Q) Commonest cause of breathing difficulty in unconscious patient is
a) Foreign body
d) Impacted teeth
Q12) a 50 year old man with road side accident and injuries on right chest and femoral fracture, He is conscious, BP is 80/60 , Pulse 104/min, and chest expansion is reduced. JVP is not visible and heart sounds are normal. Respiratory rate is 22/min
What does he have
a) Left heart failure
b) Fat Embolism
d) Fluid loss
Q) All are true about ERCP in pancreatitis except
a) Not useful in patient with multiple strictures and stones
b) Ductal stenting associated with changes of c/c pancreatitis in 50%
c) In pts with pancreas divisum minor duct sphincterotomy causes significant pain relief irrespective of size of duct
d) Pain relief with endoscopic intervention occurs irrespective of relief of ductal pressure/ decrease in duct size
Pancreatic ductal obstruction by fibrotic stenoses and/or calculi are the most frequent indications for endoscopic therapy.
Multiple strictures and stones are not amenable for endoscopic therapy ....................
Q) In FAP all are true except
a) APC mutation is at long arm of chromosome no. 5
b) All untreated FAP patients will develop cancer
c) Rectal cancer risk doesn’t depend on location of mutation
d) Periampullary & duodenal Ca risk is increased
Q. Harmonic scalpel frequency of vibration is
Q) All are true about Glucagonoma except
a) Usually seen in middle age and elderly
b) Usually > 5cm at presentation
c) Skin lesions preceed tumor detection by 6-8yrs
d) Often associated with ketoacidosis
Glucaonoma is an endocrine tumor characterized by increased levels of serum glucaogon. It is seen in the age group ............... Read on (Question 8)
Q) Which of the following is a clinical marker of myocardial ischemia
a) Troponin I
c) Alkaline phosphatase
d) CPK MB
Myocardial ischemia (MI) is an adverse risk factor precluding any major surgery. MI can be STEMI (ST segment elevated MI) or NSTEMI ( Non ST segment elevated MI) .................
Read On Q108
Q) All are true about tropical pancreatitis except?
a. Associated with Tapioca.
b. Patients have large stones with fibrosis.
d) Onset of disease at 50 years
Answer d - Free. See here for other questions and this question
Onset 50 years
Tropical pancreatitis is an idiopathic disease which begins in teens. It has a high association with diabetes and Pancreatic duct calculi. It is common in South India, Asia, Africa and central America
These patients have increased risk of cancer
It is associated with SPINK 1 mutation
Q) All are poor prognostic factors in colonic polyp except?
a) Poorly diff in the head
b) Moderately differentiated polyp
c) Involving the stalk
d) Margins positive
Poor prognostic factors in a polyp aare
1. histologically poorly differentiated invasive carcinoma
2. cancer cells observed in the lymphovascular spaces, there is a more than a 10%..........
Q) Port placement in epigastric, suprapubic, umbilical & RIF. Most probable procedure
a) Rt Hemicolectomy
b) Lt Hemicolectomy
d) Anterior resection
Q ) On T2 W MRI image, what appears bright
Q ) True about heterotropic pancreas is
a) Most common site for heterotropic pancreas is stomach.
b) Most of these lesions present with pancreatitis
c) CT scan shows mucosal dimpled lesions
d) It can be easily differentiated from GIST and carcinoid tumors
Q) Duodenal injury management false
a ) Circumferential skeletonization is required
b ) All duodenal repairs require some form of drainage
c) All hematomas near the pancreas requires exploration to check for serosal integrity
d) Most common location is the second portion