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

CPR (Cardiopulmonary Resuscitation)

CPR( Cardiopulmonary Resuscitation

Summary:
(1.) Look for safety
(2.) Check for response
(3.) Call for help
(4.) Airway
(5.)Breathing
(6.) Check Carotid Pulse
(7.) Chest Compression
(8.) Defibrillation
(9.) Medication

-chest compression:The low half of the victim’s sternum
Depress the sternum 1/2 to 2 inches ( 4to 5 cm )
Allow the chest to return to its  normal position
Compression and chest recoil/relaxation times should be approximately equal
To limit interruptions to no longer than 10 seconds
-If the patient is adult the ratio should be 30:2 .It means that you have to give the victim 2 complete breathings and 30 chest compressions.
 -If the victim is Children and infants, the ration should be: 15:2
-Every 30 compressions should be followed by 2 complete breathings .
-You should check if there is carotid pulse after 2-3 cycles.
- You should keep on repeating the cycle until carotid pulse is seen.

-defribrillator:Sophisticated, reliable computerized devices
Use voice and visual prompts to guide lay rescuers and healthcare provider to safely defibrillate VF SCA
AEDs are of no value for arrest not caused by VF/pulseless VT, and they are not effective for treatment of nonshockable rhythms
-Drugs used in CPR:
Atropine – can be injected bolus, max 3 mg to block vagal tone, which plays significant role in some cases of cardiac arrest
Adrenaline – large doses have been withdrawn from the algorithm.  The recommended dose is 1 mg in each 3-5 min.
Vasopresine – in some cases 40 U can replace adrenaline
Amiodarone  - should be included in algorithm
Lidocaine – should be used only in ventricular fibrillation