Month: August 2017

Borrmann’s classification for ca stomach

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Q) According to Borrmann’s Classification of Ca stomach Type II is a) Fungating b) Polypoid c) Ulcerative d) Infiltrative Answer free Ans  c Ulcerative with elevated borders Borrmann’s classification is for advanced gastric tumors.  It is useful to distinguish between advanced and early gastric tumors because in advanced tumors neo adjuvant therapy improves over all survival. The gross appearance of advanced gastric carcinomas can be divided into Type I for polypoid growth or fungating  Type II foUlcerated with elevated borders Type III for ulcerating with invasion of wall Type IV for diffusely infiltrating growth which is also referred to as linitis plastica  Type V can not be classified  

Advanced ca Stomach

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Q) Management of carcinoma body of stomach which on exploration is  only invading the body of pancreas with no distant metastasis a) feeding jejunostomy and closure b) Palliative total gastrectomy c) Total gastrectomy with …… Further choices and answers for premium members

Ureteral injuries

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Q) A 24 year old male suffers low velocity gun shot wound in lower abdomen. On exploration there is a 1 cm segment loss of left ureter above the pelvic brim. Best management is : a) Ureterocystostomy b) Uretero ureterostomy c) Ureterostomy d) Ligation of ureter  Click for answer

Bariatric surgery indications

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Q)All are indications of Bariatric Surgery except? a) Cosmetic outcome b) Medical expenditure decreases  c) Increases life expectancy d) Decreases comorbidities Answer for premium members

Endocrine cells of pancreas

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Q) Delta cells in the pancreas secrete a) Insulin b) Glucagon c) Somatostatin d) Secretin Free answer for all Answer d Somatostatin Pancreas- Endocrine functions Beta cells form 65-80% of pancreatic endocrine cells and produce insulin Alpha cells 12-20% and produce glucagon Delta cells 3-10% and produce somatostatin PP cells – Pancreatic polypeptide 1% Somatostatin is an inhibitory hormone and inhibits most of the things  

order of anastomosis in lung transplant

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Q) Order of anastomosis in lung transplant is  a) Pulmonary artery   ——— Pulmonary vein ————- Bronchus b) Pulmonary vein   ———-  Bronchus —————-Artery c) Pulmonary vein———- Artery ———–Bronchus d) Bronchus—   Artery————- Vein Answer   Basic Users have access to the answer. Use the free register button on right sidebar.

Immunotherapy with anti tumor effect

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Q) Which imunosuppression has anti tumor effects? a) M tor inhibitors b) CD 52 monocloncal antibodies c) IgG receptor antagonists d) Calcineurin inhibitors Answer for premium    

Esophagus perforation

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Q) A 45 year old man who has been drinking regularly for the past 15 years vomits after a large meal and complains of severe chest pain. Cardiac cause is ruled out and boerhavve’s syndrome is suspected. Which of the following is not true about this condition a) Gastrograffin tests will confirm the diagnosis b) Perforation is most common in the left lower end c) Exploration and full thickness suturing of perforation should be done d) This condition has a high morbidity and mortality if not diagnosed at time Answer for premium members  – Discussion on Boerhaave’s syndrome