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Management DES

Management DES

Q) DES esophagus False in the management of this patient

a) Treatment is primarily medical management

b) Long myotomy necessary if surgery indicated

c) Dor's Fundoplication is recommended to prevent reflux

d) Endoscopic dilatation.

Answer  Q 30


Bile duct injury

Bile duct injury

Q. All are poor prognostic factors in managing bile duct injury except

a) Complete ligation

b) Advanced age

c) Internal/External fistula

d) Type III/IV stricture

Ans wer Q15               All poor factors listed

Colorectal Liver metastasis

Colorectal Liver metastasis

Q)  All are negative prognostic factors in liver metastasis due to colorectal cancers except

a) Size more than 4.5 cm
b) Number of tumors more than 2
c) CEA more than 200

d) Tumor recurrence within 8 mths of primary surgery


Blood supply of CBD

Blood supply of CBD

Q) CBD is supplied by all except (AIIMS NOV 18)
a Cystic art
d Anterosuperior pancreaticoduodenal artery



Its c
As per sackhelford CBD is supplied by
Cystic duct,RHA,retroduodenal and posterior superior pancreaticoduodenal artery



GI bleed

GI bleed

Q) Which of the following statement is incorrect for  GI bleeding?

a) Clear nasogastric aspirate rules out Upper gi bleed

b) RBC scan detects bleed upto 0.1-0.5 ml/min

c) Angio 0.5-1 ml/min

d) UGI bleed is responsible for 15% of haematochezia


Complications of Meckel’s diverticulum

Complications of Meckel’s diverticulum

Q. Least common complication of Meckel's diverticulum (NEET 2018) 

a) Bleeding

b) Obstruction

c) Neoplasm

d) Obstruction

Answer is free 
7) c Neoplasm

The most common clinical presentation of Meckel’s diverticulum is gastrointestinal bleeding, which occurs in 25% to 50% of patients who present with complications

intestinal obstruction occur as a result of a volvulus of the small bowel around a diverticulum associated with a fibrotic band attached to the abdominal wall, intussusception, or, rarely, incarceration of the diverticulum in an inguinal hernia (Littre hernia)

Diverticulitis accounts for 10% to 20% of symptomatic presentations.

Neoplasms can also occur in a Meckel’s diverticulum, with NET as the most common malignant neoplasm (77%). Other histologic types include adenocarcinoma (11%), which generally originates from the gastric mucosa, and GIST (10%) and lymphoma (1%).

Sabiston -1285

Choledochal cyst and malignancy

Choledochal cyst and malignancy

Q) Choledochal cyst  and malignancy false statement is  (AIIMS 2018 nov)

a) Highest malignancy in Type 3

b) Malignancy can occur even after removal of choledochal cyst

c) Malignancy can occur anywhere in the biliary tract

d) It can take upto 15 years for malignancy to develop after excision of choledochal cyst



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