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  a

Fungating

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

Type II for fungating growth,

Type III for ulcerating growth,

Type IV for diffusely infiltrating growth which is also referred to as linitisplastica 

advanced ca stomach
Borrman's classification of ca stomach

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

Endocrine pancreas
Endocrine cells of pancreas

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%

Somatostain is an inhibitory hormone and inhibits most of the things

 

Skin cancer

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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  

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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