Upper GI

Question 1

Solid Dysphagia for 6 months, retrosternal pain which worsens in lying flat & leaning forward, endoscopy showing smooth stricture

Answer 1

Benign stricture

Question 2

Site of zinc absorption

Answer 2

Duodenum and jejunum

Question 3

Complication of anterior gastro- jejunostomy

Answer 3

Delayed enjoying
Flatulent dyspepsia

Question 4

Why pyloroplasty after vagotomy

Answer 4

It increases gastric emptying

Question 5

Gastrinoma is under which MEN

Answer 5

Type 1

Question 6

Most common site of gastrinoma

Answer 6

Duodenum 50%

Question 7

Other name of gastrinoma

Answer 7

Zollinger Ellison syndrome

Question 8

Triad of zollinger Ellison syndrome

Answer 8

1. Non beta cell tumor of pancreas
2. Hyper gastrin emia
3. Severe ulcer

Question 9

Treatment is high grade multifocal oesophageal dysplasia

Answer 9

Resection

Question 10

Most likely cause of obstructive jaundice in HIV positive patient

Answer 10

Sclerosing cholangitis

Question 11

Small punch out lesion of stomach without fibrosis

Answer 11

Acute peptic ulcer

Question 12

What is rockall score

Answer 12

Mortality risk assessment of patients with upper GI bleeding

Question 13

Variables of rockall score

Answer 13

Age
Hemodynamic shock
Coexisting illness
Endoscopic signs

https://www.researchgate.net/figure/Rockall-score-assessment-criteria_tbl2_221734465

Question 14

Use of McKeown procedure

Answer 14

Total oesophagectomy

Question 15

Treatment of 1cm focus of high grade dysplasia in Barrettes oesophagus

Answer 15

Endoscopic mucosal resection

Question 16

Result of vagus nerve damage

Answer 16

Delayed gastric emptying

Question 17

Nerve at risk of injury during fundoplication

Answer 17

Vagus

Question 18

Management of oesophageal obstruction with liver metastasis

Answer 18

Self expanding metallic stent

Question 19

Management of upper oesophageal SCC

Answer 19

Combined radio and chemo

Question 20

Cause of late dumping syndrome

Answer 20

Excess insulin release

Question 21

Most common cause of bleeding from single large tortuous arteriole in stomach

Answer 21

Dieulafoy lesion

Question 22

Carcinoma with achalasia cardia

Answer 22

SCC

Question 23

Most appropriate investigation of suspicious dysplasia with Barrett oesophagus

Answer 23

Endoscopy with quadrantic biopsy

Question 24

Is distal adenocarcinoma of oesophagus with liver metastasis curable

Answer 24

No
Provide metallic stent with chemo & radio

Question 25

Is distal adenocarcinoma of oesophagus with liver metastasis curable

Answer 25

No
Provide metallic stent with chemo & radio