Q) D2 gastrectomy false statement is ? ( AIIMS 2021)
a. No benefit in Overall Survival ( OS)
b. Better Disease free Survival ( DFS)
c. Recommended to take stomach, omentum, retro peritoneum en masse
d. Can remove spleen or pancreas if involved
MCH NEET SS Online Preparation
Q) D2 gastrectomy false statement is ? ( AIIMS 2021)
a. No benefit in Overall Survival ( OS)
b. Better Disease free Survival ( DFS)
c. Recommended to take stomach, omentum, retro peritoneum en masse
d. Can remove spleen or pancreas if involved
Q) False about Maltoma of stomach
a Rituximab based therapy is useful in resistant cases
b) Most respond to anti H pylori eradication
c) T (11, 18) respond to h pylori eradication
d)
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
Q) Not true about afferent loop syndrome
a) It can occur after either partial or total gastrectomy with Billroth ii reconstruction or roux en y gastrojejunostomy
b) Acute obstruction is more common than chronic
c) Weight loss and anemia are common.
d) Bacterial overgrowth in afferent limb causes malabsorption of fat and other nutrients, such as vitamin B12 or iron.
Q) What is not true about the role of PET Scan in staging of Ca Stomach?
a) 50% of Carcinoma stomach are PET avid
b) Response to Neoadjuvant therapy is usually seen on PET in 2 weeks
c) PET response correlates with survival
d) Sensitivity of PET is same for all kinds of histopath tumors
d) Crow's feet nerves are severed till below the GE junction
This Question discusses the concept of criminal nerve of Grassi and features of HSV
Q) Not true about acute gastric dilatation (AGD)
a) AGD is encountered most often as a postoperative complication in abdominal surgery
b)Also seen in other disorders, such as anorexia and bulimia nervosa, psychogenic polyphagia, trauma, diabetes mellitus
c) When intragastric pressure from gastric distension exceeds 20 cm H2O gastric necrosis starts
d) Clinical features are pain abdomen and effortless vomiting
Q ) Treatment of Primary Gastric Lymphoma is
a) Surgery
b) chemotherapy
c) Radiotherapy
d) Both chemo and radiotherapy
Q) Regarding the microscopic anatomy of stomach, false statement is ?
a) Parietal cells are abundant in the body of stomach and secrete H+
b) Chief cells produce pepsinogen I and II
c) G cells are abundant in gastric antrum
d) ECL cells are abundant in antrum
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Q) Most common delayed complication of loop gastrojejunostomy
a) anemia
b)) gastric reflux
c) stricture
d) malignancy
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