Diseases of small intestine MCQ 13+

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• In acute appendicitis
  ক

  Marked leucocytosis occur

  খ

  Typhlitis is the differential diagnosis in both sex

  গ

  Age is not an important factor

  ঘ

  Ultrasound study (USis necessary for all patients

  ঙ

  Appendicectomy is the treatment of choice in all situations
• Causes of paralytic ileus include
  ক

  Uraemia

  খ

  Pancreatitis

  গ

  Mesenteric ischaemia

  ঘ

  Hyperkalaemia

  ঙ

  Use of tricyclic antidepressants
• Intestinal obstruction leads to
  ক

  Hypovolumic shock

  খ

  Electrolyte imbalance

  গ

  Paralytic ileus

  ঘ

  Abdominal distension

  ঙ

  Overhydration
• Common causes of small gut obstruction in young adult are
  ক

  Obstructed inguinal hernia

  খ

  Bands & adhesions

  গ

  Ascariasis

  ঘ

  Malignancy

  ঙ

  Patent vitello-intestinal duct
• Regarding intestinal stomas
  ক

  Ileostomy should have a spout

  খ

  A right sided stoma is invariably an ileostomy

  গ

  A Hartmann’s procedure involves resection of a segment of colon and formation of an ileostomy.

  ঘ

  A loop ileostomy is usually permanent.

  ঙ

  A defunctioning stoma is performed to protect an anastomosis proximal to the stoma
• Classical signs which can be elicited in acute appendicitis are
  ক

  Pointing sign

  খ

  Rovsing's sign

  গ

  Babinski's sign

  ঘ

  Chvostek's sign

  ঙ

  Troiseir's sign
• Classical signs of acute appendicitis
  ক

  Rovsing’s sign

  খ

  Rebound tenderness

  গ

  Grey-Turner’s sign

  ঘ

  Cullen’s signs

  ঙ

  Mac. Burny’s sign
• Appendicular lump consists of
  ক

  Appendix itself

  খ

  Caecal wall

  গ

  Adjacent small gut

  ঘ

  Lesser omentum

  ঙ

  Urinary bladder
• Acute obstructive appendicitis
  ক

  Can be caused by carcinoma of the caecum

  খ

  Cannot occur in a hernia

  গ

  Can accompany ileocaecal Crohn’s disease

  ঘ

  Is the most common type

  ঙ

  Is rare before the age of 20 years
• Most common primary malignant intestinal tumour in adult
  ক

  Adenocarcinoma

  খ

  Lymphoma

  গ

  Leiomyosarcoma

  ঘ

  Carcinoid

  ঙ

  Gastrointestinal
• Meckel's diverticulum is
  ক

  A remnant of vitello-intestinal duct

  খ

  A site of ectopic gastric tissue

  গ

  A cause of intussusception

  ঘ

  A false diverticulum

  ঙ

  Found in the mesenteric border of the ileum
• Causes of intestinal obstructions are
  ক

  Hernia

  খ

  Hypokalemia

  গ

  Retroperitoneal haemorrhage

  ঘ

  Hypernatremia

  ঙ

  Hypocalcaemia