Q)All are indications of Bariatric Surgery except?
a) Cosmetic outcome
b) Medical expenditure decreases
c) Increases life expectancy
d) Decreases comorbidities
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
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
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
Q) All are premalignant in carcinoma GB except
a. PSC ,
b. Porcelain GB
c. Multiple 2 cm stones.
d. Choledochal cyst
Q) Paradoxical breathing is seen in
a) Poland syndrome
b) Flail chest
c) Pectus excavatum
d) Pectus carinatum
Q) True about Z plasty.
a. 3 limbs equal with 45 degree.
b. 3limbs equal 60 degree.
c. All limbs equal with 45 degree
d. All limbs equal with 60 degree
Q Autopsy finding in a patient who dies of Tetrology of Fallot is
a) Brachiocephalic vein draining into the left renal vein
b) Inferior vena cava (IVC) draining to the superior mesenteric vein
c) Atrial Septal Defect (ASD)
d) Decreased vascularity of the lung field
Q) Most common content of Morgagni hernia is :
b. Small intestine.
c. Transverse colon.
Foramen of morgagni is a congenital diaphramatic defect along with Bochdalek.
Morgagni was an italian anatomist
Q) False statement about emergency airway management
a) Cricothyroidotomy is preferred
b. Skin incision is vertical.
c. Membrane incision is vertical
d. Airway is prepared before cricothyroidotomy
Q) Most common radiolucent renal stone .
a. Calcium oxalate .
b. Calcium phosphate
c. Triple phosphate
d. Uric acid