INI-CET 2018 - Surgery PYQs Practice Questions

Q: All of the following are usually associated findings in the given condition except? (AIIMS May 2018)

Absent kidney. ***Absent kidney*** - **Absent kidney (renal agenesis)** is not a typical associated finding in biliary atresia. - Biliary atresia primarily involves malformations of the **bile ducts** and is not directly linked to renal agenesis. - This is the correct answer to this "EXCEPT" question. *Hepatic artery anomalies* - **Hepatic artery anomalies**, such as aberrant or hypoplastic hepatic arteries, are frequently associated with biliary atresia. - These vascular malformations can contribute to the pathogenesis or progression of the disease. *Malrotation of gut* - **Intestinal malrotation** is a common abdominal anomaly found in conjunction with biliary atresia. - The altered embryological development affecting the biliary system can simultaneously impact gut rotation. *Polysplenia* - **Polysplenia**, a condition with multiple small spleens, is part of the heterotaxy syndrome often linked with biliary atresia. - This association reflects a broader developmental defect affecting left-right body axis determination. *Cardiac anomalies* - **Cardiac anomalies** are recognized associations with biliary atresia, particularly in the syndromic form. - These can include various congenital heart defects as part of the broader malformation syndrome. [Practice more Surgery PYQs on OnCourse]

Question 1

Which of the following is next investigation to be done in managing this condition? (AIIMS May 2018)

Accepted Answer

Gastrografin follow through

Answer

USG abdomen

Answer

Exploratory Laparotomy

Answer

Double contrast barium

Answer

Barium meal

Question 2

All of the following are usually associated findings in the given condition except? (AIIMS May 2018)

Accepted Answer

Absent kidney

Answer

Hepatic artery anomalies

Answer

Malrotation of gut

Answer

Polysplenia

Answer

Cardiac anomalies

Question 3

A 3-month-old child presents with umbilical discharge. The appearance is shown below. Which of the following is the next step in management of this patient? (AIIMS May 2018)

Accepted Answer

USG abdomen

Answer

MRI abdomen

Answer

CECT

Answer

Exploratory laparotomy

Answer

MCUG

INI-CET 2018 — Surgery