Surgical Gastroenterology Related to Hepato Biliary & Pancreatic Diseases M.Ch Question Bank : web.tnmgrmu.ac.in

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : MASTER OF CHIRURGIAE (M.Ch.)
Branch : Branch VI – SURGICAL GASTROENTEROLOGY AND PROCTOLOGY
Subject Code/Name : 1753/SURGICAL GASTROENTEROLOGY RELATED TO HEPATO BILIARY & PANCREATIC DISEASES
Paper : III
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Surgical Gastroenterology Related to Hepato Biliary :

August 2008 :
Sub. Code: 1753
M.Ch. DEGREE EXAMINATION

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(Higher Specialities)
(Revised Regulations)
Branch VI – SURGICAL GASTROENTEROLOGY AND PROCTOLOGY
Paper III : SURGICAL GASTROENTEROLOGY RELATED TO HEPATO BILIARY & PANCREATIC DISEASES
Q.P. Code: 181753
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Discuss the role and status of non surgical methods in the treatment of hepatocellular carcinoma.
2. Discuss the management of pancreatic head mass.
II. Write short notes on: (10 X 6 = 60)
1. Incidental gall bladder cancer detected at laparoscopic Cholecystectomy.
2. Current role of ERCP in biliary surgery.
3. Asymptomatic gall stones.
4. Ectopic varices.
5. Liver cell adenoma.
6. Domino liver transplant.
7. Pancreatic ascites.
8. Postoperative pancreatic leak.
9. Diagnosis of insulinoma.
10. Liver transplantation in Hepato cellular carcinoma.

August 2009 :
I. Essays: 2 x 20 = 40 Marks
1. Discuss the current management options in hepato cellular carcinoma in a cirrhotic.
2. Discuss the evaluation of a cystic neoplasm of pancreas.
II. Write short notes on: 10 X 6 = 60 Marks
1. Asymptomatic gallstones.
2. Pseudocyst in chronic pancreatitis.
3. Diagnosis of insulinoma.
4. Anhepatic phase of liver transplantation.
5. Pancreatic ascites.
6. Gall bladder polyp.
7. Distal spleno-renal shunt.
8. Laparoscopic management of pancreatic necrosis.
9. Octreotide in GI surgery.
10. Surgical exposure of left hepatic vein.

February 2010 :
I. Essays: 2 x 20 = 40 Marks
1. Discuss the pathophysiology, diagnosis and treatment of noncirrhotic portal fibrosis.
2. Discuss in detail aetiopathogenesis, pathology and treatment of tropical pancreatitis.
II. Write short notes on: 10 X 6 = 60 Marks
1. Grading of pancreatic injury.
2. Segment IV resection.
3. Central pancreatectomy.
4. Serous cystadenoma pancreas.
5. Radio frequency ablation of liver tumours.
6. Investigation of a pancreatic head mass.
7. Postoperative liver failure.
8. TACE.
9. Timing of surgery in biliary injuries.
10. Laparoscopic surgery in hydatid disease of liver.

August 2011 :
I. Elaborate on :
1. Describe the classification, clinical features and management of Choledochal cyst.
2. Describe the pathology, clinical features and management of carcinoma head of pancreas.
II. Write notes on :
1. Haemosuccus pancreaticus.
2. Hepatic adenoma.
3. Gall bladder polyps.
4. Management of pancreatic necrosis.
5. OPSI.
6. Retained CBD stones.
7. Tumour markers in hepato-cellular carcinoma.
8. Portal biliopathy.
9. Budd-Chiari syndrome.
10. Hepato pulmonary syndrome.

AUGUST 2012 :
I. Elaborate on :
1. Discuss in detail the management strategy of a patient with Stage II Right Colon cancer with Solitary liver metastases in segment 7.
2. Describe the Pre-operative workup of a Donor for Living Donor Liver Transplant (LDLT) and various techniques of harvesting the graft.
II. Write notes on :
1. Points for and against Pre-operative Biliary drainage.
2. Evaluation of incidentally detected large cystic lesion in Pancreatic head region.
3. Grading of Liver Trauma and indication for non-operative management.
4. How to reduce morbidity in Liver resection in Cirrhotic.
5. Primary Sclerosing Cholangitis and associated G.I. problems.
6. Chronic Rejection in Transplant Surgeries.
7. Anatomical aspects of Segmental Pancreatectomy.
8. Incidentally detected Gallstones. How to approach?
9. Indication for surgery in Broncho-Biliary Fistula.
10. Etiology and rapid evaluation of Heamobilia.

August 2013 :
I. Elaborate on :
1. Liver resection in hilar cholangiocarcinoma – indications, evaluation, preop planning, technique and complications.
2. Postoperative Biliary Injuries – Discuss the types, classification and management strategies.

II. Write notes on :
1. Transjugular Intrahepatic portosystemic shunts – Indications and technique.
2. Liver resection in cirrhotic liver – Factors governing the outcome.
3. Insulinoma – Evaluation and treatment options.
4. Malignant Cystic Tumours of Pancreas – Classification and treatment options.
5. Post transplant bilioenteric anastomosis – Types, complications and its management.
6. Laparoscopic CBD exploration – Describe the technique.
7. Preoperative portal vein embolization in hepatic resections – Indications, technique and outcome.
8. Portal Vein Resections in Pancreatic Cancer – Surgical Technique and survival benefits.
9. Discuss duodenum preserving pancreatic head resections.
10. Discuss the various strategies to improve the graft survival in liver transplantation.

August 2014 :
I. Elaborate on :
1. Discuss the management of Post Pancreatectomy complications.
2. Compare Deceased Donor with Living donor liver transplantation.
II. Write notes on :
1. Transarterial therapies for Hepatocellular carcinoma
2. Borderline resectable pancreatic carcinoma
3. Primary prophylaxis for oesophageal varices
4. Future liver remnant
5. Partial cholecystectomy
6. Gall bladder perforation
7 . Parenchyma conserving Liver Resection
8. Cyst fluid biomarkers in Cystic lesions, Pancreas
9. Bilhemia
10. Mechanism of reperfusion injury.