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Surgery MCQ 90

Perforated peptic ulcer cannot be diagnosed r adio-logically in 30 % of cases due to: A. Gas less than 1 ml B. Adhesions C. Sealed peptic ulcer D. All of them Answer: D(S) The Correct Answer is All of them Like Our  Facebook Page  For Daily Update

Surgery MCQ 88

30 years old female is diagnosed as a resistant  case of duodenal ulcer. Which one of the following is/are surgical treatment option for chronic duodenal ulcer? A. Truncalvagotomy with pyloroplasty B. Gastrojejunostomy C. Parietal cell vagotomy D. All of them Answer: D(S) The Correct Answer is All of them Related Videos: Like Our  Facebook Page  For Daily Update

Surgery MCQ 87

Aorta and superior mesenteric artery are r elated to which part of Duodenum? A. 1”part B. 2nd part C. 3rd part D. They are not in relation with duodenum Answer: C (S) The Correct Answer is 3rd part Like Our  Facebook Page  For Daily Update

Surgery MCQ 86

A 58-year-old male with long-standing GERD is diagnosed with adenocarcinoma of the distal esophagus . Imaging and endoscopic evaluation confirm that the tumor is limited to the esophagus without evidence of spread to adjacent structures. 👉 Question: What is the surgical treatment of choice in this case? A. Left thoraco-abdominal approach B. Trans-hiatal approach C. McKeown approach D. Total esophagectomy E. Ivor Lewis esophagectomy ✅ Correct Answer: E. Ivor Lewis esophagectomy 📚 Expert Detailed Answer and Rationale: Ivor Lewis esophagectomy is a two-incision approach ( laparotomy + right thoracotomy ) with intrathoracic anastomosis . It is preferred for distal and mid-distal esophageal adenocarcinoma because it provides excellent exposure for lymphadenectomy and safe resection of localized tumors. Trans-hiatal esophagectomy avoids thoracotomy using abdominal and cervical incisions but offers li...