Omental cyst

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Q) True statement about omental cyst is ?

a) It is always unilocular

b) Commonly seen in old age group

c) Arise from acquired or congenital obstruction of the lymphtaic channels

d) Complications are more common in old age.

Answer c

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Duodenal obstruction

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Q) Duodenal obstruction is caused by all except (#duodenum)
a) Duodenal Diverticulum
b) Annular Pancreas
c) SMA syndrome
d) Malrotation of duodenum

EUS in pancreatic cancer

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Q) What is true about the role of EUS in Carcinoma head of pancreas.

  • a) It has a sensitivity of 50-60% in detecting lesions less than 3 cm in size
  • b) It has a  high negative predictive  value
  • c) Chronic pancreatitis can be easily differentiated from Carcinoma head of pancreas by EUS
  • d) Small caliber needles have low accuracy than high caliber needles in FNAC
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Lymph node stations in Carcinoma stomach

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Q) In gastric cancer, lymph node station 12 corresponds to 

a) Common hepatic

b) Hepatoduodenal

c) Retropancreatic

d) Superior Mesenteric

Ans b

In gastric cancer, lymph node station 12 corresponds to the hepatoduodenal ligament lymph nodes.  These nodes are specifically located along the hepatoduodenal ligament and are further subdivided into groups based on their anatomical relationship: along the hepatic artery (12a), along the bile duct (12b), and behind the portal vein (12p)

Altemeier procedure

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Q) True about altemeier procedure?

a) It is proctosigmoidectomy with posterior levataroplasty

b) Done in left lateral position

c) Recurrence rate can be as high as 50%

d) Altemeier was the 1st person to do it

Ans a

The Altemeier procedure, also known as perineal rectosigmoidectomy, is a surgical technique used to treat rectal prolapse.

Altemeier procedure is a perineal surgical procedure in moribund and old patients.

It combines proctosigmoidectomy with posterior  levatorplasty.

A disadvantage of the perineal proctosigmoidectomy is the increased recurrence rates of
12% to 24% compared with the abdominal approach.

It is done in prone jack- knife position It was initiated by Mikulicz in 1899 and popularized by Altemeier in 1920s

Hydatid liver

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Q) Not an indication of surgery in hydatid cyst liver

a) CE2 cyst with multiple daughter cysts

b) Large 10 cm cyst situated peripherally

c) Infected cyst

d) 6 cm asymptomatic cyst

All the following would be seen after splenectomy for hereditary spherocytosis except?

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a) Persistence of spherocytosis

b) Anemia

c) Same osmotic fragility

d) Normal life span of erythrocytes

Answer for all members

Primary Sclerosing Cholangitis

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Q) Which is not an indication of liver transplantation in primary sclerosing cholangitis?

a) Intractable pruritis

b) Recurrent episodes of cholangitis

c) Cholangiocarcinoma

d) Dominant stricture

Esophageal hiatus hernia

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Type III Hiatal Hernia MCQ for NEET SS | mcqsurgery.com

What is a Type III esophageal (hiatal) hernia?

Correct Answer

c) Combination of sliding and paraesophageal hernia

Explanation

Hiatal hernias are classified based on the position of the gastroesophageal junction and stomach. Type I involves upward displacement of the GEJ into the thorax. Type II has a normally positioned GEJ with part of the stomach herniating alongside the esophagus. Type III is a mixed hernia where both the GEJ and stomach herniate into the thoracic cavity. Option (d) is more consistent with a giant paraesophageal hernia (Type IV).

Teaching Points

  • Type I is the most common and associated with GERD
  • Type III is a mixed hernia involving GEJ and stomach
  • Type II and III have higher risk of volvulus and strangulation
  • Large hernias with most of the stomach in chest are Type IV
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