Trauma

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Q) a 50 year old man with road side accident and injuries on right chest and femoral fracture, He is conscious,  BP is 80/60 , Pulse 104/min, and chest expansion is reduced. JVP is not raised and heart sounds are normal. Respiratory rate is 22/min

What does he have

a) Left heart failure

b) Fat Embolism

c) Pneumothorax

d) Fluid loss

ERCP in pancreatitis

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Q) All are true about ERCP in pancreatitis except

a) Not useful in patient with multiple strictures and stones

b) Ductal stenting associated with changes of c/c pancreatitis in 50%

c) In pts with pancreas divisum minor duct sphincterotomy causes significant pain relief irrespective of size of duct

d) Pain relief with endoscopic intervention occurs irrespective of relief of ductal pressure/ decrease in duct size

Answer for premium members  ( Please log in to see) 

Pancreatic  ductal  obstruction  by  fibrotic  stenoses  and/or  calculi are  the  most  frequent  indications  for  endoscopic  therapy.

Multiple strictures and stones are not amenable for endoscopic therapy ....................

Harmonic Scalpel

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Q. Harmonic  scalpel frequency of vibration is ?
A. 20000-50000
B. 50000-80000
C. 80000-100000
D. >100000

Ans a

The harmonic scalpel transduces high-frequency ultrasonic energy through a metallic jaw to generate mechanical vibration. It has an active and an inactive blade When in contact with tissue, the vibration of a single blade against a static blade results in vaporization and coagulation.

Harmonic scalpel also called ultrasonic scalpel cuts through tissues and causes coagulation by protein denaturation caused by vibrating force. As compared to electro cautrey harmonic scalpel

  1. takes longer time 
  2. produces less smoke
  3. Cause less tissue edema, swelling

Glucagonoma

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Q) All are true about Glucagonoma except

a) Usually seen  in middle age and elderly

b) Usually > 5cm at presentation

c) Skin lesions preceed tumor detection by 6-8yrs

d) Often associated with ketoacidosis

Glucaonoma is an endocrine tumor characterized by increased levels of serum glucaogon. It is seen in the age group ............... Read on   (Question 8) 

For other questions on endocrine tumors

Tropical Pancreatitis

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Free MCQ - Tropical Pancreatitis
Q) All are true about tropical pancreatitis except?
a. Associated with Tapioca.
b. Patients have large stones with fibrosis.
c. It is Pre Cancerous
d. Onset of disease at 50 years
Answer Free

Poor Prognosis in colon polyp

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Q) All are poor prognostic factors in colonic polyp except?

a) Poorly diff in the head

b) Moderately differentiated polyp

c)  Involving the stalk

d) Margins positive

Answer

Poor prognostic factors in a polyp aare

1. histologically  poorly  differentiated invasive  carcinoma

2. cancer  cells  observed  in  the lymphovascular  spaces,  there  is  a  more  than  a  10%.......... 

Read on premier members and save time going through the books