a) Duct ectasia
c) Peri ductal fibrosis
d) Carcinoma breast
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) 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. Which of the following is not an option for Imatinib resistant GIST
a) Increase the dose to 800 mg/day
c) Chemotherapy with Cisplatin
d) Radiofrequency Abalation
Q) True about liver transplant
a) Portal vein thrombosis is more common than Hepatic Artery thrombosis
b) Bile leak though common is not a significant problem
c) Any bleeding in post op period, patient should be taken to OT
d) Acute liver rejection is seen in 5-10% cases
Q) Which of the following is not true about reconstruction in caustic injuries to esophagus
a) Caustic injuries to esophagus have 1000 times more risk of developing malignancy
b) Right colon replacement is definately better than left colon
c) The only indication for elective surgery is refractory strictures and possibility of malignancy
d) Most of the surgeons prefer bypass over resection of esophagus
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
Q) Living donor liver transplant (LDLT) is done in centers where cadaveric donations are few. Which of the following is true about it?
a) Only right lobe of the donor can be used
b) Only left lobe can be used
c) In LDLT bile leak is more than cadaveric donor
d) Small for size liver is defined as liver size less than 0.5% of recipient BSA
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