Propofol In Surgery

Q) False about the use of propofol as anesthetic drug in surgery

a) It is short acting and used in Iv sedation

b) It is a good analgesic and preferred in all surgeries

c) Propofol infusion syndrome is rare but fatal

d) Propofol is a bronchodilataor

Maltoma Stomach

Q) False about maltoma of stomach

a Rituximab based therapy is useful in  resistant cases

b) Most respond to anti H pylori

c) T (11, 18) respond to h pylori eradication

d)

Gastric Lymphadenopathy

Q ) which is one of the  criteria for diagnosis of gastric lymphadenopathy
a. mesenteric lymphoadenopathy
b. hepatic involvement

c. general lymph adenopathy
d . blood count within normal limt

Ans d

Dawson criteria

(1) absence of peripheral lymphadenopathy at the time of presentation;

(2) lack of enlarged mediastinal lymph nodes;

(3) normal total and differential white blood cell count

(4) predominance of bowel lesion at the time of laparotomy with only lymph nodes obviously affected in the immediate vicinity; and

(5) no lymphomatous involvement of liver and spleen

 

Hypovolemic Shock

Q) Which of the following is the correct physiological change during hypovolemic shock?

A)Increased cardiac output.

B)Decreased vascular resistance.

C)Decreased venous pressure.

D)Increased venous saturation.

Healing by Primary Intention

Q)What is  false regarding the healing by  primary intention?

A)Wound edges opposed.

B)Normal healing.

C)Usually done for dirty wounds

D)Minimal scar.

Answer-C(bailey-25)

Primary intention,

Healing by primary intention is also known as healing by the first intention this occurs when there is an opposition of the wound edges

Secondary Intention

Healing occurs when the wound edges are not opposed immediately, which may be necessary for contaminated or untidy wounds.

Primary intention,

  • Would edges opposed
  • Normal healing.
  • Minimal scar.

Secondary intention,

  • Would leave open.
  • Heals by granulation, contraction and epithelialisation.
  • Increased inflammation and proliferation.
  • Poor scar.