Surgery 2. Gall Bladder And Billary Tree 2

Question 1

Laproscopic and open cholecystectomy

Laproscopic cholecystectomy 
Surgery of choice for :- 
Position :- 
Surgeon :- 
Assistant:- 

Image :- 
1. 
2. 
3.
4. 

SILS :-
Increases rate of:-

Answer 1

353

Question 2

Complications of Laproscopic cholecystectomy
MC :-
Stricture MC in lap cholecystectomy :-
Stricture MC in open cholecystectomy:-

Answer 2

353

Question 3

Post cholecystectomy syndrome 
Cause 
1. 
2. 
3. 

Open cholecystectomy
Incision given :-
Which is :-

Answer 3

354

Question 4

Bile leak 
During surgery :- 
1. 
2. 
3. 
After surgery 
1. 
2. 

During surgery Rx

1. Partial injury :-
2. Complete transaction but no loss of segment :-
3. With loss of segment :-

After surgery bile leak

1. Minor leak from liver bed ( stable , no sepsis ) :-
2. Pts has abdominal pain , jaundice , sepsis
   a. :- within 72 hrs :-
   b: - > 72 hrs :-

Answer 4

354

Question 5

Long term complication of bile injury :-

MC bile leak after Laproscopic cholecystectomy is from :-

Answer 5

354

Question 6

Classification for bile duct injury :-

Answer 6

355

Question 7

Strasberg classification is for :-

Answer 7

355

Question 8

Gall bladder Cancer

Risk factor :-

Cholesterosis :-
Aka :-
Not a risk factor :-

6. 7.

Answer 8

355

Question 9

Gall bladder cancer 
HPE :- 
MC type :-
MC site :- 
MC presentation :- 
MC site of metastasis:- 

IOC : 
Staging :- with treatment 
T1A:  :- 
T1B ;- 
T2 :- 
Removal of :- 
1. 
2. 
3. 
T3 ;- 
T4 :- 

If patient undergoes Laproscopic cholecystectomy
T1A gall bladder CA ( incidentally ) :-
T1B gall bladder cancer :-

Tumor marker :-
Most important prognostic marker : -

Answer 9

356

Question 10

Cholangiocarcinoma 
Risk factor 
1. 
2. 
3. 
4. 
5.
6. 
7. 

Primary sclerosing cholangitis 
Asso I :- 
Antibodies asso :- 
Strictiures in :- 
Increase risk of :- 
CF : -
Diagnosis by :- 
Gives rise to :-

Answer 10

357

Question 11

MC site of cholangiocarcinoma : -
Classification for cholangiocarcinoma:-

IOC :- 
Staging :- 
MC site of distant metastasis:- 
Management:- 
If resectable :- ,,,,,,,,,,,+,,,,,,,,,,,
Unresectable :-
1. 
2.

Answer 11

358

Question 12

Kalstin tumor :-
Surgery :-

Supraduodenal CBD tumor :-
Surgery :-

Distal CBD tumor :-
Surgery :-

Answer 12

358

Question 13

Choledocholithiasis Cyst :-
Leads to
1.
2.

Classification for choledochal cyst :- ………
MC type :-

Type 1. :- 
Type 1b :- 
Type 2 ,- 
Type 3 :- 
Type 4 a:- 
            4b : 
Type 5:- 

Carolis disease:-
Type :-
Dilatation of only :-
Sign seen in carolis disease :-

Answer 13

360

Question 14

CF
IOC :-
Management:-

For 
Type 1:- 
Type 2 :-
Type 3 :- 
Type 4 a:- 
            4b :

Answer 14

360

Question 15

Extrahepatic biliary atresia :- 
Cf :- 
IOC :- 
Gold standard :- 
USG shows :- 

Helps to differentiate:-

Types of biliary atresia :-
Type 1. :-
Type 2 :-
Type 3 :-

Management
Type 1:-
Type 2 & 3 :-

Answer 15

361

Question 16

Hemobilia 
Means :- 
Cause :- 
1. 
2. 
3. 
Cf :- 
Triad of bilhemia is :,,,,,,,,,,,,,,,triad
1. 
2. 
3. 

Diagnosis :-
Management:-

Answer 16

361

Question 17

Bilhemia 
Means :- 
Fistula between :- 
Cf :- 
cause:- 
IOC : - 
Management:-

Answer 17

362

Question 18

Congenital portosystemic shunts 
IOC :- 
Types :- 
1.
2. 

Type 1 :-
Cf :- a)
b)
Management:-

Type 2 :-
CF. :- a)
b)
Management:-

Answer 18

362