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Roux en Y Gastric bypass

Roux en Y Gastric bypass

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Q 35) To prevent bile reflux gastritis in RYGB, false is

a) Jejunum divided at 45cm from the DJ

b) Roux loop length is 40 cm and above

c) Enteroenterostomy done at 45cm from the GJ


Answer q 35

Achalasia cardia with perforation

Achalasia cardia with perforation

Q) What is the management of achalasia cardia with perforation ?

a) Suture ligation of the perforation

b) Suture ligation with myotomy on opposite side with fundoplication

c) Suturing with fundoplication

d) esophagectomy

Answer 

Splenectomy

Splenectomy

Q1. Which of the following is not an indication for splenectomy in Non Hodgkin Lymphoma?
 
a)  Massive splenomegaly
b) Signs of hypersplenism
c) Diagnosing and staging of isolated splenic disease

d) All are indications for splenectomy

Ans  Free

BISAP Score In Pancreatitis

BISAP Score In Pancreatitis

Q) All are components in BISAP score except?

a) Age more than 60 years

b) WBC more than 16000

c) GCS <15

d) BUN > 25 mg/dl


Ans

)b

The Bedside Index of Severity in Acute Pancreatitis  BISAP is a more-recent score than the older Ranson's Criteria. It predicts mortality risk in pancreatitis with fewer variables than Ranson's.

It does not require data points from 48 hours into a patient's hospital admission.

It includes

BUN > 25 mg/dL (8.9 mmol/L) :
Abnormal mental status with a Glasgow coma score < 15 :
Evidence of SIRS :
> 60 years old :
Pleural effusion :
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

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