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Colorectal Liver metastasis

Colorectal Liver metastasis

Q)  All are negative prognostic factors in liver metastasis due to colorectal cancers except

a) Size more than 4.5 cm
b) Number of tumors more than 2
c) CEA more than 200

d) Tumor recurrence within 8 mths of primary surgery

Answer

Blood supply of CBD

Blood supply of CBD

Q) CBD is supplied by all except (AIIMS NOV 18)
a Cystic art
b RHA
c LHA
d Anterosuperior pancreaticoduodenal artery

Ans

c

Its c
As per sackhelford CBD is supplied by
Cystic duct,RHA,retroduodenal and posterior superior pancreaticoduodenal artery

Shackelford-1253

 

GI bleed

GI bleed

Q) Which of the following statement is incorrect for  GI bleeding?

a) Clear nasogastric aspirate rules out Upper gi bleed

b) RBC scan detects bleed upto 0.1-0.5 ml/min

c) Angio 0.5-1 ml/min

d) UGI bleed is responsible for 15% of haematochezia

Answer

Complications of Meckel’s diverticulum

Complications of Meckel’s diverticulum

Q. Least common complication of Meckel's diverticulum (NEET 2018) 

a) Bleeding

b) Obstruction

c) Neoplasm

d) Obstruction

Answer is free 
7) c Neoplasm

The most common clinical presentation of Meckel’s diverticulum is gastrointestinal bleeding, which occurs in 25% to 50% of patients who present with complications

intestinal obstruction occur as a result of a volvulus of the small bowel around a diverticulum associated with a fibrotic band attached to the abdominal wall, intussusception, or, rarely, incarceration of the diverticulum in an inguinal hernia (Littre hernia)

Diverticulitis accounts for 10% to 20% of symptomatic presentations.

Neoplasms can also occur in a Meckel’s diverticulum, with NET as the most common malignant neoplasm (77%). Other histologic types include adenocarcinoma (11%), which generally originates from the gastric mucosa, and GIST (10%) and lymphoma (1%).

Sabiston -1285

Choledochal cyst and malignancy

Choledochal cyst and malignancy

Q) Choledochal cyst  and malignancy false statement is  (AIIMS 2018 nov)

a) Highest malignancy in Type 3

b) Malignancy can occur even after removal of choledochal cyst

c) Malignancy can occur anywhere in the biliary tract

d) It can take upto 15 years for malignancy to develop after excision of choledochal cyst

Answer

 

Amoebic Liver abscess

Amoebic Liver abscess

Q) Not true about amoebic liver abscess
a) Most common liver enzyme elevated is ALT
b) Metronidazole and luminal amebicide needed in all cases
c) In peritonitis due to amoebiasis perforation of colon are less than perforation of liver
d) 5% to 15% of patients with ALA may be resistant to metronidazole


Answer
The cecum is the most common site of amebic colitis, and the right lobe of the liver is more commonly affected because of drainage
of the right portal branch from the right side of the colon. The condition usually starts as diffuse amebic hepatitis; liver cells
undergo liquefactive necrosis,
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Acute mesenteric ischemia

Acute mesenteric ischemia

Q)  All are  findings in acute mesenteric ischemia findings except?

a) Slow filling intramural vein

b) Spasm of arterial arcade / distal vessels

c) String of sausages/beaded appearance

d) Dilated and ring enhancement of SMV in CT

Answer 


 

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