Anal Fissure

Q )  Not indicated in anal fissure
A. Inj BOTOX
B. Topical steroids
C. Topical CCB
D. Topical Nitro glycerine

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Haemangioma Liver

Q) False statement about haemangioma liver

a) They are the most common lesions of the liver

b) Giant haemangiomas should be resected because of malignant potential

c) Symptomaic haemangioma should be resected

d) Most of the haemangioma liver are asymptomatic

Answer

Incidence of haemangioma liver is increasing because of increased use of CT and MRI. 

Post Lap Cholecystectomy Ca Gall Bladder

Q) Post Lap cholecystectomy, biopsy comes as Ca gall bladder with invasion of peri muscular connective tissue. Most appropriate for this patient is
A. IVB &  V resection nodal clearance
B. IV B &  V plus nodal clearance with port site excision
C. Wedge excision of liver with Lymphadenectomy
D. Wedge excision, Lymphadenectomy and Port excision

Answer 

Management of Carcinoma GB after lap cholecystectomy depends on the depth of invasion of disease

a) T1a - only serosa- Read on for premium members

Gastric ulcer

Q) Gastric ulcer type III is located in? (DNB 2018) 
A. Lesser curvature
B. Body of stomach
C. Prepyloric
D. GE junction

Answer This Question was already discussed in 2009. Here is the link

Choledochal cyst

 Q) False  about choledochal cysts ? (AIIMS GI 2018) 
A. Upto 90% is associated with APBJ
B. 30% are associated with chronic pancreatitis
C. Most common association in adults is cholecystolithiasis
D. Malignancy risk is eliminated by cyst excision

Answer  Q 22

Switch in Dextraposition of great vessels

Q . Factors that preclude the use of a single-stage arterial  switch reconstruction of dextrotransposition of the great vessels include:
A. Age older than 6 weeks with a left ventricular pressure of less than 50% of systemic pressure.
B. Dynamic left ventricular outflow tract obstruction.
C. Intramural coronary artery anatomy.
D. Subpulmonary VSD.

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Parkland formula

Q 32)  During fluid resuscitation in a burns patient using Parkland’s formula, volume of fluid given
in first 8 hrs
A. 50%
B. 25
C. 75
D. 100

Answer 

 

Diverticulitis

Q ) Hincheys grade III Diverticulitis. Management most likely to follow more interventions after an index operation is

a) Laparoscopic irrigation and exploration

b) Sigmoid Colectomy+Hartman’s

c) Primary repair with omental patch and peritoneal toilette

d )Sigmoid Colectomy with colorectal anastomosis and diverting ileostomy

Grade III diverticulitis is generalized peritonitis.

Answer for premium Q 10