Oropharyngeal dysphagia false is
A. Nasal twang in voice, ptosis
B. Treatment is most often not satisfactory if conservative
C. Associated with myesthenia gravis and Parkinsonism
D. Water brasch and regurgitation presentation
Month: April 2018
CEA
True regarding CEA is
- Low specificity
- Falls after 1 week of surgery to baseline
- Preoperative high value is good prognostic marker
- Follow up, first test of CEA in 8-10 days followed by weekly tests thereafter
Answer after Q 20
Pediatric liver transplant
Q ) Most common indication for Pediatric liver transplant (DNB SS)
A. Biliary atresia
B. Metabolic diseases
C. Alagille syndrome
D. HCV
a
Biliay atresia
MOst common cause or liver transplant in children. Presents as persistent jaundice after birth. Etiology is not clear
Findings include absent extrahepatic ducts and gallbladder. Biopsy is diagnostic
Dieulafoy lesion
Diuelafoy lesion which is false? (AIIMS 2018)
A. Most of the bleed cannot be visualised due to small mucosal defect lies over large arterial
bleed.
B. Large 1-3 mm artery in the submucosa is the source
C. MC in the greater curvature
D. Found within 6 cm from GEJ
Switch in Dextraposition of great vessels
Q . Factors that preclude the use of a single-stage arterial switch reconstruction of dextrotransposition of the great vessels include:
A. Age older than 6 weeks with a left ventricular pressure of less than 50% of systemic pressure.
B. Dynamic left ventricular outflow tract obstruction.
C. Intramural coronary artery anatomy.
D. Subpulmonary VSD.
Anti Rejection drugs
Q) Most nephrotoxic drug is
A. Cyclosporine
B. Sirolimus
C. Azathioprine
D. Steroids
Answer
These are immunosuppressants used after solid organ transplants. These drugs have a lot of side effects.
Post transplant malignancy
Q ) Most common malignancy in post-transplant individuals
A. PTLD
B. Skin- Squamous cell carcinoma
C. Kaposi sarcoma
D. CNS Lymphoma
Parkland formula
Q 32) During fluid resuscitation in a burns patient using Parkland’s formula, volume of fluid given
in first 8 hrs
A. 50%
B. 25
C. 75
D. 100
Truncus arteriosus
Q ) Which of the following statements about truncus arteriosus is false?
A. Most infants do well without operations until late childhood.
B. Cyanosis is a late feature
C. Most infants present with congestive heart failure.
D. Repair requires a conduit from right ventricle to pulmonary arteries.
Answer
In Truncus arteriosus there is a single arterial trunk arising from the ventricles, with single dysplastic valve with
semilunar leaflets and a subvalvular VSD.
.
Untreated, most infants do not survive beyond 6 months. Cyanosis is usually not present early, because mixing
mainly occurs at VSD level and the arterial oxygen saturation is generally greater than 85%, but............Read on
Diverticulitis
Q ) Hincheys grade III Diverticulitis. Management most likely to follow more interventions after an index operation is
a) Laparoscopic irrigation and exploration
b) Sigmoid Colectomy+Hartman’s
c) Primary repair with omental patch and peritoneal toilette
d )Sigmoid Colectomy with colorectal anastomosis and diverting ileostomy
Grade III diverticulitis is generalized peritonitis.