Showing posts with label Surgery (MCQ). Show all posts
Showing posts with label Surgery (MCQ). Show all posts

0 Early gastric carcinoma


MCQ 164

Q. Which of the following is best to describe early gastric carcinoma ?

a. involves mucosa and submucosa only.

b. causes regional lymph node enlargement

c. does not cause lymph node enlargement

d. involves muscularis propria


ANSWER:
Answer : A ( involves mucosa and submucosa only). 
Early gastric carcinoma is confined to mucosa and submucosa, irrespective of lymph node enlargement.




MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel
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0 Sliding hiatus hernia


MCQ 163

Q. Which of the following best describes Sliding hiatus hernia ?

a. Oesophago-gastric junction (OG junction) sliding just above the diaphragmatic hiatus
b. OG junction sliding 1cm above the diaphragmatic hiatus
c. OG junction sliding 2cm above the diaphragmatic hiatus
d. OG junction sliding > 2cm above the diaphragmatic hiatus


ANSWER:
Answer : D - OG junction sliding > 2cm above the diaphragmatic hiatus
Normally OG junction can be visualized on a barium swallow 2 cm above or below the diaphragmatic hiatus. When there is tear of oesophago-phrenic ligament, then the OG junction may slide > 2cm above which is then termed sliding hernia.




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0 Urachal anomalies


MCQ 151

 Q. Which of the following urachal anomalies is usually associated with urethral obstruction ?

a. Patent urachus

b. Urachal cyst

c. Urachal sinus

d. Urachal diverticulum


ANSWER:
Answer : A




MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel
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0 Todani classification


MCQ 148

 Q. Caroli's disease is considered under which type of cysts in Todani's classification ?

a. Type 2

b. Type 3

c. Type 4

d. Type 5


ANSWER:
Answer : D - Type 5

Todani classification of bile duct cysts
Type 1 : true choledochal cyst (involving extrahepatic bile duct)
Type 2 : bile duct diverticulum
Type 3 : choledochocele
Type 4 : intra & extra-hepatic duct cysts
Type 5 : intra-hepatic duct cysts. (Caroli disease)





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0 Testicular torsion - arterial occlusion


MCQ 147

Q. Testicular Torsion of at least ______ degrees is necessary for complete arterial occlusion ?

a. 180

b. 360

c. 540

d. 720


ANSWER:
Ans : C - 540 degrees




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0 Intermittent dysphagia


MCQ 140

Q. Which of the following is not a cause of intermittent dysphagia ?

a. Zenker's diverticulum

b. Eosiniphilic oesophagitis

c. Diffuse esophageal spasm

d. Carcinoma oesophagus


ANSWER:
Answer : D - Carcinoma oesophagus






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0 Most common location of GIST


MCQ 135

Q. Most common location of GIST ?

a. Stomach
b. Duodenum
c. Jejunum
d. Ileum


ANSWER:
Answer : A - Stomach (70% cases)




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0 Calcified gastric carcinoma


MCQ 134

Q. Calcifications in gastric tumor are usually seen in ?

a. Hodgkin lymphoma
b. Non - Hodgkin lymphoma
c. Mucinous adenocarcinoma
d. Non-mucinous adenocarcinoma


ANSWER:
Ans : C , Calcified gastric carcinoma is rare and is usually mucinous adenocarcinoma.




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0 Pancreatic calcifications



MCQ 123

Q. Pancreatic calcifications can be seen in all except ?

a. Cystic tumors of pancreas

b. Hereditary pancreatitis

c. Cystic fibrosis

d. Adenocarcinoma


ANSWER:
Answer : D - Adenocarcinoma



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0 Spinal Hydatid Cyst


MCQ 113

Q. What is the most common site of Spinal Hydatid cyst ?

a. Extradural
b. Intradural Extramedulary
c. Intramedullary
d. Vertebral

ANSWER:
Ans : D 
Vertebral body cysts are most common because of portovertebral shunting.



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2 Non-Progressive dysphagia to both liquids and solids


MCQ 144

Q. A 40 year-old female patient presented with dysphagia to both liquids and solids and regurgitation for 3 months. The dysphagia was non-progressive. What is the most likely diagnosis?

a) Caricnoma of the esophagus

b) Lower oesophageal mucosal ring

c) Achalasia cardia

d) Reflux esophagitis with esophageal stricture



ANSWER:
Answer here is B.... Not C...
In Achlasia, dysphagia is Progressive (read One Liner - 52)

In few cases of Shatzki ring- it has been seen to have dysphagia for both solids and liquids (though majority cases have dysphagia for solids only) ref: http://www.ajronline.org/content/171/5/1361.full.pdf

Also this could be a wrong recall and the option might be Lower oesophageal MUSCULAR ring -- if so then this can be the clear answer to the question -- ref : http://rajgoyal.com/Publications/2000-03.pdf

A Schatzki’s ring can be differentiated from the muscular ring based on several findings.
Firstly , Although both types of rings present with intermittent chronic dysphagia, the history of liquid dysphagia seen in our three patients is distinctly unusual with a Schatzki’s ring.
Secondly, the radiological picture in both disorders is of a concentric narrowing in the distal esophagus. However, the muscular ring has a greater, donut-like rather than washer-like thickness, and is characteristically situated a few centimeters proximal to the location of the Schatzki’s ring at the squamocolumnar junction.
Thirdly, the manometric findings of high-amplitude contractions of the esophageal body distinguish the muscular ring from the Schatzki’s ring, in which motility studies are typically normal (10, 11).
And fourth, the majority of patients with Schatzki’s rings derive immediate and long-lasting relief from esophageal dilation (12), whereas the patients with symptomatic muscular rings had incomplete, short-lasting symptom relief after dilation.


Schatzki and Muscular ring :
ref of image above : Click Here


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0 Earliest complication of ostomy

Q.Early postoperative complication of ileostomy in the post-operative period:

a. Obstruction
b. Necrosis
c. Diarrhea
d. Prolapse


ANSWER:
ANS: Necrosis



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0 Carcinoid Tumor

Q.multiple lesions in liver,diarrhea and flushing seen in a patient. what is the most probable part where the lesion is located?
a.duodenum
b.stomach
c.appendix
d.small bowel

ANSWER:
ANS : D.. Small Bowel.
Unlike carcinoid tumours arising in
other parts of the intestinal tract, carcinoid tumour of the
appendix rarely gives rise to metastases

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0 Congenital pyloric stenosis


Q.Which of the following does not occur with chronic pyloric stenosis 

 A)Acid urine

B)alkaline urine

C)hypokalemia

D)hypochloremia.



ANSWER:
Answer: B
in pyloric stenosis there is paradoxical aciduria in alkalotic patient


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