NEET SS Online Test Series Questions, Also useful for HAAD
21-30 Neurosurgery (in progress)
Q 51) Thoracic esophagus blood supply (DNB 2018)
A. Inferior thyroid
B. Aorta and bronchial artery
C. Inferior phrenic
D. Left Gastric
Q52) Length of D2 (2nd part of duodenum)
A. 2.5cm
B. 5
C. 7.5
D. 10
Q53) Correct statement about Boerhaave syndrome is
A. May present with peritonitis
B. Forceful vomiting against open glottis
C. MOst common in upper 1/3 rd of esophagus
D. Most are managed conservatively
Q54) Most common diaphragmatic hernia in a new born infant
A. Bochdoleck
B. Morgagni
C. Paraesophageal I
D. Paraesophageal III
Q55) Adenocarcinoma of esophagus is associated with which of the following? (DNB 2018)
a) Achalasia cardia
b) Barrett's disease
c) Human Papilloma virus (HPV)
d) Alcohol use
Q56) GIST >10CM High-risk cases, imatinib therapy is for
A. 1 year
B. 2 years
C. 3 years
D. 5 years
Q57 ) Gastric ulcer type III is located in?
A. Lesser curvature
B. Body of stomach
C. Prepyloric
D. GE junction
Q 58) What is Ogilivie syndrome?
A. Acute Colonic Pseudo Obstruction
B. Chronic Colonic Pseudo Obstruction
C. Fecal obstruction
D. Intussusception
Q 59) Drug causing pancreatitis
A. L-Asparginase
B. Metronidazole
C. Ciprofloxacin
D. Penicillin
Q 60 Double duct sign seen in
A. Periampullary carcinoma
B. Chronic Pancreatitis
C. HCC
D. GB carcinoma
Answer
51) b
52) c
7.5 cm
D2 extends from GB neck to Lumbar vertebra 4. It is a retroperitoneal structure.
Shackelford page 824
53) A
Boerhaave syndrome is forceful vomiting against a closed glottis. The obstruction at both ends leads to perforation at the weakest point in the lower esophagus. The contents mostly perforate in the mediastinum and pleural cavity but can cause peritonitis
Due to excessive chemical irritation, there is very limited role of conservative management.
Ref : Bailey page 992
54) a
Bochdalek hernia comprises of 85% of congenital diaphragmatic hernias. 80% of these are left sided. Most are repaired in children. Congenital hernias develop because of incomplete embryological development of diaphragm.
Morgagni hernias (retrosternal or Larry's hernia) occur in triangular space between muscle fibres that make up the diaphragm extending from xiphisternum and costal cartilage to the central tendon of diaphragm. 90% are right sided as on the left pericardium prevents the herniation.
Ref Shackelford page 506
55) b
Association of carcinoma esophagus is with a number of risk factors. Both squamous cell carcinoma and adenocarcinoma of esophagus have different etiologies
Risk factors for Adenocarcinoma are Risk factor for Squamous cell carcinoma are
- Tobacco 1. Alcohol
- GERD 2. tobacco
- Obesity 3. Achalasia
- Barrett 4. Caustic injury of esophagus
- H/o previous radiation for breast cancer 5. Previous radiation of CA breast
6. H/o head and neck cancer
7. Plummer vinson and tylosis
56) c 3 years
Scandinavian sarcoma group trial recommendations for Imatinab
a) 3 year course after resection of high grade GIST
b) Imatinab as neo adjuvant therapy in locally advanced GIST
c) Metastatic disease and resected primary with high risk of recurrence- Indefinite therapy
Ref Sabiston page 1230
57) c
Discussed previously here
58) A
acute pseudo obstruction
X ray abdomen shows colonic obstruction with caecal distension
Caecal perforations are known to occur if caeacal diameter is more than cm
Mechanical cause needs to be ruled out by colonoscopy or single contrast water soluble enema
Treat the cause or give neostigmine
Ref Bailey 28 1998
59) a
Important drugs that cause pancreatitis are
Corticosteroids
Azathioprine
Asparaginase
Valproic acid
Thiazides
Estrogen
60) a