Q Pouchitis in Chronic Ulcerative Colitis ,true is
a) Seen in Females
b) Smoking association
C) A/w Primary Sclerosing Cholangitis
d) P-ANCA positivity
Month: March 2018
Liver trauma in kids
Q )Management of isolated liver injury in children commonly is
a) Conservative
b) Laparotomy
c) Intervention and embolization of bleeding vessel
d) Liver packing
Abdominal injury
Q) Penetrating injury to the abdomen, with BP 84/60, Pulse 116/min, what is the next best step in management?
a) FAST
b) CT Abdomen with contrast
c) Ultrasound abdomen
d) Take to OT
Rectal cancer
Q) Management of Rectal cancer which is 6cm from dentate line. No Lymph Nodes . No metastasis. Treatment is ? (AIIMS 2014)
a) Anterior Resection
b) Abdomino Perineal Resection
c) Local excision
d) Chemoradiation
Answer for Premium (Question 27 , page on colorectum Questions 21-30)
Spinal cord injury
Q) Out of the following which will require Spinal immobilization most?
a. 22 yr Female had a high-speed motor vehicle collision who complains of backpain and no
numbness
b.16 yr male jumped from 6ft landed on both foot denies back pain and weakness
C. Gunshot injury
D. Abdominal injury
Answer is free
a)
Spinal cord injuries are a common cause of morbidity and expenditure. Mortality is associated with cervical injuries but not lower spinal cord injuries.
Motor vehicle accidents are the most common cause and gunshot injuries the least common for spinal cord injuries.
Mechanism of injury
- Blunt trauma - Direct impingement, Ischemia, compression or bleeding
- Penetrating - Laceration of spinal cord
Chance fracture - is a type of spinal cord fracture in which there is transverse fracture of all vertebral elements
Management
1 Complete immobilisation
2. Management of associated neurogenic shock ( due to loss of sympathetic tone) with vasopressors and fluids
Sabiston page 420
Inherited colorectal syndrome
Q6. All are inherited colorectal syndromes except ? (AIIMS 2017)
a) Crohnkite canada syndrome
b) Cowden disease
c) PJS
d)Ruvalcaba-myhre-smith Syndrome
Obscure occult Gi bleed
Q Not true about Obscure occult GI bleed
a) RBC scintigraphy scan has high accuracy
b) Capsule endoscopy can not be done in obstruction
c) Mesenteric Angiography is best for angiodysplasia
d) Intraoperative enteroscopy should be done early
Crohn Extraintestinal manifestations
Q) Extra intestinal manifestation of Ulcerative Colitis not cured by surgery
a) PSC
b) Sacroileitis
c) Episcleritis
d) Erythema nodosum
Pudendal nerve terminal latency
Q .PNTL prolonged in all the following except
a) Traumatic injury to anal sphincter
b) Prolonged labor
c) Long standing Rectal prolapse
d) Straining
Answer for premium members (Q4)
The nerve latency is measured by an electrode which is worn on the finger. It stimulates the pudendal nerve and calculates the conduction time to the anal sphincter
Breathing difficulty in unconscious patient
Q) Commonest cause of breathing difficulty in unconscious patient is
a) Foreign body
b) Tongue
c) Blood
d) Impacted teeth