CDH 1 mutation

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Q ) Hereditary diffuse Gastric carcinoma is associated with which  breast cancer A. Ductal carcinoma NOS subtype B. Lobular carcinoma C. DCIS D. Metaplastic carcinoma Answer for Q 79 Majority of Gastric Cancers are sporadic, 1–3% of GCs arise as a result of inherited cancer predisposition syndromes.  Li-Fraumeni syndrome, Lynch syndrome, Peutz-Jeghers syndrome, hereditary breast and ovarian cancer,1MUTYH-associated adenomatous polyposis (MAP), familial adenomatous polyposis,  juvenile polyposis syndrome and PTENhamartoma tumour syndrome (Cowden syndrome). Read on for answer

Selective Shunt

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Q) A type of Selective shunt for portal hypertension is A. PSRS (Proximal spleno renal shunt)  B. Warren shunt C. SSPCS (Side to side portocaval shunt)  D. Mesocaval shunt Answer  Q 78 Surgical decompression can be achieved with total or partial portal systemic shunts or by selection variceal decompression.  Total shunts divert all the portal flow to the systemic circulation. Partial shunts maintain some portal flow to the liver. Selective shunts only decompress gastroesophageal varices and maintain portal hypertension and flow to the liver. Read on for answer…

Severe Acute Pancreatitis

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Q)  Ideal time for CECT in severe acute pancreatitis is A. After 72 hours B. After 48 hours C. 24 hours D. At admission Answer for premium members Mild acute pancreatitis  enlargement of the pancreas with loss of definition of the borders of the pancreas.   Thickening of the right or left anterior pararenal fascia  Severe Acute pancreatitis   Main determinant of clinical outcome is the degree of systemic organ disturbance, particularly during the early hours and days after admission to hospital More than half of all deaths in AP occur within the first 2 weeks of illness  and are usually a consequence of multiple organ failure The revised Atlanta Classification  3  grades of severity of pancreatitis: Mild AP—characterized by the absence of organ failure or local complications Moderately severe AP—defined by……………….read on   

Appendix

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Q) Least common position of appendix is a) Retroileal b) Retroceacal c) Postileal d) Pelvic Answer 

Cholangiocarcinoma

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Q) Cholangiocarcinoma type IIIB bismuth Corlette bilirubin 10, left portal vein and hepatic artery involved. Best approach is A. Preoperative left biliary drainage followed by resection B. Preoperative right biliary drainage followed by resection C. Left portal vein embolisation followed by resection D. Palliative drainage Answer 

Rectal prolapse

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Q) Which of the following is a Perineal procedure in rectal prolapse A. Delorme B. Ripstein C. Resection rectopexy D. Frykman Goldberg procedure Answer 

FAP

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Q) Which of the following is a type of Familial Adenomatous Polyposis  A. Garderner syndrome B. PJS C. Juvenille polyps D. Hamartomatous polyp Answer (Q 75)