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Spleen and Splenic Cysts

are topics which are
easily missed during
exam preparations. Every
exam has 3-4 questions
from this chapter from
Sabiston text book of
surgery. These are the
commonly asked
questions.
Questions on Spleen and Splenectomy
Spleen related MCQs. Hello and welcome to surgery questions on spleen, splenic cyst
and splenectomy. These questions are from surgical and medical aspects of spleen
asked in exams of Gastro Intestinal Surgery and Gastroenterology. Questions are
accompanied with answers and explanations. The MCQs and answers are free to read
and download. 1001 MULT CHOICE
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Questions in Gastric Surgery

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Small Intestine Exams

Q1. Not an indication for splenectomy in Non Hodgkin Lymphoma?
a) Massive splenomegaly
b) Signs of hypersplenism Liver Surgery MCQ
c) Diagnosing and staging of isolated splenic disease
d) All are indications for splenectomy Hepatobiliary Surgery

Pancreas

ANSWER -- Bariatric Surgery Q2. The most common cystic disease of the spleen is New Books
Spleen
a) Hydatic cyst of spleen
b) Pseudo cyst of the spleen
c) Columnar lined cyst of spleen
d) Cystic lymphangioma Commonly asked questions
Q3 Which is not an indication of splenectomy in idiopathic thrombocytopenia ( ITP)
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A) asymptomatic patients with platelet count between 30000-50000 mm3 Operative Steps in surgeries
Buy New b) refractory thrombocytopenia
c) relapse after glucocorticoid therapy
d) platelet count of 10000 despite management for 6 weeks but no bleeding.
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Q4 ) True regarding abscess of the spleen are all except
a) Majority of splenic abscess result from hematogenous spread from other sites
b) Both Gram positive and gram negative organisms are responsible for abscess of spleen Reconstructive Options in
c) Splenomegaly (enlargement of spleen) is present in most of the patients. breast surgery
d) 2/3rd of the splenic abscess are solitary in adults

Q5 Which of the following is not true regarding splenorrhaphy (Repairing of Spleen)

a) Use of Argon Beam coagulator is superior to other techniques.
b) Grade II and III injuries can be managed by suture repair
c) At least One third of the spleen should be preserved to maintain immunological function. Urology Questions
d) Mesh wrapping is recommended for Grade IV injuries
Post op Fever Q6 OPSI is commonest in splenectomy done for
Portal gastropathy a) Thalassemia
Endocrine tumors b) Trauma
Famous Surgeons c) Hereditary Spherocytosis
Operative steps d)ITP Surgery B ooks F or Residents
Endocrine tumors
Famous Surgeons Every S urgery resident wants to gain
Obscure GI Bleed
Q7 Which of the following is not true regarding wandering spleen?
a) The spleen is attached to a long vascular pedicle without the usual mesenteric attachments. maximum by reading books that deal
Weight loss Questions with the subject of S urgery in a lucid
Breast Surgery b) Torsion and infarction of the spleen are common complications manner. We take stock of some of the
Duodenum c) There is congenital atresia of the dorsal mesogastrium in children common and must have books for
Endocrine tumors d) Splenectomy is required in all cases surgery residents
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Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice (Expert
Consult Premium Edition - Enhanced Online Features and Print), 19e

Answers
My Blog 1d ...
Splenectomy is indicated for NHL patients with massive splenomegaly leading to abdominal pain, early
FUN ZONE satiety, and fullness. It may also be indicated for patients who develop anemia, neutropenia, and $158.46
thrombocytopenia associated with hypersplenism. Splenectomy may also be instrumental in the
diagnosis and staging of patients with isolated splenic disease. Shop now
Surgery Games
Surgery Videos 2. b
USMLE Questions Pseudocyst of the spleen are 4 times more common than the true cysts. Pseudocyst spleen is mostly
Video Lectures in acquired after trauma.
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 Video Lectures in
Surgery
Surgery Photos( True cysts of the spleen are lined by a layer of epithelium. True cysts like columnar lined cyst of spleen
Jejunal Polyp) are rare. The epithelial cells are rich in CEA (Carcino embryonic Antigen) and CA19- 9 but they are
benign. Management is required if the cyst is more than 8 cm or causing symptoms.
Classification of Splenic cysts Subscribe to Surgery Questions and be
True Cyst- Congenital, epidermoid, or epithelial cysts. Or Parasitic and non parasitic informed when new questions are added.
Pseudocyst Your email address is perfectly save with us
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Splenic cysts are most common in the 2nd and 3rd decade of life, although they have been noted in all
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Best Stocks To Buy age groups, including infants. An asymptomatic painless abdominal mass is the presenting feature in
approximately 30% to 45% of cases. Join Surgery Questions
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Treatment options include
Pseudocyst- Aspirations, Catheter drainage, Partial splenectomy, Splenectomy or a recent technique of
partial splenic decapsulization (marsupilization)
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3) a
Indication of splenectomy (removal of spleen) in ITP are
1.ITP has been diagnosed for 6 weeks, still platelet count is less than 10000 with or without bleeding.
2. ITP diagnosed for 3 months with platelet count of less than 30000
4. c
Abscess of spleen result from haematogenous spread from foci such as endocarditis, osteomyelitis Live Traffic Feed
and IV drug abuse. It also results from spread from surrounding structures like colon and kidneys.
Both gram positive and gram negative organisms are responsible.
Splenomegaly is present in only a minority of patients. In adults 2/3rd of splenic abscess are solitary
where as in children only 1/3rd are solitary. A visitor from Houston, Texas
viewed "Spleen Questions - MCH,
5. a USMLE, Board, ABSITE" 13 secs ago
Argon beam coagulator and other superficial coagulation devices are generallt preferred to the A visitor from Houston, Texas
conventional techniques but studies have not shown a definite superiority. viewed "Questions on Appendicitis"
In grade II and III injuries pledget suturing is advised . 42 secs ago
Grade IV injuries are mangaed with polygalactin mesh. A visitor from Houston, Texas
Advantage of splenorrhaphy over splenectomy are viewed "Pancreas Surgery
1. Immunological competence Questions" 1 min ago
2. Prevention of Left Subphrenic abscess. A visitor from Houston, Texas
viewed "Colon Cancer Questions" 1
6. a min ago
One consistent observation is that the risk for OPSI is greater after splenectomy for malignancy or A visitor from Houston, Texas
hematologic disease than for trauma viewed "Surgery Questions (MCQ)
S. pneumoniae is the most frequently involved organism in OPSI and is estimated to be responsible for from Small Intestine" 2 mins ago
between 50% and 90% of cases. Other organisms involved in OPSI include Haemophilus influenzae, A visitor from Houston, Texas
Neisseria meningitidis, Streptococcus species and other pneumococcal species, Salmonella species, viewed "Free Questions on Surgery
and Capnocytophaga canimorsus of esophagus" 7 mins ago
A visitor from Houston, Texas
7. d viewed "Surgery MCQ- Exam
Questions" 8 mins ago
A “wandering spleen” occurs when the spleen is attached only by a long, loose vascular pedicle without A visitor from Campinas, Sao
the usual peritoneal attachments. Wandering spleen in children arise from congenital atresia of the Paulo
viewed "Liver MCQ - Surgery Exam
dorsal mesogastrium. When found in women between 20 and 40 years of age, wandering spleens result Questions" 16 mins ago
from an acquired tissue laxity associated with pregnancy.
A visitor from Lucknow, Uttar
The condition is complicated by acute torsion around the vascular pedicle, which manifests with acute Pradesh
abdominal pain, fever, vomiting, acute pancreatitis, and gastric compression. Without detorsion, splenic viewed "Free MCH GI Surgery
infarction and gangrene ensue. Chronic torsion typically causes venous congestion and splenomegaly. Questions" 33 mins ago
In children without splenic infarction, the procedure of choice is splenopexy, suturing the spleen to the A visitor from Chandra, West
diaphragm, abdominal wall, or omentum. Bengal
Splenectomy is preferred in adults viewed "Surgery MCQ- Exam
Questions" 3 hrs 20 mins ago
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Manahil Abdalah · ‫ﺟ ﺎﻣ ﻌﺔ اﻟﺰﻋﯿﻢ اﻻزھﺮى‬- ‫ﻛﻠﯿﺔ اﻟﻄﺐ‬ NEXT PAGE

I like
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Surg Mcq · St. Xaviers Delhi

Thanks for liking :-)
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Alka Singh · Kilpauk Medical College

like:)
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Surg Mcq · St. Xaviers Delhi

Thanks
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Drvipan Kumar · Dr.rpgmc tanda

Ques 03- Option A - its incorrect, marked correct in the answ er. Its a non - compressible,
blind ending tube.
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