Meckel’s diverticulum

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Q Meckel’s diverticulum  true is A. Mc congenital anomaly of the intestine B. Always heterotopic mucosa C. Pseudodiverticula D. Located on mesenteric border Answer

Colonic diverticulitis

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Q . Best investigation to diagnose Colonic diverticulitis A. Ba enema B. CT scan C. USG D. MRI Answer

Milan Criteria

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Q) All are true in Milan criteria except? A. Single lesion  <5cm B. 3 nodules <3cm  C. >5 nodules D. No extrahepatic disease Answer for premium 

NOTES

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Q) Regarding minimal access cholecystectomy all are true except? a) NOTES can be done transvaginally and transgastrically b) Transgastric route is preferred c) SILS is done through single port with multiple instruments avoiding multiple ports d) SILS has difficulty with triangulation and retraction Answer : Save time!! Be a premium member and get access to all questions and answers Answer is B Natural  orifice  transluminal  endoscopic  surgery (NOTES),  which  uses  natural  orifices  (transgastric, colonic,  urethral,  vagina)  to  introduce  an  endoscope,  has been  reported  since  early  2000  as  a  less  invasive  approach to  laparoscopy.  The  first  human  NOTES  transvaginal  cholecystectomy  was  reported  in  2007,  and  later  the  report  of a  hybrid  combination  of  flexible  scope  by  a  transvaginal approach  in  combination  with  an  umbilical  needle  or port  for  laparoscopic  instruments  for  retraction,  dissection,  or  clips  application.  This  hybrid  technique  allowed for  a  quicker  and  safer  procedure;  the  present  deficiency is  in  the  proper  endoscopic  instrumentation. For  the  trans vaginal  approach,  a  Foley  catheter is  placed,  a  dissection  is  performed  in  the  posterior vaginal  cul-de-sac  to  allow  a  port  placement,  and  when the  case  is  over,  the  closure  is  easier  than  a  transgastric or  transcolonic  approach,  which  continues  to  be  an  issue. Shackelford

Anal canal

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 Q  True about anal canal anatomy are all except a) Columns of morgagni above dentate line b) Resting anal canal Pressure 5 – 20 mm Hg c) Muscles are tubular with inner layer supplied by autonomic nerves d) Contains columnar, transitional and squamous epithelium Answer

MELD Score

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Q) Not included in MELD Score a) Creatinine B. Bilirubin C. INR D. Albumin  Answer for premium members

Anal Fissure

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Q )  Not indicated in anal fissure A. Inj BOTOX B. Topical steroids C. Topical CCB D. Topical Nitro glycerine Answer Premium 

Hypersplenism

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Q) Hypersplenism criteria are all except? a) Splenectomy cures it b) Hypercellular or normal marrow c) Pancytopenia d) Splenomegaly Premium members have access this answer