Siewert

  1. Q) False regarding CA Esophagus

    a) Siewert I treated as Esophageal cancer

    b) Siewert III treated as Gastric cancer

    c) Siewert II treated as Esophageal cancer or Merindino surgery

    d) Proximal margin in Esophagus is determined routinely to alter the management

    Answer

FNH _ Focal Nodular hyperplasia

Q) Which of the following statements about focal nodular hyperplasia (FNH) of the liver is true?

a) A central scar is present in all cases
b) Fine-needle aspiration cytology (FNAC) is usually diagnostic in doubtful cases
c) Resection is recommended due to risk of malignant transformation
d) Asymptomatic patients with typical radiologic features usually do not require treatment

d) Asymptomatic patients with typical radiologic features usually do not require treatment

  • Focal Nodular Hyperplasia (FNH) is a benign liver lesion, often found incidentally.

  • a) Central scar is present in all cases – Incorrect. While a central stellate scar is characteristic of FNH, it is not present in all cases (seen in ~50-70% on imaging).

  • b) FNAC is usually diagnostic – Incorrect. FNAC often provides inconclusive results in FNH. Histological diagnosis requires tissue architecture, which FNAC can't reliably provide.

  • c) Resection is recommended due to risk of malignant transformation – Incorrect. FNH has no malignant potential and rarely causes complications. Surgery is not routinely recommended unless symptomatic or diagnosis is uncertain.

  • d) Asymptomatic patients with typical radiologic features usually do not require treatment – Correct. FNH with typical imaging features (especially on MRI with hepatobiliary contrast agents) does not require biopsy or surgical intervention.

Bariatric Surgery

Surgery MCQ · Bariatric Surgery

Which of the following statements regarding bariatric surgery is false?

A. Vertical banded gastroplasty (VBG) produces less weight loss compared to Roux-en-Y gastric bypass (RYGB).
B. Jejunoileal bypass is no longer commonly performed.
C. Dumping syndrome occurs primarily due to non-compliance with dietary advice.
D. Laparoscopic adjustable gastric banding (LAGB) requires follow-up only once every 4–6 weeks.
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Carcinoid appendix

Q) In Carcinoid appendix, False  statement is

a) It is the most common tumor of the appendix

b) Less than 1% of the overall  appendectomy specimens have carcinoid tumor

c) Size of the lesion is a good predictor of  malignant behavior

d)  Mostly carcinoid appendix are seen in the base of appendix

Answer

 

Roux stasis

Q) True about Roux stasis syndrome

a) Dilated Roux limb present

b) Can be prevented by inter positioning 20 cm jejunum between stomach n duodenum

c) Delayed gastric emptying of solids

d) It is not related to the size of gastric remnant

Answer

Non obstructive mesenteric ischemia

Q) Not true about Non Obstructive Mesenteric Ischeamia (NOMI)

a) Occurs due to treatment with vasopressors

b) Occurs in cardiac shock

c) Can occur in Burns

d) Hypercoagulable state maybe responsible for NOMI

Answer