Gastrointestinal

Question 0

Griffith’s point

Answer 0

Splenic flexure; most common site of infarction

Question 1

Congenital hypertrophy of pigmented retinol epithelium
Desmoid tumors/epidermal cysts
Mandibular osteomas

Answer 1

Gardner’s syndrome

Question 2

IMA and SMA anastomosis

Answer 2

Marginal artery of Drummon

Question 3

MC site of gastric CA

Answer 3

Pylorus and antrum

Favored location: lesser curvature of antropyloric region

Question 4

What is the length of the esophagus?

Answer 4

25cm

Question 5

What is the distance of GEJ from incisor of teeth?

Answer 5

40cm - 43m

Question 6

What is the pharyngoesophageal fistula located in the cricopharyngeus?

Answer 6

Zenker’s diverticulum

Question 7

What syndrome involves esophageal tear involving all layers?

Answer 7

Boerhaave Syndrome

Question 8

What is the thin, submucosal ring in the lower esophagus associated with a hiatal hernia?

Answer 8

Schatzki’s ring

Question 9

Which blood type is associated with duodenal ulcer? gastric ulcer?

Answer 9

Ulcer - Blood Type
Duodenal Ulcer: Type O
Gastric Ulcer: Type A

Question 10

What are periumbilibal metastatic nodules associated with stomach CA?

Answer 10

Sister Mary Joseph’s Nodule

Question 11

What is the most common primary site for GI lymohoma?

Answer 11

Stomach

Question 12

What is the pre pyloric vein of Mayo?

Answer 12

Landmark for pylorus

Question 13

What artery is involved in bleeding peptic ulcers?

Answer 13

Gastoduodenal artery

Question 14

Most common complication of duodenal ulcer?

Answer 14

Perforation	Bleeding (Back)
Air (Anterior)

Question 15

What is the location of Virchow nodes?

Answer 15

Left supraclavicular lymph nodes

Question 16

What enteric nervous system is responsible for muscular contraction?

Answer 16

Auerbach/Myenteric plexus (between inner circular and outer longitudinal muscles)

Question 17

What enteric nervous system is responsible for secretion?

Answer 17

Meissner (Submucosa) plexus

Question 18

What is the definition of a short bowel syndrome ?

Answer 18

<200cm of small bowel in an adult patient

Resection of 50-80% after bowel surgery

Question 19

What is the Waldeyer’s fascia?

Answer 19

Rectosacral fascia that extends from S4 to the rectum

Question 20

What are visceral metastasis to posterior cul-de-sac?

Answer 20

Blummer’s Shelf

Question 21

What marks the transition between hind gut and distal anus?

Answer 21

Dentate line

Ectoderm - distal anus

Question 22

What is the fascia anterior to lower third of the rectum?

Answer 22

Denonviolier’s fascia

Question 23

What is the length of appendix?

Answer 23

6-9cm

Question 24

What is the most common site of Stomach CA?

Answer 24

Pylorus

Question 25

What is the stomach CA metastases to the ovaries?

Answer 25

Krukenberg Tumor

Question 26

What is the length of the small intestine?

Answer 26

5-10m (ave of 6m)

Question 27

The type of hernia which contains a Meckel's diverticulum?

Answer 27

Littre's hernia

Question 28

Where are brunner's glands located?

Answer 28

Duodenum, submucosa

Question 29

What is the most common complication of PUD?

Answer 29

Bleeding

Question 30

Which nerve is left highly intact in selective vagotomy?

Answer 30

Nerves of Latarjet Supplies pylorus From posterior and anterior vagus Terminates at incisura as Crow's foot

Question 31

What nerve is responsible for recurrent ulcer?

Answer 31

Criminal nerve of Grassi

Question 32

From what branch is the criminal nerve of Grassi?

Answer 32

Branch from posterior vagus | Supplies the posterior fundus

Question 33

What is the counterpart of the external oblique muscles in the scrotum?

Answer 33

Poupart ligament/inguinal ligament Camper's fascia Scarpa's fascia Fascia lata: superficial fascia in the thigh Colle's fascia Dartos fascia External oblique Poupart ligament/inguinal ligament Superficia inguinal ring Internal oblique Middle spermatic fascia Transversus abdominis Not found in the scrotum Transversalis fascia Internal spermatic fascia

Question 34

What makes up the conjoint tendon?

Answer 34

Internal oblique and transversus abdominis

Question 35

What is the counterpart of the internal oblique muscles in the scrotum?

Answer 35

Middle spermatic fascia Camper's fascia Scarpa's fascia Fascia lata: superficial fascia in the thigh Colle's fascia Dartos fascia External oblique Poupart ligament/inguinal ligament Superficia inguinal ring Internal oblique Middle spermatic fascia Transversus abdominis Not found in the scrotum Transversalis fascia Internal spermatic fascia

Question 36

Which abdominal structure is not found in the scrotum?

Answer 36

Transversus abdominis Camper's fascia Scarpa's fascia Fascia lata: superficial fascia in the thigh Colle's fascia Dartos fascia External oblique Poupart ligament/inguinal ligament Superficia inguinal ring Internal oblique Middle spermatic fascia Transversus abdominis Not found in the scrotum Transversalis fascia Internal spermatic fascia

Question 37

Where is the location of epigastric vessels?

Answer 37

Posterior rectus sheath

Question 38

Which vessels are responsible for rectus sheath hematoma?

Answer 38

Inferior epigastric vessels Location: posterior to the posterior rectus sheath

Question 39

Where do most water absorption occur?

Answer 39

Jejunum