Month: June 2020

Causes of SVC syndrome

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Q) Most common cause of  Superior Vena Cava (SVC)  syndrome

A. Non neoplastic
B. Lung ca
C. Breast ca

D) NHL

 

 

Immunosuppression

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Q) False regarding immunosuppresant medicines ?

a. MMF is a reversible inhibitor of IMD-DH
b. Both Cyclosporine  and tacrolimus inhibit NF-KB and its downstream effects
c. Everolimus acts on FKBP12To inhibit Calcineurin activity
d. ALG are more used in pancreas transplant

Ectopic pancreas

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Q) Not a site of ectopic pancreas
a. Esophagus
b. GB
c. Liver
d. Jejunum

Loss of cell Surface antigen

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Q) Loss of cell surface antigen is a feature of 
A. CIS
B. NO RELATION WITH GRADE
C. LOW GRADE TUMOR
D. HIGH GRADE TUMOR

Ans d High grade

The ABO(H) blood group system consists of terminal oligosaccharide antigens carried by glycoproteins or glycolipids in hematopoietic or epithelial cells 

Their biosynthesis is presumed to be controlled by the ABO(H), Se, H, Le, and X blood group genes .

These antigens are present on normal bladder epithelium of secretor individuals but not on some low-grade and early-stage papillary urothelial carcinomas 

Moreover, initially expressing tumours lose these cell surface antigens upon local recurrence, progression to invasion or metastization 

D 2 gastrectomy

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Q) D2 gastrectomy false (AIIMS 2020 GI) ( AIIMS 2021) 
a. No benefit in OS

b. Better DFS
c. Recommended to take stomach, omentum, retro peritoneum en masse
d. Can remove spleen or pancreas if involved

Paraneoplastic syndrome

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Q) Paraneoplastic syndrome with small cell  lung carcinoma

a) SIADH

b) Cushings

c) Hypercalcemia

Risk for gall bladder perforation

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Q) High risk for gall bladder perforation and stone spillage are all except? AIIMS 2020

a. Trainee surgeon
b. Brown stones
c. More than 10 stones
d. Cholecystitis

 

Lesion at floor of mouth

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Q) 56 year old male with 4cm Floor of mouth cancer , invading mandilbe. 2cm lymph node left side of neck, Management will be 
A. Chemotherapy and Radiotherapy (RT) 
B. Surgery followed by RT
C. RT
D. CHEMO ALONE

Papillary carcinoma thyroid

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Q) 40yr old lady 2X 2 Solitarty thyroid nodule left lobe. FNAC shows  classic type of papillary  carcinoma . Usg no neck nodes. Management

A. Total thyroidectomy
B. Total thyroidectomy with Radio active Iodine
C. Total thyroidectomy with central compartment neck dissection
D. Hemithyroidectomy + follow up

 

 

Small Intestine diverticulum

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Q) Small intestine diverticula true statement is 
a. Meckel is Most common and jejuno ileal is least common but most symptomatic
b. Meckel is true and congenital and rest are false and acquired
c. 1-5 % Duodenal ones require endoscopic or surgical treatment
d. All Meckel’s resected unless strong Contraindication is there