DELORME OPERATION

 

Q1.Steps of Delorme operation are all except

a.circumferential stripping of rectal mucosa over the length of the prolapse

b.removal of redundant underlying muscles

c.excision of excess mucosa

d.mucosal anastomosis

ANS1.b

The underlying muscle is plicated with a series of sutures ,so that the rectal muscle is concertinaed towards the anal canal .The resulting effect is to reduce the prolapse as plicated ring of muscle above the anal canal

Delorme operation may be preferred in patients with short segment full rectal prolapse

Q2.The procedure of choice in patients presenting with incarcerated and strangulated rectal prolapse is

a.Delorme operation

b.Thiersch operation

c.Altemeier s procedure

d.LVMR

Q2.c

Altemeier procedure is a good alternative perineal procedure to the Delorme operation ,particularly following recurrence .

APPLE- PEEL ATRESIA

 

Q1.Bishop-Coop operation is done for

a.jejunal atresia

b.duodenal atresia

c.meconium ileus

d.all

ANS 1.C

Q2.Apple- peel atresia refers to

a.duodenal atresia

b.jejunal/ileal atresia

c.colonic atresia

d.esophageal atresia

ANS2.b

THE SIGN OF DANCE

  Q1.The sign of Dance is seen in

a.volvulus

b.intussusception

c.hypertrophic pyloric stenosis

d.mid gut mal-rotation

ANS1.b

Feeling of emptiness in the right iliac fossa noted in intussusception is

 known as the sign of Dance .

Q2.All true regarding caecal  volvulus except

a.caecal volvulus usually a anti -clockwise twist

b.caecum usually in the left upper quadrant

c.more in female

d.in fourth and fifth decades

Q2.a

Caecal volvulus is usually in clockwise twist

Mcq radiology

 

1..Which is the most common tumour to spread to pancreas

a.lung  cancer

b.liver cancer

c.renal cancer

d.gastic cancer.

1.a

Renal cancer has unusul proclivity to metastasize to the pancreas

2..Renal cancer metastases to pancreas is characterised by

a.renal cacer most common primary

b.hypervascularity

c. Confused with renal neuro-endocrine tumour

d.all

2.d