Q) . Not a risk factor in colonoscopic stenting in colonic cancer causing obstruction
A. Short stricture of length <10 cm
B. Extrinsic compression
C. Treatment with bevacizumab
D. Strictures and obstructions at multiple levels
Bleeding on Clopidogrel
Q) Patient on Clopidogrel has Intraop bleeding Which component will you transfuse to control it? ( #NEET 2018)
a) Platelets
b) FFP
c) Cryoprecipitate
d) PRBC
Complete mesocolic excision
Q) All are true regarding complete mesocolic excision except
a) Hohenberger et al introduced it
b) It is based on ligation of central artery
c) Increases yield of lymph nodes and has decreased recurrence
d) Line of resection is below Toldt's fasica
Answer
Gastric pullup
Q 35) Not a step in Gastric pull up mobilization?
a) Lesser sac entering
b) Posterior mobilization of the duodenum
c) dilatation of hiatus
d) ligation of lesser curve vessels
Answer 35
Stomach is the best esophageal substitute. It has a single anastomosis, consistent blood supply and is durable
Disadvantage is reflux in the long term.
Check the answer to the question on gastric pull up in the answer
Caustic Injury to esophagus
Q ) False regarding Caustic injury to Esophagus
a) Gastric lavage not done as it increases the chances of more injury
b) Neutralising agents not given as it produces more injury than preventing it
c) Milk and albumin not given as it causes more damage
d) Activated charcoal not given as it doesn’t effectively absorb alkali
Check one more question on caustic injuries to esophagus here
In caustic injuries to the esophagus, early decisions have to be taken. The involvement of surgeon should be done early and patient should be placed under close monitoring.
Blind nasogastric and orogastric tubes should not be inserted and initially CT of chest and abdomen with contrast should be done to guide the subsequent procedures. Read on
Fasciotomy
Q) True about fasciotomy of the lower limb? (# Gen Surgery Wound Healing )
a) Fasciotomy should be done when distal pulses are absent
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Pressure sore
Q) Pressure sore, grade II is (NEET 2017) ( Wound healing Gen Surgery Questions)
a) Partial thickness skin loss, epidermis and dermis are involved
b) Full thickness skin loss, involving subcutaneous tissue but not underlying fascia
c) Non blanchable erythema, no breach in epidermis
d) Involvement of bones and tendons
Bile duct injuries in cholecystectomy
Q True about Bile duct injuries in cholecystectomy
a) Only 15% are recognized at the time of surgery
b)Routine Operative cholangiography definitely reduces the incidence of bile duct injury
c) In incomplete obstruction of bile duct, jaundice occurs early
d) Surgical outcome depends on timing of surgery
After cholecystectomy complications can occur in 15%. Identification and management of bile duct injuries is very important. This question and subsequent discussion has been routinely asked in many exams
Gall Bladder adenoma
Q) Not an indication of cholecystectomy in gall bladder adenoma? (# NEET 2018) ( #GallBladder MCQs)
a) Size more than 1 cm
b) Associated gall stones
c) Age more than 60 years
d) More than 3 in number