23.5.2013 (15) Flashcards

(36 cards)

0
Q

Symptoms of 1st degree internal hemorrhoids

A

Bleeding alone

No prolapse

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1
Q

Sites of hemorrhoids

A

3,7 and 11 o clock position

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2
Q

MC immediate post op complication of hemorrhoidectomy

A

Urinary retention

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3
Q

MC cause of anal canal stenosis

A

Hemorrhoidectomy

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4
Q

Least painful treatment of hemorrhoids

A

Doppler guided hemorrhoidal artery ligation

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5
Q

Cancer that should be considered in any middle aged or older women presenting with new onset IBS like symptoms

A

Ovarian cancer

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6
Q

Diagnostic criteria for IBS

A

Manning

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7
Q

Interleukin responsible for class switching

A

iL-4

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8
Q

Most common organ to be affected in primary amyloidosis

A

Heart

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9
Q

Manning criteria

A

1.abdominal pain relieved by defecation
2. Loose stools accompanying abdominal pain
3.increased frequency of passing stools accompanying abdominal pain
4.abdominal distension
5.passing mucus per rectum
6.feeling of incomplete emptying
3 or more of the symptoms must be positive

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10
Q

Criteria used for diagnosing IBD

A

Manning
Kruis
RomeIII

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11
Q

Right sided colon carcinoma commonly presents with

A

Chronic blood loss

Anaemia

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12
Q

Colonic diverticulosis is best diagnosed by

A

CT scan

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13
Q

Most common type of fistula due to diverticular disease

A

Colovesical fistula

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14
Q

Rx for sigmoid esophagus

A

Esophagectomy

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15
Q

Medical Rx for achalasia cardia

A

Nitroglycerine
CCB
Boutilinum toxin
Viagra

16
Q

Most painful oesophageal motility disorder

A

Nutcracker oesophagus

17
Q

Most common oesophageal motility disorder

A

Nutcracker oesophagus

18
Q

Corkscrew appearance of oesophagus

A

Diffuse oesophageal spasm

19
Q

Rx for zenker diverticulum

A

Dohlman procedure

20
Q

Vigorous achalasia

A

Failure of relaxation of LES

SIMULTANEOUS contraction of body of esophagus

21
Q

MC surgery that produce postoperative urinary retention

A

Hemorrhoidectomy

22
Q

Difference btw DES and achalasia

A

Some amount of normal peristalsis in DES

23
Q

ALLGROVE syndrome

A

Triple A syndrome
Achalasia
Alacrimia
resistance to ACTH

24
Protein abnormal in ALLGROVE syndrome
ALADIN
25
Pseudoachalasia
Tumor of fundus or lower esophagus | Also a paraneoplastic syndrome
26
Type of dysphagia in achalasia
For both solids and liquids | Never for liquids alone
27
Difficult pylorus sign
Achalasia | Difficulty in passing endoscope beyond pylorus
28
Type of cancer in achalasia
SCC of middle oesophagus
29
Which CCB is more effective in relieving LES pressure
Nifedipine
30
Botox treatment is better for
Vigorous achalasia
31
Risk factors for perforation during pneumatic dilatation of esophagus
1. diverticula 2. tortuous sigmoid esophagus 3. previous myotomy 4. hiatal hernia
32
Common site of rectal ulcer
Anterior wall
33
Most common site of juvenile polyp
Rectum | Sigmoid
34
Rectal ulcers are | Single or multiple
Multiple
35
Most common gastrointestinal emergency in neonatal period
NEC