Intestinal obstruction

MCQ

1.• Complete mechanical small bowel

obstruction can cause dehydration by:

A Inducing vomiting.B. Decreasing intestinal absorption of water.C. Causing secretion of water into the intestinal lumen.D. all of the above.

2.• Commonest cause of intestinal obstruction:A. Tumors B. InflamatoryC. AdhesionsD. Intraluminal

3.

• All are true except:A. Jejunum is characterized by valvulae

conniventesB. Ileum is featureless.C. Haustral folds completely pass across the

width & regularly placed. D. Two fluid level in small bowel considered

normal.

4.

All are the signs of strangulation except:

A. severe colicky abdominal painB. feverC. tenderness with rigidityD. shock

5.

• The most helpful diagnostic radiographic procedure in small bowel obstruction is:

A. CT of the abdomen.B. Contrast study of the intestine.C. Supine and erect x-rays of the abdomen.D. Ultrasonography of the abdomen.

6.

• What is the following radiological element which reveal a gall stone ileus?

A. Air under diaphragm.B. Air-fluid level of small gut.C. Pneumobilia.D. Enlargement of parieto-colic groove.

7.

• Most reliable sign of non-viability of bowel A. absent peristalsis B. loss of normal shine

C. loss of pulsation in mesentry D. green or black color of bowel

8

• Most common variant of intussusception isA. IleoilealB. IleocolicC. ileo-ileo-colicD. colocolic

9.

• “Constipation is present in intestinal obstrution”it does not apply in all except

A. Richter’s Hernia B. Intussusception C. Gallstone obturation. D. Mesentric vascular occlusion

10.

• Indication for urgent surgery are all except :

A. Failure of conservative management B. Adhesions & bands C. Tender, irreducible hernia D. Strangulation