Q) Recurrence rate in lap repair of recurrent inguinal hernias is
a. 5 %
b. 8 %
c. 10 %
d. 14 %
Discuss Recurrence rates in open and laparoscopic repairs in primary hernia
Recurrence rate of lap repair in recurrent hernia
Timing after esophagus perforation
Q) A 40-year-old man presents 4 days after severe vomiting with chest pain, fever, and breathlessness. On examination, his pulse is 110/min and blood pressure is 110/80 mmHg. Chest X-ray and CT scan show a left-sided pleural effusion with mediastinal air, suggestive of an esophageal perforation diagnosed approximately 96 hours after onset. What is the best management option?
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Bleeding peptic ulcer
Q) In a patient with a bleeding peptic ulcer, endoscopy is done. Which of the following findings on endoscopy predicts the highest rate of re bleed?
a) Non bleeding vessel
b) Adherent clot
c) Flat pigmented spot
d) Clean base ulcer
Denver Criteria
Q) DENVER CRITERIA is used in
a. Blunt cerebrovascular trauma
b. Chest trauma
c. Blunt trauma abdomen
d) Penetrating abdominal injury
Fibrolamellar carcinoma of the liver
Q) Fibrolamellar Carcinoma of the liver
a) Occurs in the setting of cirrhosis
b) Has worse survival than Hepatocellular carcinoma
c) Can be followed up for long time
d) Seen in young females
Compartment syndrome of limb
Compartment Syndrome of Limb – Free Surgery MCQ
Q) All are true about compartment syndrome of limb except?
a) Diagnosis is unlikely if pulse is felt distally
b) There is pain on passive stretching of the limb
c) Pain is out of proportion to the signs
d) Muscles of calf and forearm are commonly involved
Examination of cranial nerves in head injury
Q) Gaze paresis is seen after head injury? What is responsible for this
a) Facial nerve injury
b) Vestibulo cochlear nerve injury
c) Brain stem dysfunction
d) Optic nerve injury
Gaze paresis is inability to produce horizontal eye movements in one or both directions. Examination of cranial nerves in head injury is very important to fully assess the extent of injury.
Scalp infection
Q) Most dangerous site in scalp infection is :
a) Sub glieal
b) Epicarnium
c) Loose areolar tissue
d) Aponeurosis
Q Which of the following is not a criteria for diagnosing Sphincter of Oddi Dysfunction
a) Common Bile Duct diameter more than 12 mm on USG
b) Decrease in Common Bile Duct pressure after infusion of Cholecystokinin
c) Ampullary pressure more than 40 mm Hg
d) Delayed emptying of contrast from Common Bile Duct after ERCP
Strongest layer of the intestine
Q) Which is the strongest layer of the intestine?
a) Mucosa
b) Submucosa
c) Muscularis propria
d) Muscularis mucosa
Answer:
b) Submucosa is the strongest and most important layer for intestinal anastomosis. It has fibroblasts that will ultimately release collagen and hold the anastomosis together. This layer should be fully incorporated in the anastomosis.
Inverted vs everted anastomosis of intestine debate has been long going on, but now many prefer inverted because mucosa is exposed to mucosa and eventually degrades, joining the two submucosa layers together to cause healing by primary intention.