Surgery videos & books

2023-07-23 17:12:01 Correct Answer - B
Ans is 'b' ie Indirect Inguinal hernia

In Indirect inguinal hernia the contents of the abdomen enter the
deep inguinal ring and traverse the whole length of the inguinal
canal to come out through the superficial inguinal ring.

It is the most common of all forms of hernia.

It is most common in the young (cf a direct hernia is most common
in the old)

Femoral hernias occur most commonly in women but lower
incidence overall than inguinal hernias.

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2023-07-13 23:35:03 Correct Answer - C
Ans is 'c'

Whipples operation (Pancreaticoduodenectomy)
is the most commonly performed operation for carcinoma of head of
pancreas.

It includes resection of:
- distal stomach - duodenum
- gall bladder - proximal jejunum
- CBD - regional lymphatics
- head of pancreas

Restoration of gastrointestinal continuity requires -
pancreaticojejunostomy choledochojejunostomy &
- gastrojejunostomy

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2023-07-08 00:40:09 Correct Answer - D
Ans. is d i.e., Diffuse Esophageal spasm

Radiological appearances of diffuse esophageal spasm have been
described as:
curling esophagus
Corkscrew esophagus or
- pseudodiverticulosis
Diffuse esophageal spasm is a motor disorder of esophagus
characterized by repetitive simultaneous non-peristaltic contractions.

Symptoms are substernal chest pain and/or dysphagia

Diagnosed by manometry
Also know Nutcracker esophagus
also known as 'supersqueezer' esophagus
- it is characterized by extremely high-amplitude peristaltic
contraction
- Symptoms are pain and dysphagia
Diagnosed by manometry study which shows peristaltic esophageal contractions with peak amplitudes greater than two standard deviations above the normal values.

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2023-07-01 13:32:01 Correct Answer - A
Ans is A ie Serum TSH Level

"A normal TSH Level excludes primary (but not secondary)
hypothyrodism. If the TSH is elevated a free T4 level is needed to confirm the presence of clinical hypothyrodism, but free T4 is inferior to TSH when used as a screening test, as it will not detect
subclinical or mild hypothyroidism. Circulating free T3 levels are
normal in about 25% of the patients, reflecting adaptive respose to hypothyroidism. T3 measurements are therefore not indicated." -
Harrison "Among the various available serum thyroid function tests, TSH is the most useful to assess gland dysfunction."
Endocrine Surgery of Head & Neck, p 83

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2023-06-27 17:08:56


NMC original Video- Meet about Next held today in detail Open / Comment

2023-06-23 21:53:01 Correct Answer - D
The nerve commonly damaged during McBurney's incision is Iliohypogastric Nerve.
Damage to this nerve result in the development of right inguinal hernia.

Mc Burney’s incision/ grid iron incision is commonly done for appendectomy.

In this an oblique incision is made in the right iliac fossa about 5cm above and medial to the
anterior superior iliac spine at right angle to the spino umbilical line.
Ref: Anatomy of Abdomen and Lower Limb By Singh, Page 46

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2023-06-12 14:45:08 Correct Answer - B
Ans. is 'b' i.e., Excretion of less than 500 ml in 24 hrs
(Note that Bailey & Love 25/e p1279 (24/e p 1300 & 23/e p 1168)
write Oliguria to be less than 300 ml in 24 hrs, but we would follow
Harrison & CMDT; Note that Smith's Urology 17/e p531 (16/e, p538)
write it to < 400 ml/day!! what an utter confusion.)

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2023-06-07 21:11:01 Correct Answer - B
Ans is (b) i.e. hyperalbuminemia
Thymoma is the most common Anterior mediastinal mass.
Thymomas are seen to be associated with
Myasthenia gravis
Acquired hypogammaglobulinemia
Pure red cell aplasia Grave's ds
- Pernicious anemia
- Dermatomyositis-polymyositis
- Cushing syndrome

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2023-06-02 11:04:01 Correct Answer - B
Ans. is 'b' i.e., Neuroblastoma
Opsoclonus is a disorder of eye movement characterized by
involuntary, chaotic saccades that occur in all directions of gaze. It is
frequently associated with myoclonus and ataxia.
Opsoclonus-myoclonus may be cancer-related or idiopathic.
When the cause is paraneoplastic, the tumors involved are usually
cancer of the lung and breast in adults and neuroblastoma in
children.

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2023-05-26 16:59:01 Correct Answer - D
Answer- D. Fever
Repeated episodes of coughing, choking and cyanosis occur on
feeding with TOF.

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