Q ) Most common malignancy in post-transplant individuals
B. Skin- Squamous cell carcinoma
C. Kaposi sarcoma
D. CNS Lymphoma
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Q) What is the cause of priapism in a patient with trauma
a) Penile rupture
b) Dorsal vein of penis thrombosis
c) Spinal cord injury
d) Sickle cell anemia
Most common cause of priapism is sickle cell anemia, but in the setting of trauma....
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Q) Which of the following is a clinical marker of myocardial ischemia
a) Troponin I
c) Alkaline phosphatase
d) CPK MB
Myocardial ischemia (MI) is an adverse risk factor precluding any major surgery. MI can be STEMI (ST segment elevated MI) or NSTEMI ( Non ST segment elevated MI) .................
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Q) All are true about tropical pancreatitis except?
a. Associated with Tapioca.
b. Patients have large stones with fibrosis.
d) Onset of disease at 50 years
Answer d - Free. See here for other questions and this question
Onset 50 years
Tropical pancreatitis is an idiopathic disease which begins in teens. It has a high association with diabetes and Pancreatic duct calculi. It is common in South India, Asia, Africa and central America
These patients have increased risk of cancer
It is associated with SPINK 1 mutation
Q) Lymphatic drainage of Right adrenal gland is to
a. Para aortic group
b. Inter Aortocaval
c. Pre aortic.
d. Para Caval
a) Para-aortic lymph node.
Small lymphatic channels from both cortex and medulla drain into the hilum, from where larger calibre lymphatic emerge to drain directly into the lateral group of para-aortic lymph nodes
- arterial supply is via three adrenal arteries
- superior adrenal artery (from inferior phrenic artery)
- middle adrenal artery (from abdominal aorta)
- inferior adrenal artery (from renal artery)
- venous drainage
- adrenal veins emerge from the hilum and drain to different veins depending on the side:
- left adrenal vein drains to the left renal vein
- right adrenal gland drains to the IVC
( Grays anatomy)
Q ) Most Common cancer of testis in children is
a. Yolk sac tumor
b. Leydig cell tumor
c. Seminoma testis
Q Things to do to decrease stress in surgery all except
a. Minimal invasive Surgery
b. Afferent block.
c. 8 hours fasting
d. Early mobilization
Q) SA Node is supplied by which artery
a) Right coronary
b) Left coronary
c) Left circumflex
d) Anterior interventricular
Coronary arteries originate from ascending aorta, above the aortic valves from the aortic sinuses. Right coronary artery passes between the right atrial appendage and pulmonary trunk in the atrio ventricular septum and continues as .......................
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Q)All are indications of Bariatric Surgery except?
a) Cosmetic outcome
b) Medical expenditure decreases
c) Increases life expectancy
d) Decreases comorbidities
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Q) Which of the following is false in Capsule endoscopy
A. Sedation is not required
B. Accurate localisation possible
C. Not suitable for patients with stricture
D. Can visualise entire small bowel
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Q) Simple nipple inversion is seen in?
a) Duct ectasia
c) Peri ductal fibrosis
d) Carcinoma breast
Inversion of nipple is seen in a lot of conditions, both benign and malignant. Common causes are
- Duct ectasia
- After breast Surgery
- Fat necrosis
- Mondor disease
- Chronic peri ductal mastitis
- Carcinoma breast
Rapid unilateral development of inversion of nipple is a dangerous sign and warrants further diagnosis. Further circumferential retraction is also sign of carcinoma.
Simple nipple inversion occurring at puberty or retracted nipple is of unknown cause and is bilateral in 25%. Mostly No treatment is required for this and condition resolves spontaneously during pregnancy and lactation.
Suction pumps and cosmetic surgery can also help.
Inversion of nipple associated with malignancy may be with or without the presence of lump. Associated discharge from the nipple can point to the diagnosis.
Ref - Bailey 801
Grading of benign nipple inversions for management
In grade I, the nipple is easily pulled out manually and maintains its projection quite well. It has minimal fibrosis thus, manual traction and a single, buried purse-string suture are enough for the correction.
Grade II (majority) the nipples can be pulled out but cannot maintain projection and tend to go back again. These nipples are thought to have moderate fibrosis beneath the nipple.
In grade III, to which the least number of inverted-nipple cases belong, the nipple can hardly be pulled out manually. Severe fibrosis made it impossible to reach optimal release of the fibrotic band with the preservation of the ducts.
Q) All are precancerous for oral cancers except?
b. Speckled erythroplakia.
c. Discoid lupus
d. Chronic hyperplastic candidiasis
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Q) All are premalignant in carcinoma GB except
a. PSC ,
b. Porcelain GB
c. Multiple 2 cm stones.
d. Choledochal cyst