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Welcome to Small Intestine Surgery
Small Intestine Surgery Questions MCQs from entrance exams. .
Questions on Small Intestine including duodenum, jejunum and ileum.
These MCQ questions are from various exams. Answers and
explanations are provided after a set of 5 questions. The questions are
free to download..
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Q1. Most common extraintestinal manifestation of Crohn's disease of small intestine is.
a) Ankylosing Spondylitis
b) Erythema Nodosum
c) Iritis
d) Ureteral Obstruction
Q2. Which of the following is the most common cause of death in Crohn's disease
of small intestine
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a) Malignancy
b) Sepsis
c) Electrolyte Disorders
d) Thromboembolic Phenomenon
Q3. Which of the following is not trueabout Pneumatosis intestinalis of small intestine? Operative Steps in surgeries
a) It is seen equaly and males and females
b) Most common location is subserosa in the jejunum
c) Operative Procedures are required in most of the cases
d) It is associated with COPD and immunodeficiency states
Q4. What is not true about blind loop syndrome? Reconstructive Options in
a) It manifets as diarrhoea, weight loss and deficiency of fat soluble vitamins. breast surgery
b)Megaloblastic anemia is commonly seen
c)Surgery is almost always required to correct small bowel syndrome
d) Broad spectrum antibiotics are the treatment of choice
Q5. What is not true about the immune mechanism in the small intestine?
a) Intestine contains more than 70% of IgA producing cells in the body
b)Ig A acts by activating the complement pathway Urology Questions
c)Ig A is produced by plasma cells in the lamina propria
d)Approximately 60% of the lymphoid cells are T cells
Q6. What is not true about malrotation of the intestine
a) In Incomplete rotation the rotation is arested at 180 degree
b) The small intestine lies on the right with caecum in the midline
c) Ladd's band extends from the Right upper quadrant to the caecum Surgery B ooks F or Residents
d) Hyperrotation is the most common form of intestinal malrotation
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1.b
Crohn’s disease is the most common primary surgical disease of the small bowel. Incidence of Crohn's disease is 3-
7 /100,000.
Extraintestinal manifestations of Crohn’s disease may be present in 30% of patients. Skin lesions are the most
common extraintestinal manifestations unlike in Ulcerative Colitis where Arthritis is more common.
Symptoms may precede, accompany, or appear independent of the underlying bowel disease.
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Sabiston 17th 1345
2. a
Crohn’s disease primarily attacks young adults in the second and third decades of life. However, a bimodal
distribution is apparent with a second smaller peak occurring in the sixth decade of life. Crohn’s disease is more
common in urban dwellers, and although earlier reports suggested a somewhat higher female predominance, the two
genders are affected equally. The risk of developing Crohn’s disease is about two times higher in smokers than that
in nonsmokers
Death rate in a person with Crohn's disease is 2-3 times higher than general population. Most common cause is
malignancy of the small intestine and not any inflamatory condition.
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Sabiston 17th page 1097
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3. c
Operation is not required unless a complication such as volvulus, hemorrhage, intestinal obstruction or perforation
develops.
Complications are seen in lesss than 3% cases. A visitor from Houston, Texas
On plain Xrats they appear as radioluscent areas in the ball wall which have to be distinguished from luminal viewed "Surgery Questions (MCQ)
from Small Intestine" 3 secs ago
intestinal gas
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1. Physical Therapy Aide?
Become a Physical TherapyAide indicated in those patients who require multiple rounds of antibiotics or are on continuous therapy.
Fast. 100% Online Study. Free Bacterial overgrowth can be diagnosed with cultures obtained through an intestinal tube or by indirect tests such as
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A visitor from Houston, Texas
Sabiston 18th edition page 1326 viewed "Free Questions on Surgery
of esophagus" 4 mins ago
4.c A visitor from Houston, Texas
Blind lop syndrome is manifetsed by diarrhea, steatorrhea, megaloblastic anemia, weight loss, abdominal pain, and viewed "Surgery MCQ- Exam
deficiencies of the fat-soluble vitamins (A, D, E, and K), as well as neurologic disorders. Questions" 6 mins ago
It is caused by bacterial overgrowth in stagnant areas of the small bowel due to stricture, stenosis, fistulas, or
diverticulum. A visitor from Campinas, Sao
Paulo
Surgery is required in very few cases' viewed "Liver MCQ - Surgery Exam
Surgical correction of the condition producing stagnation and blind loop syndrome produces a permanent cure and is Questions" 14 mins ago
A visitor from Lucknow, Uttar
Pradesh
the 14C-xylose or 14C-cholylglycine breath tests. Once bacterial overgrowth and steatorrhea are confirmed, a viewed "Free MCH GI Surgery
Schilling test (57Co-labeled vitamin B12 absorption) may be performed next, which should reveal a pattern of urinary Questions" 31 mins ago
excretion of vitamin B12 resembling that of pernicious anemia (a urinary loss of 0% to 6% of vitamin B12 compared A visitor from Chandra, West
with the normal of 7% to 25% Bengal
viewed "Surgery MCQ- Exam
Questions" 3 hrs 18 mins ago
5. b
The intestine contains more than 70% of the IgA-producing cells in the body. A visitor from Jeddah, Makkah
IgA is produced by plasma cells in the lamina propria. viewed "Surgery MCQ- Exam
IgA does not activate complement and does not enhance cell-mediated opsonization or destruction of infectious Questions" 3 hrs 20 mins ago
organisms or antigens, which sharply contrasts to the role of other immunoglobulins. A visitor from Erbil, Arbil
Secretory IgA inhibits the adherence of bacteria to epithelial cells and prevents their colonization and multiplication. In viewed "Surgery MCQ- Exam
addition, secretory IgA neutralizes bacterial toxins and viral activity and blocks the absorption of antigens from the Questions" 3 hrs 20 mins ago
gut. A visitor from Palestinian
Territory
viewed "Surgery Questions (MCQ)
6.d from Small Intestine" 4 hrs 2 mins ago
There are several degrees of rotational abnormality. Nonrotation is characterized by failure of counterclockwise A visitor from Ramallah
rotation after return of the midgut to the abdominal cavity. viewed "Pancreas Surgery
In incomplete rotation, the counterclockwise rotation is arrested at around 180 degrees. These are the most common Questions" 4 hrs 31 mins ago
forms of malrotation. R e a l - t M
·i m
e ne u v i e w
Associated with this abnormal fixation is a narrow intestinal mesentery and Ladd's bands. Ladd's bands represent the
retroperitoneal attachments that normally fix the cecum and ascending colon to the posterior abdominal wall.
Because the right colon is more medial, the bands extend across the duodenum from the right upper quadrant to the
cecum and ascending colon.
direction around the SMA. The duodenum assumes an anterior position and the colon lies posterior to the duodenum
and the SMA. If the counterclockwise rotation extends beyond 270 degrees, the cecum comes to rest in the left
hypochondrium position. This rare form is called hyper-rotation
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Manahil Abdalah · ‫ﺟ ﺎﻣ ﻌﺔ اﻟﺰﻋﯿﻢ اﻻزھﺮى‬- ‫ﻛﻠﯿﺔ اﻟﻄﺐ‬ NEXT PAGE

I like
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Surg Mcq · St. Xaviers Delhi

Thanks for liking :-)
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like:)
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Surg Mcq · St. Xaviers Delhi

Thanks
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Drvipan Kumar · Dr.rpgmc tanda

Ques 03- Option A - its incorrect, marked correct in the answ er. Its a non - compressible,
blind ending tube.
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Surg Mcq · St. Xaviers Delhi

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