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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. More Questions on Related topics
10 Signs of Appendicitis
activebeat.co/Appendicitis
5 Signs You'll Get Cancer
www.newsm ax .com Learn about 10 of the tell tale signs and
These 5 Signs Warn You That Cancer Is Starting Inside Your
Body. symptoms of appendicitis.
Q1. The most common cystic disease of the spleen is
a) Hydatic cyst of spleen
b) Pseudo cyst of the spleen 5 Signs of Alzheimer's
c) Columnar lined cyst of spleen
d) Cystic lymphangioma
Q2 Which is not an indication of splenectomy in idiopathic thrombocytopenia ( ITP) New Books
A) asymptomatic patients with platelet count between 30000-50000 mm3
b) refractory thrombocytopenia
c) relapse after glucocorticoid therapy
d) platelet count of 10000 despite management for 6 weeks but no bleeding.
Q3 ) 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
c) Splenomegaly (enlargement of spleen) is present in most of the patients.
d) 2/3rd of the splenic abscess are solitary in adults
Small Intestine MCQ
Q4 Which of the following is not true regarding splenorrhaphy (Repairing of Spleen) Large Intestine MCQ
a) Use of Argon Beam coagulator is superior to other techniques. Bile Ducts
b) Grade II and III injuries can be managed by suture repair Peritoneal tumors
c) At least One third of the spleen should be preserved to maintain immunological function. Burns
d) Mesh wrapping is recommended for Grade IV injuries Fever
Portal gastropathy
Q5 OPSI is commonest in splenectomy done for Appendicitis
a) Thalassemia Spleen
b) Trauma
c) Hereditary Spherocytosis
d)ITP
Q6 Which of the following is not true regarding wandering spleen? Sabiston Textbook of Surgery: The Biological
a) The spleen is attached to a long vascular pedicle without the usual mesenteric attachments. Basis of Modern Surgical Practice (Expert
b) Torsion and infarction of the spleen are common complications Consult Premium Edition - Enhanced Online
c) There is congenital atresia of the dorsal mesogastrium in children Features and Print), 19e
d) Splenectomy is required in all cases
Answers and Explanations
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Answers
1. b
Pseudocyst of the spleen are 4 times more common than the true cysts. Pseudocyst spleen is mostly Post op Fever
Portal gastropathy
acquired after trauma. Endocrine tumors
True cysts of the spleen are lined by a layer of epithelium. True cysts like columnar lined cyst of spleen are Famous Surgeons
rare. The epithelial cells are rich in CEA (Carcino embryonic Antigen) and CA19- 9 but they are benign. Operative steps
Endocrine tumors
Management is required if the cyst is more than 8 cm or causing symptoms.
Famous Surgeons
Classification of Splenic cysts Obscure GI Bleed
True Cyst- Congenital, epidermoid, or epithelial cysts. Or Parasitic and non parasitic Weight loss Questions
Breast Surgery
Pseudocyst
Duodenum
Splenic cysts are most common in the 2nd and 3rd decade of life, although they have been noted in all age Endocrine tumors
groups, including infants. An asymptomatic painless abdominal mass is the presenting feature in
approximately 30% to 45% of cases.
Treatment options include
Pseudocyst- Aspirations, Catheter drainage, Partial splenectomy, Splenectomy or a recent technique of partial
splenic decapsulization (marsupilization)
2) 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
3. c
Abscess of spleen result from haematogenous spread from foci such as endocarditis, osteomyelitis 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.
Argon beam coagulator and other superficial coagulation devices are generallt preferred to the conventional
techniques but studies have not shown a definite superiority.
In grade II and III injuries pledget suturing is advised .
Grade IV injuries are mangaed with polygalactin mesh.
Advantage of splenorrhaphy over splenectomy are
1. Immunological competence
2. Prevention of Left Subphrenic abscess.
 5. a
One consistent observation is that the risk for OPSI is greater after splenectomy for malignancy or
hematologic disease than for trauma
S. pneumoniae is the most frequently involved organism in OPSI and is estimated to be responsible for
between 50% and 90% of cases. Other organisms involved in OPSI include Haemophilus influenzae, Neisseria
meningitidis, Streptococcus species and other pneumococcal species, Salmonella species, and
Capnocytophaga canimorsus

6. d

A “wandering spleen” occurs when the spleen is attached only by a long, loose vascular pedicle without the
usual peritoneal attachments. Wandering spleen in children arise from congenital atresia of the dorsal
mesogastrium. When found in women between 20 and 40 years of age, wandering spleens result from an
acquired tissue laxity associated with pregnancy.
The condition is complicated by acute torsion around the vascular pedicle, which manifests with acute
abdominal pain, fever, vomiting, acute pancreatitis, and gastric compression. Without detorsion, splenic
infarction and gangrene ensue. Chronic torsion typically causes venous congestion and splenomegaly. In
children without splenic infarction, the procedure of choice is splenopexy, suturing the spleen to the
diaphragm, abdominal wall, or omentum.
Splenectomy is preferred in adults

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Alka Singh · Kilpauk Medical College

like:)
Reply · Like · December 26, 2013 at 10:35pm

Surg Mcq · IGMC Hospital ;Shimla

Thanks
Reply · Like · December 29, 2013 at 11:31am

Drvipan Kumar · Dr.rpgmc tanda

Ques 03- Option A - its incorrect, marked correct in the answ er. Its a non - compressible, blind ending tube.
Reply · Like · November 17, 2013 at 9:18pm

Surg Mcq · IGMC Hospital ;Shimla

w hich page
Reply · Like · November 23, 2013 at 7:58pm

Ciprofloxacin Toxicity · Khyber Medical College

superb Questions w d ans
Reply · Like · September 17, 2013 at 11:58am

Hala Almnfe · Works at ‫ﻣﺮ ﻛﺰ طﺒﺮق اﻟﻄﺒ ﻲ‬

nice
Reply · Like · September 7, 2013 at 9:50am

Emad Eid · Cairo University

good questions....
Reply · Like · July 11, 2013 at 2:57pm

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