture is achieved

b) Recurrent stricture in 5 years is 30%

c) MOst important factor for recurrent stricture is the initial level of injury

d) Liver failure after stricture repair is around 20% 

Duodenal Diverticula

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Which of the following statements about duodenal diverticula is incorrect?

a) Extraluminal diverticula are more common than intraluminal ones
b) They are most commonly located within 2 cm of the ampulla
c) The majority are symptomatic, presenting with epigastric pain
d) Diverticulectomy is the standard surgical treatment

Afferent loop syndrome

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Q) Not true about afferent loop syndrome

a) It can  occur after either partial or total gastrectomy with Billroth ii reconstruction or roux en y gastrojejunostomy

b) Acute obstruction is more common than chronic

c)  Weight loss and anemia are common. 

d) Bacterial overgrowth in  afferent limb causes  malabsorption of fat and other nutrients, such as vitamin B12 or iron. 

Indications of Small Bowel transplant

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Q ) One of the following is not an indication for small bowel transplant?

a)  Impending liver failure by PNALD

b) Multiple thromboses of central veins 

c)  Single episode of catheter-related infection requiring hospitalization in any year

d) single episode of fungal line infection

 

 

Diverticular disease of colon

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Q) False about diverticular disease of colon is 

a) 10-20% of all diverticular disease of colon develop symptoms. Rest remain asymptomatic

b) Low fiber diet is implicated in etiology

c) Sigmoidoscopy is useful tool for evaluation of diverticulitis

d) Elective colectomy in uncomplicated diverticulitis is rare and forms only 1% of cases with diverticular disease

Cancer lower rectum

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Q) False statement about management of cancer rectum

a) Relative to ERUS, pelvic MRI is more accurate in its ability to detect lymph node involvement 

b) Rectal cancers located in the upper third of the rectum are exempt from neoadjuvant treatment.

c)  TME is typically performed 2-3 weeks after completion of CRT before fibrosis develop

d) ERAS  include early mobilization, transition to oral pain control, and resumption of oral food intake

Carcinoma GB epidemiology

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Q) Not true about GB malignancy

A. 80 percent of porcelain gall bladder predispose to malignancy

B. Untreated advanced  CA GB  median survival is 2-5 months

C. Stippled calcification of mucosa has higher risk of malignancy than diffuse intramural calcification

D. More than 75 percent of CA gall bladder has history of cholelithiasis