MCH Preparation
Q) In Crohns disease of duodenum , patient has a duodenal abscess which is drained. He develops a fistula with ileal communication. Surgery with the least chance of success would be
a. Ileal reaction and duodenal bypass
b. Ileal resection an dudodenal HMplasty
c. Ileal freshen and closure
d. Duodenum vertical closure
d) Pancreatic YY
Somatostain is an inhibitory hormone and inhibits most of the things Secretin is released by acid in the duodenum and stimulates pancreatic fluid and bicarbonate secretion, leading to neutralization of acidic chyme in the intestine. Secretin also inhibits gastric acid secretion and intestinal motility. LES pressure is decreased by Secretin, CCK, Somatostatin and VIP
Q) Which of the following is not true about duodenal adenocarcinoma
a) Adenocarcinoma is the most common malignancy affecting duodenum
b) Most of the patients with duodenal adenoacarcinoma have a palpable mass
c) Surgery is the main stay of management
d) GOO is the most common presentation
Q) Not true about duodenal diverticula?
a) Extraluminal are more common than intraluminal
b) Most commonly seen with in 2cm of ampulla
c) Most of them are symptomatic with epigastric pain
d) Surgical treatment is diverticulectomy
Q) What is the Surgery in FAP patient after colectomy for ampullary adenoma Stage IV
a)Classic Whipple
b) Pancreas preserving duodenectomy
c) Transduodenal excision
d) endoscopic excision
Answer is free for all
Q . Duodenal injury management false? (# Duodenum free page )
a) Circumferential skeletonization is required
b) All duodenal repairs require some form of drainage
c) All hematomas near the pancreas requires exploration to check for serosal integrity
d) Most common location is the second portion
Q) Duodenal injury management false
a ) Circumferential skeletonization is required
b ) All duodenal repairs require some form of drainage
c) All hematomas near the pancreas requires exploration to check for serosal integrity
d) Most common location is the second portion