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jipmer > intestines > Flashcards

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
Q

treatment protocol of rectal malignancy

A

upper third lesions / above peritoneal reflections: anterior resectiion

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25
Q

treatment protocol of rectal malignancy

A

upper third lesions / above peritoneal reflections: anterior resectiion

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26
Q

lesions above 6 cms from anal verge / below peritoneal reflections

A

low anterior resection

26
Q

lesions above 6 cms from anal verge / below peritoneal reflections

A

low anterior resection

27
Q

lesion below 6 cm from anal verge / lower 3rd lesion

A

abdominoperineal resection

27
Q

lesion below 6 cm from anal verge / lower 3rd lesion

A

abdominoperineal resection

28
Q

indication for transanal endoscopic microsurgery

A

lower 3 rd lesions , less than 1 cm , inv less than 3rd of circumference, limited to mucosa and submucosa

28
Q

indication for transanal endoscopic microsurgery

A

lower 3 rd lesions , less than 1 cm , inv less than 3rd of circumference, limited to mucosa and submucosa

29
Q

solitary rectal ulcer

A

found on anterior wall of rectum

34
Q

solitary rectal ulcer

A

found on anterior wall of rectum

35
Q

commonest site for colonic perforation

36
Q

pnuematic perforation

37
Q

mc cause for multiple perianal fistula

A

chrons disease

38
Q

Bowens disease of anal canal

A

squamous intraepethelial neoplasm

39
Q

pagets disease anal canal

A

intraepethelial adenoca

40
Q

pagets disease histology

A

PAS pos cells

41
Q

pagets morphology

A

well defined eczematous plaques with whitish grey ulcerative lesions

42
Q

negro regimen

A

epidermoid ca : adriamycin+ 5 fu + radio

43
Q

abdominal cocoon , sex , cause , ioc

A

females . mc cause retrograde menstruation , contrast ct : sunray appearance

44
Q

other causes for abdominal cocoon

A

CAPD , TB , SLE , shunts , cirrhosis

45
Q

best staging inv for rectal ca

46
Q

Prognostic indicator in colonic ca

A

T stage and CEA

47
Q

which incision has the lowest chance of incisional hernia

A

grid iron incision

48
Q

the commonest type of strangulated inguinal hernia

A

indirect inguinal

49
Q

organism ass with vaginal FB

A

streptococcus

50
Q

mc sites for 1. lipoma in colon

51
Q
  1. typhoid perforation
52
Q

3.pnuematosis intestinalis

53
Q
  1. loop colostomy
A

transverse colon

54
Q

5.end colostomy

A

left iliac fossa

55
Q

villous adenomas

56
Q

short bowel syndrome mc cause

A

ischemic enteropathy

<100 cm of jejunoileum present

57
Q

short bowel syndrome ass , rx

A

hypergastrinemia , cholesterol bile stone , omeprazole prophylaxis

58
Q

most common presentation of abd TB

A

abd pain + diarrhoea

59
Q

bowlers hat sign

A

gastric polyp

60
Q

bald fundus sign , h bomb sign

A

atrophic gastritis

61
Q

coles sign

A

duodenal ulcer

62
Q

haudeks sign

A

gastric ulcer

63
Q

medusal lock sign

A

obstruction of intestines by round worm

64
Q

mexican hat sign

A

pedunculated polyp of inf wall of colon

65
Q

sterlin sign

A

tb of caecum

66
Q

borchardts triad

A

gastric vovlvulus

67
Q

gaezlers triad

A

retroperitoneal fibrosis, peyronies disease , duputyrens contracture

jipmer (5 decks)

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