Q.The most important predisposing factor for Venous thromboembolism( VTE )is
a.congenital
b.hospital admission
c.obesity
d.trauma
ANS.b
Q.All are congenital cause of VTE except
a.factor VI defect
b.deficiency of antithrombin III
c.deficiency of protein C
d.factor V Leiden gene defect
Q.a
Deficiency of protein S ,antiphospholipid antibody are also implicated in congenital cause of VTE .
Q Deep palpation of the left iliac fossa may cause pain in the right
iliac fossa
in acute appendicitis is known as
a.psoas
sign
b.Rovsing
sign
c.obturator
sign
d.Pointing
sign
ANS .b
Q.Whose
name is associated with classification of severity of colitis
a.Truelove
and Witts
b.Polya
c.Chrohn
d,all
ANS .a
Q.Characteristic rose spot on the abdomen caused by vasculitis is
seen in which infection of small intestine
a.yersinia
b.complyobacter
c.salmonella
d.tuberculosis
ANS .c
Q1.Reigler
triad is related to
a.gall stone
ileus
b.gall stone
peritonitis
c.renal
stone ureteric fistula
d.renal
stone ileus
e.fecolith
ileus
ANS.
a
Regler triad
is virtually diagnostic of gall stone ileus on abdominal radiographs
Q2.Rigler
triad include
a.pneumobilia
b.small
bowel obstruction
c.ectopic
calcified gall stone
d.large
bowel obstruction
e.none
ANS.
d
Q3.In
gallsone ileus ,gall stone size is usually
a.less than
2cmm
b.2cm or
larger more than 2cm
c.less than
1cm
d.larger
than 3cm
e.larger
than 4cm
ANS.
b
Q4.What is
usual site of obstruction in gall stone ileus
a.jejunum
b.duodenum
c.proximal
ileum
d.distal
ileum at or near ileo-cecal valve
e.ascending
colon
ANS.d
Q1.true regarding small bowel obstruction
a.in supine radiograph –dilated,gas-filled small bowel
loops larger than 3cm in diameter with little or no gas in the small bowel or
colon distal to obstruction
b.upright or decubitus abdominal radiographs –multiple
air fluid levels in the dilated small bowel
c.step ladder appearance
d.string of pearl sign
e.all
ANS.
e
Gas
–filled small bowel loops above the obstruction may have horizontal orientation
in the central abdomen ---and produce stepladder pattern .
Small
amount of gas trapped between small bowel folds on upright or decubitus
radiographs may appear as tiny bubbles of gas lined up along the non-dependant
bowel surface ( known as string of pearls sign ) .
Gaseless abdomen –when patients swallow little or no
air ,abdominal radiographs may reveal multiple tubular soft tissue densities
representing fluid-filled loops of small bowel and a paucity of bowel gas
distal to obstruction producing so-called gasless abdomen.
Q2 .The most common cause of small bowel obstruction is
a.external hernia
b.post-operative adhesion
c.small bowel tumour
d.intestinal parasites
e.acute appendicitis
ANS
.b
The second most common cause of small bowel obstruction is external herna ( inguinal .femoral ,umbilical or incisional )
Q3. All true regarding colonic obstruction except
a.more
than 50% due to annular carcinoma
b.the
most common site is ascending colon
c.paucity
of gas in distal colon and rectum
d.can
mimic small intestinal obstruction in case of incompetent ileo-caecal valve
e.dilated
gas filled loops of colon proximal to obstruction
ANS.
b
The most common site of colonic obstruction is sigmoid colon where the colon has narrower caliber .Carcinoma of the cecum and ascending colon are less likely to cause obstruction because of wider caliber of the right side of colon .
Q3.all
true about closed loop obstruction except
a.segment
of bowel obstructed at two points
b.usually
involve large intestine intestine
c.caused
by adhesion ,internal henia or volvulus
d.coffee
bean appearance
e.pseudotumour
appearance
ANS.
b
Closed
loop obstruction usually involve small segments .Occasionally ,there may be
disproportionately dilated gas –filled loop of small bowel that has the
appearance of a coffee beans .
Of
obstructed segments fills with fluid ,rounded soft tissue mass produces
pseudotumour appearance .
