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
Category: General Surgery
NEET, DNB questions from general surgery
Abdominal Compartment Syndrome
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 PEEP
Answer
Malabsorbtive procedure in bariatric Surgery
Q) Malabsorbtive procedure in bariatric Surgery
a) Biliopancreatic division
b) Roux en Y Gastric bypass
c) Sleeve gastrectomy
d) LAp band
Bleeding on Clopidogrel
Q) Patient on Clopidogrel has Intraop bleeding Which component will you transfuse to control it
a) Platelets
b) FFP
c) Cryoprecipitate
d) PRBC
Answer for premium members
Fasciotomy
Q) True about fasciotomy of the lower limb
a) Fasciotomy should be done when distal pulses are absent
b) If there are no clinical signs and compartment pressure is more than 30 mm Hg, fasciotomy should be done
c) Multiple small incisions should be given on the leg
d) Crush injuries that manifest late, fasciotomy is preferred
Pressure sore
Q) Pressure sore, grade II is
a) Partial thickness skin loss, epidermis and dermis are involved
b) Full thickness skin loss, involving subcutaneous tissue but not underlying fascia
c) Non blanchable erythema, no breach in epidermis
d) Involvement of bones and tendons
Ans a
Pressure sores occurs when ext pressure exceeds the capillary occlusive pressure (30 mmHg) approximately 5% of all hospitalised patients
Stage Description
1 Non-blanchable erythema without a breach in the epidermis
2 Partial-thickness skin loss involving the epidermis and dermis
3 Full-thickness skin loss extending into the subcutaneous tissue but not through underlying fascia
4 Full-thickness skin loss through fascia with extensive tissue destruction, maybe involving muscle, bone, tendon or joint
Bailey - page 29
Suturing in vascular anastomosis
Q) True about suturing technique in vascular anastomosis
a) Anastomosis may not be completely water tight
b) To prevent intimal injury needle should be moved from with in to out
c) 4-0 suture is preferred for aorta
d) Any bio degradable suture which is monofilament can be used
Answer
b
Vessels should always be sewn with the needle moving from within to without on the downstream edge of the vessel to avoid creating an intimal flap and to fix any atherosclerotic plaque.
Tip of the needle should be at right angle to the intima and curve of the needle should be followed
Distal clamp is released first
Non absorbable sutures should be used
2-0 should be used for aorta 4-0 for femoral and 6-0 for popliteal
Only non absorbable monofilament sutures are used in vascular anastomosis
Bailey 27 page 99
Dumping Syndrome causes
Q) Dumping all are true except
a) Conversion of BI to BII
b) More common in B1 as compared to BII
c) Most common after gastric pull up
d
Gastric Lymphoma
Q) Gastric Lymphomas false is
a) The optimal treatment for lymphomas unresponsive to initial H. pylori antibiotic treatment remains unclear and includes the chemotherapy, radiotherapy, surgical resection, etc
b) Almost all MALT-lymphoma may regress with conventional H. pylori treatment.
c) Need for surgery in lymphoma is mainly for its complication
d) Risk of perforation is over estimated in the literature
Answer
GIST stomach
Q) Antral GIST 1cm incidentally found on UGIE. True regarding its management
a) Surgical resection
b) Endoscopic resection
c) Resection required if EUS suggests irregular border with cystic spaces
d) Endoscopic surveillance, if size >2cm then resect
Answer (Pemium members who are logged in can see explanation below)