Q) What is the cause of priapism in a patient with trauma
a) Penile rupture
b) Dorsal vein of penis thrombosis
c) Spinal cord injury
d) Sickle cell anemia
Answer
Most common cause of priapism is sickle cell anemia, but in the setting of trauma....
Pouchitis in chronic ulcerative colitis
Q Pouchitis in Chronic Ulcerative Colitis ,true is
a) Seen in Females
b) Smoking association
C) A/w Primary Sclerosing Cholangitis
d) P-ANCA positivity
Liver trauma in kids
Q )Management of isolated liver injury in children commonly is
a) Conservative
b) Laparotomy
c) Intervention and embolization of bleeding vessel
d) Liver packing
Abdominal injury
Q) Penetrating injury to the abdomen, with BP 84/60, Pulse 116/min, what is the next best step in management?
a) FAST
b) CT Abdomen with contrast
c) Ultrasound abdomen
d) Take to OT
Rectal cancer
Q) Management of Rectal cancer which is 6cm from dentate line. No Lymph Nodes . No metastasis. Treatment is ? (AIIMS 2014)
a) Anterior Resection
b) Abdomino Perineal Resection
c) Local excision
d) Chemoradiation
Answer for Premium (Question 27 , page on colorectum Questions 21-30)
Spinal cord injury
Q) Out of the following, which patient requires spinal immobilization the most?
✅ Answer: A. 22-year-old female involved in a high-speed motor vehicle collision with back pain
🔍 Explanation:
Spinal immobilization is most indicated when there's a high-risk mechanism of injury with suggestive symptoms, such as midline spinal pain or neurological signs.
A involves a high-energy mechanism (MVC) and reported back pain, which is a clear indication for spinal immobilization per NEXUS and Canadian C-spine rules.
B has a lower-risk mechanism and no symptoms; thus, spinal immobilization is generally not needed.
C – Gunshot wounds may or may not need spinal immobilization depending on location and neurological findings; not always indicated unless spinal structures are involved.
D – Isolated abdominal trauma is not an indication for spinal immobilization unless there’s evidence of spinal involvement.
⚡ Mechanism of Injury:
• Blunt trauma – Direct impingement, ischemia, compression or bleeding
• Penetrating trauma – Laceration of spinal cord
🩻 Chance fracture: A transverse fracture of all vertebral elements.
🩺 Management:
1. Complete immobilisation
2. Management of associated neurogenic shock (due to loss of sympathetic tone) with vasopressors and fluids
📘 Recommended Reading: Get Surgery Essentials
🔍 Explanation:
Spinal immobilization is most indicated when there's a high-risk mechanism of injury with suggestive symptoms, such as midline spinal pain or neurological signs.
A involves a high-energy mechanism (MVC) and reported back pain, which is a clear indication for spinal immobilization per NEXUS and Canadian C-spine rules.
B has a lower-risk mechanism and no symptoms; thus, spinal immobilization is generally not needed.
C – Gunshot wounds may or may not need spinal immobilization depending on location and neurological findings; not always indicated unless spinal structures are involved.
D – Isolated abdominal trauma is not an indication for spinal immobilization unless there’s evidence of spinal involvement.
⚡ Mechanism of Injury:
• Blunt trauma – Direct impingement, ischemia, compression or bleeding
• Penetrating trauma – Laceration of spinal cord
🩻 Chance fracture: A transverse fracture of all vertebral elements.
🩺 Management:
1. Complete immobilisation
2. Management of associated neurogenic shock (due to loss of sympathetic tone) with vasopressors and fluids
📘 Recommended Reading: Get Surgery Essentials
Inherited colorectal syndrome
Q6. All are inherited colorectal syndromes except ? (AIIMS 2017)
a) Crohnkite canada syndrome
b) Cowden disease
c) PJS
d)Ruvalcaba-myhre-smith Syndrome
Obscure occult Gi bleed
Q Not true about Obscure occult GI bleed
a) RBC scintigraphy scan has high accuracy
b) Capsule endoscopy can not be done in obstruction
c) Mesenteric Angiography is best for angiodysplasia
d) Intraoperative enteroscopy should be the last resort
Crohn Extraintestinal manifestations
Q) Extra intestinal manifestation of Ulcerative Colitis not cured by surgery
a) PSC
b) Sacro ileitis
c) Episcleritis
d) Erythema nodosum
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Pudendal nerve terminal latency
Q .PNTL prolonged in all the following except
a) Traumatic injury to anal sphincter
b) Prolonged labor
c) Long standing Rectal prolapse
d) Straining
Answer for premium members (Q4)
The nerve latency is measured by an electrode which is worn on the finger. It stimulates the pudendal nerve and calculates the conduction time to the anal sphincter