Month: September 2018

Lymphadenectomy for carcinoma stomach

Lymphadenectomy for carcinoma stomach

 Q D2 Lymphadenectomy for a Distal Gastric Carcinoma doesn’t involve

a) Left Para cardiac

b) Splenic

c) Celiac

d) Common Hepatic nodes    

Answer

Sipuleucel-T

Sipuleucel-T

Q ) Sipuleucel-T is a vaccine for
A. RCC
B. Testicular carcinoma
C. Prostate carcinoma
D. Bladder carcinoma


Answer visible to premium members who are logged in

Pancreatic protocol CT

Pancreatic protocol CT

Q) All are true about pancreatic protocol CT except (AIIMS 2012) 

a) > 90% unresectable lesions picked up by CT

b) Dual phase CT with cuts taken at 40 secs and 70 secs

c) Liver metastasis detected in early arterial phase

d)

Answer is free for all 

c

Pancreatic protocol CT involves  imaging  at  the  pancreatic  phase (i.e.,  approximately  45  seconds  after  contrast  administration)  and  at  the  portal  venous  phase  (i.e.,  approximately 70  seconds  after  contrast  administration). It is useful for detection of adenocarcinoma of pancreas. 

Metastatic lesions are seen in  the  portal  venous  phase,  because  the  lesions  are  not  typically  well  vascularized.

  Arterial  phase images  are  principally  used  to  distinguish  metastatic  disease from  benign  vascular  lesions,  such  as  hemangiomas,  or  to  better define  the  arterial  anatomy  of  the  liver.

Non contrast phase used for 

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UTI Sample

UTI Sample

Q) Best specimen for culture in UTI
A. Midstream urine at anytime
B. Midstream urine at early morning
C. First voided sample
D. Any urine sample

Answer 

a

In males- midstream urine sample 

 

Duodenal injury

Duodenal injury

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

Answer 

Malignancy in UC

Malignancy in UC

Q. All are true regarding malignancy in UC except
A. Increased risk with pancolitis and increased duration
B. Screening for malignancy should start 8-10 yrs after onset of symptoms
C. Poorly differentiated
D. Surveillance should start as soon as remission occurs to pick up missed colon cancer

Answer is D

Explanation here 

Ketoconazole in prostate cancer

Ketoconazole in prostate cancer

Q) Ketoconazole action in prostate carcinoma is
A. Pituitary inhibition
B. Adrenal ablation
C. Inhibits DHT formation
D. Androgen antagonist

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Disinfectants in Surgery

Disinfectants in Surgery

Q) All are true about disinfectants in surgery  except
A. Povidone iodine needs to dry up prior to its action
B. Alcohol disinfectants act against all organisms except clostridium difficile
C. Single dose of first generation cephalosporin should be givens prophylaxis for vascular
procedures and bladder catheterisation
D. Chlorhexidine is bactericidal, viricidal, fungicidal, and has rapid onset of action and persistent
duration.


Answer d

Povidone-iodine solution is used for surgical site preparation, it must be allowed to dry for microbicidal effect. 

Chlorhexidine is  a phenol which is  used in concentrations of 0.5% to 4.0% alone or in lower concentrations in combination with an alcohol as a skin antiseptic. ....

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CEA

CEA

Q True regarding CEA is  (AIIMS 2017 , JIPMER 2016) 

a) Low specificity

b) Falls after 1 week of surgery to baseline

c) Preoperative high value is good prognostic marker

d) Follow up, first test of CEA in 8-10 days followed by weekly tests thereafter

Another question on CEA can be seen here

Answer 

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