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Questions on Esophagus

Surgery Multiple Choice Questions Small Intestine Exams

Questions on Liver
Q1.) Which of the following statement is true for epiphrenic diverticulum Hepatobiliary Questions
a) Surgery or Endoscopic Intervention is required in almost all cases at detection
b) Most of these diverticulum of esophagus are primary Pancreas
c) Most of the epiphrenic diverticula are on the right
d) These are also known as traction or mid esophgeal divertcula
................................................................................................................................................... Spleen

Q 2) .Not true about CEA (Carcino Embryonic antigen) in Carcinoma Colon

a) It is a useful screening test in Carcinoma colon

b) Slight elevation of CEA can occur in certain beningn diseases.
c) CEA is useful as a prognostic marker in Cancer of Colon
d) Preoperative CEA value is a predictor of survival in Carcinoma Colon
...................................................................................................................................................
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Q3) . Which of the following statement is not true for ideal hepaticojejunostomy
Pancreatic Cancer Signs
symptomfind.com/PancreaticCancer
How To Tell If You Have Pancreatic Cancer. Symptoms, Causes, & More.
Schwartz's
Principles...
a) The anastomosis should be tension free
b) All the suture knoys should be on the outside of bile duct
c) Mucosal contact must exist between the mucosa of the bowel and bile duct Shop now
d) Anastomosis done with single layer absorbable sutures
...................................................................................................................................................

Q4) . Barrett's esophagus is a premalignant condition. Which of the following

statement is false regarding
Barrett's esophagus
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For Stomach
a) Barrett's mucosa predisposes to Squamous cell carcinoma of esophagus medixselect.com
b) Risk of Cancer is 0.5% per year Top Doctor Explains
c) Prevalence of Barrett's esophagus in general population is 2-7% How Common Foods
d) Intestinal type of mucosa with goblet cells is the most common Cause Digestive Pain.
histopathological finding See Now

.................................................................................................................................................................................................

Q 5). A 45 year old lady presents to the HepatoBiliary Clinic with a large 3 cm
stone in the neck of gall bladder
eroding into the Common Bile duct (CBD) effacing about 50% of its diameter. Best of the 5 MCQs rated
Patient has been counselled about surgery and is willing for the same.What by our subscribers. Dont
would be the most appropriate surgery for this patient? miss out on this free
question bank
a) Cholecystectomy, removal of stone and primary repair of CBD over a T tube
b) Radical Cholecystectomy
c) Cholecystectomy and use of a flap of Gall Bladder to repair the defect in CBD
d) Cholecystectomy and Roux en Y Hepaticojejunostomy
...................................................................................................................................................

Answers

Sabiston Textbook Surgery

1) c
Epiphrenic diverticulum is a lower esophgeal diverticulum with in 10 cm of gastro
esopheal junction (GEJ) Most of these are secondary and false due to
associated motor disease such as Diffuse esophageal spasm (DES) or Achlasia.
Unlike the middle esophageal divertula these are not traction diverticula. These
are most commonly seen on the right side.
Most of these are asymptomatic and treatment is required only if they cause chest
pain (due to DES) or regurgitaion or aspiration.
Sabiston
Textbook...
$158.46

2) a Shop now

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 CEA is an oncofetal protein that is normally present during fetal life but can be
present in low concentrations in healthy adults. Structurally, it is a
glycoprotein with a molecular weight of 200 kDa. It is not useful as a screening
test because of its low sensitivity in early-stage disease.
It can be increased in several beningn diseases such as rheumatoid arthritis,
cystic diseases of kidneys, COPD, cirrhosis.
It is useful as a follow up investigation after colonic resection because increasing
levels correlate with the stage of the disease and similarly preop values correlate
with the severity of the disease
............................................................................................................................................................................................................................................................
3) b
Ideal Hepaticojejunostomy should be tension free with mucosal approximation
and done using single layer absorbale suture
All though it is desired that the suture knot should be outside but absorbale suture
are bein used , in the posterior layer knots may be place on the inside of the
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4) a
Barrett's esophagus is associated with adenocarcinoma and not squmaous cell
carcinoma. Metaplasia occurs most commonly because of GERD and the normal Join Surgery Questions
esopheal lining is replaced by columnar cells Your Email:
These columnar cells can be (i) Junctional cells (ii) Gastric cells and (iii) Intestinal
Type of cells
Prsence of intestinal type of cells with prsence of goblet cells is the sine quo non
of Barrett's esophagus Subscribe
All other options are true.
......................................................................................................................................................................................................................................................

5) d
This patient has typical feature of Mirizzi's syndrome named after the Pablo
Mirizzi. Live Traffic Feed
It is a rare condition in which stone gets impacted in the neck of Gall Bladder. The
stone compresses the CBD externally or can lead to fistula formation with the
CBD.
Patients generally present with pain abdomen, jaundice and fever. A visitor from Houston, Texas
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The Csendes classification of Mirizzi syndrome is
A visitor from Campinas, Sao
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Type 1: external compression of the common bile duct viewed "Liver MCQ - Surgery Exam
Type 2: a cholecystobiliary fistula is present involving less than one third the Questions" 7 mins ago
circumference of the bile duct A visitor from Lucknow, Uttar
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Type 3: a fistula is present involving up to two thirds the circumference of the bile viewed "Free MCH GI Surgery
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Type 4: a fistula is present with complete destruction of the wall of the bile duct A visitor from Chandra, West
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Mirizzi Syndrome Treatment A visitor from Jeddah, Makkah
Type 1 - Mirizzi syndrome treatment is fundus first cholecytectomy or partial viewed "Surgery MCQ- Exam
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cholecystectomy
For Type 2 to 4 the best treatment would be cholecystectomy and Roux en Y A visitor from Erbil, Arbil
hepaticojejunostomy. A flap of gall bladder may sometimes be used if it appears viewed "Surgery MCQ- Exam
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healthy.
A visitor from Palestinian
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Ref: Complications of Gallstones: The Mirizzi Syndrome, Gallstone Ileus, viewed "Surgery Questions (MCQ)
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Surgical Clinics of North America - Volume 88, Issue 6 A visitor from Ramallah
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 77 comments Add a comment

Manahil Abdalah · ‫ﺟ ﺎﻣ ﻌﺔ اﻟﺰﻋﯿﻢ اﻻزھﺮى‬- ‫ﻛﻠﯿﺔ اﻟﻄﺐ‬

I like
Reply · Like · April 19 at 11:23pm

Surg Mcq · St. Xaviers Delhi

Thanks for liking :-)
Reply · Like · April 24 at 4:25am

Alka Singh · Kilpauk Medical College

like:)
Reply · Like · December 26, 2013 at 10:35pm

Surg Mcq · St. Xaviers Delhi

Thanks
Reply · Like · December 29, 2013 at 11:31am

Drvipan Kumar · Dr.rpgmc tanda

Ques 03- Option A - its incorrect, marked correct in the answ er. Its a non - compressible,
blind ending tube.
Reply · Like · November 17, 2013 at 9:18pm

Bariatric Surgery
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