Budd chiari syndrome

Q  BCS true is

a) Hepatic venography needed for diagnosis

b) Triad of pain hepatomegaly and jaundice

c) Mesocaval graft thrombosis precludes liver transplant

d) In IVC  stenosis, splenorenal shunt can be used

Electrolytes

Q) Chovstek sign with normal calcium seen in
a) Hypomagnesemia
b) Hypermagnesemia
c) Hyperphosphatemia

d) Hypokalemia

 

Ingested foreign bodies

Q) False statement about ingested foreign bodies is 

a) Conservative management in most patients

b)  Cathartic agents are part of conservative management

c) Sharp objects can cause perforation

d) Laparotom  is  indicated for  obstruction

 

Contra Indication of stricturoplasty

Q) All are contraindications of stricturoplasty in crohn's disease of small intestine except?

a) Perforation of intestine

b) Fistula or abscess at stricturoplasty site

c) Multiple strictures in long  segment

d) Albumin < 2 g/dl

 

Dentigerous cyst

Q) Origin of dentigerous cyst is from

a) Unerupted tooth

b) Erupted tooth 

c) Gums

d) Enamel

Pulmonary embolism

 Q) Indication of IVC Filter in a  40 year old male

A. Recurrent thromboembolism despite adequate anticoagulation

B. Deep venous thrombosis in a patient well controlled by anticoagulation

C. Presence of DVT

D. All of the above


 

 

Ciclosporins

Q) Not true about ciclosporin use in liver transplant

a) It exerts its effect the same way as tacrolimus

b) Nephrotoxicity is the main notable side effect

c) Both tacrlimus and ciclosporin have equal rates of preventing acute rejection

d) Hypetrension, DM and dyslipidemia are other common side effects

 

Internal Potassium balance

Q) If ph >7.4, How much does plasma potassium concentration change for every 0.1 unit increase of the extracellular pH ?

a) Potassium decrease by 0.3meq/l

b) K+ increase by 0.3 meq/l

c) Potassium decrease by 1.5 meq/l

d) K+increase by 1.5 meq/l


Free answer

a

Acid-base disturbances cause potassium to shift into and out of cells. This is called internal potassium balance and was discovered in 1956.

In alkalosis (increase in ph,) K+ falls and in Acidosis potassium concentration will increase. For every 0.1 fall in ph, K+ increases by 0.3-0.6 meql/l

Metabolic acidosis- in a plasma potassium concentration that is elevated in relation to total body stores. 

Ref 

 

Intra Abdominal pressure

Q) Which of the following is not true about Intra abdominal pressure (IAP) 

a) Normal Intra abdominal pressure in most people is less than 5 mmHg

b) After non complicated surgery  IAP remains less than 5mm Hg

c) IAH (Intra abdominal hypertension) is IAP more than 12 mmHG

d) ACS is IAP more than 20 mm Hg

Question on Management of Abdominal Compartment Syndrome

Allograft Rejection

Q) Which of the following is false regarding HLA in graft rejection? 

a) HLA (Human leucocyte antigen) is the most common cause of graft rejection

b) They mainly serve as antigen recognition unit

c) HLA also serve as effector cells 

d) They are highly polymorphic