MCQ

EXPLAINATORY ANSWER

32.Splenectomy is done in young for:

A.ITP
B. Elliptocytosis
C. Hodgkins
D.None
Ans.B

In Hereditary elliptocytosis, patients

with symptomatic anemia should
undergo splenectomy to prolong RBC
survival. Optimum age for
splenectomy is 7 years.
Ref: SRBs Manual of Surgery,3rd
edition, Sriram Bhat M MS (General
Surgery) pg 605
Washington manual of surgery,6th
edition, edited by Mary E.
Klingensmith MD Abdulhameed Aziz
MD Ankit Bharat MD Amy C. Fox MD
Matthew R. Porembka MD D e p a rtm
e nt of S u r g e r y, W a s hin gto n U
niv e r sity, S c h o ol of M e dicin e, S
t. L o uis, Mis s o u ri ,pg.394

MCQ

EXPLAINATORY ANSWER

33.The spleen contains about ---% of

total blood volume:
A. 1
B.2
C.5
D.7
Ans.A

Splenic blood flow (150ml/min) is

approximately 4% of cardiac output.
Nearly 350 litres of blood pass
through spleen every day and about
1% of total blood volume is in spleen.
Ref: Portal Hypertension: Clinical and
Physiological Aspects,edited by :
Kunio Okuda,Jean-Pierre
Benhamou,pg.88

MCQ

EXPLAINATORY ANSWER

34.Gallstones are likely to impact:

A. Duodenum
B. Jejunum
C. Ileum
D. Sigmoid colon
Ans.C

Commonly gallstones get impacted in

supraduodenal portion of CBD. Stone
in CBD due to impaction causes
obstruction and stasis.
Ref: SRBs Manual of Surgery,3rd
edition, Sriram Bhat M MS (General
Surgery) pg.582,583

MCQ

EXPLAINATORY ANSWER

35.Pigment stones are common in:

A. Chronic pancreatitis
B. hereditary spherocytosis
C. Idiopathic thrombocytopenic
purpura
D. Cirrhosis Pigment stones are
common in:
A. Chronic pancreatitis

Black pigment stones are formed by

supersaturation of calcium
bilirubinate, carbonate, and
phosphate, most often secondary to
hemolytic disorders such as hereditary
spherocytosis and sickle cell disease,
and in those with cirrhosis.
Ref: Schwartz principles of surgery,

B. hereditary spherocytosis
C. Idiopathic
Ans.B

edited by F. Charles Brunicardi, MD,

FACS
Associate Editors Dana K. Andersen,
MD, FACS ,Timothy R. Billiar, MD, FACS
,
David L. Dunn, MD, PhD, FACS, John
G. Hunter, MD, FACS , Jeffrey B.
Matthews, MD, FACS, Raphael E.
Pollock, MD, PhD, FACS ,10th edition,
Pg.1318,1319

MCQ

EXPLAINATORY ANSWER

36.Zollinger Ellison syndrome is

caused by:
A. Non beta cells
B. Beta cells
C. Alpha cells
D. Non alpha non beta cells
Ans.A

Gastrinoma give rise to Zolinger-Ellison

syndrome, which consists of:
(1) fulminating ulcer diathesis in the
stomach, duodenum or atypical sites;
(2) recurrent ulceration despite adequate
therapy;
(3) non-beta islet cell tumours of the
pancreas
Gastrinomas arise from non-beta cells (G

cells) of the pancreas, which secretes high

levels of gastrin.
Ref: Bailey and Loves short practice of
surgery,26th edition,edited by:Norman
S.Williams, Christopher J.K. Bulstrode ,
P. Ronan OConnell,pg.789

SRBs Manual of Surgery,3rd edition,

Sriram Bhat M MS (General
Surgery)pg.639