Correct Answer: C: RD ND ST

Q8.
The hunterian Ligature operation is performed for -

A: A V fistuls
B: Acute arterial ischemia
C: Aneurysm
D: Varicose venis
✓ Correct Answer: C
❇ Q9. A patient suffered from 3 degree burn of right upper limb, 2 degree burns of right lower
rd nd
st
limb and 1 degree of burn of whole of the back.Total percentage of burn will be >
A: 27 %
B: 36 %
C: 45 %
D: 54 %
✓ Correct Answer: A
❇ Tt for CTEV should start from -

Q10.
A: Immediately after birth
B: After 3 months
C: After 6 months
D: After 24 hours
❇ DTPA scan of hypertensive young lady is normal,USG shows small kidney on left
Q11. side.Next investigation will be:
A: CT Scan abdomen
B: Retrograde pyelogram
C: Digital subtraction angiography
D: DMSA
❇ All of the following are true regarding schirrhous carcinoma of breast except:
Q12.
A: Grating sensation in cutting
B: Gray in color
C: Surface is convex
D: Capsulated
✓ Correct Answer: D
❇ For differentiating Inguinal hernia and femoral hernia the landmark will be -
Q13.
A: Pubic symphysis
B: Femoral artery
C: Inferior epigastric vessel
D: Pubic tubercle
❇ Denver shunt used in ?

Q14.
A: Ascites
B: Dialysis
C: Raised ICP
D: Raised IOP
❇ Which of the following is not an oncological emergency

Q15.
A: Spinal cord compression
B: Superior venacaval syndrome
C: Tumor lysis syndrome
D: Carcinoma cervix stage-III B with Pyometra
❇ True about Flail chest are A/E-

Q16.
A: PaO2 < 40 with FiO2 > 60 treated with intubation and PEEP
B: Paradoxical movement may not be seen in conscious patients
C: Fracture of atlest 3 ribs
D: If overlapping of fractured ribs with severe displacement is seen than patients are treated
surgically with open reduction and fixation
✓ Correct Answer: B
❇ Which one is not poor prognostic factor for acute Pancreatitis:

Q17.
A: Hyperglycemia
B: Hypocalcemia
C: Raised LDH level in blood
D: Hyperamylasemia
❇ All are true except:

Q18.
A: Site of colostomy stoma should be marked preoperatively
B: Colostomy causes increase in renal and GB stone
C: Ileostomy preferably done over right side
D: Feeding jejunostomy done in severe malnourished patients
❇ Emergency Thoracotomy is done in

Q19.
A: Cardiac tamponade
B: Massive pneumothorax
C: Clotted hemothorax
D: Haemorrhage of more than 200 ml/hr for more than three hours
❇ All are risk factor for Ca breast EXCEPT -

Q20.
A: Ovarian malignancy
B: Family h/o breast Ca
C: Fibroadenosis
D: Multiparity
❇ Allen's test is useful in evaluating which of the following?
Q21.
A: Presence of cervical rib
B: Thoracic outlet compression
C: Digital blood flow
D: Integrity of palmar arch
❇ Aganglionic segment is encountered in which part of colon in case of Hirchsprung's

Q22. disease:
A: Distal to dilated segment
B: In whole colon
C: Proximal to dilated segment
D: In dilated segment
❇ In emergency, which artery can safely ligated -

Q23.
A: Internal iliac
B: Popliteal
C: Renal artery
D: Internal carotid
❇ Ca urinary bladder commonly presents as -

Q24.
A: Haematuria
B: Frequence
C: Dysuria
D: Abdominal lump
❇ Metabolic changes associated with excessive vomitting includes the following:

Q25.
A: Hyperchloremia
B: Metabolic acidosis
C: Decreases bicarbonates
D: Hypokalemia
❇ FAST stands for

Q26.
A: Focused Assessment with sonography for trauma
B: Focused Assessment with sonography and Tomography
C: Fast Assessment with sonography for Trauma
D: Fast Assessment with sonography and Tomography
❇ Risk factors for malignant change in an asymptomatic patient with a gall bladder polyp on
Q27. ultrasound include all of the following, Except:
A: Rapid increase in size of polyp
B: Age > 60 years
C: Associated Gall stones
D: Size of polyp > 5 mm
❇ Which of the following microscopic features is typical of Paget's disease -

Q28.
A: Presence of large vacuolated cells
B: Epidermal hypertrophy
C: Subdermal round cell infiltration
D: All of the above
❇ Buerger's disease affects

Q29.
A: Small and medium-sized vein and arteries
B: Small and medium-sized vein
C: Small-sized arteries
D: Small and medium-sized arteries
❇ Peripheral aneurysm most commonly located at -

Q30.
A: Femoral artery
B: Popliteal artery
C: Brachial artery
D: Axillary artery
❇ Recurrent laryngeal nerve supplies all muscles of larynx except -

Q31.
A: Stylopharyngeus
B: Cricothyroid
C: Intrinsic muscles of larynx
D: Extrinsic muscle of larynx
❇ Which of the following statements regarding hepatoma is incorrect

Q32.
A: 80% of cases have elevated alfa-fetoprotein
B: Hepatitis-C infection can lead to hepatoma
C: Can rupture spontaneously
D: Fibrolamellar hepatoma has worse prognosis
❇ A 40 year old male patient presented with mild abdominal pain, mild constipation with a
Q33. feeling of incomplete evacuation and mucus in stools for the past 4 years.On examination,
tenderness is present in left iliac fossa.The most likely diagnosis is -
A: Ulcerative colitis
B: Diverticular disease of the colon
C: Irritable bowel syndrome
D: Ca colon
❇ In which of the following,Sister Mary Joseph nodule is commonly seen?
Q34.
A: Stomach cancer
B: Ovarian cancer
C: Pancreatic cancer
D: Colon cancer
❇ Plasma expands are used in which shock ?

Q35.
A: Septic shock
B: Vasovagal shock
C: Neurogenic shock
D: Cardiogenic shock
❇ A 65yrs chronic smoker presents gross hematuria of 1 day duration. Investigation of choice
Q36. to know the cause is -
A: Urine routine
B: Urine microscopy for malignant cytology cells
C: USG
D: X-ray KUB
❇ A 55yrs male,working as a hotel cook,has four dependent family members.He has been
Q37. diagnosed with an early stage squamous cell cancer of anal canal.He has more than 60%
chances of cure.Which of the following is the best treatment option?
A: Combined surgery and radiotherapy
B: Abdomino-perineal resection
C: Chemotherapy alone
D: Combined chemotherapy and radiotherapy
❇ Which of the following may be associated with Pancreatitis,pituitary tumor and
Q38. phaeochromocytoma ?
A: Anaplastic carcinoma of the thyroid
B: Follicular carcinoma of the thyroid
C: Medullary carcinoma of the thyroid
D: Papillary carcinoma of the thyroid
❇ Screening for thrombophilia is indicated in

Q39.
A: Recurrent venous thrombosis
B: Venous thromboembolism at less than 45 years age
C: Family history of thrombophilia
D: All of the above
❇ Prognosis in head injury is best given by -

Q40.
A: Mode of injury
B: CT head
C: Glasgow coma scale
D: Age of patient
❇ Major blood supply of stomach -

Q41.
A: Left gastric artery
B: Short gastric Artery
C: Right gastroepiploic Artery
D: Left inferior phrenic artery
❇ Blood stained nipple discharge suggests which diagnosis -

Q42.
A: Ductal papilloma
B: Plasmacytoma
C: Fibroadenosis
D: Fibroadenoma
❇ Which does not predispose to cholangiocarcinoma -

Q43.
A: Ulcerative colitis
B: Clonorchis sinensis
C: Choledochal cyst
D: Chronic pancreatitis
❇ Skin grafting is absolutely CI in which skin infection -

Q44.
A: Staphylococcus
B: Pseudomonas
C: Streptococus
D: Proteus
❇ There is a high risk of renal dysplasia in

Q45.
A: Posterior urethral valve
B: Bladder exstrophy
C: Anorectal malformation
D: Neonatal sepsis
❇ Disparity of the bowel ends during end to end anastamosis is corrected by -

Q46.
A: Cheatle's manoeuvre
B: Connell suture
C: Lembert suture
D: Czerny technique
❇ Tumors associated with infective etiology are A/E-

Q47.
A: Hepatocellular CA
B: Nasopharyngeal CA
C: Gastric CA
D: Non - small cell CA lung
❇ All are true about bulbar urethral rupture, except -

Q48.
A: Perineal haematoma
B: Floating prostate on per rectal examination
C: Collecting of urine in perineum
D: Bleeding per urethra
❇ Gangrene of intestine is seen in all the following conditions,except:

Q49.
A: Mesenteric Artery Thrombosis
B: Volvulus
C: Tricuspid Valve Endocarditis
D: Shock
❇ Best way to prevent gas gangrene is -

Q50.
A: Imnmunoglobulins
B: Hyperbaric oxygen
C: Proper wound debridement
D: Anti gas gangrene serum
❇ Most common type of breast carcinoma is:
Q51.
A: Infiltrative duct ca
B: Invasive lobular ca
C: Papillary ca
D: Paget's disease of breast
❇ According to Pugh's classification moderate to severe hepatic insufficiency is managed by:

Q52.
A: Sclerotherapy
B: Conservative
C: Orthotopic liver transplantation
D: Shunt surgery
❇ True about bacterial mastitis is -

Q53.
A: Exclusively occurs in lactating breasts
B: Cleaning baby's mouth offers protection
C: Most commonly caused by staphylococcus aureus
D: Fluctuation is an early sign of breast abscess
❇ A pt.suffered bullet injury to left side of the colon and presented in the casuality department
Q54. after 12 hour.What will be the m/n(management):
A: Proximal defunctioning colostomy
B: Primary closure
C: Proximal colostomy and bringing out the distal end as mucus fistula
D: Rescetion and primary anastomosis
❇ Which is the commonest Post splenectomy infection:

Q55.
A: Streptococcus pyogenes
B: Staphylococcus aureus
C: Stseptococcus Pneumoniae
D: Pseudomonas aeruginosa
❇ About Gastrointestinal Carcinoid tumors, all are true,except

Q56.
A: Rectum is spared
B: Small intestine and appendix account for almost 60% of all gastrointestinal carcinoid.
C: Appendicial carcinoids are more common in females than males.
D: 5 year survival for carcinoid tumors is > 60%
❇ Private streak remannants give rise to ?

Q57.
A: Neuroblastoma
B: Wilm's tumour
C: Sacrococcygeal teratoma
D: Hepatoblastoma
❇ Which of the following is not an indication for cholecystectomy -

Q58.
A: 65 year old female with large gallbladder polyp
B: 55 year old with an asymptomatic gallstone
C: 70 year old male with symptomatic gallstones
D: 20 year old male with sickle cell anemia and symptomatic gallstones
❇ Features, which are evaluated for histological grading of breast carcinoma, include all of the
Q59. following except -
A: Tumour necrosis
B: Mitotic count
C: Tubule formation
D: Nuclear pleomorphism
❇ Breast Ca which is multicentric and bilateral -

Q60.
A: Ductal
B: Lobular
C: Mucoid
D: Colloid
❇ Following statements are true about germ cell tumors of testis except
Q61.
A: They constitute 90-95% of all primary testicular tumors
B: Seminoma is the most common tumor developing in the pts with cryptorchid testis
C: Alpha-feto protein is markedly raised in all germ cell tumors
D: High inguinal orchidectomy is the initial surgical procedure
❇ Extravasated urine following rupture of bulbar urethra collects in all the following regions
Q62. except -
A: Penis
B: Scrotum
C: Inguinal canal
D: Beneath the superficial fascia m the abdominal wall
❇ Most frequent site of mandibular fracture is -

Q63.
A: Condylar neck
B: Canine fossa
C: Mandibular body
D: Symphysis mentii
❇ A 72 yrs. old man,Dayaram is found on examination to have a prostatic nodule.Best
Q64. investigation to evaluate him:
A: CT scan pelvis
B: IVP
C: Prostatic massage for examination of secretions
D: Transrectal U/S
❇ In Ranson's criteria to predict severity of acute pancreatitis -

Q65.
A: A serum amylase that is 4 times normal is significant
B: Serum amylase level is not a criteria
C: Rising serum amylase level are important
D: Serum amylase equals urine amylase
❇ Saline drop test is used in:

Q66.
A: Veress needle during laparoscopy
B: Pneumoperitoneum
C: Choledochoduodenostomy
D: Histopathology
❇ A middle aged man sustains a bullet injury to abdomen leading to perforation of left colon
Q67. T/T of choice is-
A: Primary closure of fistula
B: Hemicolectomy
C: Abdominal colostomy and mucus fistula
D: Primary closure with drainage
❇ In lateral anal sphincterotomy, the following sphincter is divided -

Q68.
A: Subcutaneous part of external sphincter
B: Deep part of external sphincter
C: Internal sphincter
D: Puborectalis sphincter
❇ Regarding adhesive intestinal obstruction, true is -

Q69.
A: Avoid surgery for initial 48-72 hours
B: Never operate
C: Operate after minimum 10 days of conservative treatment
D: Immediate operation
❇ Not a feature of arterial Occlusion -

Q70.
A: Cyanosis
B: Pallor
C: Paralysis
D: Paraesthesia
❇ True regarding keloid is:

Q71.
A: Local recurrence is common after excision
B: They do not extend into normal skin
C: They often undergo malignant changes
D: They are more common in whites than in blacks
❇ A 48 year old sports photographer has noticed a small nodule over the upper lip from four
Q72. months.The nodule is pearly white with cental necrosis, telangiectasia.The most likely
diagnosis would be -
A: Atypical melanoma
B: Kaposis sarcoma
C: Basal cell carcinoma
D: Squamous cell carcinoma
❇ Most common site of intraperitoneal abscess is:

Q73.
A: Subphrenic space
B: Paracolic gutter
C: Pouch of Morrison
D: Cave of Retzius
❇ Which of the following nerves is sacrificed in Patey's Mastectomy ?

Q74.
A: Axillary nerve
B: Thoracodorsal nerve
C: Long thoracic nerve
D: Intercostobrachial nerve
❇ Which of the bellow is the earliest manifestation of increased intracranial pressure

Q75. following head injury ?
A: Contralateral pupillary dilatation.
B: Ipsilateral pupillary dilatation .
C: Hemiparesis.
D: Altered mental status.
❇ Pyoderma-gangrenosum is most commonly associated with:

Q76.
A: Amoebic colitis
B: Ischemic colitis
C: Ulcerative colitis
D: Crohns disease
❇ What does 'Take in' means of skin grafting -
Q77.
A: Revascularisation of the graft
B: Return of the sensation
C: When the graft becomes adherent to recepient site
D: Non adherent graft is shed off
❇ Which of the following is not a Causes of acute anal pain:

Q78.
A: Acute anal fissure
B: Thrombosed hemorrhoids
C: Perianal abccess
D: Fistula in ano
❇ A 73yrs male pt with benign prostatic hyperplasia underwent transuretheral resection of

Q79. prostate under spinal anaesthesia.One hour later,he developed vomiting and altered
sensorium.The most possible cause is:
A: Hyperkalemia
B: Water intoxication
C: Over dosage of spinal anaesthetic agent
D: Rupture of bladder
❇ A pt. Banwari,presents with symptoms of regurgitation of foul smelling food,and

Q80. dysphagia.He is diagnosed to have cricopharyngeal diverticula.Mx of choice is:
A: Excision of the diverticula
B: Cricopharyngeal myotomy alone
C: Myotomy with excision of the sac
D: Marsupialization of the sac
❇ A 68yrs woman,on her third day of hospitalization, who is being treated with antibiotics for
Q81. acute cholecystitis develops increased pain and tenderness in the right upper quadrant with
a palpable mass.Her temperature rises to 40degree C (104degree F)her blood pressure falls
to 80/60mmHg.Hematemesis, melena and petechiae are noted.Laboratory studies reveal
thrombocytopenia,prolonged prothrombin time,and a decreased fibrinogen level.The most
important step in the correction of this patient's coagulopathy is:
A: Administration of e-Aminocaproci acid
B: Administration of fresh frozen plasma
C: Exploratory laparotomy
D: Administration of heparin
❇ Serum marker used after surgery for differentiated thyroid cancer is -

Q82.
A: T4
B: Thyroglobulin
C: Calcitonin
D: PTH
❇ A 27yrs male presented with retroperitoneal,necrotic,heterogenous enhancing mass on CT

Q83. near the hilum of the left kidney.Most possible diagnosis is-
A: Lymphoma
B: Metastatic transitional cell tumour
C: Metastatic germ cell tumor
D: Metastatic melanoma
❇ Ligation of which nerve will lead to parasthesia and pain on the dorsum of foot during
Q84. venesections of great saphenous vein
A: Sural nerve
B: Geniculate
C: Saphenous nerve
D: Deep peroneal nerve
❇ During repair of indirect inguinal hernia,while releasing the constriction at the deep
Q85. inguinal ring,the surgeon takes care not to damage one of the following structures
A: Flax inguinalis(conjoint tendon)
B: Interfoveolar ligament
C: Inferior epigastric artery
D: Spermatic cord
❇ Renal calculus is seen in massive bowel resection due to -

Q86.
A: Reduced renal calcium excretion
B: More calcium absorption in gut
C: More oxalate absorption in gut
D: None of the above
❇ Which of the following causes second degree upper cervical lymph node metastasis:
Q87.
A: Nasopharyngeal carcinoma
B: Breast carcinoma
C: Lung carcinoma
D: Thyroid carcinoma
❇ The intra-abdominal pressure during laparascopy should be set between:

Q88.
A: 5-8 mm of Hg
B: 10-15 mm of Hg
C: 20-25 mm of Hg
D: 30-35 mm of Hg
❇ In which case cystometric study is indicated -

Q89.
A: Neurogenic bladder
B: Stress incontinence
C: Fistula
D: Urge incontinence
❇ Allens test for integretiy of palmar arch tests which of the following ?
Q90.
A: Radial artery
B: Ulnar artery
C: Both
D: None
❇ An elderly patient is admitted with ruptured varicose vein with profuse bleeding.Initial
Q91. treatment given is:
A: Keeping the patient in sitting position
B: Pressure at tte bleeding site
C: One tourniquet application proximal to ruptured site
D: Two tourniquet application both proximal and distal to ruptured site
❇ An adult patient with leg pain gangrene of toe.His ankle to brachial arterial arterial pressure
Q92. ratio would be less than ?
A: 1
B: 0.3
C: 0.5
D: 0.8
❇ A 55yrs male presents with varicose vein with sapheno-femoral incompetence and normal
Q93. perforator management is:
A: Sapheno-femoral flush ligation
B: saphenofemoral flush ligation with striping
C: endovascular striping
D: Sclero-theraphy
❇ A 55yrs lady presents with 2 year history of recurrent abdominal pain with radiation to her
Q94. back.Pain is severe in intensity and refractory to simple analgesics.USG and Contrast
Enhanced CT scan(CECT)confirmed the diagnosis and showed a dilated pancreatic duct.
The likely recommended surgical procedure is-
A: Whipple's Procedure
B: Longitudinal Pancreatico jejunostomy
C: Vagatomy with Antrectomy
D: Vagotomy with Gastrojejunostomy
❇ A patient has acute abdominal pain with blood and mucus in stool with palpable mass per
Q95. abdomen is due to-
A: Meckels diverticulum
B: Volvulus
C: Intussusception
D: Hypertrophic pyloric stenosis
❇ The defective migration of neural crest cells results in -

Q96.
A: Adrenogenital hypoplasia
B: Dentinogenesis imperfecta
C: Congenital megacolon
D: Albinism
❇ On barium swallow the grade IV esophageal varices appear as:

Q97.
A: Mucosal folds above the carina
B: Mucosal folds below the carina
C: Mucosal folds at the carina
D: A thick band
❇ A patient is brought to the hospital with history of RTA 8 hours back.A few drops of blood
Q98. were noted at the external urethral meatus.He has not passed urine and his bladder is
palpable per abdomen.What is the probable diagnosis:
A: Ureteral injury with extravasations of urine in the retro peritoneum
B: Urethral injury
C: Rupture bladder
D: Anuria due to hypovalemia
❇ In a child which disease is misdiagnosed as appendicitis ?

Q99.
A: Gastroentritis
B: Lymphadenitis
C: Intussusception
D: All of the above
❇ Tributaries of Lt renal vein are all except -

Q100.
A: Left lumbar vein
B: Left gonadal vein
C: Left suprarenal vein
D: Left diaphragmatic vein

Correct Answer: C: RD ND ST

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Q8.

The hunterian Ligature operation is performed for -

❇ Tt for CTEV should start from -

❇ Denver shunt used in ?

❇ Which of the following is not an oncological emergency

❇ True about Flail chest are A/E-

❇ Which one is not poor prognostic factor for acute Pancreatitis:

❇ All are true except:

❇ Emergency Thoracotomy is done in

❇ All are risk factor for Ca breast EXCEPT -

❇ Aganglionic segment is encountered in which part of colon in case of Hirchsprung's

❇ In emergency, which artery can safely ligated -

❇ Ca urinary bladder commonly presents as -

❇ Metabolic changes associated with excessive vomitting includes the following:

❇ FAST stands for

❇ Which of the following microscopic features is typical of Paget's disease -

❇ Buerger's disease affects

❇ Peripheral aneurysm most commonly located at -

❇ Recurrent laryngeal nerve supplies all muscles of larynx except -

❇ Which of the following statements regarding hepatoma is incorrect

❇ Plasma expands are used in which shock ?

❇ Screening for thrombophilia is indicated in

❇ Prognosis in head injury is best given by -

❇ Major blood supply of stomach -

❇ Blood stained nipple discharge suggests which diagnosis -

❇ Which does not predispose to cholangiocarcinoma -

❇ Skin grafting is absolutely CI in which skin infection -

❇ There is a high risk of renal dysplasia in

❇ Disparity of the bowel ends during end to end anastamosis is corrected by -

❇ Tumors associated with infective etiology are A/E-

❇ All are true about bulbar urethral rupture, except -

❇ Gangrene of intestine is seen in all the following conditions,except:

❇ Best way to prevent gas gangrene is -

❇ According to Pugh's classification moderate to severe hepatic insufficiency is managed by:

❇ True about bacterial mastitis is -

❇ Which is the commonest Post splenectomy infection:

❇ About Gastrointestinal Carcinoid tumors, all are true,except

❇ Private streak remannants give rise to ?

❇ Which of the following is not an indication for cholecystectomy -

❇ Breast Ca which is multicentric and bilateral -

❇ Most frequent site of mandibular fracture is -

❇ In Ranson's criteria to predict severity of acute pancreatitis -

❇ Saline drop test is used in:

❇ In lateral anal sphincterotomy, the following sphincter is divided -

❇ Regarding adhesive intestinal obstruction, true is -

❇ Not a feature of arterial Occlusion -

❇ True regarding keloid is:

❇ Most common site of intraperitoneal abscess is:

❇ Which of the following nerves is sacrificed in Patey's Mastectomy ?

❇ Which of the bellow is the earliest manifestation of increased intracranial pressure

❇ Pyoderma-gangrenosum is most commonly associated with:

❇ Which of the following is not a Causes of acute anal pain:

❇ A 73yrs male pt with benign prostatic hyperplasia underwent transuretheral resection of

❇ A pt. Banwari,presents with symptoms of regurgitation of foul smelling food,and

❇ Serum marker used after surgery for differentiated thyroid cancer is -

❇ A 27yrs male presented with retroperitoneal,necrotic,heterogenous enhancing mass on CT

❇ Renal calculus is seen in massive bowel resection due to -

❇ The intra-abdominal pressure during laparascopy should be set between:

❇ In which case cystometric study is indicated -

❇ The defective migration of neural crest cells results in -

❇ On barium swallow the grade IV esophageal varices appear as:

❇ In a child which disease is misdiagnosed as appendicitis ?

❇ Tributaries of Lt renal vein are all except -