Master Stomach MCQs For MCH and NEET Ss , INI SS Ace Your Medical Exam

Stomach Surgery MCQs – NEET SS & GI Oncology Focus

Welcome to the Stomach Surgery MCQ section of MCQSurgery.com. This section provides high-yield questions and detailed explanations on all key stomach surgery topics relevant for NEET SS and INI SS preparation.

🔍 Topics covered: Stomach cancer, GIST, Gastrectomy, D1/D2 dissection, Billroth I & II, dumping syndrome, TNM staging, and more.

Popular Topics in This Section

  • Gastric cancer staging and surgical options
  • Complications after gastrectomy
  • GIST management & risk stratification
  • Billroth I vs II reconstruction
  • D1 vs D2 lymphadenectomy
  • Surgical margins and recurrence
  • Oncology protocols for gastric malignancies

Start Practicing Stomach MCQs

Q1. A 60-year-old female presents with alkaline reflux gastritis after Billroth I gastrectomy. What is the ideal management?

a) Conversion to Billroth II
b) Roux-en-Y gastrojejunostomy
c) Total gastrectomy
d) Conservative management

1. b
Explanation: Roux-en-Y is preferred to prevent bile reflux. A Roux limb (~60 cm) reduces symptoms like epigastric pain, bilious vomiting, and weight loss. HIDA scan can confirm diagnosis.
Ref: Sabiston, SKF

Q2. A 58-year-old male with Type I bleeding gastric ulcer unresponsive to endoscopy. Best treatment?

a) Wedge resection
b) Oversewing the vessel
c) Distal gastrectomy
d) Distal gastrectomy with vagotomy

2. c
Distal gastrectomy with Billroth I is ideal for bleeding Type I ulcers. Oversewing or wedge excision is for frail patients.
Ref: Sabiston

Q3. Which statement is NOT true about H. pylori?

a) Highest infectivity in developed world
b) Person-to-person transmission
c) Common in low socioeconomic groups
d) Gram-negative microaerophilic bacteria

3. a
H. pylori is more prevalent in developing countries. It’s spiral-shaped, flagellated, and transmitted mainly via oral-fecal route.

Q4. Which hormone is NOT released in the duodenum?

a) Gastrin
b) Motilin
c) Somatostatin
d) Peptide YY

4. d
Peptide YY is secreted from the ileum. Gastrin, motilin, and somatostatin are released in duodenum or stomach.

Q5. What is the treatment for bleeding duodenal diverticulum?

a) Diverticulectomy
b) Diverticulopexy
c) Diverticulization
d) Subtotal diverticulectomy

5. a
Diverticulectomy is first-line treatment. If near ampulla, subtotal diverticulectomy is safer.

Difference Between Billroth I and II

In Billroth I, the remaining stomach is anastomosed to the duodenum (gastroduodenostomy). It's more physiological.
In Billroth II, the duodenal stump is closed, and a loop of jejunum is anastomosed to the stomach (gastrojejunostomy). It's technically easier.

 

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