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
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
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
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
Q) In gastric cancer, lymph node station 12 corresponds to a) Common hepatic b) Hepatoduodenal c) Retropancreatic d) Superior Mesenteric Ans a
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.
We discuss the complications of Billroth 2 surgery
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