Category: General Surgery

NEET, DNB questions from general surgery

Endocrine cells of Pancreas

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Q  Which is wrongly matched ( Free Questions) (#AIIMS 2021 GI Recall) 

a) Alpha cell - pancreatic poly peptide

b) Beta cell - insulin

c) Epsilon cell - ghrelin

d) Delta cell -  somatostatin

Ans a, ALpha cells

Alpha cells secrete glucagon

Pancreatic polypeptide is from F cells which form 15% of islet mass and are seen in Head and Uncinate process of Pancreas

Also alpha cells are the first cells to develop in the lineage

REf Sabiston 21st edition page 943

 

Cytokine from T lymphocyte

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Q) Which cytokine involved in wound healing  is released from T lymphocyte only? ( # Wound healing) 

a) TNF alpha

b) IL 1

c) IL 2 

d) Il 6

 

Post gastrectomy syndrome

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Q)  False about post gastrectomy syndrome?
a) 30%incidence
b) Octreotide agonist prevent it's occurrence
c) Megaloblastic anemia due to partial gastrectomy
d) Calcium deficiency  in billroth 2

Types of Infections

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Q) Rate of infection in clean contaminated wound without antibody prophylaxis is
a) 3%
b) 8%
C) 12%
D) 15%

Ans b 8%

Ref Table 5.4 

Bailey page 53

Body Response to Injury

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Q Which is not a metabolic response to injury ( Similar Questions) 
A) Increased nitrogen requirements
B) Insulin resistance and glucose intolerance
C) Preferential oxidation of lipids
D) Decreased gluconeogenesis

This Question discusses and enumerates the metabolic responses to trauma and sepsis

Surgical safety checklist

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Q1) Surgical Safety Checklist aimed at decreasing the incidence of ___________

a) operative complications

b) Site error

c) Anesthesia complications

d) infective complications

 

Smoking treatment

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Q) Smoking cessation- Not a  first line drug option ?

a) Clonidine 

b) Nicotine replacement (patches)

c) Varenicline

d)  Bupropion

Ans A) clonidine

NRT ,  varenicline (Chantix), and bupropion (Zyban) are the three principal firstline pharmacotherapies recommended for use either alone or in combination 

Clonidine and nortriptyline—as second-line pharmacotherapies for tobacco dependence typically used when a smoker cannot use first-line medications due to either contraindications or lack of effectiveness.

Ref Devita

Endoscopic Resection of Stomach cancer

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Q.  Not an Extended Criteria for Endoscopic resection of gastric cancer?

a) Less than 3 cm irrespective of ulceration
b) Limited Sm1 leison
c) Submucosal invasion 2 cm in size

d) submucosal invasion 3.5 cm in size

Hyperthyroidism in Pregnancy

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Q) Which of the following is true for hyperthyroidism in Pregnancy

A) Surgery done in 2nd trimester

B) Beta blockers are contraindicated

C) All antithyroid drugs are contraindicated

D) Radioactive iodine (RAI) is treatment of choice