Q. Disadvantage of capitonnage after removal the contents in hydatid cyst cavity is
a) It can obliterate potential bile duct orifices
b) Closure of cavity is not adequate
c) The procedure is not possible in rigid or calcified cyst
d) It can be easily done in cyst close to diaphragm
Q) Popcorn calcification in breast is seen in which condition
b) Periductal fibrosis
c) Carcinoma breast
d) Duct ectasia
Free answer to Surgery MCQs
Here is the explanation. (This site is not maintained by me)
Q) Type II gastric ulcer as described by Johnson is
a) Pre pyloric
b) Ulcer on body of stomach combined with duodenum
c) High on lesser curvature
d) Ulcer near the antrum
The answer to this question asked in 2016 exam is free. It has been there on the site for the last 6 years.
Q) Which of the following liver resections have the least chances of bleeding?
a) Previous history of TACE
b) A patient with splenomegaly
c) The patient with Platelet count 25000
d) Patient with grade III esophageal varices
Q) Many structures routinely pass through esophageal hiatus. What is type III esophageal hernia?
a) Paraesophageal hiatus hernia
b) Sliding hiatus hernia
c) Both sliding and paraesophageal hernia
d) Large part of stomach in the mediastinum with pylorus near the esophageal hiatus
Hiatal hernias are protrusion of stomach through a defect in the esophageal hiatus into the mediastinum.
They are of two types
- Sliding - GE junction migrates to the mediastinum and rests superior to the diaphragm.
- Paraesophgaeal - Part of stomach migrates through the esophageal hiatus into the mediastinum with GE junction remaining at its normal position.
- There are IV types of hiatal hernia
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Q) The significance of MELD Scoring in Liver transplant is :
a) Less ill patients are given more priority in liver transplant
b) Set threshold for patients who are too ill to undergo transplant.
c) To access mortality in the waiting list.
d) To list patients in cadaveric deceased donor program
MELD score takes into account three factors. Bilirubin, INR and creatinine. Recently MELD Na is also included. Model for end stage Liver Disease (MELD) was initially developed to evaluate three months prognosis in patients undergoing TIPS.
It ranges from 6 (3 months survival = 90%) to 40 (3 months survival =7%).
In countries where DDLT is more common MELD Score is used to allot grafts to people in the cadaveric list. More severe is the MELD, earlier is the allotment of cadaveric graft.
Sicker patients are given priority