Surgery 1. Gall bladder & biliary tree

Question 1

Cholecystohepatic triangle :-

Bounded by :-

Answer 1

343

Question 2

Calots triangle 
Bounded by ;- 
1. 
2. 
3.

Answer 2

343

Question 3

Cystic lymph node of lund :-

Importance :-

Answer 3

323

Question 4

Moynihan hump :-
Due to :-
Injured during :-

Answer 4

323

Question 5

Phrygian cap/ Phrygian GB :-
When :-
Not indication for :-

Answer 5

343

Question 6

Gall bladder 
Lacks which layer :-
Subserosal lymphatics drains into :- 
Valve of GB is :- 
Function of GB :- 
1. 
2. 
3.

Answer 6

344

Question 7

Gall stones 
Types 
1. 
2. 
3. 
MC stone overall :- 

Black pigment stones seen in :- 
1. 
2. 
3. 
4. 
Composition :- 

Brown pigment stone seen in :- 
Seen in: 
1. 
2. 
3.

Answer 7

344

Question 8

Risk factors for GB stones :-

90% GB stones are :-
10% of GB stones are :-

Answer 8

344

Question 9

Xrays signs in GB stones
1.
2.
IOC for GN stones :-

Answer 9

345

Question 10

Under usg

For GB stones we see :-

Answer 10

345

Question 11

No post acoustic shadow means :-

Answer 11

345

Question 12

Presentation of Gall Stone
1.
2.

Answer 12

345

Question 13

Asymptomatic GB stones 
Management;- 
Indication of cholecystectomy in asymptomatic pt are :- 
1. 
2. 
3.
4.
5. 
6. 
7.

Answer 13

345

Question 14

In case of Symtopmatic GB stone :- 
Acute Cholecystitis :- 
CF of acute cholangitis :- 
On examination :- 
Signs seen in acute cholangitis :- 
1. 
2. 
IOC :- 
Gold standard inv :- 
Dye reaches GB in :- 
In intestine :- 
In acute CHOLECYSITIS :- 
Also used to diagnose :-

Answer 14

346

Question 15

Murphy’s sign :- ?????
Bios sign :- ??????
Both sign are seen in :-

Answer 15

346

Question 16

Management of Acute cholecystitis :-
Based

Grade 1 :- 
Grade 2 :- 
1. 
2. 
3. 
4. 
5. 

Grade 3 :-

Answer 16

346

Question 17

Management Of Acute Cholecystitis
Based when he present to hospital :-
Read revise :-

Answer 17

347

Question 18

Acalculus Cholecystitis 
Seen in :- 
1. 
2. 
CF :- 
1. 
2. 
3. 
Diagnosis :- 
Management:-

Answer 18

347

Question 19

Chronic Cholecystitis
IOC :-
Sign seen in chronic Cholecystitis:-
WES is specific for :-

Answer 19

347

Question 20

Emphysematous Cholecystitis :-
Common in :- 
1. 
2. 
MC organism :- 
Emphysematous pyelonephritis caused by :- 
Diagnosis :- 
IOC :- 
Imaging shows :- 

Management:-
Surgery :-
If not possible:-

Answer 20

348

Question 21

Mucocele :- 
Bile :- 
Leads to : -
Due to :- 
Diagnosis using :- 
Management:- 
If mucocele is infected :-

Answer 21

348

Question 22

Mirizzi syndrome :- 
Due to :- 
Adhere to :- 
Causing :- 
Final stage :- 
CF :- 
Diagnosis by :- 
Management:-

Answer 22

349

Question 23

Gall bladder ileus :- 
It is :- 
Fistula is known as :- 
Adheres to :- 
Stones comes into :- 
MC site :- 
What is BOUVERET SYNDROME :- 

Triad seen in this : -...........triad 
1. 
2. 
3. 
IOC :- 
Management:-;
Depends on :- 
1. 
2. 
1. 
2. 
3. 
IOC :-

Answer 23

350

Question 24

Choledocholithiasis :- 
Stone in CBD is called :-
CF :-
1. 
2. 
3. 
Triad seen in choledocholithiasis is ,,,,,,,,,,,,,triad 
1. 
2. 
3. 
................Pentad 
4. 
5. 
IOC :- 
IOC for common bile duct microliths is :-

Management:-  
IF CBD Stone detected before surgery 
1. 
2. 
Cut in sphincter is made at :-
MC complication:- 
ERCP is both :-

IF CBD Stone detected during cholecystectomy 
1. 
2. 
3. 
4.
Surgery:-

Answer 24

350-351

Question 25

T tube in CBD 
After :-
Do :- 
If residual stone :- 
Not present :-
Present than , keep the tube for:- 
,,,,,,,,,,,,,,,,,to remove stone

Answer 25

351

Question 26

Burhenne technique :-

Answer 26

351

Question 27

CBD stone found after cholecystectomy

1. Residual stone :-
2. Recurrent stone :-

Recurrent Stone 
Causes 
1. 
2. 
3. 
Management:- 
Depend on size of stone 
1. 
2. 
a. :- 
b:-

Answer 27

352

Question 28

In CBD
Incision :-
Not made at :-
Sutured using :-

Answer 28

352