intestines Flashcards

1
Q

commonest internal hernia

A

left paraduodenal hernia

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2
Q

most common cause of colonic obst

A

mailgnancy fol by sigmoid vovulus

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3
Q

after oesophagectomy app time to start jejunostomy feed

A

16-24 hrs

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4
Q

the only extraintestinal manifestation that persists after rx of CD

A

PSC- SCLEROSING CHOLANGITIS

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5
Q

abdominal TB belongs to which cat

A

cat 1

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6
Q

in meckels rx acc to base

A

if base is narrow then the removed , if base thickened then removed with intestines

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7
Q

bleeding site in meckels diverticulum

A

opp to the base

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8
Q

the commonest complication following typhoid

A

paralytic ileus

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9
Q

radiation enteritis is above what dose

A

4000 cgy

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10
Q

wilkies syndrome also known as , common in sex , ioc , rx

A

cast syndrome , females , contrast ct , duodenojejunostomy

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11
Q

mc site of small intestinal adenoca

A

duodenum

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12
Q

mc extraintestinal tumour to metastasize to small intestine is

A

melanoma

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13
Q

mc benign tumour

A

GIST

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14
Q

lipomas are mc seen in which small intestine

A

iluem , colon if large intestine

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15
Q

small intestine haemangioma commonly seen in

A

jejenum

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16
Q

best diagnostic inv for small intestinal malignancy

A

small bowel enteroclysis

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17
Q

diverticular abscess when to be drained

A

always if more than 2 cm in size

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18
Q

diverticulitis means

A

actually perforation of diverticulum

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19
Q

FAP % CHANCE OF BECOMING MALIGNANT

A

100%

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20
Q

histologically which adenoma has more chance for turning malignant

A

villous adenoma , esp >2 cm

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21
Q

most common benign colonic polyp

A

tubular adenoma

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22
Q

colon cancer side in FAP , HNPCC

A

left colon , right colon

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23
Q

location of polyps in familial juvenile polyposis syndrome

A

colon , rectum

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24
Q

diverticulitis perforation rx

A

colostomy with mucus fistula

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25
treatment protocol of rectal malignancy
upper third lesions / above peritoneal reflections: anterior resectiion
25
treatment protocol of rectal malignancy
upper third lesions / above peritoneal reflections: anterior resectiion
26
lesions above 6 cms from anal verge / below peritoneal reflections
low anterior resection
26
lesions above 6 cms from anal verge / below peritoneal reflections
low anterior resection
27
lesion below 6 cm from anal verge / lower 3rd lesion
abdominoperineal resection
27
lesion below 6 cm from anal verge / lower 3rd lesion
abdominoperineal resection
28
indication for transanal endoscopic microsurgery
lower 3 rd lesions , less than 1 cm , inv less than 3rd of circumference, limited to mucosa and submucosa
28
indication for transanal endoscopic microsurgery
lower 3 rd lesions , less than 1 cm , inv less than 3rd of circumference, limited to mucosa and submucosa
29
solitary rectal ulcer
found on anterior wall of rectum
34
solitary rectal ulcer
found on anterior wall of rectum
35
commonest site for colonic perforation
sigmoid
36
pnuematic perforation
caecum
37
mc cause for multiple perianal fistula
chrons disease
38
Bowens disease of anal canal
squamous intraepethelial neoplasm
39
pagets disease anal canal
intraepethelial adenoca
40
pagets disease histology
PAS pos cells
41
pagets morphology
well defined eczematous plaques with whitish grey ulcerative lesions
42
negro regimen
epidermoid ca : adriamycin+ 5 fu + radio
43
abdominal cocoon , sex , cause , ioc
females . mc cause retrograde menstruation , contrast ct : sunray appearance
44
other causes for abdominal cocoon
CAPD , TB , SLE , shunts , cirrhosis
45
best staging inv for rectal ca
MRI
46
Prognostic indicator in colonic ca
T stage and CEA
47
which incision has the lowest chance of incisional hernia
grid iron incision
48
the commonest type of strangulated inguinal hernia
indirect inguinal
49
organism ass with vaginal FB
streptococcus
50
mc sites for 1. lipoma in colon
caecum
51
2. typhoid perforation
ileum
52
3.pnuematosis intestinalis
jejenum
53
4. loop colostomy
transverse colon
54
5.end colostomy
left iliac fossa
55
villous adenomas
rectum
56
short bowel syndrome mc cause
ischemic enteropathy | <100 cm of jejunoileum present
57
short bowel syndrome ass , rx
hypergastrinemia , cholesterol bile stone , omeprazole prophylaxis
58
most common presentation of abd TB
abd pain + diarrhoea
59
bowlers hat sign
gastric polyp
60
bald fundus sign , h bomb sign
atrophic gastritis
61
coles sign
duodenal ulcer
62
haudeks sign
gastric ulcer
63
medusal lock sign
obstruction of intestines by round worm
64
mexican hat sign
pedunculated polyp of inf wall of colon
65
sterlin sign
tb of caecum
66
borchardts triad
gastric vovlvulus
67
gaezlers triad
retroperitoneal fibrosis, peyronies disease , duputyrens contracture