Q Handsewn IPAA vs Stapled anastomosis which is the wrong statement?
a. More stricture rate in hand sewn
b. More leak in hand sewn
c. More pouchitis in hand sewn
d. More incidence of Small bowel obstruction in hand sewn anastomosis
Month: July 2020
Hallmark of cancer cells
Q) All are hallmarks of cancer except:
A. Anti-inflammation
B. Genetic instability and mutation
C. Angiogenesis
D. Dysregulated cell energetic
Esophagus Lymphatics
Q) Esophageal lymphatic- False is
a. Lymphatics above tracheal bifurcation drain to sub-carinal, and mainly upwards
b. EUS can access and samples many stations
c. 40 percent submucosal lymphatic drain to thoracic duct
d. T1a nd T2a has similar lymph node inolvement
Chylous Ascites
Q) Which of the following is least likey mechanism of formation of chylous ascites
a) Obstruction of existing lymphatics with exudation of chyle
b) Chyle leak from lymph vessels due to injured retroperitoneal vessels
c) Mega lymphatics exudation which are present in the wall of retroperitoneum
d) Recurrent chronic pancreatitis
Management Dermatofibroma protuberans
Q. Boy with lower leg lesion of 3 cm which is diagnosed as DFSP. The lesion is excised and all margins are clear. Closest margin is 6mm
What is the Further management?
A. Re excision
B. Chemo
C. Adjuvant RT
D. Follow up
Colon conduit in Caustic injuries
Q What is not true about the use Colon conduit for caustic injuries
a. Left colon is used trans hiatally and anastomosed to posterior wall of stomach
b.Order of anastomosis is ColoGastric -Colo- Colic, Colo-Cervical
c. MCA and RCA always cut
d. Based on ascending LCA