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
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.
Q) Mucinous cystic neoplasm, all are true except
1. Most common
2. Low amylase
3. Enucleation
4. Observation after resection for 2 year
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%
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
Q) Not true about afferent loop syndrome
a) It can occur after either partial or total gastrectomy with Billroth ii reconstruction or roux en y gastrojejunostomy
b) Acute obstruction is more common than chronic
c) Weight loss and anemia are common.
d) Bacterial overgrowth in afferent limb causes malabsorption of fat and other nutrients, such as vitamin B12 or iron.