NEET, DNB questions from general surgery
Q) Indication of IVC Filter in a 40 year old male
A. Recurrent thromboembolism despite adequate anticoagulation
B. Deep venous thrombosis in a patient well controlled by anticoagulation
C. Presence of DVT
D. All of the above
Q) If ph >7.4, How much does plasma potassium concentration change for every 0.1 unit increase of the extracellular pH ?
a) Potassium decrease by 0.3meq/l
b) K+ increase by 0.3 meq/l
c) Potassium decrease by 1.5 meq/l
d) K+increase by 1.5 meq/l
Free answer
a
Acid-base disturbances cause potassium to shift into and out of cells. This is called internal potassium balance and was discovered in 1956. In alkalosis (increase in ph,) K+ falls and in Acidosis potassium concentration will increase. For every 0.1 fall in ph, K+ increases by 0.3-0.6 meql/l
Metabolic acidosis- in a plasma potassium concentration that is elevated in relation to total body stores.
Q ) Treatment of Primary Gastric Lymphoma is
a) Surgery
b) chemotherapy
c) Radiotherapy
d) Both chemo and radiotherapy
Q) Regarding the microscopic anatomy of stomach, false statement is ?
a) Parietal cells are abundant in the body of stomach and secrete H+
b) Chief cells produce pepsinogen I and II
c) G cells are abundant in gastric antrum
d) ECL cells are abundant in antrum
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Q) Most common delayed complication of loop gastrojejunostomy
a) anemia
b)) gastric reflux
c) stricture
d) malignancy
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Q) Right gastroepiploic vein drains into ANswer is free 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 Q1. Not true about hazards of contrast medium use in radiological interventions? a) Use of newer agents have improved the risk of sudden death b) Low osmolar contrast agents are better than previously used high contrast medium c) After contrast injections, patients should be observed for 30 mins d) Metformin can be continued in patients with normal renal function Q ) In trauma what is the ratio of PRBC: FFP to be transfused? a) 1:1 b) 1:2 c) 1:3 d) 1:4 Ans a When there is requirement of more than 6 units of PRBC, FFP and other blood products are required. Read on .... Ref Sabiston 72 Q) What is not a management option in Abdominal compartment syndrome a) Drainage of Intra abdominal collections b) Muscle relaxation c) Mesh closure d) High PEEPRight gastro epiploic vein
A. Splenic vein
B. Left gastric vein
C. Portal vein
D. Superior mesenteric veinMarjolin Ulcer
Contrast hazards in radiology
Answer 1Blood transfusion
Abdominal Compartment Syndrome
Answer
