Caustic injuries to esophagus

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Caustic Esophageal Injury Reconstruction MCQ | mcqsurgery.com
Q) A 28-year-old man with a history of accidental caustic ingestion in childhood presents with long-standing progressive dysphagia. He has undergone multiple endoscopic dilatations with only temporary relief. Contrast study shows a long-segment esophageal stricture. He is being planned for definitive surgical reconstruction. Which of the following statements regarding reconstruction after caustic esophageal injury is NOT true?
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Significance of MELD Scoring in Liver Transplant

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Q) The significance of MELD Scoring in Liver transplant is :

a) Less ill patients are given more priority in liver transplant

b) Set threshold for patients who are too ill to undergo transplant.

c) To access  mortality in the waiting list.

d) To list patients in cadaveric deceased donor program

d

MELD score takes into account  three factors. Bilirubin, INR and creatinine. Recently MELD Na is also included. Model for end stage Liver Disease (MELD) was initially developed to evaluate three months prognosis in patients undergoing TIPS. 
It ranges from 6 (3 months survival = 90%) to 40 (3 months survival =7%).

In countries where DDLT is more common MELD Score is used to allot grafts to people in the cadaveric list. More severe is the MELD, earlier is the allotment of cadaveric graft.

Sicker patients are given priority

 

Living Donor liver transplant

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Q) Living donor liver transplant (LDLT) is done in centers where cadaveric donations are few. Which of the following is true about it?

a) Only right lobe of the donor can be used

b) Only left lobe can be used

c) In LDLT bile leak is more than cadaveric donor

d) Small for size liver is defined as liver size less than 0.5% of recipient BSA

Answer

Thoracic outlet syndrome

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Q Not a true statement about thoracic outlet syndrome:

a) Elevation of  arm causes occlusion of subclavian artery

b) T1 nerve supply is mainly compressed

c) There is altered sensorium in T1 nerve distribution

d) Embolism of subclavian artery may occur

Answer This page will lead you to other questions in NEET and DNB

Malignant Mesothelioma of pleura

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Q  In pleura, true about malignant mesothelioma is 

a) It is the most common primary malignancy of pleura

b) It is related to excessive exposure to manganese in 1980s

c) The patients are mostly asymptomatic and detected incidentally

d) on analysis of pleural effusion, it is transudative

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Most common cause of death in acute pancreatitis

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Q. Most Common Cause of death in early acute Pancreatitis is ( Free Questions on Pancreas) 
 a) Renal Failure
b) Cardiac failure
c) Respiratory Failure
d) Uncontrolled Coagulopathy

Ans

c
Respiratory failure is the cause of death in the early phase (7 days). The pulmonary manifestations of pancreatitis include atelectasis and acute lung injury where as infective complications are the cause of death in late phase.