Stomach Q1-5

Free surgery questions and answers in stomach and gastric surgery

Stomach surgery questions asked in NBE, MCH, MRCS and USMLE exams. Stomach is a vast topic and questions can range from anatomy, physiology, benign diseases such as GAVE, Menetrier's disease and malignancy.

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 Questions  6-10    Questions 11-15              Questions 16-20              Questions 21- 25            Questions 26-30   Bariatric

  Q1. Ideal treatment of alkaline reflux gastritis after Billroth I and Billroth II gastrectomy is-

 a) Conversion of Billroth I gastrectomy  to Billroth 2 surgery
b) Roux en Y gastrojejunostomy
c) Total gastrectomy

d) Conservative management


 1. b

Now aims is relief of symptoms.
Surgery is recommended for those who have intractable symptoms.
The surgical procedure of choice is conversion of Billroth II to Roux-en Y Gastrojejunostomy in which the Roux limb is lengthened to 45 cm

 Q2.Surgical Treatment of bleeding Type I stomach ulcer is
 a) Wedge resection of the gastric ulcer
b) Oversewing the vessel at the ulcer base
c)  Distal gastrectomy

d)  Distal gastrectomy along with truncal vagotomy

 2. c

Treatment of choice for a bleeding gastric ulcer Type I is distal gastrectomy followed with a Billroth I gastrojejunostomy. 
For type II and type III ulcers vagotomy is done 
In sick and frail patients, figure of 8 suture at the base of vessel or wedge excision can be done
Ref Sab

 Q3.Helicobacter Pylori (H.Pylori) is a known  cause of peptic ulcer disease.It was discovered in Australia in 1987. Which of the following statements is not true regarding it?
a) Its infectivity is highest in developed world.
b) Person to person transmission is common
c) It is seen in populations with low socio economic status

d)H. Pylori is a gram negative microaerophilic bacteria

 3. a

H. Pylori was discovered by Warren and Marshall in 1987.
It is a disease associated with poor sanitation, over crowding and under developed countries.
Peptic ulcer associated with H. Pylori is rarely seen in the developed countries.

 Q4. Which of the following hormones are not released in duodenum?
a) Gastrin
b) Motilin
c) Somatostatin

d) Pancreatic YY

 4. d
Peptide YY is released from ileum.
Gastrin - G cells stomach
Motilin- M cells from duodenum and jejunum
Somatostatin - D cells in pancreas, stomach and duodenum

 Q5. Treatment for bleeding duodenal diverticulum is
a) Diverticulectomy
b) Diverticulopexy
c) Diverticulization

d) Subtotal diverticulectomy

 5. a

Treatment of choice in such cases is diverticulectomy.
Subtotal diverticulectomy is done if the diverticulum is very close to ampulla of vater
to safeguard the bilio- pancreatic ducts.