lymphatics of colon

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Q ) Which of the following group of lymph nodes  lymphatics of the colon first drain to?

a) Paracolic

b) Epicolic

c) Nodes along SMA/IMA

d) Para aortic

Ans ) b

Lymphatics first drain to epicolic group along the bowel wall

Then it goes to  paracolic group along the marginal artery

Intermediate group along the named vessels SMA/IMA

Finally to para aortic 

Colon and upper 2/5 of rectum --- Para aortic

Lower 1/5 of rectum and anal canal - Superficial inguinal lymph nodes

Ref Sabiston-1317

Haemangioma of the liver

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Q) True about 5 cm haemangioma of the liver 

a) 50% of symptomatic haemangiomas of the liver will still have some other intra abdominal cause

b) They should be operated because of high risk of rupture

c) 2-5% of these can turn to be malignant

d) Radiation gives the best results

Ans - 

Other questions on haemangioma

NEET based questions -2018

Abdominal Compartment Syndrome

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Q) What is not a management option in Abdominal compartment syndrome?

a) Drainage of Intra abdominal collections

b) Muscle relaxation

c) Mesh closure

d) High PEEP

Ans d)  

Intra Abdominal Hypertension leads to Abdominal Compartment syndrome.

The decision to intervene surgically is not based on IAH alone but rather on the presence of organ dysfunction in association with IAH. Few patients with a pressure of 12 mm Hg have any organ dysfunction, whereas IAP greater than 15 to 20 mm Hg is significant in every patient

With grade III IAH, decompression may be considered when the abdomen is tense and signs of extreme ventilatory dysfunction and oliguria develop. In grade IV IAH, with signs of ventilator and renal failure, decompression is indicated

Measures to lower IAH are implemented are 

• Drainage of intra-abdominal fluid collections

• Muscle relaxation Avoid primary closure of the incision—laparotomy or mesh, Bogota bag, biologic mesh, or vacuum-assisted closure.

Appendicular carcinoid

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 Q) Not true about carcinoid appendix?

a) Seen in 2% of appendicectomy specimens where appendicectomy was done for acute appendicitis

b) Bigger the size of carcinoid, more is the lymphadenopathy

c) 5 HT is the most common vasoactive petide produced in carcinoid syndrome

d) MOst commonly seen in distal 1/3 of appendix

Answer

Other Similar Questions

Esophagus

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Q ) Patient with normal swallowing but progressive poor peristalsis in lower 2/3rds of esophagus and reflux episodes.

a) Scleroderma

b) Achalasia

c) GERD
Answer

Malabsorbtive procedure in bariatric Surgery

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Malabsorptive Procedure in Bariatric Surgery | MCQSurgery
Q) Malabsorbtive procedure in bariatric Surgery
a) Biliopancreatic division
b) Roux en Y Gastric bypass
c) Sleeve gastrectomy
d) LAp band
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