Q) Splenic artery aneurysm is seen in ( #spleen1)
a) Proximal 1/3rd of splenic artery
b) Proximal 2/3 of splenic artery
c) Middle 1/3 of splenic artery
d) Distal 1/3 of splenic artery
Mass forming lesion Liver
Q) A 55 year old male presents with obstructive jaundice. Ultrasound evaluation reveals a
hyperechoic 4 cm mass in segment VI of liver with peripheral duct dilatation.
CT abdomen shows a hypodense mass with delayed enhancement in portal pahse.
What is the most likely diagnosis
a) Hepatocellular carcinoma
b) Intrahepatic cholangiocarcinoma
c) Metastatic Adenocarcinoma
d) Carcinoid
Ulcerative colitis and Crohn’s disease
Q) All of the following are seen in both ulcerative colitis and crohn's disease except
a) Aphthous ulcer
b) Pseudo polyp
c) Rectal disease
d) Obstructive symptoms
Surgery Trauma MCQ
Q ) A 25 year old male brought to the hospital after being involved in a road traffic accident that occurred 50 minutes ago. His initial BP at the scene of accident was 80/40 mm HG with a pulse rate of 120/min.
The paramedics administered 2 litres of normal saline in the ambulance and in the emergency department his BP is 110/70 with a pulse rate of 90/min.
He has tenderness in Left upper quadrant abdomen and USG reveals perisplenic fluid. Next step is to : (#See more trauma MCQS)
a) Take him for exploratory laparotomy
b) Shift him to ICU and observe
c) Do a CT scan of the abdomen
d) Put in a laparoscope and assess
Hirchsprung’s disease
Which of the following is a FALSE statement regarding Hirschsprung’s disease?
Correct Answer
a) Male and female have equal incidenceExplanation
Hirschsprung’s disease is a congenital disorder characterized by absence of ganglion cells in the distal bowel, leading to functional intestinal obstruction.
-
Sex distribution:
Hirschsprung’s disease shows a clear male predominance. The male-to-female ratio is approximately 4:1 in short-segment disease. Therefore, equal incidence in males and females is false. -
Extent of disease:
Total colonic aganglionosis occurs in about 5–10% of patients, making option (b) true. -
Postoperative outcome:
Following pull-through surgery, bowel dysfunction is common. Constipation is the most frequent long-term problem, so option (c) is true. -
Genetic associations:
Hirschsprung’s disease is associated with chromosomal anomalies. Down syndrome is seen in approximately 2–10% of cases, making option (d) true.
Teaching Points
- Hirschsprung’s disease has a strong male predominance
- Total colonic aganglionosis occurs in about 5–10% of cases
- Constipation is the most common long-term complication after surgery
- Down syndrome is the most common genetic association
- Enterocolitis is the most feared complication, especially in infants
HCC Cancer
Q) Which of the following is true about screening in hepatocellular carcinoma (HCC Cancer)
a) Alpha feto protein should be done 6 monthly
b) Ultrasound abdomen should be done 6 monthly
c) Candidates for liver transplant should be screened every 3 months
d) Nodules more than 2 cm should be followed up more regularly
Mass in Right lower quadrant
Q) A 55 year old lady presents with vague pain in right lower abdomen. Physical examination reveals a well defined mass there which is non tender and freely mobile. It is non pulsatile as well. What is the most likely possibility?
a) Appendicular mass
b) Mesenteric cyst
c) Perforated tubo ovarian mass
d) Meckel's diverticulum
Answer
b
Mesenteric cysts are uncommon lesions found in this age group. It typically presents as a freely mobile mass which moves perpendicular to small blwel axis. It is painless as well.
Appendicular mass will have a preceding history of pain abdomen
Similarly perforated tubo ovarian mass will also have a history of pain
Meckel's diverticulum does not present as this kind of mass
- gastricbypass.surgery
EUS criteria of malignant lymph node
Q) One of the following is not a criteria of malignancy in lymph node on EUS
a) Size more than 1 cm
b) Prominent intranodal vasculature
c) Sharp well defined borders
d) Hypoechoic