Intestinal Obstruction Multiple Questions And Answers

Intestinal Obstruction Multiple Questions And Answers

Question 1. Which of the following is true for closed-loop obstruction?

1. Can occur with constrictive growth in the hepatic flexure
2. The ileocaecal valve is incompetent
3. Perforation of the sigmoid colon is common
4. Occurs with partial obstruction

Answer: 1. Can occur with constrictive growth in the hepatic flexure

Question 2. Which of the following is not the cause of gangrene in intestinal obstruction?

1. Ileocaecal tuberculosis
2. Mesenteric vascular occlusion
3. Necrotising enterocolitis
4. Volvulus

Answer: 1. Ileocaecal tuberculosis

Question 3. Frequent vomiting is pathognomonic of:

1. Jejunal obstruction
2. Terminal ileal obstruction
3. Duodenal obstruction
4. Colonic obstruction

Answer: 2. Terminal ileal obstruction

Question Question 4. Cardinal features of intestinal obstruction include all of the following except

1. Colicky abdominal pain
2. Vomiting
3. Diarrhoea
4. Abdominal distension

Answer: 3. Diarrhoea

Question 5. The following is true in a plain X-ray of the abdomen in intestinal obstruction:

1. Caecum can appear as a round shadow
2. Ileum has valvulae conniventes
3. Colon has haustrations
4. Sigmoid appears shapeless

Answer:  1. Caecum can appear as a round shadow

Question 6. Features of strangulation include all of the following except

1. Tachycardia
2. Disappearance of pain abdomen
3. Fever
4. Acidosis

Answer: 2. Disappearance of pain abdomen

Question 7. The features of a viable bowel include all of the following except

1. Normal peristalsis
2. Normal pulsations are visible
3. The normal pink colour is present
4. Peritoneal sheen is absent

Answer: 4. Peritoneal sheen is absent

Question 8. Conservative treatment is advocated in intestinal obstruction when there is:

1. Disseminated malignancy with obstruction
2. Complete obstruction with adhesions
3. Postoperative obstruction with peritonitis
4. Crohn’s disease unresponsive to medications

Answer: 1. Disseminated malignancy with obstruction

Question 9. ‘Bent inner tube design’, ‘Omega sign’, and ‘Bird’s beak design’ are all seen in

1. Sigmoid volvulus
2. Caecal volvulus
3. Meckel’s diverticulum
4. Bascule

Answer: 1. Sigmoid volvulus

Question 10. The most common cause of intestinal obstruction in infants aged 6–18 months is

1. Worms
2. Bands
3. Intussusception
4. Adhesions

Answer: 3. Intussusception

Question 11. Red currant jelly stools are characteristic of

1. Worms
2. Bands
3. Intussusception
4. Adhesions

Answer: 3. Intussusception

Question 12. Dance’s sign (signe de dance) is a feature of

1. Worms
2. Bands
3. Intussusception
4. Adhesions

Answer: 3. Intussusception

Question 13. The investigation of choice in mesenteric vascular occlusion is

1. Ultrasound abdomen
2. Plain X-ray abdomen
3. CT with or without angiogram
4. MRI

Answer: 3. CT with or without angiogram

Question 14. The most common cause of intestinal obstruction in neonates is

1. Bands
2. Duodenal atresia
3. Imperforate anus
4. Meconium ileus

Answer: 3. Imperforate anus

Question 15. The most common congenital anomaly of the small intestine is

1. Bands
2. Duodenal atresia
3. Stenosis
4. Meckel’s diverticulum

Answer: 4. Meckel’s diverticulum

Question 16. Features of paralytic ileus include the following except

1. Gross abdominal distension
2. Pain abdomen
3. Failure to pass flatus
4. Tinkling sounds

Answer: 2. Pain abdomen

Question 17. Melanosis of lips and mucosa with intestinal obstruction should arouse the suspicion of

1. Gardner’s syndrome
2. Turcot’s syndrome
3. Peutz-Jeghers syndrome
4. Down’s syndrome

Answer:

Question 18. Which is the factor precipitate sigmoid volvulus?

1. Short colon
2. Broad attachment at the base
3. Empty colon
4. The long mesentery of the colon

Answer: 1. Short colon

Question 19. A common factor precipitating sigmoid volvulus in patients with parkinsonism, multiple sclerosis, and hypothyroidism is

1. Diarrhoea
2. Constipation
3. Drugs
4. The long mesentery of the colon

Answer: 2. Constipation

Question 20. Investigation of choice for detecting bleeding Meckel’s diverticulum is

1. CT scan
2. Pet scan
3. MRI scan
4. Technetium scan

Answer: 4. Technetium scan

Question 21. The presence of intramural air is diagnostic of

1. Gallstone ileus
2. Sigmoid perforation
3. Duodenal atresia
4. Intestinal gangrene

Answer: 4. Intestinal gangrene

Question 22. Following complications can occur after gastrojejunostomy except

1. Dumping syndrome
2. Intussusception
3. Volvulus
4. Stomal ulcer

Answer: 2. Intussusception

Question 23. Following are the causes of adult intussusception 

1. Meckel’s diverticulum
2. Submucous lipoma
3. Carcinoma caecum
4. Hypertrophy of Peyer’s patches

Answer: 4. Hypertrophy of Peyer’s patches

1. Question 24. The most common anomaly associated with Hirschsprung’s disease is
2. Down’s syndrome
3. Hypothyroidism
4. Meckel’s diverticulum
5. Anorectal atresia

Answer: 1. Down’s syndrome

Question 25. The following are causes of paralytic ileus except

1. Anastomotic leak
2. Retroperitoneal irritation
3. Hyperkalaemia
4. Fracture spine

Answer: 3. Hyperkalaemia