Professional Documents
Culture Documents
For each of the following multiple choice questions select the one
most appropriate answer:
1.
2.
A person was stung by a bee in the left lumbar region. The nerves supplying the
region accompany the branches of
(A)
Musculophrenic Artery
(B)
Anterior Intercostal Arteries
(C)
Posterior Intercostal Arteries
(D)
Superior Epigastric Artery
(E)
Inferior Epigastric Artery
3.
A patient comes to your clinic whom you operated for obstructed irreducible
indirect Left Inguinal hernia one month ago. He says It has been over four weeks
from the surgery and I still have much discomfort. Inside of my thigh is
numb, burns or simply hurts when touched. When I move in certain ways I get a
stabbing pain in that area accompanied with a sensation of being bit by a bunch of
wasps (Bees). Which nerve is most likely damaged?
(A)
Genital branch of Genitofemoral nerve
(B)
Illioinguinal Nerve
(C)
Cremasteric Nerve
(D)
Illiohypogastric Nerve
(E)
Subcoastal Nerve
4.
This patient has more chances of developing which type of hernia in future
(A)
Right Direct Inguinal Hernia
(B)
Left Direct Inguinal Hernia
(C)
Right Indirect Inguinal Hernia
(D)
Left Indirect Inguinal Hernia
(E)
Umbilical Hernia
5.
During Laproscopic repair of Direct inguinal Hernia, the site of hernia will be
located in
(A)
Median Umbilical fold
(B)
(C)
(D)
(E)
6.
7.
While operating for Indirect Inguinal Hernia there started an unusual rapid oozing
of blood, which filled the site with blood. The Surgeon had to stop to control the
bleed. Which artery is most likely injured?
(A)
Inferior Epigastric
(B)
Cremasteric
(C)
Testicular
(D)
External Illiac
(E)
Internal iliac
You are examining a patient for Hernia during exam. The examiner asks you to
differentiate between inguinal and Femoral Hernia. Your best response will be
(A)
Femoral Hernia is above and medial to Pubic tubercle
(B)
Femoral Hernia is below and medial to Pubic tubercle
(C)
Femoral Hernia is above and Lateral to Pubic tubercle
(D)
Femoral Hernia is below and Lateral to Pubic tubercle
(E)
None of Above
8.
9.
10.
A 45 year old man comes to your clinic and says that he has a Dragging-like or
aching pain within scrotum and feeling a bag of worms. You do a Physical exam and
make a diagnosis of Varicocele. Considering his age what test will u order?
(A)
CT Abdomen
(B)
ESR
(C)
Angiogram
(D)
Ultrasound Testis
(E)
Testicular Biopsy
11.
Processus vaginalis in males form the Tunica Vaginalis of testis. In females it forms
(A)
(B)
(C)
(D)
(E)
Vagina
Canal Of Nuck
Tunica Albuginea
Tunica Vaginalis
Clitoris
12.
A 10 year old boy comes to your clinic at 8 PM for sudden Pain in his inguinal
region. He is otherwise healthy. On further questioning you came to know that his
Right testis never descended properly. You notice a swelling just medial to deep
inguinal ring. You dont have any facility of surgery in your office at night but you
can operate in the morning. What will you do next
(A)
Give Him Pain medicine and Arrange to Operate in the morning for Direct
Inguinal hernia
(B)
Give Him Pain medicine and Arrange to Operate in the morning for Indirect
Inguinal hernia
(C)
Give Him Pain medicine and antibiotics to treat Epididymitis
(D)
Urgently operate for strangulated Indirect Inguinal Hernia
(E)
Refer to Emergency Surgical Department
13.
14.
15.
16.
After Inguinal Hernia Repair in a 10 year old boy medial side of thigh is stimulated
to check the cremasteric reflex, but it was found to be absent. Which nerve is
responsible for contraction of cremaster muscle.
(A)
Illioinguinal never
(B)
Femoral Branch of Genitofemoral Nerve
(C)
Genital Branch of Genitofemoral Nerve
(D)
Pudendal Nerve
(E)
Cremasteric Nerve
17.
18.
19.
Transpyloric plane is
(A)
Half way between Lower border of xyphoid and umbilicus
(B)
Half way between jugular notch and pubic symphasis
(C)
Below lower border of costal cartilages
(D)
Both A and B
(E)
Both B and C
20.
21.
Just Below the arcuate line of anterior abdominal wall, what is in direct contact with
rectus abdominus muscle
(A)
Parietal Peritoneum
(B)
Visceral Peritoneum
(C)
Fascia Transversalis
(D)
Posterior Layer of Rectus Sheath
(E)
Conjoint Tendon
22.
23.
24.
25.
Navicular fossa is
(A)
Fossa on the body of Pubis
(B)
The other name of medial inguinal fossa
(C)
Between Median and Medial Inguinal Fosaa
(D)
The terminal dilated part of urethra in the glans penis
(E)
The fossa between Xyphoid process and coastal cartilages
Smegma is
(A)
Stored in Ductus Deferens
(B)
Produced by Testis
(C)
Stored in Epidydmis
(D)
The secretion of Preputial glands
(E)
The secretion of Lymphatics
26.
27.
External Oblique arises from the outer surfaces Lower 8 ribs just adjacent to the
origin of
(A)
Serrtus Anterior
(B)
Internal Oblique
(C)
Transversus Abdominus
(D)
Rectus Abdominus
(E)
Pectoralis Minor
28.
(A)
(B)
(C)
(D)
(E)
29.
30.
A 26-year-old man comes to a hospital with fever, nausea, pain, and itching in the
perineal region. On examination by a urologist, he is diagnosed as having infected
bulbourethral (Cowper's) glands. Which of the following structures is/are affected
by this infection?
(A)
Superficial perineal space
(B)
Sphincter urethrae
(C)
Production of sperm
(D)
Testis
(E)
Seminal vesicles
31.
A 16-year-old boy presents to the emergency department with rupture of the penile
urethra. Extravasated urine from this injury can spread into which of the following
structures?
(A)
Scrotum
(B)
Ischiorectal fossa
(C)
Pelvic cavity
(D)
Testis
(E)
Thigh
32.
After his bath but before getting dressed, a 4-year-old boy was playing with his
puppy. The boy's penis was bitten by the puppy, and the deep dorsal vein was
injured. The damaged vein:
(A)
Lies superficial to Buck's fascia
(B)
Drains into the prostatic venous plexus
(C)
Lies lateral to the dorsal artery of the penis
(D)
Is found in the corpus spongiosum
(E)
Is dilated during erection
33.
A 39-year-old man is unable to expel the last drops of urine from the urethra at the
end of micturition because of paralysis of the external urethral sphincter and
A 37-year-old man is suffering from carcinoma of the skin of the penis. Cancer cells
are likely to metastasize directly to which of the following lymph nodes?
(A)
External iliac nodes
(B)
Internal iliac nodes
(C)
Superficial inguinal nodes
(D)
Aortic (lumbar) nodes
(E)
Deep inguinal nodes
35.
A 17-year-old boy suffers a traumatic groin injury during a soccer match. The
urologist notices tenderness and swelling of the boy's left testicle that may be
produced by thrombosis in which of the following veins?
(A)
Left internal pudendal vein
(B)
Left renal vein
(C)
Inferior vena cava
(D)
Left inferior epigastric vein
(E)
Left external pudendal vein
36.
A 22-year-old woman receives a deep cut in the inguinal canal 1 inch lateral to the
pubic tubercle. Which of the following ligaments is lacerated within the inguinal
canal?
(A)
Suspensory ligament of the ovary
(B)
Ovarian ligament
(C)
Mesosalpinx
(D)
Round ligament of the uterus
(E)
Rectouterine ligament
37.
A 2-year-old boy presents with pain in his groin that has been increasing in nature
over the past few weeks. He is found to have a degenerative malformation of the
transversalis fascia during development. Which of the following structures on the
anterior abdominal wall is likely defective?
(A)
Superficial inguinal ring
(B)
Deep inguinal ring
(C)
Inguinal ligament
(D)
Sac of a direct inguinal hernia
(E)
Anterior wall of the inguinal canal
38.
A young boy is brought to the hospital after a bicycle accident and possible pelvic
fracture. While awaiting a computed tomography (CT) scan of his pelvis, a
40.
41.
A 21-year-old man developed a hernia after lifting heavy boxes while moving into
his new house. During the repair of his resulting hernia, the urologist recalls that the
genitofemoral nerve:
(A)
Runs in front of the quadratus lumborum
(B)
Is a branch of the femoral nerve
(C)
Supplies the testis
(D)
Passes through the deep inguinal ring
(E)
Gives rise to an anterior scrotal branch
42.
(E)
43.
A patient was operated for Direct Inguinal Hernia and Mesh was placed. Now the
Abdminal layers from Anterior to posterior are composed of in this patient AFTER
Mesh Placement.
1. Fascia Tranversalis
2. Campers Fascia
3. Parietal Peitoneum
4. Mesh
5. External Oblique Aponerosis
6. Conjoint tendon
7. Spermatic Cord
8. Skin
9. Scarpa Fascia
(A)
8, 2, 9, 5, 7, 6, 1, 4, 3
(B)
8, 9, 2, 5, 7, 4, 6, 1, 3
(C)
8, 2, 9, 5, 4, 7, 6, 1, 3
(D)
8, 2, 9, 5, 7, 6, 4, 1, 3
(E)
8, 2, 9, 5, 7, 4, 6, 1, 3
44.
45.
Answers Key
1
2
3
4
5
6
7
8
9
10
D
C
B
B
C
A
A
D
A
A
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
B
E
C
E
E
C
B
B
B
D
C
C
C
A
D
D
A
A
D
B
A
B
C
C
B
D
B
C
C
B
D
C
E
D
B