Splenic Artery Aneurysm

Posted on

Q)Splenic artery aneurysm is seen in  a) Proximal 1/3rd of splenic artery b) Proximal 2/3 of splenic artery c) Middle 1/3 of splenic artery d) Distal 1/3 of splenic artery Answer for Premium members

Electrolytes

Posted on

Q) A 50 year old male undergoes pancreatectomy for Carcinoma head of pancreas. His pre op Hb was 9.2g% and during surgery he received 5 units of PRBC. In the post op period on the 2nd day he develops ECG changes. Work up is done for Myocardial Ischemia which is negative. What is the most common  cause of ECG changes here a) Hyponatremia b) Hyperkalemia  

Gastrinoma

Posted on

Q) Regarding gastrinoma what is true? a) All gastrinomas express SRS receptors b) In 30 % of cases gastrinomas are not localized intra operatively c) Levels of serum  gastrin more than 100pg/ml are strongly suggestive of gastrinoma d) Angiography with secretin stimulation is required in all cases for localization of gastrinoma Answer for premium members  

GIST

Posted on

Q. Which of the following is not an option for Imatinib resistant GIST     a) Increase the dose to 800 mg/day     b) Sunitinib     c) Chemotherapy with Cisplatin     d) Radiofrequency Abalation Answer for premium members n GIST

Median arcuate syndrome

Posted on

Q) Median arcuate syndrome is due to compression of  a) Coeliac artery b) Superior mesenteric artery c) Phrenic artery d) Inferior mesenteric artery Free Answer for MCH GI Surgery Questions A) a Median arcuate syndrome is also known as coeliac artery compression syndrome. Median arcuate ligament connects the diaphragm with the spine. In some individuals this median arcuate compresses the coeliac artery and produes abdominal pain.

Mass in Right lower quadrant

Posted on

Q) A 55 year old lady presents with vague pain in right lower abdomen. Physical examination reveals a well defined mass there which is non tender and freely mobile. It is non pulsatile as well. What is the most likely possibility? a) Appendicular mass b) Mesenteric cyst c) Perforated tubo ovarian mass d) Meckel’s diverticulum Answer b Mesenteric cysts are uncommon lesions found in this age group. It typically presents as a freely mobile mass  which moves perpendicular to small blwel axis. It is painless as well. Appendicular mass will have a preceding history of pain abdomen Similarly perforated  tubo ovarian mass will also have a history of pain  Meckel’s diverticulum does not present as this kind of mass gastricbypass.surgery