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SURGICAL GASTROENTEROLOGY​


SURGICAL GASTEROENTEROLOGY MCQs

1:-Extended criteria for deceased donor liver transplantation include the following except
A:-Age < 65 years
B:-Hepatitis C positive
C:-Steatosis
D:-Non-heart-beating donor
Ans: A

2:-A "triangle cord sign" found on ultrasound indicates
A:-Chronic pancreatitis
B:-Budd-Chiary syndrome
C:-Biliary atresia
D:-Splenic vein thrombosis
Ans: C

3:-The classic clinical triad of Budd-Chiari syndrome include the following except
A:-Abdominal pain
B:-Jaundice
C:-Hepatomegaly
​D:-Ascites
Ans: B

4:-Primary Sclerosing Cholangitis is associated with all except
A:-Crohn's disease
B:-Ulcerative colitis
C:-Acute pancreatitis
D:-Riedel thyroiditis
Ans: C

5:-Portopulmonary hypertension is defined as the mean pulmonary arterial pressure above
A:-20 mm Hg
B:-25 mm Hg
C:-110 mm Hg
D:-120 mm Hg
Ans: B

6:-Factors associated with poor outcome in amoebic liver abscess are the following except
A:-Solitary abscess
B:-Hypoalbuminemia
C:-Serum bilirubin above > 3.5 mg/dL
D:-Anemia
Ans: A

7:-The following are correct regarding the sphincter of Oddi except
A:-Normally it is less than 1 cm in length
B:-Contains both circular and longitudinal fibers
C:-Composed of four sphincters
D:-Functions in synchronously with the surrounding duodenal musculature
Ans: D

8:-Commonest cause of true splenic cyst
A:-Congenital
B:-Post traumatic
C:-Echinococcus granulosus
D:-Vascular
Ans: C

9:-Fold of treves is located at
A:-Pylorus
B:-Rectosigmoid junction
C:-Duodeno-jejunal flexure
D:-Base of the appendix
Ans: D

10:-Following are the names of surgical procedures for prolapse rectum except
A:-Martius
B:-Altmeier
C:-Delorme
D:-Ripstein
Ans: A

11:-Extraabdominal presentations of diverticulitis include the following except
A:-Osteomyelitis
B:-Pyoderma gangrenosum
C:-Uveitis
D:-Epididymitis
Ans: C

12:-In portal hypertension variceal bleeding rarely occurs until portal pressure exceeds
A:-12 mm Hg
B:-15 mm Hg
C:-8 mm Hg
D:-10 mm Hg
Ans: A

13:-Ogilvie syndrome is in
A:-Acute colonic pseudoobstruction
B:-Colonic polyposis syndrome
C:-Pelvic floor dysfunction
D:-Type III colonic atresia
Ans: A

14:-Criminal nerve of Grassi is a branch of
A:-Anterior vagus N
B:-Posterior vagus N
C:-Right recurrent laryngeal N
D:-Left recurrent laryngeal N
Ans: B

15:-Radiographic features characteristic of Crohn colitis include the following except
A:-Skip areas
B:-Pseudodiverticula
C:-Pseudopolyps
D:-Rectal ulcers
Ans: D

16:-Most common postoperative complication seen after IPAA is
A:-Small bowel obstruction
B:-Pouchitis
C:-Cuff abscess
D:-Anastomotic leak
Ans: A

17:-Collis gastroplasty is for
A:-Pyloric stenosis
B:-Oesophageal lengthening
C:-Morbid obesity
D:-Dumping syndrome
Ans: B

18:-Spigelman staging is for
A:-Desmoid
B:-Duodenal adenomas
C:-Hepatoblastoma
D:-Osteoma in FAP
Ans: B

19:-Most common type of gastric volvulus is
A:-Primary
B:-Mesenteroaxial
C:-Organoaxial
D:-Mixed
Ans: C

20:-Valves of Heister are found in the
A:-Rectum
B:-Appendix
C:-IIeocaecal region
​D:-Cystic duct
Ans: D
​21:-In cell division cycle, replication of DNA occurs in the
A:-G1 phase
B:-G2 phase
C:-S phase
D:-M phase
Ans: C

22:-The three morphologic patterns of serous cystadenoma are the following except
A:-Polycystic
B:-Macrocystic
C:-Oligocystic
D:-Honeycomb
Ans: B
​
23:-"Typical" patient of acute mesenteric ischaemia is characterised by the following except
A:-Woman on OC pills
B:-Intermittent atrial arrhythmia
​C:-Peripheral artery disease
D:-Flat, scaphoid abdomen
Ans: A

24:-Layers of oesophageal wall are the following except
A:-Mucosa
B:-Submucosa
C:-Muscularis propria
D:-Serosa
Ans: D

25:-In a preexisting malignancy, liver transplantation is advisable if the predicted recurrence rates is                                                    over the next 2 years.
A:-Nil
B:-Less than 5%
C:-Less than 10%
D:-Less than 12%
Ans: B

26:-In TNM staging for colorectal cancer; tumor deposit in the mesentery, without regional nodal metastasis is
A:-N1c
B:-N2b
C:-M1a
D:-M1b
Ans: A

27:-The incidence of carcinoid syndrome in neuroendocrine tumors is
A:-10% to 20%
B:-50%
C:-60% to 71%
D:-100%
Ans: A

28:-Takayasu disease is a cause for
A:-Acute mesenteric ischaemia
B:-NOMI
C:-Chronic mesenteric ischaemia
D:-Mesenterc venous thrombosis
Ans: C

29:-Primary nonfunction after liver transplantation means severe graft dysfunction within
A:-24 hours
B:-48 hours
C:-7 days
D:-14 days
Ans: C

30:-The most common indication for splenectomy is
A:-Trauma
B:-Hypersplenism
C:-ITP
D:-Primary splenic tumors
Ans: A

31:-Inside the gallbladder, pH of the entering hepatic bile
A:-Gets neutralised
B:-Remains same
C:-Increases
D:-Decreases
Ans: D

32:-Collar of helvetius is seen at the
A:-Ileo-caecal junction
B:-Oesophage-gastric junction
C:-Duodeno-jejunal flexure
D:-Splenic flexure of colon
Ans: B
​
33:-The following are the surgical procedures for small bowel syndrome except
A:-LILT
B:-STEP
C:-IOWA
D:-IPOM
Ans: D

34:-Rome criteria can be used for
A:-HNPCC
B:-Ulcerative colitis
C:-Fecal incontinence
D:-Carcinoma colon
Ans: C

35:-Meissner's plexus are located in the ___________ of oesophagus.
A:-Mucosa
B:-Submucosa
C:-Muscularis propria
D:-None of the above
Ans: B

36:-Nonsurgical causes of acute abdomen include the following except
A:-Uremia
B:-Addisonian crisis
C:-Sickle cell crisis
D:-Ruptured ectopic pregnancy
Ans: D

37:-The most common presentation of Peutz-Jeghers syndrome is
A:-Abdominal pain
B:-Hypermelanotic macules
C:-Anemia
D:-Blood in stools
Ans: A

38:-Notaras procedure is
A:-Closed sphincterotomy
B:-Excisional hemorrhoidectomy
C:-Complete prolapsed rectum
D:-Delayed fistulotomy
Ans: A

39:-Thoracic duct drains normally into
A:-Cysterna Chyli
B:-Azygos vein
C:-Right subclavian vein
D:-Left subclavian vein
Ans: D

40:-Lower oesophageal resting pressure can be decreased by all except
A:-Progesterone
B:-Glucagon
C:-CCK
D:-Motilin
Ans: D

41:-Milwaukee classification system is for
A:-Carcinoma stomach
B:-Sphincter of oddi dysfunction
C:-Ulcerative colitis
D:-Barrett's oesophagus
Ans: B

42:-Downhill varices are seen due to
A:-Cirrhosis liver
B:-Left sided portal hypertension
C:-Superior vena caval obstruction
D:-Inferior vena caval obstruction
Ans: C

43:-Normal embryological midgut rotation is
A:-180-degree clockwise around SMA
B:-180-degree counter clockwise around SMA
C:-270-degree clockwise around SMA
D:-270-degree counter clockwise around SMA
Ans: D

44:-The status 'rTNM' indicates
A:-Post radiotherapy
B:-Recurrence
C:-Rare tumour
D:-Radical surgery
Ans: B

45:-The stimuli for gastrin release include the following except
A:-Acidic pH
B:-Acetylcholine
C:-Calcitonin
D:-Luminal peptides
Ans: A

46:-Following are the techniques for percutaneous endoscopic gastrostomy (PEG) except
A:-Witzel
B:-Ponsky-Gauderer
C:-Sacks-Vine
D:-Russell
Ans: A

47:-Prague C and M criteria is for
A:-Asymptomatic gall stones
B:-Barrett esophagus
C:-Chronic pancreatitis
D:-Diverticulitis
Ans: B

48:-The type of pancreatic NET with highest incidence of malignancy is
A:-Insulinoma
B:-Glucogonoma
C:-Somatostatinoma
D:-Nonfunctioning
Ans: D

49:-"Cotton wool" appearance in angiography is characteristic of
​A:-Haemangioma
B:-Hepatic adenoma
C:-Focal nodular hyperplasia
D:-NET metastasis
Ans: A

50:-SAGES recommendations for antireflux surgery in GERD are the following except
A:-Failure of medical management
B:-Patient opts for surgery
C:-Malignant transformation
D:-Extraesophageal manifestations
Ans: C

51:-Gross's classification is for
A:-Carcinoma colon
B:-Anorectal malformations
C:-Carcinoma stomach
D:-Congenital esophageal abnormalities
Ans: D

52:-IPOM repair is done for
A:-Achalasia cardia
B:-Duodenal atresia
C:-Hirschsprung disease
D:-Inguinal hernia
Ans: D

53:-Intrinsic factor is secreted by _________________ cells in the stomach.
A:-Chief cells
B:-Parietal cells
C:-G cells
D:-D cells
Ans: B

54:-The most common presentation of Meckel diverticulum in adults is
A:-Diverticulitis
B:-Haemorrhage
C:-Obstruction
​D:-Perforation
Ans: C

55:-Type IV ulcer in the modified Johnson classification of gastric ulcers means
A:-Combined gastric and duodenal
B:-Juxtoesophageal
C:-Prepyloric
D:-Drug induced
Ans: B

56:-As per the Forrest classification for risk of rebleeding, an ulcer with a nonbleeding visible vessel means
A:-Grade I a
B:-Grade I b
C:-Grade II a
D:-Grade II b
Ans: C

57:-Gastrinoma triangle is bounded by these lines except
A:-Lower border of liver
B:-Cystic duct and CBD junction
C:-Second and third part of duodenum
D:-Head and neck of pancreas junction
Ans: A

58:-The most frequent type of bezoars is
A:-Trichobezoars
B:-Phytobezoars
C:-Pharmacobezoars
D:-Lactobezoars
Ans: B

59:-Following are the actions of Cholecystokinin (CCK) except
A:-Inhibits gallbladder contraction
B:-Relaxation of sphincter of oddi
C:-Slows intestinal transit
D:-Inhibits gastric emptying
Ans: A

60:-Plicae circulars is seen in
A:-Gastro-oesophageal junction
B:-Small bowel
C:-Rectum
D:-Cystic duct
Ans: B

61:- As per the Todani classification involvement of intra and extrahepatic bile duct is
A:-Type II
B:-Type III
​C:-Type IV
D:-Type V
Ans: C

62:-Paneth cells play an important role in the
A:-Fibrosis of liver parenchyma
B:-Exocrine function of pancreas
C:-Mucosal immune system of small bowel
D:-Reservoir function of spleen
Ans: C

63:-The pro-secretory hormones of small bowel include the following except
A:-Vasoactive intestinal peptide
B:-Peptide YY
C:-Substance P
D:-Cholecystokinin
Ans: B

64:-Cambridge classification is for
A:-Acute pancreatitis
B:-Chronic pancreatitis
C:-Acute liver failure
D:-Chronic liver failure
Ans: B

65:-Carney triad consists of the following except
A:-Carcinoid tumour
B:-GIST
C:-Paraganglioma
D:-Pulmonary chondromas
Ans: A

66:-The most common site of genetic mutation of KIT is found within
A:-Exon 7
B:-Exon 9
C:-Exon 11
D:-Exon 17
Ans: C

67:-Commonest cause of mesenteric venous thrombosis is
A:-Ideopathic
B:-Hypercoagulable states
C:-Congestive heart failure
D:-Intraabdominal malignancy
Ans: B

68:-The GI lymphoma most commonly associated with H. Pylori infection is
A:-Diffuse large B-cell lymphoma
B:-Burkitt lymphoma
C:-Enteropathy-type T-cell lymphoma
D:-MALT lymphoma
Ans: D

69:-The technique of reduction of intussusception using hydrostatic pressure was first described by
A:-Harald Hirschsprung
B:-Jonathan Hutchinson
C:-Mall and Ladd
D:-Drummond
Ans: A

70:-The most common visceral aneurysm occurs in
A:-Cystic artery
B:-Hepatic artery
C:-Splenic artery
D:-Middle colic artery
Ans: C

71:-Which among the following is not a stricturoplasty technique?
A:-Jaboulay
B:-Heineke-Mikulicz
C:-Michelassi
D:-Kimura
Ans: D

72:-Triangle of Laimer is located at the
A:-Upper end of oesophagus
B:-Lower end of oesophagus
C:-Near the ileocaecal valve
D:-At the porta hepatis
Ans: A

73:-These have great personalities have won the Noble Prize except
A:-Alexis Carrel
B:-Medawar
C:-Joseph E. Murray
D:-Thomas E. Starzl
Ans: D

74:-The risk for malignancy in IPMN maximum in
A:-Branch duct IPMN
B:-Main duct IPMN
C:-Mixed type IPMN
D:-Focal IPMN
Ans: B

75:-The type of pancreatic cystic neoplasm characterized by presence of ovarian stroma is
A:-Serous cystic neoplasms
B:-Mucinous cystic neoplasms
C:-IPMN
D:-All of the above
Ans: B

76:-In a standard whipple procedure, lines of resection are at the following levels except
A:-2 cm distal to the pylorus
B:-Neck of the pancreas
C:-Juct above cystic duct-CBD junction
D:-30-40% of distal stomach
Ans: A

77:-The most common benign biliary tumor is
A:-Papillomas
B:-Lipomas
C:-Cystadenoma
D:-Leiomyomas
Ans: A

78:-Edmonton protocol is for
A:-Liver transplantation
B:-Small bowel transplantation
C:-Multiorgan transplantation
D:-Islet transplantation
Ans: D

79:-The most common anomaly of formation of the gallbladder is
A:-Bilobed gallbladder
B:-Diverticulum of the gallbladder
C:-Phrygian cap
D:-Rudimentary gallbladder
Ans: C
​
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