Q) Pancreatic necrosis all are true except
a) Sterile pancreatic necrosis may be managed conservatively in most of the cases
b) Infected Pancreatic Necrosis is managed by surgery at 2 weeks
c) Minimal access techniques have given better results than open necrosectomy
d)WOPN may be drained by either a transgastric or, less commonly, a transdoudenal route.
Q) Mucinous cystic neoplasm, all are true except
1. Most common
2. Low amylase
4. Observation after resection for 2 year
Q) Which of the following is false about management of benign biliary stricture?
a) After HJ,success rate of 80-90% for benign biliary stricture is achieved
b) Recurrent stricture in 5 years is 30%
c) MOst important factor for recurrent stricture is the initial level of injury
d) Liver failure after stricture repair is around 20%
Q) Not true about duodenal diverticula?
a) Extraluminal are more common than intraluminal
b) Most commonly seen with in 2cm of ampulla
c) Most of them are symptomatic with epigastric pain
d) Surgical treatment is diverticulectomy
Q) Not true about afferent loop syndrome
a) It can occur after either partial or total gastrectomy with Billroth ii reconstruction or roux en y gastrojejunostomy
b) Acute obstruction is more common than chronic
c) Weight loss and anemia are common.
d) Bacterial overgrowth in afferent limb causes malabsorption of fat and other nutrients, such as vitamin B12 or iron.
Q) Most common site of LN metastasis in oropharyngeal carcinoma is
a) Level 2
B) Level 3
C) Level 4
D) Level 5
Q ) One of the following is not an indication for small bowel transplant
a) Impensing liver failure by PNALD
b) Multiple thromboses of central veins
c) Single episode of catheter-related infection requiring hospitalization in any year
d) single episode of fungal line infection
Q) False about diverticular disease of colon is
a) 10-20% of all diverticular disease of colon develop symptoms. Rest remain asymptomatic
b) Low fiber diet is implicated in etiology
c) Sigmoidoscopy is useful tool for evaluation of diverticulitis
d) Elective colectomy in uncomplicated diverticulitis is rare and forms only 1% of cases with diverticular disease
Q) False statement about management of cancer rectum
a) Relative to ERUS, pelvic MRI is more accurate in its ability to detect lymph node involvement
b) Rectal cancers located in the upper third of the rectum are exempt from neoadjuvant treatment.
c) TME is typically performed 2-3 weeks after completion of CRT before fibrosis develop
d) ERAS include early mobilization, transition to oral pain control, and resumption of oral food intake
Q) What should be the margin in 2 mm thick melanoma
a) .5 cm
b) 1 cm
c) 2 cm
d) 2.5 cm