Q) In Crohns disease of duodenum , patient has a duodenal abscess which is drained. He develops a fistula with ileal communication. Surgery with the least chance of success would be
a. Ileal reaction and duodenal bypass
b. Ileal resection an dudodenal HMplasty
c. Ileal freshen and closure
d. Duodenum vertical closure
Q) Which of the following is not a lab finding of acute mesenteric ischemia?
a) Leucocytosis
b) Acidosis
c) HIgh Amylase
d) Transaminitis
Q) False about epidemiology of Small bowel diverticulum ( Questions on Jejunum)
a) Duodenal diverticulum is symptomatic and appear before 40 years
b) Jejuno ileal diverticulae are less than 5%
c) Most common congenital anomaly of SI is Meckel
d) All correct
Q) Small intestine diverticula true statement is
a. Meckel is Most common and jejuno ileal is least common but most symptomatic
b. Meckel is true and congenital and rest are false and acquired
c. 1-5 % Duodenal ones require endoscopic or surgical treatment
d. All Meckel’s resected unless strong Contraindication is there
Q) False about intestinal TB
1. Hyperplastic variety has colonic strictures
2. Raised markers,anaemia,positive sputum culture point towards diagnosis
3. BMFT shows pulled up cecum
4. IFN gamma assay
Q ) One of the following is not an indication for small bowel transplant
a) Impensing liver failure by PNALD
b) Multiple thromboses of central veins
c) Single episode of catheter-related infection requiring hospitalization in any year
d) single episode of fungal line infection
Q) False statement about ingested foreign bodies is
a) Conservative management in most patients
b) Cathartic agents are part of conservative management
c) Sharp objects can cause perforation
d) Laparotom is indicated for obstruction
Q) All are contraindications of stricturoplasty in crohn's disease of small intestine except?
a) Perforation of intestine
b) Fistula or abscess at stricturoplasty site
c) Multiple strictures in long segment
d) Albumin < 2 g/dl
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