Q Structures which may be injured in mitral valve replacement are all except
A) Circumflex coronary artery
B) Right coronary artery
C) Aortic valve
D) AV node
Month: April 2017
Degloving injuries- DNB NEET Question
Q) Degloving injury is one which involves stripping of which layers
a) Skin
b) Skin, Subcutaneous fat
c) Skin, Subcutaneous fat and underlying fascia
d) All soft tissue upto bones
Answer for premium members This link will take you to the DNB Questions page
Hemodynamic changes after pedicular clamping of Portal structures
Q) Which of the following hemodynamic happens during pedicular clamping in liver transaction?
a) Systemic vascular resistance decreases by 20%
b) Mean arterial pressure decreases
c) Cardiac index decreases by 10%
d) Preload to the heart increases
Conduits of Esophagus
Q) What is true regarding gastric conduits to be used as esophagus replacement?
a) The right gastric and gastro epiploic arteries can be safely divided to bring stomach to the neck
b) For malignant diseases stomach is the most reliable conduit
c) Stomach has the least incidence of developing reflux esophagitis
d) For benign esophageal strictures stomach is the conduit of choice
Hepatic Adenoma
Q) A 37 year old lady with history of oral contraceptives undergoes a CT scan for pain lower abdomen which also revealed a solitary 6 cm lesion in segment VI of liver. Triple phase Ct scan shows a lesion which enhances in the arterial phase more at the margins and in the venous phase it moves towards the center. This lesion is :
a) Focal Nodular Hyperplasia
b) Haemangioma
c) Hepatic Adenoma
d) Hepatocellular carcinoma
Answer is C
Hepatic Adenoma is benign neoplasms of the liver. They are associated with
OCP use
Androgen containing steroids
Type I and III glycogen storage diseases
They are diagnosed on the basis of CT scans. Diagnostic features of CT Scan for hepatic adenoma are
Non contrast- Heterogenous hypodense mass with areas of hemorrhage and necrosis
Arterial phase shows rapid filling at the periphery then progressing to the center
Hepatocellular carccinoma shows - Rapid arterial filling with wash off in the portal venous phase
Hemangioma- Peripheral nodular enhancement
FNH- Central scar
Rf: Shackelford page 1564
Multinodular goitre
Q . Management of Multinodular goitre with dysphagia and pain neck in 35 year old lady
a) Iodine treatment
b) Surgery
c) Thyroxine (T3 and T4)
d) FNAC and Radioactive Iodine
Giant Gastric ulcer
Q) Which of the following is true about giant gastric ulcer?
a) 70-80% of these ulcers are malignant
b) By definition giant gastric ulcer is more than 1.5 cm in size
c) Medical therapy can heal 80% of such ulcers
d) They are more common on the greater curvature and invade surrounding organs like spleen, liver etc
Answer for premium members
Burns management
Q) A 45 year old male sustains 30% burns on both legs and anterior abdominal wall. There was mild inhalation injury associated with it. He initially responded well to treatment with IV fluids, Inj Tramadol and enteral feeding.
Three days after the treatment he is having slight tachypnea (30/min) pulse 110/min and BP 98/60. His temp is 97degree F and some areas of partial thickness have converted into full thickness. He is currently on Inj Magnamycin. His platelets are 70ooo, TLC is 17000 and sugar is 200 mg%. What is the next step in management?
a) Continue same management
b) Upgrade the antibiotic and send a fresh culture from skin
c) Treat it as carbon monoxide poisoning
d) Manage in lines of Acute Tubular Necrosis
Burns management involves critical care, intensive phase and rehabilitation. Loss of skin and eschar formation predispose individuals to gram positive, gram negative and fungal infections.
Melanoma risk factor
Q) Risk factor for developing melanoma in a pigmented skin lesion is ?
a) Haemangioma
b) Lentigo maligna
c) Congenital nevocellular nevi
d) Tophi
Duodenal atresia
Question on Duodenal atresia was asked in AIIMS 2017 in April
Q) An infant presents with duodenal atresia. Which of the following is true about this condition?
a) It is the most common GI atresia
b) It presents soon after birth with non bilious vomiting
c) Pre natal detection of duodenal atresia is common
d) Gastro jejunostomy is the procedure of choice to bypass the obstruction
Answer (free)
C-
Commonly detected in the pre natal ultrasound
Duodenal atresia is seen in 1:5000 live births and most common atresia is jejunoileal (1in 2000). It is associated with lot of other congenital malformations like Down's, prematurity, biliary atresia etc.