| Post Name | Assistant Professor in Surgical Gastroenterology- Medical Education |
|---|---|
| Question Paper Code | 034/2024/OL |
| Category Code | 339/2023 |
| Date of Test | 4 April 2024 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
The following statements about caudate lobe are true except
Answer
A. The right portion of the caudate receives portal blood only from right portal vein and the left portion, only from left portal vein
2
The following are true on caudate lobe except
Answer
B. Caudate bile ducts drain most often to the L. hepatic duct
3
All the following are features of Achalasia Cardia except
Answer
C. Retrosternal pain due to associated reļ¬ux
4
All the following are true of the LES except
Answer
A. It should eļ¬ectively function as a oneway valve
5
The following are true about Lymphatics of stomach except
Answer
C. Some type of Lymphadenectomy is required for all stages of carcinoma stomach
6
All the true about Lymphatics of stomach except
Answer
B. Resection of all station Lymph nodes necessary in Lymphadenectomy
7
The following are true about the rectum except
Answer
D. The lowermost semilunar fold corresponds to the anterior peritoneal reļ¬ection
8
Involuntary resting anal sphincter tone is contributed by
Answer
C. Contributed in the order IAS, EAS and anal cushions
9
All are true about common pancreatio-biliary channel except
Answer
D. Unlikely to predispose to biliary malignancy
10
Following are true about annular pancreas except
Answer
B. Rarely contains any pancreatic duct
11
therapy is indicated when
Answer
C. Pa < 60 mmHg
12
Humidiļ¬cation of oxygen is indicated when ļ¬ow rate is above
Answer
A. 2 Litres/mt
13
The following is true of pressure support mode ventilation except
Answer
A. Machine will assist to attain a preset pressure irrespective of whether there is patient eļ¬ort
14
All are true about SIMV mode ventilation except
Answer
D. It can deliver 2 types of breath, assisted and mandatory
15
The following are true regarding noninvasive ventilatory support except
Answer
B. Advantageous in hemodynamically unstable patients
16
Prolonged mechanical ventilation may be due
Answer
D. All the above
17
Weaning from ventilation is not indicated when
Answer
C. Pa /Fi : 100
18
Following procedures may help in weaning from ventilatory support except
Answer
A. Totally avoiding sedatives
19
All the following are true except
Answer
B. Aerosolized antimicrobials have important role in respiratory infections
20
Type III respiratory failure is that which occurs due to
Answer
B. Postoperative Atelectasis
21
The following are true about Lactic acidosis except
Answer
A. Change in pH is a sensitive marker
22
Following are true of ventilation perfusion mismatch except
Answer
C. Can be corrected invariably by increasing Fi
23
All the following are causes of metabolic alkalosis except
Answer
D. Pancreatic ļ¬stula
24
Following are true regarding venous blood gas analysis except
Answer
A. Venous tension is a good surrogate marker of arterial
25
The recommended method of assessing weaning from ventilation is
Answer
C. Arterial blood gas
26
Which of the following is false about achalasia cardia ?
Answer
C. DCI < 200 mmHg-s-cm
27
Which of the following is true of esophageal pressure topography ?
Answer
C. Fragmented contraction - > 5 cm break in 20 mmHg isobaric contour
28
Which among the following is a minor disorder of motility as per the Chicago classiļ¬cation v3.0 ?
Answer
D. Ineļ¬ective esophageal motility
29
Which of the following is true about innervations of rectum and anal canal ?
Answer
B. Sympathetic innervation of internal anal sphincter is from L5
30
Which of the following is true about the Endorectal ultrasound ļ¬ndings of sphincter mechanism ?
Answer
B. Normal perineal body thickness is 10 to 15 mm in the middle anal canal
31
Which of the following is not a maneuver for increasing the reach of an ileal pouch ?
Answer
D. Creation of a W pouch
32
Which of the following is an extraintestinal manifestation of germline APC mutation in patients with familial adenomatous polyposis ?
Answer
A. Papillary carcinoma thyroid
33
Gardner syndrome includes all except
Answer
C. Medulloblastoma
34
Church Staging system is used for
Answer
A. Desmoid disease
35
Which of the following is true about serous cystic neoplasm of pancreas ?
Answer
B. Multiple thin-walled cysts around a central scar
36
All are true about mucinous cystic neoplasm of pancreas except
Answer
B. Mucinous neoplasms can be excluded if ļ¬uid CEA levels are less than 192 ng/mL
37
Indication for resection in serous cystic neoplasm of pancreas includes all except
Answer
D. Age more than 60
38
Which of the following is true about solid pseudopapillary neoplasm of pancreas ?
Answer
C. Positive staining for neuron-speciļ¬c enolase, CD10
39
All are true about biliary cystadenoma (mucinous cysticneoplasm of liver) except
Answer
C. High proportion of tumors occur in segment V
40
Regarding biliary cystadenoma which of the following is true ?
Answer
C. Stroma stain positive for inhibin
41
Which of the following is true about apnoea test ?
Answer
B. Apnoea despite pC increase > 20 mmHg above baseline is a positive test
42
Which of the following is false about brainstem reļ¬ex testing in brain death certiļ¬cation ?
Answer
A. In children minimum interval between sets of test is 6 hours
43
Which of the following is not a component of Pediatric End-Stage Liver Disease scoring ?
Answer
B. Creatinine
44
Which among the following is not a risk factor for hepatic artery psuedoaneurysm (HAA) after OLT ?
Answer
D. Duct to duct anastamosis
45
All of the following are measures to prevent small for size syndrome except
Answer
D. Routine use of pentoxyphylline
46
Which of the following is not a speciļ¬c treatment for primary non function of OLT ?
Answer
A. Pentoxyphylline
47
Which of the following is not a risk factor for initial poor function of liver graft ?
Answer
C. Prostaglandin E1 infusion
48
Snover's triad includes all except
Answer
A. Septal ductopenia
49
Which of the following is true about cutting mode of monopolar diathermy ?
Answer
D. Continuous current
50
All are the about vessel sealing devices except
Answer
B. Harmonic scalpel is a hand held ultrasonic transducer oscillating at 65kHz
51
False about autoimmune pancreatitis is
Answer
C. Diagnosis can be made on the basis of typical imaging ļ¬ndings in an appropriate clinical context
52
All the following constitute the stage 0 or asymptomatic stage of chronic pancreatitis except
Answer
B. (Recurrent) acute pancreatitis (no pain between episodes of acute pancreatitis)
53
All are acceptable procedures for treatment of chronic pancreatitis with inļ¬ammatory head mass except
Answer
A. Partington-Rochelle procedure
54
41 year old lady presents with history of right upper quadrant pain last night. Pain resolved with medical management at a local clinic. Ultrasound shows distended gall bladder with 2 calculi sized 8 mm and 9 mm. CBD is normal. Intrahepatic biliary radicles are normal. Her LFT is as follows : T. Bilirubin 0.6 mg/dL, AST 26 IU/L, ALT 19 IU/L, ALP 110 IU/L, GGT 25 IU/L, Albumin 3.9 g/dL. What is the next best option for her management ?
Answer
C. Laparoscopic cholecystectomy
55
All are true about chronic pancreatitis except
Answer
D. Pancreatic function tests are essential for prevention and management of exocrine insuļ¬ciency
56
A 45 year old male presents with fever and pain abdomen. Ultrasound shows gall stones with dilated CBD and intrahepatic biliary radicles and a stone at the lower end of CBD. LFT is as follows : T. Bilirubin 5.6 mg/dL, AST 126 IU/L, ALT 119 IU/L, ALP 310 IU/L, GGT 125 IU/L, Albumin 2.3 g/dL. CBC shows : Hb 11.8 gm/dL, TLC 18000 cells/dL, Platelets 110000 cells/dL. On examination : patient is icteric and febrile, Pulse rate 106/min, BP : 92/50 mm Hg, Respiratory rate 22/min. All are next immediate acceptable steps in management except :
Answer
B. ERCP and stone clearance
57
Cholecystectomy is recommended in the following for asymptomatic gall stones:
Answer
A. Children with sickle cell anemia
58
False about surgical management of Crohn's disease is
Answer
C. Histopathological, and not gross, negative margin is associated with lower recurrence
59
True statement about surgical management of ulcerative colitis is
Answer
B. Total abdominal colectomy and ileorectal anastomosis is an alternative option in young women to preserve fecundity.
60
False statement about the risk/etiology of pouchitis is
Answer
A. Consistent association with backwash ileitis
61
ESPAC-4 trial compared the outcomes between
Answer
B. Adjuvant Gemicitabine vs Gemcitabine plus Capecitabine
62
Staging laparoscopy in pancreatic cancer is indicated in all the below situations except:
Answer
A. CA19-9 > 35 U/ml
63
A 60 year old male presents with fever, jaundice and weight loss. Imaging reveals a pancreatic mass encasing PV-SMS junction. SMA is free. CBD and pancreatic duct are dilated. He is newly diagnosed diabetic with HbA 1c of 10.1. LFT shows T. Bilirubin 18.6 mg/dL, AST 156 IU/L, ALT 144 IU/L, ALP 1060 IU/L, GGT 525 IU/L, Albumin 3.1 g/dL. All are indications for biliary drainage in this patient except :
Answer
C. Bilirubin > 10 mg/dL
64
False statement about cervical and intrathoracic anastomosis after esophagectomy in patients with carcinoma esophagus
Answer
A. Cervical anastomosis is associated with lower recurrence rate
65
The most eļ¬ective perioperative chemotherapy is good-risk patients with gastric cancer is
Answer
A. FLOT
66
False statement about post gastectomy syndrome is
Answer
A. Aļ¬erent loop syndrome is more common after Roux-en-Y reconstruction than after Billroth's II reconstruction
67
A 67 year old male presented with pain abdomen. On evaluation, he was found to have a large FDG avid (SUVmax- 3.4) heterogeneous density arterial phase hyperenhancing mass measuring 6.2Ć6.9Ć6.1 cm involving segments II and III of left lobe of liver. A non-enhancing hypodense scar was seen within the lesion. Rest of liver appeared normal. No other signiļ¬cant ļ¬ndings on PET CT. He was also found to be HBcAb positive, DNA 335 copies/ml. UGIE did not show varices. CBC: Hb 12.6 gm/dL, TLC 7800 cells/dL, Platelets: 201000 cells/dL. LFT: T. Bilirubin 0.6 mg/dL, AST 86 IU/L, ALT 74 IU/L, ALP 110 IU/L, GGT 35 IU/L, Albumin 3.8 g/dL. Tumour markers were as follows: PIVKA-II: 21516 mAU/ml, AFP : 35.5 ng/ml. What is the best treatment option for this patient ?
Answer
A. Antivirals + Staging laparoscopy followed by left hepatectomy
68
A 16 month old baby is brought with an abdominal lump. Further imaging reveals a well demarcated tumour without capsule occupying segments V, and VIII. There is another small nodule in segment IV. Portal veins are free. MHV is involved by the tumour. AFP levels 300000 ng/ml. Stage the disease
Answer
B. PRETEXT III C0 E0 F1 H0 M0 N0 P0 V1
69
Risk factors for intrahepatic cholangiocarcinoma include all except
Answer
D. Aļ¬atoxin
70
All the following are implicated in colonic carcinogenesis except
Answer
D. Calcium supplements
71
All are components of intensive surveillance after the treatment of colon cancer stage II and III except
Answer
B. Faecal occult blood 6 monthly
72
False statement about genetic susceptible colon cancer is
Answer
D. MUTYH-associated polyposis is an autosomal dominant, and relatively less common hereditary colonic cancer
73
Which of these are incorrectly matched ?
Answer
C. Somatostatinoma: Steatorrhea, gall stones, hypoglycemia, weight gain
74
A 35 year old male presents with anemia. UGI endoscopy reveals a bulge in the posterior wall 4Ć4 cm in size with small central ulcer. CT shows a solid, smoothly contoured mass that enhances brightly arising from greater curvature ~6Ć6 cm. Slpeen and pancreas is free. Next step in management is:
Answer
A. Wedge resection of stomatch with mass
75
Which of the following hereditary conditions has the highest frequency of Pancreatic NET ?
Answer
D. MEN 1
76
In Thromboelastograph (TEG) clot strength is indicated by
Answer
C. MA
77
Regarding ROTEM in coagulation monitoring which of the following is correct ?
Answer
A. It will generate ļ¬ve assays
78
All of the following are Vitamin K dependent factors except
Answer
B. Factor V
79
Cryoprecipitate contains all of the following except
Answer
B. Factor IX
80
Which of the following is the least likely complication of massive blood transfusion ?
Answer
D. Metabolic acidosis
81
CONSORT statement provides guidance for reporting
Answer
B. Randomised controlled trials
82
IMRAD structure of writing scientiļ¬c paper include all except
Answer
C. Analysis
83
Ghost authorship is
Answer
A. Failing to name, someone who has made signiļ¬cant contribution
84
True about cohort studies are all except
Answer
D. Blinding is possible
85
True about meta analysis are all except
Answer
A. Includes only experimental studies
86
Which of the following indicates the probability that observe diļ¬erence between groups might be due to chance alone ?
Answer
A. p value
87
Fundamental principles of medical ethics are all the following except
Answer
D. Altruism
88
Identify the type of research question if the Objective of study is to determine the eļ¬ect of tobacco smoking in the management of pain in chronic pancreatitis
Answer
C. Analytical research question
89
In the National Library of Medicine (NLM) MeSH means
Answer
B. Medical Subject Head
90
Which of the following is useful to measure the burden or magnitude of a disease or risk factor ?
Answer
B. Cross-sectional study
91
Which face of a clinical trial is referred to as post marketing surveillance ?
Answer
D. Phase 4
92
Any process that tends to produce results that depart systematically from true values in a research study is known as
Answer
B. Bias
93
The method which can be used to alleviate compounding during data analysis in an epidemiological study
Answer
A. Multivariate analysis
94
Which of the following incorrect about publishing research ļ¬nding ?
Answer
C. Conļ¬icts of interest can be suppressed as it has implication in study ļ¬ndings
95
Altering the original data to obtain a statistically signiļ¬cant result by the researcher is known as
Answer
B. Falsiļ¬cation
96
Which of the following organisations directly deals with publication ethics ?
Answer
B. Committee on Publication Ethics (COPE)
97
Which section of a protocol describes the need to maintain anonymity of study participants while sharing data to others ?
Answer
A. Human subject protection
98
Which of the following is a component of concept paper ?
Answer
B. Objective and methods
99
Which of the following is not part of guidelines for responsible conduct research ?
Answer
B. Subjectivity
100
A study participant is forced by the investigator to continue in a trial against his will is violation of
Answer
A. Autonomy
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