Q) Post whipples on pod4 patient presented with fever, tachycardia and pain, usg showed collection, which was drained percutaneously. on pod 10 there is frank blood of 100ml in drain, next line of management
a. Ct angiography
b. Emergency laparotomy
c. flush the drain with noradrenaline
Q)Tumor lysis syndrome which is not seen
Q) Which has no part in management of corrosive injury of esophagus?
a) Repeated Endoscopies routinely
b) Esophagectomy in some cases
c) Early emergency surgery routinely
d) Steroid use routinely
Q) Not an indiction of haemorrhoidectomy
a) Persistent Second degree haemorrhoid 5 days after sclerotherapy
b) 3rd degree haemorrhoid
c) Fibrosed haemorrhoid
d) interno-external haemorrhoids when the external haemorrhoid is well defined.
Q) Right gastroepiploic vein drains into
A. Splenic vein
B. Left gastric vein
C. Portal vein
D. Superior mesenteric vein
ANswer is free
Q) Most common cause of pseudo achalasia is ?
(a) Benign tumors of esophagus
(b) Chagas disease
(c) Caustic injury
(d) Adenocarcinoma of cardia
Answer free for all
Q) True about Marjolin's ulcer
a) lymphatic spread is common
b) They are painful
c) Aggressive and fast growing tumors
d) Squamous cell carcinoma is the most common type
Q ) In trauma what is the ratio of PRBC: FFP to be transfused?
When there is requirement of more than 6 units of PRBC, FFP and other blood products are required. Read on ....
Ref Sabiston 72
Q) Which of the following is Not a risk factor for pouchitis post IPAA in ULcerative colitis
B ) NSAIDs use post op
C) Elderly patients
D) UC with extra intestinal manifestation
Pouchitis is the complication of Ileal Pouch Anal Anastomosis (IPAA) for Ulcerative colitis. The incidence of pochitis for the same proedure for familial Adenomatous polyposis is less than 10% but for ulcerative colitis can go as high as 50%.
Risk factors for development of pouchitis are
- Previous extra intestinal manifestations of IBD especially arthritis
- ANCA positive cases of UC
- NOD2insC positive patients
- Smoking prevents the development of puchitis after IPAA in ulcerative colitis.
5. Other reported factors that may associate with pouchitis include extent of UC, thrombocytosis,and PPI use with NSAId