(Single Best Answer) Question 511: A 65-year old patient presents with obstructive jaundice and 15 kg weight loss. An ultrasound shows a 4 cm mass in the head of the pancreas with dilated bile ducts. Further work up includes a helical CT scan. The study shows several lesions consistent with metastasis in the right and left lobes of the liver and encasement of gastro duodenal artery. The most appropriate treatment would be ?
A) Pancreaticoduodenectomy (Whipple procedure) B) Total pancreatectomy C) Endoscopic stenting of bile duct D) Biliary and gastric bypass Answer (Select an option above to get the answer):
1. indicated in patients when enteral nutrition cannot be given
2. parenteral route is a better choice than enteral route
3. abnormalities of liver functions can occur on prolonged use
4. hyperglycemia is common
Which of the above statements are correct ?
A) 1, 2, 3 and 4 B) 1, 3 and 4 only C) 1, 2 and 3 only D) 2, 3 and 4 only Answer (Select an option above to get the answer):
(Single Best Answer) Question 514: A 32 year-old male patient presents in casualty department with history of RTA one-hour back; on examination is found that BP is 90/50 mm Hg, pulse rate 110 beats per minute, with fracture left lower ribs, and generalized distension of abdomen with guarding and rigidity. He also complained of pain on the tip of the left shoulder. As a casualty Medical Officer you must exclude which one of the following clinical conditions on the primary basis ?
A) Cardiac tamponade B) Inestinal perforation C) Rupture left lobe of liver D) Splenic rupture Answer (Select an option above to get the answer):
A) femoral canal is long B) femoral canal is wide C) ligaments of femoral canal neck are weak D) weakness of post Inguinal wall Answer (Select an option above to get the answer):
A) Varicosity of cremasteric veins B) Left side is affected usually C) Feels like a bag of worms D) May lead to infertility Answer (Select an option above to get the answer):
A) Face is a very vascular area B) There may be thermal damage to the respiratory passage C) Renal failure is more frequent D) Blood loss may be more severe Answer (Select an option above to get the answer):