Total Mesorectal Excision

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Q) Which of the following is not true about TME  ( total mesorectal excision)  a. For all rectal cancer b. For all even after NACRT c. Less Neuro injury vs conventional dissection d) Less recurrence Another question on complete Mesorectal excision

Leukemia – Induction Chemo

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Q) Leukemic pt started on chemotherapy, developed abdominal pain, anemia,  leucopenia and  thrombocytopenia. what is the most likely cause? A. Perforation B. Appendicitis C. Neutropenic colitis D. Leukemic colitis

Hallmark of cancer cells

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Q)  All are hallmarks of cancer except: A. Anti-inflammation B. Genetic instability and mutation C. Angiogenesis D. Dysregulated cell energetic

Handsewn IPAA vs stapled anastomosis

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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  

Esophagus Lymphatics

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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

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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

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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

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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

Obesity and association with cancer

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Q) Obesity is associated with highest risk of developing which malignancy? A. Renal cell carcinoma B. CA Endometrium C. Gastic cancer d) Esophagus cancer

Aclaculus choelcystitis

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Q)  True about acalculous cholecystitis is: a) Mortality more than that of calculus cholecystitis b) GB rupture chances are more c) Immediate cholecystectomy is the treatment of choice d) Only A & B are correct [/s2If]