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
Month: June 2018
High grade GIST
Q) GIST >10CM High-risk cases, imatinib therapy is for
A. 1 year
B. 2 years
C. 3 years
D. 5 years
Association of Carcinoma Esophagus
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
Q) Most common diaphragmatic hernia in a new born infant
A. Bochdoleck
B. Morgagni
C. Paraesophageal I
D. Paraesophageal III
Boerhaave Syndrome- Barotrauma of esophagus
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
Blood Supply esophagus
Q) Thoracic esophagus blood supply (DNB 2018)
A. Inferior thyroid
B. Aorta and bronchial artery
C. Inferior phrenic
D. Left Gastric
Hepatic blood flow
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
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
Q) Length of Esophagus
A. 20cm
B. 25cm
C. 30-35cm
D. 40cm
Answer
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