Month: June 2018

Gastric ulcer

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Q) Gastric ulcer type III is located in? (DNB 2018)  A. Lesser curvature B. Body of stomach C. Prepyloric D. GE junction Answer This Question was already discussed in 2009. Here is the link

High grade GIST

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Q) GIST >10CM High-risk cases, imatinib therapy is for A. 1 year B. 2 years C. 3 years D. 5 years Answer

Association of Carcinoma Esophagus

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Q) Adenocarcinoma of esophagus is associated with which of the following? (DNB 2018) a) Achalasia cardia b) Barrett’s disease c) Human Papilloma virus (HPV) d) Alcohol use Answer – b Association of carcinoma esophagus is with a number of risk factors. Both squamous cell carcinoma and adenocarcinoma of esophagus have different etiologies Risk factors for Adenocarcinoma are                                                        Risk factor for Squamous cell carcinoma are Tobacco                                                                                                   1. Alcohol GERD                                                                                                       2. tobacco  Obesity                                                                                                     3. Achalasia Barrett                                                                                                      4. Caustic injury of esophagus H/o previous radiation for breast cancer                                         5. Previous radiation of CA breast                                                                                                                                              6. H/o head and neck cancer                                                                                                                              7. Plummer vinson and tylosis  

New born hernia

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Q) Most common diaphragmatic hernia in a new born infant A. Bochdoleck B. Morgagni C. Paraesophageal I D. Paraesophageal III Answer

Boerhaave Syndrome- Barotrauma of esophagus

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Q) Correct statement about Boerhaave syndrome is A. May present with peritonitis B. Forceful vomiting against open glottis C. MOst common in upper 1/3 rd of esophagus D. Most are managed conservatively Answer for premium 

Blood Supply esophagus

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Q) Thoracic esophagus blood supply (DNB 2018)  A. Inferior thyroid B. Aorta and bronchial artery C. Inferior phrenic  D. Left Gastric Answer for premium 

Hepatic blood flow

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Q. All are true regarding hepatic blood flow except A. Liver has dual blood supply from portal vein and hepatic artery B. 70% of liver oxygen comes from the hepatic artery C. 70-80% of blood supply to the liver is from portal vein d) Liver receives 25% of cardiac output Answer for premium The explanation discusses how much blood and oxygen goes through portal vein and hepatic artery to the liver What is hepatic artery buffer response  

Esophagus Length DNB 2018

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Q) Length of Esophagus  A. 20cm B. 25cm C. 30-35cm D. 40cm Answer 29) b The esophageal length is anatomically defined as the distance between the cricoid cartilage and the gastric orifice. It ranges in adults from 22 to 28 cm (24 ± 5 SD), 3 to 6 cm of which are located in the abdomen. The shortest distance between the cricoid cartilage and the celiac axis is the orthotopic route in the posterior mediastinum, being 30 cm. The retrosternal (32 cm) and the subcutaneous route (34 cm) proved to be longer Ref Shackelford page 10