True regarding CEA is
- Low specificity
- Falls after 1 week of surgery to baseline
- Preoperative high value is good prognostic marker
- Follow up, first test of CEA in 8-10 days followed by weekly tests thereafter
Answer after Q 20
Q ) Most common indication for Pediatric liver transplant (DNB SS)
A. Biliary atresia
B. Metabolic diseases
C. Alagille syndrome
MOst common cause or liver transplant in children. Presents as persistent jaundice after birth. Etiology is not clear
Findings include absent extrahepatic ducts and gallbladder. Biopsy is diagnostic
Diuelafoy lesion which is false? (AIIMS 2018)
A. Most of the bleed cannot be visualised due to small mucosal defect lies over large arterial
B. Large 1-3 mm artery in the submucosa is the source
C. MC in the greater curvature
D. Found within 6 cm from GEJ
Q . Factors that preclude the use of a single-stage arterial switch reconstruction of dextrotransposition of the great vessels include:
A. Age older than 6 weeks with a left ventricular pressure of less than 50% of systemic pressure.
B. Dynamic left ventricular outflow tract obstruction.
C. Intramural coronary artery anatomy.
D. Subpulmonary VSD.
Q) Most nephrotoxic drug is
These are immunosuppressants used after solid organ transplants. These drugs have a lot of side effects.
Q ) Most common malignancy in post-transplant individuals
B. Skin- Squamous cell carcinoma
C. Kaposi sarcoma
D. CNS Lymphoma
Q 32) During fluid resuscitation in a burns patient using Parkland’s formula, volume of fluid given
in first 8 hrs
Q ) Which of the following statements about truncus arteriosus is false?
A. Most infants do well without operations until late childhood.
B. Cyanosis is a late feature
C. Most infants present with congestive heart failure.
D. Repair requires a conduit from right ventricle to pulmonary arteries.
In Truncus arteriosus there is a single arterial trunk arising from the ventricles, with single dysplastic valve with
semilunar leaflets and a subvalvular VSD..
Untreated, most infants do not survive beyond 6 months. Cyanosis is usually not present early, because mixing
mainly occurs at VSD level and the arterial oxygen saturation is generally greater than 85%, but............Read on
Q ) Hincheys grade III Diverticulitis. Management most likely to follow more interventions after an index operation is
a) Laparoscopic irrigation and exploration
b) Sigmoid Colectomy+Hartman’s
c) Primary repair with omental patch and peritoneal toilette
d )Sigmoid Colectomy with colorectal anastomosis and diverting ileostomy
Grade III diverticulitis is generalized peritonitis.
Q Warfarin sodium acts by
A. Inhibits carboxylation of Factor VII, IX, X
B. Factor X a inhibition
C. Thrombin inhibitor and X a inhibition
D. IX, XI, XII, factor and thrombin inhibition
Q . All are true regarding enzyme supplementation in chronic pancreatitis except
a) Lipase to be given 30000U before or after meal
b) H2 blocker is mandatory with enteric coated tablets
c) Main cause of failure is inadequate dosage
d) In cases of failure of enzyme replacement feeding of medium chain Triglycerides are helpful
Indications of enzyme supplementation are -
- Weight loss, steatorrhea (15g/day ) or both
- Dyspepsia, Diarrhoea, bloating, malabsorption of proteins and carbohydrates
- Pain abdomen
Q Regarding islet cell of pancreas true is (AIIMS, JIPMER)
a) Cells in descending order of frequency is B,D,A,F
b) B cells are more common in the periphery of islets
c ) Peri islet acinar cells same as acinar cells else where
d) Portal flow from islet to acinar cell helps to control secretions
Q. Best predictor in the GCS
A. Eye opening
B. Motor response
C. Verbal response
23) B, Motor response
Motor score is the best predictor of neurological outcome.
The m component of the GCS, is not only linearly related to survival, but preserves almost all the predictive power of the GCS