Month: May 2018

Ludwig’s Angina

Ludwig’s Angina

Q Cause of mortality in Ludwig’s angina
A. Asphyxia
B. Pneumothorax
C. Hemorrhage
D. Sepsis

Answer

Ludwig's angina is an inflammatory  condition of the neck which is due to 

  1. Streptococcal infection
  2. Anaerobic infection
  3. Infection of malignancy in the neck

Read on ......

 

Liver trauma

Liver trauma

Q) All are true for blunt hepatic trauma except
A. Grade V liver injuries are associated with vascular avulsion
B. Hepatic packing is an expeditious method to control bleeding in blunt hepatic trauma
C. After damage control Surgery and hepatic packing, abdominal compartment syndrome can
happen in immediate postoperative period
D. Post conservative management, in the 3rd week anemia MC occurs due to subcapsular
hematoma rupture

Answer

anatomy of esophagus

anatomy of esophagus

Q Which of the following is true about anatomy of esophagus?
A. Oesophageal hiatus is superior to aortic hiatus
B. Thoracic duct crosses esophagus at T3-T4level at the level of azygos vein arch
C. Laimer triangle is superior to the Killians triangle

D. In the mediastinum right vagus runs anteriorly and left vagus runs posteriorly

Answer

Submucus cleft palate

Submucus cleft palate

Q) Submucosal Cleft soft palate : True is 
A. Velopharyngeal insufficiency
B. Normal feeding
C. Normal Uvula
D. Cleft of hard palate remains attached to the vomer and nasal septum

Answer 

Post op chyle leak

Post op chyle leak

Q 27 Postoperative chyle leak following esophagectomy which is true?
A. Intraoperative prophylactic ligation of thoracic duct reduce leak risks
B. Conservative management - almost all heal by 3 weeks
C. Transthoracic ligation only
D. Conservative treatment includes antibiotics, enteral nutrition only

Answer 

 

Malignant chest wall tumors

Malignant chest wall tumors

Q  Most common malignant chest wall tumor
A. Chondrosarcoma
B. Osteosarcoma
C. Synovial sarcoma
D. Rhabdomyosarcoma

Answer to Q 46

Most common tumors of the chest wall are secondaries from elsewhere. The most common malignant tumor of chest wall is .......

Ref Sabiston page 1602

 

Melanoma

Melanoma

 Q) Pigmented lesion suspicious melanoma of size 1cm with ulceration and features of ABCD,
next step
A. Wide Local Excision  with 1cm margin
B. Excision biopsy with 1-2mm margin
C. Punch biopsy at the edge of the lesion
D. Incisional biopsy

Answer in Q 44 

Blood supply to rectum

Blood supply to rectum

Q) Blood supply to rectum - all are true except
A. Inferior rectal artery pierces the levator ani to supply the distal rectum
B. Middle rectal artery is a branch of hypogastric
C. Arc of riolan is an anastomosis between ascending branch of IMA and Middle Colic Artery
D. Left Colonic Artery arises 3-4 cm distal to the IMA origin

Answer to Q14 

 

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