Pouchitis in chronic ulcerative colitis

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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 Answer (Q8 in AIIMS 2017 questions page) 

Liver trauma in kids

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Q )Management of isolated liver injury in children commonly  is  a) Conservative b) Laparotomy c) Intervention and embolization of bleeding vessel d) Liver packing Answer for members only

Abdominal injury

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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 Answer for premium   

Rectal cancer

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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

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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

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Q6. All are inherited colorectal syndromes except ? (AIIMS 2017)  a) Crohnkite canada syndrome b) Cowden disease c) PJS d)Ruvalcaba-myhre-smith Syndrome Answer is for premium members

Obscure occult Gi bleed

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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 Be a premium member for answer (Question 5) 

Crohn Extraintestinal manifestations

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Q) Extra intestinal manifestation of Ulcerative Colitis  not cured by surgery a) PSC b) Sacroileitis c) Episcleritis d) Erythema nodosum For answer be a premium member