Small Bowel NET

Q) 45 year old male with 2 cm Jejunal Neuroendocrine tumor ( NET).

Dota Scan Shows no metastasis What would be the best management in him?

a) Octreotide

b) Resection & Anastomoses of jejunum

c) Resection and Anastomoses with mesenteric excision

d) Radiotherapy

 

Small Bowel Adenocarcinoma & its Risk Factors

Q) Which of the following is not a risk factor/ least associated with small bowel adenocarcinoma ?

a) Familial adenomatous polyposis (FAP)

b) Hereditary nonpolyposis colorectal cancer

c) Peutz-Jeghers syndrome

d) Juvenile polyposis coli


MOre Questions on Small Bowel Q 1-5

 

Ans

d

Juvenile Polyposis Coli is least associated with small bowel adenocarcinoma

Risk factors for Small bowel Adenocarcinoma are 

  1. Hereditary polyps - familial adenomatous polyposis (FAP), hereditary nonpolyposis
    colorectal cancer, Peutz-Jeghers syndrome

2.  Crohn disease, gluten-sensitive enteropathy (i.e., celiac sprue), prior peptic ulcer disease, cystic fibrosis, and biliary diversion (i.e., previous cholecystectomy).

3. Lifestyle

Smoking, heavy alcohol consumption (>80 g/day of ethanol), and consumption of red meat or salted food

4. Genetic -

Kras,  5q (APC gene), 17q (p53 gene), and 18q  and DPC4 , SMAD 4, MSI H

Sabiston page 1274

 

Type of statistical errors

Q) A Surgical thesis was completed but later found to have Type II  error. This means ?

a) Benefit is perceived when really there is none (false positive).

b) Benefit is missed when it was there to be found (false negative).

c) Sample size was wrong

d) None of the above

Nylon suture

Q) Nylon is now commonly  used in abdominal wall closure. It is made of ?

a) Polyamide

b) Polyester

c) Nickel

d) Polybutylene

 

 

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