*Stomach* *Fcps-Made-Guide-By-Dr-NP* *Most Repeated Mcqs in cpsp* **BY DR NAVEED AHMED PANHWAR* *(General Surgeon)** Lesser sac present in between : *Stomach & pancreas* Mixing waves of stomach occurs in :  *body of stomach* During esophagectomy, stomach is mobilized to upper portion of thorax to anastomosis e pharynx. Which artery is mobilized for stomach supply : *Right gastroepiploic artery* During Endoscopy  ulcer found in posterior wall of Stomach  it likely to cause bleeding by cause Damaging to :  *splenic Artery* Lesser Curvature= *Left Gastric* Post Stomach= *Splenic artery* Colon adenocarcinoma first metastasize to? : *Liver* Stomach CA first metastasize to?: *LN* stomach circular muscles become thicker ? : *pylorus* Incisura angularis are present in : *Stomach* Short gastric artery which supply stomach branch of : *Splenic artery* Gastroduodenal artery is a branch of: *Hepatic artery* Most potent stimuli for gastrin secretion?: *distention of stomach* type of necrosis in stomach : *coagulative Necrosis* medication should be taken on an empty stomach & at least one hour before meals?: *Levothyroxin* In healthy man , protein Digestion start from : *Stomach* Epithelium of stomach : *simple columnar non ciliated Epithelium* Rugae are present in : *Stomach* which neurotransmitter decreases contraction of stomach and gallbladder : *VIP* Anterior to Left suprarenal gland : *Lesser sac* Dec acid in stomach  :  abnormal protein *digestion* Types of Gastric Ca mostly seen on leaser curvature ? : *Intestinal* Explanation: intestinal associated with H pylori commonly on lesser curvature diffuse e caherin  mutation stomach wall  thinckened  and leathery (linitis plastica ) Gastric acid secretion is mediated by : *H2* Time taken by food to reach large intestine from pylorus: *8hours* A patient presents with anemia post gastrectomy . Which cells of  stomach Are likely involved: *parietal cells* Gastric HCL from parietal cells is needed from:  *conversion of pepsinogen to pepsin* High potential difference in the wall of stomach is when : *aspirin ingested* H2 blockers are given before surgery primarily to decrease which of the following:  *volume in the stomach* Non ulcer gastritis: *pernicious anemia* Basic electrical rhythm of the human stomach: *is abolished by vagotomy* Normal waves in Basic electrical rhythm of the stomach: *3 Waves per day* Explanation: Stomach : 3 waves Ileum : 8-9 waves Duodenum :  12 waves Regarding Gastrin :  *secretd by antrum of stomach and duodenum* Biopsy of stomach done, there was non specialized gastric tissue and scattered goblet cells : *metaplasia* Ulcer leak in the posterior stomach wall with collection in lesser sac causing irritation will Carry sensation by :  *greater Splanchnic* 35 year old man with perforated gastric ulcer complains of pain in his stomach, it is observed that pain comes from peritoneal irritation by gastric contents in lesser sac, which of the following nerves contains sensory nerve fibers : *Lower intercostal nerve* Thick muscular part in stomach: *Gastrodoudenal orifice* dec acid in stomach causes which of the following : *Abnormal protein digestion* An alcoholic patient presented with occasional dyspnea nausea vomiting.endoscopy shows atrophic gastritis.what are the likely complication in future ? : *Anemia* A smoker and psychic patient is having treatment, presented with pain  abdomen and visible peristalsis and audible sounds on examination .Most likely cause is : *Pyloric stenosis* A 45 year old male presented with complaints of epigastric pain ,he was diagnosed with peptic ulceration ,which of the following part of stomach most likely involve ?: *Lesser curvature* ❤️Vagotomy Vagotomy above esophagus causes? a. loss of acid sec🖊️ b. loss of antrum motility Vagotomy is done, happens? a. irregular peristalsis b. peristalsis stops completely c. secretion affected🖊️ Truncal vagotomy done to? a. delay gastric emptying b. dec pepsin secretion c. dec acid secretion🖊️ Truncal vagotomy often causes/side effect? a. delay gastric emptying 🖊️ b. dec pepsin secretiom c. dec acid secretion Thoracic vagotomy done mainly to? a. dec gastric secretion🖊️ b. dec gastric emptying Thoracic vagotomy results in? a. dec caudal stomach peripheral peristalsis b. dec secondary peristalsis c. dec gastric secretion🖊️ d. dec activity of migratory motor complex Wish You Good Luck By : Dr Naveed Ahmed Panhwar ( General Surgeon)