AIIMS GI 2020 – Surgery (MCQ) Questions

Contraindications of PAIR

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Q) Contraindication of PAIR in hydatid cyst liver is

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a) M tor inhibitors

b) IL2 blockers

c) Steroids

d) Azathioprine

Ans a) mtor inhibitors

One Question is always asked about anti rejection medicines, Salient points i am enumerating

Three drug regimen is classic includes IL2 blocker, Mycophenolate and steroids which are tapered . IL 2 blocker Tacrolimus is used more than Cyclosporine ( cyclosporine less used now). IL2 blocker side effects are hirsutism, hyperkalemia, gum hypertrophy etc)
Mycophenolate is preferred over azathioprine . Both cause fall in cell lines
Steroids have many side effects like weight gain, cataract, infections and are used in tapering dose

M-tor inhibitors are sirolimus and Everolimus which are used when transplant is done for HCC, IT has anti tumor action.

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Q) Post Lap Cholecystectomy Gall bladder shows Carcinoma with muscle layer involvement. No lymphatic or blood vessel involvement. Management is?

a) Close observation

b) Radical cholecystectomy

c) Port site excision

d) Adjuvant chemotherapy

Ans a)

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Q) Which is true about suture absorption

a) Polypropylene loses 10-15% strength per year

b) PDS used for valves and grafts

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Q Risk of cancer in un resected choledochal cyst ( AIIMS 2020 GI)
a. 30 %
b. 20 %
c. 50%
d. 5%