Fun Facts

Question 1

What frequency of defecation is considered normal?

Answer 1

3 times a day to 3 times a week

Question 2

Where is inverted champagne bottle appearance seen

Answer 2

Lymphodermosclerosis

Question 3

What is the most common cause of abscess over the coccyx just above the gluten cleft

Answer 3

Pilonidal abscess

Question 4

Type of ulcer over burn scars and chronic wounds

Answer 4

Margolin’s ulcer- Malignant SCC

Question 5

Most common vein affected in venous ulcer

Answer 5

Great Saphenous vein

Question 6

What is BCC also called, why?

Answer 6

Rodent ulcer. Difficult to hold, slips as it is not fixed.

Question 7

6 types of necrosis with examples

Answer 7

Coagulative- MI
Liquefactive- brain abscess
Caseous- tuberculosis
Fat- trauma to breast
Gangrenous- dry gangrene, wet gangrene
Fibrinoid- vasculitis, malignant HTN

Question 8

Define apoptosis

Answer 8

Programmed cell death

Question 9

3 types of bowel anastomosis

Answer 9

End to end
End to side
Side to side

Question 10

Which artery supplies the appendix

Answer 10

Appendicular artery. - branch of inferior division of ileocolic artery- branch of superior mesenteric artery

Question 11

Lymph vessesls of appendix drain into

Answer 11

Ileocolic lymph nodes

Question 12

Sympathetic nerve supply of appendix

Answer 12

Arises from superior mesenteric plexus. Affarent enters spinal cord at T10

Question 13

Point at which maximum tenderness of appendicitis is felt, where is it

Answer 13

Mc Burneys point. Pont between medial 2/3rd and lateral 1/3rd in line joining umbilical and ASIS

Question 14

Which layer of appendix contain lymphoid follicles

Answer 14

Submucosa

Question 15

Why is there shifting pain in acute appendicitis

Answer 15

First pain develops in periumbilical region due to T10 affarent. Then irritation of peritoneum shifts pain to right Iliac fossa.

Question 16

What is rebound pain? What does it suggest?

Answer 16

Rebound pain is pain on release of pressure. Due to inflammation of peritoneum.

Question 17

Rovsing sign

Answer 17

Pain ir right Iliac fossa when pressure applied to left Iliac fossa due to shifting of bowel

Question 18

What is another diagnosis of a bacterial infection by Yersinia that causes pain similar to appendicitis

Answer 18

Mesenteric adenitis

Question 19

What is the most common direction of appendix

Answer 19

Retrocolic- 12o’ clock

Question 20

Benign tumor that appears as a fluid filled sac often on the newborns neck due to lymphatic system blockage

Answer 20

Cystic hygroma

Question 21

Congenital swelling in the back made up of meninges and containing CSF

Answer 21

Meningocele

Question 22

Neurofibromatosis type 1 is also called

Answer 22

Von Recklinghausen’s disease

Question 23

At what vertebral level is the cricoid cartilage

Answer 23

C6

Question 24

Most common motility disorder of oesophagus in which food accumulates and regurgitates

Answer 24

Achalasia cardia

Question 25

Epithelial lining esophagus

Answer 25

Stratified squamous non keratinizing

Question 26

Rat rail or bir beak appearance is seen in barium swallow examination in

Answer 26

Ahalasia cardiac of esophagus

Question 27

Length and eten5 of esophagus

Answer 27

25cm. From lower border of C6 to T11

Question 28

What is Gaiter’s zone?

Answer 28

Hand breath width around malleoli where venous ulcers commonly occur

Question 29

Boundaries of Hasselbachs triangle

Answer 29

Medial- lateral border of rectus abdominis
Lateral- inferior epigastric vessels
Inferior- inguinal ligament

Question 30

Causes of arterial ulcers

Answer 30

Peripheral arterial disease- atherosclerosis
Beurger’s disease (immune response to tobacco chemicals cause thickening of vessels)
Raynaud’s disease (episodic constriction of vessels)

Question 31

Ligament connecting lateral abdominal wall and peritoneum

Answer 31

DULAQ’S ligament