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Exam Title : Gastrointestinal/Hepatic, biliary and pancreatic systems/ Abdomen/Anal canal

Number Of Question : 94
Question #1: Which of the following is not true about Gastrointestinal Stromal Tumor (GIST)?
Originates from interstitial cells of cajal
Most common mesenchymal tumour of gastrointestinal tract
Prognosis depends on size
ALK gene mutation is seen in most of the cases
Question #2: A 30-year-old male presented with massive hemetemesis. A 2*2 cm ulcer was visualized on upper GI endoscopy. on the posterior aspect of 1st part of duodenum. The Bleeding vessel was visualized but bleeding could not be controlled endocopically. Blood transfusion was administered and patiend was planned for surgery. His blood pressure was recorded as 90/70 and pulse rate was 110 with a Hb of 9 gm% at time of surgery. Which of the following would be the best surgical management
Antrectomy with ligation of left gastric artery
Duodenotomy, with ligation of bleeding vessels, with postoperative PPI
Duodenotomy, with ligation of bleeding vessels, truncal vagotomy & pyloroplasty
Duodenotomy, with ligation of bleeding vessels, highly selective vagotomy
Question #3: All the following polyps are premalignant except
Juvenile polyposis syndrome
Famillial polyposis syndrome
Juvenile polyp
Peutz jeger syndrome
Question #4: Which of the following statements about Gastric carcinoma are true:
Squammous cell carcinoma is the most common histological subtype
Often associated with Hypochlorhydria / Achlorhydria
Occult blood in stool is not seen
Highly Radiosensitive tumor
Question #5: A lady presents with three day history of epigastric pain radiating to back. Serum amylase levels were observed to be normal while USG abdomen reveals gall bladder stones and an enlarged pancreas. CT scan was done which clinched the diagosis. Which of the following is the most likely diagnosis.
Acute Cholecystitis
Acute Pancreatitis
Acute Appendicitis
Acute Peritonitis