Q)What is the false regarding the healing by primary intention?
A)Wound edges opposed.
C)Usually done for dirty wounds
Q) False about intestinal TB
1. Hyperplastic variety has colonic strictures
2. Raised markers,anaemia,positive sputum culture point towards diagnosis
3. BMFT shows pulled up cecum
4. IFN gamma assay
Q According to WHO-IWGE ultrasonographic classification for Hydatid cyst, inactive cysts belong to which group
a) Group I
b) Group 2
c) Group 3
d) Group 4
Reference Bailey and love 27th edition page number 64
WHO Informal Working Group on Echinococcosis (WHO-IWGE) classification
Group 1: Active group – cysts larger than 2 cm and often fertile.
Group 2: Transition group – cysts starting to degenerate and entering a transitional stage because of host resistance or treatment, but may contain viable protoscolices.
Group 3: Inactive group – degenerated, partially or totally calcified cysts; unlikely to contain viable protoscolices.
Q) Which is not a feature of primary hyperthyroidism?
a) Increase Parathormone
b) Increase Calcium
c) Decreased phosphate
d) Dystrophic calcification
Q) Paraneoplastic Syndrome in HCC which also occurs in End stage liver disease
Q) What is true regarding timing of cholecystectomy in biliary pancreatitis
a) Cholecystectomy should be done before discharge in severe pancreatitis to prevent recurrent attacks
b) Cholecystectomy should be done in same admission as pancreatitis when severe disease is excluded
c) Early cholecystectomy has been shown to have more complications than interval choelcystectomy
d) Early cholecystectomy increases technical complications
Q)In preop evaluation before placing skin graft over wounded area…bacterial colony count must be less than
ans b) 10 raise to the power 5
Prerequisites for skin grafting:
The recipient site should be assessed for potential bacterial load, blood supply,
presence of devitalized tissue, and exposed vital structures.
Donor site availability
Perform recipient site tissue culture if history or concern for infection (counts <105
CFU/g tissue for most pathogens required before grafting).
Presence of group a beta heamolytic streptococci is absolute contraindication for
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