Q. Not an Extended Criteria for Endoscopic resection of gastric cancer?
a) Less than 3 cm irrespective of ulceration
b) Limited Sm1 leison
c) Submucosal invasion 2 cm in size
d) submucosal invasion 3.5 cm in size
Q. Not an Extended Criteria for Endoscopic resection of gastric cancer?
a) Less than 3 cm irrespective of ulceration
b) Limited Sm1 leison
c) Submucosal invasion 2 cm in size
d) submucosal invasion 3.5 cm in size
Q) False statement about location of peptic ulcer?
a) Type 1 is on greater curvature
b) Type 2 is gastric body and duodenal
c) Pauchet procedure is for type IV
d) Type Iv is high on lesser curvature
Q) D2 gastrectomy false (AIIMS 2020 GI)
a. No benefit in OS
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)
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
Vagus Nerve branches
Posterior Trunk:
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
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