Category: AIIMS MCQ

Splenectomy

Splenectomy

Q1. Which of the following is not an indication for splenectomy in Non Hodgkin Lymphoma?
 
a)  Massive splenomegaly
b) Signs of hypersplenism
c) Diagnosing and staging of isolated splenic disease

d) All are indications for splenectomy

Ans  Free

BISAP Score In Pancreatitis

BISAP Score In Pancreatitis

Q) All are components in BISAP score except?

a) Age more than 60 years

b) WBC more than 16000

c) GCS <15

d) BUN > 25 mg/dl


Ans

)b

The Bedside Index of Severity in Acute Pancreatitis  BISAP is a more-recent score than the older Ranson's Criteria. It predicts mortality risk in pancreatitis with fewer variables than Ranson's.

It does not require data points from 48 hours into a patient's hospital admission.

It includes

BUN > 25 mg/dL (8.9 mmol/L) :
Abnormal mental status with a Glasgow coma score < 15 :
Evidence of SIRS :
> 60 years old :
Pleural effusion :
Management DES

Management DES

Q) DES esophagus False in the management of this patient

a) Treatment is primarily medical management

b) Long myotomy necessary if surgery indicated

c) Dor's Fundoplication is recommended to prevent reflux

d) Endoscopic dilatation.

Answer  Q 30

 

Bile duct injury

Bile duct injury

Q. All are poor prognostic factors in managing bile duct injury except

a) Complete ligation

b) Advanced age

c) Internal/External fistula

d) Type III/IV stricture

Ans wer Q15               All poor factors listed

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

 

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