Complications of duodenal diverticulum

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Q) True statement regarding complications of duodenal diverticulum is a) Perforation is the commonest complication b) Obstruction is caused by extra luminal duodenal diverticulum c) Bleeding is the most common complication of duodenal diverticulum. d) Diverticulitis is common and easily diagnosed. Answer c Complications of duodenal diverticulum are rare with a reported incidence of 5-10% in those with duodenal  diverticulum. Operative intervention is required in about 1% cases Perforation is the rarest but the most severe complication of duodenum diverticulum. The most common cause of perforated duodenal diverticulum is diverticulitis. They perforate in the retroperitoneum, adding to diagnostic uncertainty. Ct Scans are most diagnostic to help in this diagnosis.

Bowel preparation before colon surgery

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Q) What is true about bowel preparation before colon surgery in an elective case? a) Bowel preparation should be done in every case b) Bowel preparation should be done in all emergency situations like perforation and obstruction to attempt primary repair. c) Mechanical purging one day before surgery and at leat 3 days of administration of non absorbable oral antibiotic should be given in all patients before elective colon resection d) Bowel preparation at most centers is based on surgeons’s discretion but reports have not shown any proven benefits. Answer  for premium members     

GI Bleed

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Q )  A 59 year old male alcoholic male presents with history of upper GI bleed of 1 day duration. During the day he has had three episodes of bleeding each time about 150 ml. Blood is fresh and not associated with retching. He has a history of long standing alcohol intake. What will be the most likely cause of GI bleed a) Mallory weiss tear b) Esophageal varices c) Gastric ulcer d) Esophagitis Answer for premium

Causes of Acalculus Cholecystitis

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Q) Which of the following is not a cause of acalculus cholecystitis? a) Kinking of the neck of gall bladder b) Sphincter spasm c) Thrombosis of cystic artery d) Over eating Ans

Omental cyst

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Q) True statement about omental cyst is ? a) It is always unilocular b) Commonly seen in old age group c) Arise from acquired or congenital obstruction of the lymphtaic channels d) Complications are more common in old age. Answer c

EUS in pancreatic cancer

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Q) What is true about the role of EUS in Carcinoma head of pancreas. a) It has a sensitivity of 50-60% in detecting lesions less than 3 cm in size b) It has a  high negative predictive  value c) Chronic pancreatitis can be easily differentiated from Carcinoma head of pancreas by EUS d) Small caliber needles have low accuracy than high caliber needles in FNAC Answer for Premium members