Hydatid cyst liver

Q. Disadvantage of capitonnage after removal the  contents in hydatid cyst cavity  is
a) It can obliterate potential bile duct orifices
b) Closure of cavity is not adequate
c) The procedure is not possible in rigid or calcified cyst
d) It can be easily done in cyst close to diaphragm

Q) Which of the following liver resections have the least chances of bleeding?

a) Previous history of TACE

b) A patient with splenomegaly

c) The patient with Platelet count 25000

d) Patient with grade III esophageal varices

Answer

Esophageal hiatus hernia

Q) Many structures routinely pass through esophageal hiatus. What is type III esophageal hernia? 

a) Paraesophageal hiatus hernia

b) Sliding hiatus hernia

c) Both sliding and paraesophageal hernia

d) Large part of stomach in the mediastinum with pylorus near the esophageal hiatus

Answer  c

Hiatal hernias are protrusion of stomach through a defect in the esophageal hiatus into the mediastinum.

They are of two types

  1. Sliding - GE junction migrates to the mediastinum and rests superior to the diaphragm.
  2. Paraesophgaeal - Part of stomach migrates through the esophageal hiatus into the mediastinum with GE junction remaining at its normal position.

paraesophgeal hiatus hernia

  1. There are IV types of hiatal hernia

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Thoracic outlet syndrome

Q . Not a true statement about thoracic outlet syndrome:

a) Elevation of  arm causes occlusion of subclavian artery

b) T1 nerve supply is mainly compressed

c) There is altered sensorium in T1 nerve distribution

d) Embolism of subclavian artery may occur

Answer