Large Intestine Multiple Choice Questions

Large Intestine Multiple Choice Questions

Question 1. The following feature is true of adenomatous polyps of the large intestine

1.  Most are sessile
2. Most can be removed by colonoscopic snaring
3. Adenoma smaller than 15 mm in diameter do not carry the risk of malignant potential
4.  Young people are more likely to have these polyps

Answer: 2. Most can be removed by colonoscopic snaring

Question 2. Common premalignant conditions for colonic cancer include the following except

1. Familial polyposis coli
2. Ulcerative colitis
3. Adenomatous polyp
4. Peutz-Jeghers syndrome

Answer: 4. Peutz-Jeghers syndrome

Question 3. Flexion of the hip can be present in

1.  Carcinoma splenic flexure
2. Carcinoma caecum
3. Carcinoma sigmoid colon
4. Carcinoma hepatic flexure

Answer: 2. Carcinoma caecum

Question 4. Abscess in the lateral abdominal wall can be a feature of

1. Acute pancreatitis
2.  Perforated carcinoma caecum
3. Diverticular perforation
4. Meckel’s diverticular perforation

Answer: 4. Meckel’s diverticular perforation

Question 5. Mechanical bowel preparation is best given using

1. Plenty of saline
2. Oral mannitol
3. Glycerine enema
4.  Whole gut irrigation using oral polyethylene glycol

Answer:  4. Whole gut irrigation using oral polyethene glycol

Question 6. Which one of these is true in colonic surgery?

1. No touch technique of Turnbull
2. Right-sided lesions are treated by colostomy
3. Left-sided lesions are treated by resection
4. Removal of 30 cm of ileum along with colon

Answer: 1. No touch technique of Turnbull

Question 7. Following is true about prognostic factors of carcinoma colon except

1. Elderly patients have poorer prognosis
2. Perioperative blood transfusion has a poor prognosis
3. Survival is good if it is limited to mucosa and there are no nodes
4. Obstruction and perforation is associated withpoor prognosis

Answer: 1. Elderly patients have a poorer prognosis

Question 8. Regarding colonoscopic screening, which one of the following is true?

1.  It is done if there is distal adenoma
2. It is painless and easy to perform
3.  It is not useful for screening of colonic cancer
4. Detection of all advanced colorectal neoplasia is only up to 20%

Answer: 1. It is done if there is distal adenoma

Question 9. Proliferative growth is more common in the __________ colon

1. Right
2. Left
3. Rectosigmoid
4. Splenic flexure

Answer: 1. Right

Question 10. The ‘Gold standard’ investigation for detection of colonic cancer is

1. Ultrasound abdomen
2. CT scan
3. Barium enema
4.  Colonoscopy and biopsy

Answer: 4. Colonoscopy and biopsy

Question 11. Following are the features of intestinal tuberculosis except

1.  It can be secondary to pulmonary tuberculosis
2. Terminal ileum and caecum are commonly involved
3. Ulcers are transverse
4. Ulcers do not result in stricture

Answer: 4. Ulcers do not result in stricture

Question 12. In which of the following malignancies anaemia is an important method of presentation?

1. Malignant melanoma
2. Carcinoma breast
3. Carcinoma caecum
4. Carcinoma pancreas

Answer: 4. Carcinoma pancreas

Question 13. The most common fistula in diverticulitis is

1.  Colovesical
2. Colovaginal
3.  Colorectal
4. Colocolic

Answer: 1.  Colovesical

Question 14.  Which of the following is a true diverticulum?

• Sigmoid diverticulum
• Meckel’s diverticulum
•  Parabronchial diverticulum3.
•  Laryngeal diverticulum

Answer: 2. Meckel’s diverticulum

Question 15. In hereditary nonpolyposis colorectal cancer, which carcinoma is more often seen?

1. Rectum
2.  Rectosigmoid
3. Transverse colon
4.  Caecum and ascending colon

Answer: 4. Caecum and ascending colon

Question 16. Incidence of malignancy in familial polyposis coli is

1.  10%
2. 30%
3.  50%
4. 100%

Answer:  4. 100%

Question 17. The following are true for carcinoembryonic antigen except

1.  It is a glycoprotein
2.  It is a tumour marker for carcinoma colon
3. It should be done in all cases of carcinoma colon before surgery
4. Produced by colorectal epithelium and cleared by kidney

Answer:  4. Produced by colorectal epithelium and cleared by the kidney

Question 18. The following are true for right hemicolectomy for carcinoma caecum except

1. Right one-third of the transverse colon is also removed
2. Greater omentum should be removed
3. Terminal 30 cm of the ileum should be removed
4.  Duodenum can get injured during surgery

Answer: 3. Terminal 30 cm of the ileum should be removed

Question 19. Indications for postoperative chemotherapy following colectomy for carcinoma include the following except

1. Signet ring carcinoma
2. Lymph nodes are positive
3.  Lymphovenous involvement
4.  Involvement of muscularis propria

Answer: 4. Involvement of muscularis propria

Question 20. The most common aerobic organism present in a sigmoid colonic faecal fistula is

1. Clostridia
2. Lactobacillus
3. Bacteroides fragilis
4.  E. col

Answer: 4. E. col