Melanoma

by

 Q) Pigmented lesion suspicious melanoma of size 1cm with ulceration and features of ABCD,
next step
A. Wide Local Excision  with 1cm margin
B. Excision biopsy with 1-2mm margin
C. Punch biopsy at the edge of the lesion
D. Incisional biopsy

Answer in Q 44 

Blood supply to rectum

by

Q) Blood supply to rectum - all are true except
A. Inferior rectal artery pierces the levator ani to supply the distal rectum
B. Middle rectal artery is a branch of hypogastric
C. Arc of riolan is an anastomosis between ascending branch of IMA and Middle Colic Artery
D. Left Colonic Artery arises 3-4 cm distal to the IMA origin

Answer to Q14 

 

Hereditary Pancreatic Cancer

by

Q. All of the following predisposing syndromes for pancreatic adenocarcinoma are AD except? ( # Pancreas Q 21-25) 
A. PJS (Peutz Jeghers) 
B. CFTR (Cystic fibrosis) 
C. HNPCC
D. FAMMM

Points : Several hereditary cancer syndromes (e.g., Peutz-Jeghers syndrome, familial atypical mole and multiple melanoma syndrome, hereditary breast and ovarian cancer syndrome) are known to be associated with increased risk of pancreatic cancer

Choledochal cyst

by

 Q) False  about choledochal cysts ? (AIIMS GI 2018) 
A. Upto 90% is associated with APBJ
B. 30% are associated with chronic pancreatitis
C. Most common association in adults is cholecystolithiasis
D. Malignancy risk is eliminated by cyst excision

Answer  Q 22

Oropharyngeal dysphagia

by

 Q) Oropharyngeal dysphagia false is
A. Nasal twang in voice, ptosis
B. Treatment is most often not satisfactory if conservative
C. Associated with myesthenia gravis and Parkinsonism
D. Water brasch and regurgitation presentation

Answer 

CEA

by

True regarding CEA is 

  1. Low specificity
  2. Falls after 1 week of surgery to baseline
  3. Preoperative high value is good prognostic marker
  4. Follow up, first test of CEA in 8-10 days followed by weekly tests thereafter

Answer after Q 20

Pediatric liver transplant

by

Q) Most common indication for Pediatric liver transplant (DNB SS) 
A. Biliary atresia
B. Metabolic diseases
C. Alagille syndrome
D. HCV

Free answer 

a 

Biliay atresia

MOst common cause or liver transplant in children.

Presents as persistent jaundice after birth. Etiology is not clear

Findings include absent extrahepatic ducts and gallbladder.

Biopsy is diagnostic

Dieulafoy lesion

by

Q) Dieulafoy lesion which is false? (AIIMS 2018)

A. Most of the bleed cannot be visualised due to small mucosal defect lies over large arterial bleed.
B. Large 1-3 mm artery in the submucosa is the source
C. MC in the greater curvature
D. Found within 6 cm from GEJ

Switch in Dextraposition of great vessels

by

Q . Factors that preclude the use of a single-stage arterial  switch reconstruction of dextrotransposition of the great vessels include:
A. Age older than 6 weeks with a left ventricular pressure of less than 50% of systemic pressure.
B. Dynamic left ventricular outflow tract obstruction.
C. Intramural coronary artery anatomy.
D. Subpulmonary VSD.

Answer for premium