XVI. Surgery - Previous quesions

XVI. Surgery

Oesophageal ca prognosis depends on?

T stage
Length of segment involved
Age of presentation
o

Answer Tstage

A child with billiary atresia – preop bili 12, hepatojejunostomy done, postop 2 weeks bili 6, cause?
Incision for diaphragm surg – circumlinear
screening not useful in which cancer?

colon

prostate
testicular
breast

ANSWER C

 Absent microvilli?

Pct
Duodenum
CT
Gall bladder

ANSWER C:CT

Prophylactic splenectomy was done. Resistant case of ITP to steroids , patient develops fever , chills and rigor. Isnt it ? Penumococcal pneumonia .. Lower lobe consolidation on cxr. ? lung atelectasis



Pepetic ulcer is asso with all except one??

cirrhosis
zollinger ellison syndrome
primary hyperparathyroidism
pernicious anemia

3 yr old child with hydrocoele hernia sac.. Management?

Herniotomy
Herniorrhaphy
Observation
9

Ans herniotomy

Mallory weiss tear mc artery involved?

Short gastric
Left gastric
Coronary
Phrenic

Ans B

Oncocyte dx test is done for?

Chemotherapy in HR -ve
Hormone therapy in HR +ve
Herceptin in HER2 +ve
Hormone therapy in HR -ve

Ans

2month neonatal hepatitis with conjugated bilirubin .. liver biopsy showed granular cytoplasm which is pas positive..diagnosis 1 cong hepatic fibrosis 2 extrahepatic biliary atresia 3 malformation of duct 4



patient after splenectomy developed chill and rigor on 3 rd day..what correlates with the patient. 1- consolidation in lung 2- uti 3- renal failure..4- port site infection



MESORECTUM CONTAINS ALL EXCEPT .sup rectal vein,inf rectal vein pararectal nodes ,some plexus

inferior rectal artery

 the q 60 yr old female with blood stained nipple discharge with +ve family h/o breast ca NEXT investigation after clinical assessment?

MRI

ductography

cytology of discharge

sono mammogram?

a young girl with a mass in lower abdomen involving hypogastrium , unable to insinuate fingers from pelvic bone??

duplication of intestine
mesenteric cyst
omental cyst
ovarian cyst



m/c bariatric surgery

laparo band
sleeve gastrectomy
roux en y

17.during inguinal hernia operation a track was left in the lateral part of iliopubic tract…pt complaints of paraesthesia & pain in rt.thigh,nerve involved?

a ilioinguinal nv.

b genitofemoral nv.

c lat. cutaneous nv.of thigh…

d obturator nv

Was site of paresthesia mentioned-

Anterior thigh- Genitofemoral nerve

Lateral thigh- Lat cutaneous nerve of thigh

I guess here answer should be lat cutaneous nr of thigh

Best imaging modality to diagnose acute appendicitis in children. Answer is CT scan.