MCQs in Surgery (part -1)

MCQs in Surgery

#Muscles which primarily responsible for rectal continence?
• (1.) Ext.spincter .
• (2.) Int. sphincter
• (3.) Puborectalis
• (4.) sacrococcoygenous

#Commonest complication of immunosuppresion is :
• (1.) Malignancy (2.) Graft rejection (3.) Infection (4.) Thrombocytopenia

#Highest chance of success in renal transplant is seen when the donor is the:
(1.) Identical twin (2.)Father (3.) Mother (4.) Sister

• #Commonest type of cancer of the renal pelvis and upper ureter is :
• (a.) Transitional cell carcinoma
• (b.) Adenocarcinoma
• (c.) Squamous cell carcinoma
• (d.) Nephroblastoma

• #commonest site of intestinal atresia is in the:
• (a.) Duodenum 
• (b.) Jejunum
• (c.) Ileum
• (d.) Colon

• #Complication of Meckle’s diverticulum include:
• (a.) Hemorrhage
• (b.) Intussusception
• (c.) Strangulation
• (d.) All are correct

• #In Budd chiari syndrome , the occlusion is at the :
• (a.) IVC
• (b.)Renal vein
• (c.) Hepatic vein
• (d.) Splenic vein

• # lesion most likely to undergo malignancy :
• (a.) intradermal neavus
• (b.) Junctional neavi
• (c.) actinic dermatitis
• (d.) dermal neavi

• Features of hypovolemic shock are all except:
• (a.) oliguria
• (b.) bradycardia
• (c.) low BP
• (d.) acidosis

• # Carcinoma stomach is associated with blood group :
• (a.) A
• (b.) B
• (c.) AB
• (d.) O

• #cock’s peculiar tumor is:
• (a.) papilloma
• (b.) infected sebaceous cyst
• (c.) cylindroma
• (d.) squamous cell carcinoma

• # amoebic abscess ruptures most commonly into …….cavity:
• Pleural
• Peritoneal
• Pericardial
• The lumen of the intestine
• Right lung

• # Best diagnostic aid in blunt trauma abdomen is :
• CT scan
• 4 quadrant aspiration
• Peritoneal lavage
• Ultrasound


• # Best positioning for self palpation of breast in women is :
• Sitting
• Standing
• Leaning forward
• Lying down

• # Structures preserved in funtional radical dissection of the neck :
• Internal jugular vein
• Sternomastoid
• Lymph nodes
• Accesory nerve 

• # Earliest sign of deep vein thrombosis is :
• Calf tenderness
• Rise in temperature
• Swelling of calf muscles
• Homan’s sign


• # Hemoblia is characterized by except:
• Jaundice
• Malena
• Biliary colic
• Fever 

• # Ectopic testis is found in all locations except:
• Lumbar
• Perineal
• Intra abdominal
• Inguinal

• # Management of an open wound seen 12 hrs after injury:
• Suturing
• Debridement and suture 
• Secondary suturing
• Heal by granulation

• #Toxic megacolon is seen in:
• Carcinoma colon
• Gastocolic fistula
• Ulcerative colitis
• Carcinoid
• All of the above


• #complication of total parenteral nutrition include:
• Hyperglycemia
• Hyperosmotic dehydration
• Hypokalaemia
• Azotemia
• All of the above 



• # In portal hypertension, the sites of portosystemic anastamosis include:
• Lower end of esophagus
• Around umbilicus
• Extraperitoneal surgace of abdominal organs
• Lower third of rectum and anal canal
• All of the above

• # Commonest posterior mediastinal tumor is:
• Lung cyst
• Neurofibroma
• Dermoid
• Thyroid
• Thymic tumor

• #prognosis for carcinoma rectum is best assessed by :
• Site of tumor
• Histological grading
• Size of tumors
• Duration of the symtoms

• # A 80 years old man has a foci of adenocarcinoma in the prostate. The next treatment is:
• Palliative radiotherapy
• Chemotherapy
• Prostatectomy
• No treatment is required

• # acute urinary retension in a male child may be due to:
• Prostatic enlargement
• Urethral stricute
• Hysteria
• Meatal ulcer with scabbing

• # line of surgical division of the lobes of the liver is :
• Falciform ligament to the diaphragm
• Gallbladder bed IVC
• Gall bladder bed on the it.crus of diaphragm
• One inch to the left of falciform ligament to the IVC

• # rare complication of ulcerative colitis:
• Psudopolypi
• Carcinoma
• Toxic dilatation
• Massive hemorrhage

• # commonest site of peptic ulcer perforation:
• Anterior aspect of the first part of duodenum 
• Posterior aspect of the first part of duodenum
• Greater curvature of the stomach
• Lesser curvature of  the stomach
• Anterior aspect of the second part of duodenum

• # bronchogenic carcinoma which produce paraneoplastic syndrome:
• Squamous cell carcinoma
• Oat cell carcinoma
• Adeno carcinoma
• Large cell carcinoma

• #Commonest site of branchial cyst :
• Lower 1/3 of sternomastoid on anterior border
• Lower 1/3 of sternomastoid on posterior border
• Upper 1/3 of sternomastoid on anterior border
• Upper 1/3 of sternomastoid on posterior border

• # treatment of zollinger ellison syndrome :
• Total gastrectomy with removal of tumor
• Partial gastrectomy
• Excision of tumor alone
• H2 receptor antagonist

• # lymph node which is to be first involved in carcinoma breast:
• Pectoral group
• Internal mammary
• Apical
• Central
• Supra clavicular

# warthins tumor is:
Malignant neoplasm
Rapidly growing
Gives a hot pertechnetate scan 
Cold pertechnetate scan


• #Commonest site of amoebiasis in the gut:
• Ileum
• Caecum
• Ascending colon
• Transverse colon
• Sigmoid colon

• # earliest symptoms of carcinoma rectum:
• Pain
• Alternation of bowel habit
• Bleeding PR
• Tenesmus


• # commonest site of carcinoma tongue:
• Apical
• Lateral borders
• Dorsum
• Posterior 1/3
• Faucio lingual


• # Dentigerous cyst arises from:
• An unerupted tooth
• Apex of an infected tooth
• Nasopalatine cyst
• Solitary bone cyst
• Multi locular keratocytes


• # Curlings ulcer is seen in :
• Burns patients
• Patients with head injuries
• Zollinger Ellison Syndrome
• Analgesic drug abuse

• # Commonest cause of A-V fistula is :
• Congenital
• Traumatic
• Surgical creation
• Tumor erosion

• # slidding constituent of large direct hernia is:
• Bladder
• Sigmoid colon
• Caecum
• appendix

• # treatment of choice for subgaleal hematoma:
• Incision and evaucation
• Needle aspiration
• Antibiotics and then drain
• Conservative 

• # which one is not Ranson’s prognostic criteria in acute pancreatitis ?
• Age over 55 years
• Blood glucose more than 200 mgs%
• WBC more than 16000/mm3
• Serum calcium more than 8 mg% 


• # which suphonamide is used for the treatment of ulcerative colitis?
• Sulphamethiazide
• Sulphathalazole
• Sulphaguanidine
• Salazopyrin


• # which is not true regarding varicocele?
• Testicular veins involved
• More common on the right side
• May be the first feature of renal tumor
• Feels like a bag of worms

• # Regarding Hashimotos thyroiditis which is false:
• Auto immune thyroiditis
• Plasma cell and lymphocytic infiltration
• Hypothyroid state
• Hypoparathyroid state 

• # signs of cerebral compression are all except:
• Bradycardia
• Hypotension
• Papilloedema
• Vomiting
• Deterioration of the level of consciousness

• # barium meal picture of carcinoma stomach is:
• Filling defect
• Loss of rugosity
• Small capacity of stomach
• Delayed emptying of barium
• All of the above

• # Most common site of carcinoma stomach is:
• Prepyloric
• Body of stomach
• Fundus
• Lesser curvature

• # Retromammary abcess arises from :
• Tuberculous rib
• Infected hematoma
• Chronic empysema
• All of the above