Rectum – Surgery MCQs – NEET SS New Pattern

Malignancy risk factors in IBD

by admin

Q) WHich is not a risk factor for malignancy in inflammatory bowel disease?

a) >50% crohn disease in colon

b) PSC

c) Old age of onset

d) use of Infliximab

Steroid Refractory Ulcerative colitis

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Q) Not used in steroid refractory severe Ulcerative Colitis ( AIIMS 2020 Nov)

a) Infliximab
b) Azathioprine
c) Cyclosporine
d) Surgery

Ans b- Azathioprine

Cyclosporine is immunomodulator indicated for second-line therapy in the case of severe, steroid refractory ulcerative colitis. Treatment is usually initiated after 3 to 5 days of failed steroid response

Tacrolimus is appropriate as second-line therapy in patients with severely active ulcerative colitis unresponsive to steroids.

The use of various anti–tumor necrosis factor-α (TNF-α) monoclonal antibodies ( infliximab) is well supported in the case of
severe ulcerative colitis refractory to steroids.

Bleeding in Ulcerative colitis

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Q) 30 yr old female with severe rectal bleed known case of UC , on admission not responding to steroids and medical treatment .. next line of treatment ?
a) Subtotal colectomy with Ilerorectal anastomosis
b) Subtotal colectomy with ileostomy

c) Total Proctocolectomy TPC with ipaa
d) Tpc with end iliostomy

Histology of Crohn disease

by admin

Q) WHich of the following is not a histological feature of Crohn disease of the bowel

a) Stricture

b) Granuloma

c) Crypt Abscess

d) Goblet cell atrophy

Ca Rectum

by admin

Q) CA rectum 5 cm from anal verge which is T1N0 on evaluation. which of the following cannot be done for the treatment of the patient
A. Inter sphincteric resesction
B. APR
C. Transanal endoscopic resection
D. LAR

Total Mesorectal Excision

by admin

Q) Which of the following is not true about TME ( total mesorectal excision)
a. For all rectal cancer
b. For all even after NACRT
c. Less Neuro injury vs conventional dissection

d) Less recurrence

Another question on complete Mesorectal excision