Mcq Subject: Surgery
Mirizzi syndrome, all are true except -Gallstone ulcerating into common ductImpacted in cystic ductSevere pericholecystic inflammationObsturctive jaundiceAns: None > CSolution:Ans. is None > ‘c’ i.e., None > Severe pericholecystic inflammation * Options A, B, D are definitely true.* One can also expect pericholecystic inflammation if the stone ulcerates in Mirizzi SyndromeMirizzi syndrome’common hepatic duct obstruction caused by an extrinsic compression from an impacted stone in the cystic duct or Hartmann’s pouch of the gallbladder’Type I mirizzi syndromeType II mirizzi syndromeAn impacted stone in the gallbladder infundibulum or cystic duct can compress the bile duct, usually at the level of the common hepatic duct.A stone can erode from the gallbladder or cystic duct into the common hepatic duct, resulting in a cholecystochole- dochal fistula.ClinicalPatients are seen with symptoms of acute cholecystitis but with the additional finding of hyperbilirubinemia and elevated alkaline phosphatase.ManagementLaproscopic approach is not recommended as it results in high conversion rate and high complication rates.Open cholecystectomy is the gold standard for treatment when this condition is identified preoperatively.In the acute setting, the biliary obstruction often resolves after cholecystectomy and resolution of the inflammatory process.If inflammation has obliterated the triangle of Calot, a partial cholecystectomy with removal of any stones may be all that is possible and usually resolves the condition.Best initial test for achalasia cardia –
A. Barium meal
B. Bariun meal follow through
C. Enteroclysis
D. Barium swallow
View DescriptionWhat is the first step taken in case of multiple injuries of face and neck?
A. Blood transfusion
B. IV fluids
C. Reconstruction
D. Maintenance of airways
View DescriptionWhat is the method of breast examination depicted in the video? (The clinician was palpating with the tips of finger except thumb started from 2 o’clock posterior palpated at 3 points on line joining periphery to nipple. Then again went to 3 o’clock point directly and came back centripetally while palpating at 3 points again on the line joining periphery and nipple):
A. Vertical strip method
B. Concentric method
C. Clock wise method
D. Quadrant method
View DescriptionA two month old infant has undergone a major surgical procedure. Regarding postoperative pain relief which one of the following is recommended
A. No medication is needed, as infant does not feel pain after surgery due to immaturity of nervous system.
B. Only paracetamol suppository is adequate
C. Spinal narcotics intrathecal route
D. Intravenous narcotic infusion in lower dosage
View DescriptionA 45-year-old male with history of recurrent ureteric calculi presented with fever. Right-sided nephrectomy was performed. Gross view and histology have been provided. What is your diagnosis?
A. Chronic pyelonephritis with hydronephrosis
B. Renal cell carcinoma
C. Autosomal dominant polycystic kidney disease
D. Cystic dyspiastie kidney
View Description“Lyre sign” is a feature of:
A. Cystic hygroma
B. Branchial Fistula
C. Bezold's abscess
D. Carotid body tumor
View DescriptionSerum amylase is NOT raised in
A. Cholecystitis
B. Peptic ulcer perforation
C. Intestinal ischemia
D. Ruptured ovarian cyst
View DescriptionCystosarcoma phyllodes is treated by:
A. Simple mastectomy
B. Radical mastectomy
C. Modified radical mastectomy
D. Antibiotic with conservative treatment
View DescriptionMost common site of rhabdomyosarcoma is?
A. Orbit
B. Nasopharynx
C. Extremities
D. Hypopharynx
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