Question 1

Which of the following surgical procedures is considered the gold standard for the treatment of symptomatic gallstones (cholelithiasis)?

Accepted Answer

Laparoscopic cholecystectomy

Answer

Extra-corporeal shock wave lithotripsy

Answer

Endoscopic retrograde cholangiopancreatography (ERCP)

Answer

Open cholecystostomy

Question 2

Which surgical procedure is the preferred definitive treatment for a patient with achalasia cardia who has failed medical management or botulinum toxin injection?

Accepted Answer

Heller myotomy

Answer

Billroth II reconstruction

Answer

Ivor Lewis esophagectomy

Answer

Nissen fundoplication

Question 3

In Barret's esophagus, the metaplasia is by converting.....

Accepted Answer

Stratified squamous epithelium into columnar epithelium with goblet cells

Answer

Stratified squamous epithelium into columnar epithelium without goblet cells

Answer

Stratified keratinized squamous epithelium into columnar epithelium without goblet cells

Answer

Stratified squamous epithelium into columnar ciliated epithelium without goblet cells

Question 4

The main investigations for GERD is.....

Accepted Answer

24-hour pH monitoring

Answer

Esophagoscopy

Answer

Barium meal

Answer

CT

Question 5

Gas-bloating syndrome occurs with......

Accepted Answer

Nissen’s Fundoplication

Answer

Hill posterior gastropexy

Answer

Collis Gastroplasty

Answer

Toupet posterior partial fundoplication

Question 6

Main cause for achalasia is......

Accepted Answer

Unknown

Answer

Parasites

Answer

Alkalinity

Answer

Acidity

Question 7

Barium swallow in case of achalasia gives the appearance of......

Accepted Answer

Parrot’s peak

Answer

Omega shaped

Answer

Target sign

Answer

Cobblestone

Question 8

The main investigation for achalasia is.......

Accepted Answer

Manometry

Answer

Barium swallow

Answer

Ph monitoring

Answer

Esophagoscopy

Question 9

Plummer -Vinson syndrome shows which of the following......

Accepted Answer

Upper esophageal sphincter spasm

Answer

Palm keratosis

Answer

Hyperchloremia

Answer

Polycythemia

Question 10

The main method for esophageal cancer spread is......

Accepted Answer

Direct

Answer

Blodd

Answer

Lymphatic permeation

Answer

Lymphatic embolization

Question 11

The best replacement for esophagus after esophagectomy is.........

Accepted Answer

Stomach

Answer

Jejunum

Answer

Ileum

Answer

Colon

Question 12

Kissing ulcer means.....

Accepted Answer

2 duodenal ulcers

Answer

Duodenal with jejunal ulcers

Answer

Duodenal with gastric ulcers

Answer

2 gastric ulcers

Question 13

The main site for gastric ulcer is........

Accepted Answer

Lesser curve

Answer

Cardia

Answer

Fundus

Answer

Greater curve

Question 14

Nocturnal pain occurs with.....

Accepted Answer

Duodenal ulcer

Answer

Gastric ulcer

Answer

Zollinger Ellison syndrome

Answer

GERD

Question 15

Willkie's Triad shows

Accepted Answer

Chronic peptic ulcer, chronic appendicitis & chronic cholecystitis

Answer

Chronic peptic ulcer, chronic colitis & chronic cholecystitis

Answer

Chronic peptic ulcer, chronic appendicitis & diverticulosis

Answer

Chronic cholecystitis, hiatus hernia & diverticulosis of colon

Question 16

Saint's Triad shows..........

Accepted Answer

Gall stones, hiatus hernia & diverticulosis of colon

Answer

Gall stones, hiatus hernia & diverticulosis of esophagus

Answer

Chronic appendicitis, hiatus hernia & diverticulosis of colon

Answer

Chronic peptic ulcer, hiatus hernia & diverticulosis of colon

Question 17

Which one of the following is a sign seen with barium meal for benign gastric ulcer?

Accepted Answer

Hampton's sign

Answer

Carmann meniscus sign

Answer

Trail sign

Answer

Trefoil deformity

Question 18

What is the nerve responsible for recurrence after trunkal vagotomy?

Accepted Answer

Criminal nerve of Grassi

Answer

Nerve of Latarjet

Answer

Celiac nerve

Answer

Kuntz nerve

Question 19

The commonest site for gastric carcinoma is..........

Accepted Answer

Antrum

Answer

Cardia

Answer

Body

Answer

Fundus

Question 20

Type I of early gastric cancer according to the Japanese endoscopic society classification is.........

Accepted Answer

Protruded

Answer

Excvated

Answer

Flat

Answer

Elevated

Question 21

Troisier sign means.......

Accepted Answer

Enlarged left Virchow's glands

Answer

Invasion of Douglas pouch

Answer

Implant on ovaries

Answer

Infiltration of ligmentum teres

Question 22

Murphy’s sign means........

Accepted Answer

Inspiratory arrest due to pain

Answer

Tenderness & rigidity in right hypochondrium

Answer

Area of hyperesthesia between the 9th & 11th ribs

Answer

Expiratory arrest due to pain

Question 23

Percentage of radiopaque gall stones by X-ray is............

Accepted Answer

10%

Answer

70%

Answer

90%

Answer

50%

Question 24

The most common type of gallstones is...........

Accepted Answer

Mixed

Answer

Cholesterol

Answer

Calcium carbonate

Answer

Pigmented

Question 25

Klatskin tumors type III means......

Accepted Answer

Tumor in proximal part, hilar confluence, and one of the hepatic ducts

Answer

Tumor in the proximal part of CHD

Answer

Tumor in proximal part, hilar confluence, and both hepatic ducts

Answer

Tumor in the proximal part of CHD and hilar confluence

Question 26

Jaundice doesn't appear in.......

Accepted Answer

Brain

Answer

Skin

Answer

Cornea

Answer

Lip

Question 27

Watson’s syndrome means......

Accepted Answer

Cholestatic jaundice of acute viral hepatitis

Answer

Hereditary defect in excretion of cholebiliruin but not bile salts

Answer

Drug - induced cholestasis

Answer

Post - operative cholestatic jaundice

Question 28

The commonest site for cholelithiasis is............

Accepted Answer

Supraduodenal portion of CBD

Answer

Retroduodenal portion of CBD

Answer

At ampulla of Vater

Answer

Infraduodenal portion of CBD

Question 29

Charcot’s Triad means......

Accepted Answer

Fever, jaundice & pain

Answer

Fever, jaundice & diarrhea

Answer

Fever, pain & carotenemia

Answer

Fever, jaundice & vomiting

Question 30

Reynolds pentalogy means.........

Accepted Answer

Fever, jaundice, pain, sepsis & mental confusion

Answer

Fever, jaundice, pain, sepsis & mental retardation

Answer

Fever, jaundice, pain, hypovolemic shock & mental confusion

Answer

Fever, jaundice, vomiting, sepsis & mental confusion

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