Surgery Multiple Choice Questions
Welcome to our website of surgery Multiple Choice questions (MCQ).This web site is for medical students to help them prepare for various enterance examinations. Answers and explanations to the surgery questions are provided after 5 questions and we have used Standard text books for references.To help you in your quest we have included search options in all the pages.
Definition
Bariatric surgery is the surgical procedures done on patients with morbidly obesity to help achive weight reduction.
Morbid Obesity
What is it
Body mass index (BMI) in excess of 40kg/sqm, body weight twice the ideal body weight or body weight 100 pounds above the ideal body weight.
Increased level of the hormone Ghrelin seems to be responsible for increased hunger. The hormone is secreted in the proximal stomach.
Problems associated with Morbid Obesity - To list a few
Cardiovascular Metabolic Pulmonary Musculoskeletol Gastrointestinal Genitourinary
Hypertension Diabetes Sleep Apnea Degenerative joint ds GER incontinence
Cardiomyopathy Hyperlipidemia Ashtma Osteoarthritis cholelithiasis Renal diseases
Medical Therapy
Only short lasting effect, No long term effect.
Before surgery a medically supervised diet is started with a goal of weight loss of .5lb-2lb/week
Indications of Surgery
BMI more than 40 kg/sqm
BMI more than 35 with associated morbid condition
Failed dietary therapy
Pschychitrically stable
Motivated individual
Special Tests and workup
Complete cardiovascular work up
Pulmonary Workup
metabolic workup for diabetes, hypercholesterolemia
Ultrasound for cholelithiasis, Ventral hernia
Evaluation for Gastroesophageal reflux diseases
