Q) Paraneoplastic Syndrome in HCC which also occurs in End stage liver disease
a) Hypercholesteremia
b) Hypoglycemia
c) Hypercalcemia
d) Carcinoid
Month: October 2019
Enteropathy in T cell lymphoma
Q. Not true about enteropathy in T cell lymphoma
a) It is an variant of intestinal lymphoma mainly in jejunum and ileum
b) Associated with coeliac disease
c) Perforation is frequently seen with ETL (Enteropathy T cell lymphoma)
d) This type of lymphoma is common
Ans. d
Enteropathy T cell lymphoma is an unusual variant of intestinal lymphoma. It is associated with celiac disease and responds to gluten free diet. It has a higher rate of perforations because of circumferential ulcers. It is commonly seen in jejunum and ileum
Ref- Schakelford Surgery of Alimentary canal pg 1205
[/s2If]
Duodenal Adenocarcinoma
Q) Which of the following is not true about duodenal adenocarcinoma
a) Adenocarcinoma is the most common malignancy affecting duodenum
b) Most of the patients with duodenal adenoacarcinoma have a palpable mass
c) Surgery is the main stay of management
d) GOO is the most common presentation
Biliary fistula in Hydatid cyst liver
Q) Which is not true in terms of biliary fistula in hydatid cyst liver
a) Cyst diameter more than 10 cm is a predictor of intrabiliary rupture
b) Minor communications are revealed by post op bile leak
c) Major biliary communication is fistula more than 5 mm or communication in the bile duct
d) Major biliary communication is seen in 15-20%
Response to chemotherapy in Carcinoma Esophagus
Q) A patient with carcinoma lower 1/3 of esophagus, receives chemo Radiotherapy and dysphagia shows complete response. What is the next step in management
a) Reassure
b) Follow with CT scan every 6 months
c) Esophagectomy
d) EUS to look for residual disease
Timing of cholecystectomy in biliary pancreatitis
Q) What is true regarding timing of cholecystectomy in biliary pancreatitis
a) Cholecystectomy should be done before discharge in severe pancreatitis to prevent recurrent attacks
b) Cholecystectomy should be done in same admission as pancreatitis when severe disease is excluded
c) Early cholecystectomy has been shown to have more complications than interval choelcystectomy
d) Early cholecystectomy increases technical complications
Pancreatic necrosis
Q) Pancreatic necrosis all are true except
a) Sterile pancreatic necrosis may be managed conservatively in most of the cases
b) Infected Pancreatic Necrosis is managed by surgery at 2 weeks
c) Minimal access techniques have given better results than open necrosectomy
d)WOPN may be drained by either a transgastric or, less commonly, a transdoudenal route.
Mucinous cystic neoplasm
Q) Mucinous cystic neoplasm, all are true except
1. Most common
2. Low amylase
3. Enucleation
4. Observation after resection for 2 year
Management of biliary strictures
Q) Which of the following is false about management of benign biliary stricture?
a) After HJ,success rate of 80-90% for benign biliary stricture is achieved
b) Recurrent stricture in 5 years is 30%
c) MOst important factor for recurrent stricture is the initial level of injury
d) Liver failure after stricture repair is around 20%
Duodenal Diverticula
Q) Not true about duodenal diverticula?
a) Extraluminal are more common than intraluminal
b) Most commonly seen with in 2cm of ampulla
c) Most of them are symptomatic with epigastric pain
d) Surgical treatment is diverticulectomy