Questions from previous years in AMC in surgery
Q1) Which of the following is a feature of complicated hemorrhoids
a) Bright red bleeding
Q2) All the following would be seen after splenectomy for hereditary spherocytosis except?
a) Persistence of spherocytosis
c) Same osmotic fragility
d) Normal life span of erythrocytes
Q3) Causes of acute pancreatitis are all except
a) Pancreatic islet cell tumor
b) Mumps virus
Q4) A middle aged woman compains of morning diarroea and cramps. Examination is grossly normal. What is the possible etiology
a) Irritable bowel disease
b) Inflamatory bowel disease
c) Carcinoma colon
d) Carcinoma rectum
Q5) 9th day after appendicectomy, a 49 year old man presents to you with diarrhea, fever and retention of urine. Most probable diagnosis is
a) Pelvic abscess
Answers in AMC Questions
Hemorrhoids are cushions of submucosa in the anal canal. Their typical postions are left lateral, right anterior and right posterior.
Normally they are painless but when thrombosis of piles occurs they become very painful. All other are normal symptoms.
Normal physiological changes are expected in the blood cells after splenectomy. Normally spleen stores 1/3rd of the body platelets and these platelets are released to the circulation after splenectomy leading to thrombocytosis.
Other changes after splenectomy are
- Howell - Jolly bodies
- Heinz cells
- Increase in WBCs and lymphocytes
After splenectomy for hereditary spherocytosis the life span of RBC is decreased and is not normal
Spherocytes, Anemia and osmotic fragility remains the same.
Islet cell tumors do not cause acute pancreatitis. CA head of pancreas can sometimes cause acute pancreatitis due to pancreatic duct obstruction.
Other causes are
1. gall stones
2) Diabetes Mellitus
Irritable bowel disease is seen in middle aged women and presents with crampy abdominal pain and diarrhoea. It is often a diagnosis of exclusion and require a normal colonoscopy and CT Scan abdomen
Pelvic abscess can occur after surgery for appendicitis and progresses over a period of few days. Common symptoms are diarrhea, fever and urinary retention along with chills.
Diverticulitis and nephritis are unlikely after surgery for appendix.