Acute Mesenteric Ischemia

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Q ) Treatment of choice in Acute Mesenteric Ischemia a) Anticoagulation b) Iv fluids and antibiotics c) Revascularisation and Resection d) Angiographic infusion of papaverine Answer

Roux stasis

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Q) True about Roux stasis syndrome a) Dilated Roux limb present b) can be prevented by inter positioning 20 cm jejunum between stomach n duodenum c) Delayed gastric emptying of solids d) It is not related to the size of gastric remnant Answer In Roux stasis syndrome there is abnormal peristalsis in the roux limb and propulsion  is proximal. Read on 

Small bowel syndrome

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Q) Drug combination not recommended for diarrhea in the early treatment of SBS a) Loperamide and PPI b) Loperamide and octreotide c) Octreotide and PPI d) Cholestyramine and Oxalate Answer

Arc of riolon

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Q . Engorged dilated Riolan arc vessel with retrograde flow suggests a) SMA occlusion b) IMA occlusion c) Normal flow d) Iliac artery occlusion Answer

Acute mesenteric ischemia

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Q)  All are  findings in acute mesenteric ischemia findings except? a) Slow filling intramural vein b) Spasm of arterial arcade / distal vessels c) String of sausages/beaded appearance d) Dilated and ring enhancement of SMV in CT Answer   

SMA syndrome

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Q True in SMA syndrome Causes Medial Arcuate Ligament syndrome Causes nut cracker syndrome Low AM distance and Narrow AM angle <25 degree is sensitive finding It can be treated by releasing the DJ and keeping duodenum to the right of the artery Answer   

Vascular

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Q  Engorged dilated Riolan arc vessel with retrograde flow suggests a) SMA occlusion b) IMA occlusion c) Normal flow d) Iliac artery occlusion Answer  

Meckel’s diverticulum

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Q Meckel’s diverticulum  true is A. Mc congenital anomaly of the intestine B. Always heterotopic mucosa C. Pseudodiverticula D. Located on mesenteric border Answer