(Single Best Answer) Question 91: 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) Autoclaving B) Hot air oven C) 2% Glutaraldehyde D) Ethylene oxide Answer (Select an option above to get the answer):
(Single Best Answer) Question 96: 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):
A) Mixed stones are the commonest type B) They are mostly radio opaque C) They can cause intestinal obstruction D) They can lead to acute cholangitis by slipping into the common bile duct Answer (Select an option above to get the answer):
(Single Best Answer) Question 100: A retained stone in CBD (common bile duct) diagnosed by T-tube cholangiogram is best treated by ?
A) Dissolution therapy B) Re-exploration of common bile duct C) Extra corporeal shock wave lithotripsy D) Endoscopic papillotomy Answer (Select an option above to get the answer):