Carcinoid appendix

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Q) In Carcinoid appendix, False  statement is a) It is the most common tumor of the appendix b) Less than 1% of the overall  appendectomy specimens have carcinoid tumor c) Size of the lesion is a good predictor of  malignant behavior d)  Mostly carcinoid appendix are seen in the base of appendix Answer  

HInchey classification diverticulitis

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Q) Management of Hinchey II diverticulitis is  a) Conservative b) USG guided aspiration c) CT guided aspiration followed by elective  surgery d) direct Surgery Answer

Roux stasis

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Q) True about Roux stasis syndrome a) Dilated Roux limb present b) can be prevented by inter positioning 20 cm jejunum between stomach n duodenum c) Delayed gastric emptying of solids d) It is not related to the size of gastric remnant Answer In Roux stasis syndrome there is abnormal peristalsis in the roux limb and propulsion  is proximal. Read on 

Dumping Syndrome causes

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Q) Dumping all are true except  a) Conversion of BI to BII b)  More common in B1 as compared to BII c) Most common after gastric pull up d Answer

Small bowel syndrome

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Q) Drug combination not recommended for diarrhea in the early treatment of SBS a) Loperamide and PPI b) Loperamide and octreotide c) Octreotide and PPI d) Cholestyramine and Oxalate Answer

Non obstructive mesenteric ischemia

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Q) Not true about Non Obstructive Mesenteric Ischeamia (NOMI) a) Occurs due to treatment with vasopressors b) Occurs in cardiac shock c) Can occur in Burns d) Hypercoagulable state maybe responsible for NOMI Answer

Renal cell carcinoma

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Q) False about Renal cell carcinoma is a) More common in males b) Associated with von hippel lindau syndrome c) Always require radical nephrectomy d) Has paraneoplastic manifestaions Answer c Renal cell carcinoma is more common in males Genetic loss of heterozygosity in chromosome 3p B/l RCC is associated with VHL syndrome Paraneoplastic of RCC Anemia, hypettension, erythrocytosis. Radical nephrectomy is the gold standard but not always necessary and partial nephrectomies in selected cases give good clearance