Exam Questions

Questions based on Surgery MCQ exams. 

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Pancreatic necrosis

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.

Afferent loop syndrome

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. 

Diverticular disease of colon

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

Cancer lower rectum

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