Juvenile Polyposis Coli

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Q) In juvenile polyposis coli, all true except a)  SMAD 4 mutation b)  No risk of cancer c) Polyps most common in ileum d)  Autosomal Dominant with high penetrance

TEF

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Q) which of the following statement is false with respect to most common type of TEF(tracheoesophageal fistula)? A) type C with female predominance B )proximal blind pouch ends one or two vertebral bodies from distal TEF C) distal TEF is located 1cm above Carina D) polhydraminos is often with isolated proximal atresia.  

Post Whipple’s Bleeding

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Q) Post whipples on pod4 patient presented with fever, tachycardia and pain, usg showed collection, which was drained percutaneously. on pod 10 there is frank blood of 100ml in drain, next line of management a. Ct angiography b. Emergency laparotomy c. flush the drain with noradrenaline d. Observe  

Acute Gastric dilatation

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Q) Not true about acute gastric dilatation (AGD)  a) AGD is encountered most often as a postoperative complication in abdominal surgery  b)Also seen in other  disorders, such as anorexia and bulimia nervosa, psychogenic polyphagia, trauma, diabetes mellitus  c) When intragastric pressure from gastric distension exceeds 20 cm H2O gastric necrosis starts d)  clinical features are pain abdomen and effortless vomiting  

VON Hipple

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Q)Von Hippel Lindau (VHL) causes all except 1. breast cancer 2. pancreas cancer 3. renal 4. hemangioma of cerebellum  

Surgical Management of Zenker’s diverticulum

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Q) What is not true about management of Zenker’s diverticulum a) Both endoscopic and surgical repair give equivalent results b) In complete  diverticulectomy, myotomy is not necessary c) If diverticulum is less than 2 cm, myotomy is sufficient d) In   diverticulopexy suture the diverticulum to the posterior pharynx as opposed to the prevertebral fascia  Similar Question on zenker’s diverticulum here    

Post op pancreatic fistula

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Q  About post operative  pancreatic fistula, true is a) 65-85% after pancreatic surgery b) Amylase more than 3 times serum level c) All cases of POPF for distal pancreatectomy needs revision exploration.. d) Majority needs re exploration Ans