Q Renal cell carcinoma T3 is
A. Tumor invades beyond Gerota fascia
B. Contiguous extension into the ipsilateral adrenal gland
C. For premium
D.
Fluid and Electrolyte
Q. Which is false about crystalloid solutions?
A. NS has Sodium 154 meq/l
B. NS has Chloride 154 mEq/l
C. RL contains Lactate but doesn’t contain calcium
D. RL contains sodium potassium calcium and lactate
Most common cause of acute mesenteric ischemia
Q1.) Most common cause of acute mesenteric ischemia?
a) Atheromatous thrombus
b) Embolism
c) NOMI
d) All equal
Contraindication of Left lobe liver transplant
Q) Absolute contraindication for left lobe LDLT is
A. Trifurcation of the portal vein
B. Bifurcation of portal vein in the right lobe of the liver
C. Aberrant right hepatic artery
D. Right Posterior duct draining into left hepatic duct
CDH 1 mutation
Q ) Hereditary diffuse Gastric carcinoma is associated with which breast cancer
A. Ductal carcinoma NOS subtype
B. Lobular carcinoma
C. DCIS
D. Metaplastic carcinoma
Answer for Q 79
Majority of Gastric Cancers are sporadic,
1–3% of GCs arise as a result of inherited cancer predisposition syndromes.
Li-Fraumeni syndrome, Lynch syndrome, Peutz-Jeghers syndrome, hereditary breast and ovarian cancer,1MUTYH-associated adenomatous polyposis (MAP), familial adenomatous polyposis, juvenile polyposis syndrome and PTENhamartoma tumour syndrome (Cowden syndrome).
Selective Shunt
Q) A type of Selective shunt for portal hypertension is---
A. PSRS (Proximal spleno renal shunt)
B. Warren shunt
C. SSPCS (Side to side portocaval shunt)
D. Mesocaval shunt
CT severity score in pancreatitis
Q. CT severity score for pancreatic necrosis of more than 50%
A. 6
B. 7
C. 10
D. 5
Answer See Q 25
Severe Acute Pancreatitis
Q) Ideal time for CECT in severe acute pancreatitis is
A. After 72 hours
B. After 48 hours
C. 24 hours
D. At admission
Mild acute pancreatitis
- enlargement of the pancreas with loss of definition of the borders of the pancreas.
- Thickening of the right or left anterior pararenal fascia
Severe Acute pancreatitis
Main determinant of clinical outcome is the degree of systemic organ disturbance, particularly during the early hours and days after admission to hospital
More than half of all deaths in AP occur within the first 2 weeks of illness and are usually a consequence
of multiple organ failure
The revised Atlanta Classification
3 grades of severity of pancreatitis:
Mild AP—characterized by the absence of organ failure or local
complications
Moderately severe AP—defined by...................read on
Cholangiocarcinoma
Q) Cholangiocarcinoma type IIIB bismuth Corlette bilirubin 10, left portal vein and hepatic artery
involved. Best approach is
A. Preoperative left biliary drainage followed by resection
B. Preoperative right biliary drainage followed by resection
C. Left portal vein embolisation followed by resection
D. Palliative drainage