​GENERAL SURGERY- PAGE 6

GENERAL SURGERY- PAGE 6

GENERAL SURGERY MCQs-PAGE 6

1 A 36-year-old man developed neck and left arm pain. He noted paraesthesia in the left index and long fingers. He was found to have weakness of the left triceps muscle and a diminished left triceps jerk. His left-sided disc herniation is most likely to be at:
1) C3–C4.
2) C4–C5.
3) C5–C6
4) C6–C7
Ans: 4

2. What is not true regarding Ultrasound Microbubble Contrast Agents in detecting focal lesions in the liver?
1) The Microbubble Contrast Agents have high affinity for the Kupffer Cells
2) They help in better delineation of the type of liver lesion whether it is benign or malignant
3) Advantage of Contrast Enhanced Ultrasound (CEUS) is that a real time scan is available and not relying on predefined time as in CT scan
4) Results of CE US are inferior as compared to CECT or MRI
Ans: 4

3. Which of the following is true for cryoablation in colorectal metastatic liver secondaries:
1) Larger vessels tolerate cryotherapy well
2) Larger Bile duct tolerates cryotherapy well
3) Bleeding from the probe tract is a major problem after cryotherapy
4) Survival rates after cryotherpay after 2 years in unresectable metastatic disease is more than 90%
Ans: 1

4. Wittmann patch is:
1) Newer technique for inguinal hernia repair
2) Newer technique for ventral hernia repair
3) Technique for difficult abdominal closure
4) Technique for duodenal perforation repair
Ans: 3

5. Regarding improvement in Type 2 diabetes mellitus:
1) Gastric banding is most effective
2) Gastric bypass is more effective than gastric banding
3) Gastric banding has no impact
4) BPD has no impact
Ans: 2

6. Signs of major pelvic fractures include all of the following EXCEPT:
1) Destot’s sign
2) Roux’s sign
3) Earle’s sign
4) Bucholz’s sign
Ans: 4

7. Hereditary Pancreatitis is caused by mutation of which genes:
1) PRSS1
2) CFTR
3) PTS1
4) SPINK1
Ans: 1

8. Which of the following is not a contraindication for ESWL in renal calculi:
1) Uncorrected bleeding diathesis
2) Pregnancy
3) Ureteric stricture
4) Stone in calyceal diverticulumn
Ans: 4

9. Next investigation for young hypertensive lady with normal DTPA scan & small left Kidney on USG is:
1) CT scan abdomen
2) DSA
3) DMSA
4) Retrograde Pyelography
Ans: 2

10. Which is not true in Renal Cell Carcinoma:
1) Hypercalcemia
2) Hypoprolactinemia
3) Polycythemia
4) Hypertension
Ans: 2

11 All are true regarding abscess of the spleen except:
1) Majority of splenic abscess result from haematogenous spread from other sites
2) Both Gram positive and gram negative organisms are responsible for abscess of spleen
3) Splenomegaly is present in most of the patients.
4) 2/3rd of the splenic abscess are solitary in adults
Ans: 3

12 Glassgow outcome score -3 signifies:
1) Severe disability
2) Moderate disability
3) Permanent vegetative state
4) Good recovery
Ans: 1

13 Which of the following is not true about TME (Total Mesorectal excision)?
1) It improves survival
2) It decreases local recurrence
3) It is associated with increased blood loss
4) It is associated with higher anastomotic leak as compared to LAR
Ans: 3

14 Trendelenberg position produces decrease in all of the following except:
1) Vital capacity
2) Functional residual capacity
3) Compliance
4) Respiratory rate
Ans: 4

15 Which of the following statements regarding cells of the liver is incorrect:
1) Kupffer cells have highly efficient antigen presenting properties as compared to other macrophages in different parts of body
2) Sinusoidal endothelial cells lack intercellular junction, have no basement membrane & contain fenestrations
3) Ito cells are rich in lipid contents
4) Sinusoidal endothelial cells account for 15-20% of all liver cells
Ans: 1

16 Which of the following structures passing through the diaphragm are correctly associated with their corresponding vertebral level?
1) T8 – Oesophagus with vagus nerve
2) T8 – Aorta with thoracic duct
3) T10 – Oesophagus with vagus
4) T10 - Aorta with thoracic duct
Ans: 3

17:-ALL the following are enrichment media except
A:-Tetrathionate broth B:-Selenite F broth C:-Thioglycolate broth D:-Gram negative broth
Ans: C

18:-Pontiac fever is caused by
A:-Aspergillus fumigatus B:-Sreptobaci|lus moniliformis C:-Spirillum minus D:-Legionella pneumophilia
Ans: D

19:-Mercaptoethanol reduction of Ig molecule produces
A:-Two Fab fragments and one Fc fragment B:-One F‘(ab)_(2)‘ fragment
C:-Two heavy chains and two light chains D:-None of the above
Ans: C

20:-Which of the following is not a characteristic of Slow virus
A:-Produces cytopathic effect in vitro B:-Very long incubation period C:-Lack in antigenicity D:-Predi|iction for CNS
Ans: A

21:-ALL are actions of atropine on eye except
A:-Mydriasis B:-Cyc|op|egia C:-Decrease intraocular tension D:-Decrease Lacrimation
Ans: C

22:-Which is a neuromuscular blocker
A:-Succinyl Choline B:-Hexamethonium C:-Trimethaphan D:-Guanethidine
Ans: A

23:-Which is an Ester
A:-Procaine B:-Bucricaine C:-Pri|ocaine D:-Ropivacaine
Ans: A

24:-Tianeptine is
A:-5 HT uptake enhancer B:-Gaba inhibitor C:-Norepinephrine reuptake inhibitor D:-Mao inhibitor
Ans: A

25:-The primary cells infected by M. tuberculosis are
A:-TH1 cells B:-Macrophages C:-B lymphocytes D:-Plasma cells
Ans: B

26:-The common histologic features of Chronic viral Hepatitis C(CHC), include all EXCEPT
A:-Ground glass Hepatocytes B:-Lymphoid aggregates in portal tracts
C:-Bile duct changes in portal tract D:-Macrovascular steatosis
Ans: A

27:-The primary glomerular lesions causing Nephrotic syndrome include all EXCEPT
A:-Minima|—change disease B:-Acute post infectious glomerulonephritis
C:-Focal segmental glomerulosclerosis D:-Membranous glomerulopathy
Ans: B

28:-Which is NOT TRUE about Carcinoid Heart Disease
A:-The right side of the heart is commonly affected B:-Endocardium is primarily affected
C:-Occurs in half the number of cases of carcinoid syndrome D:-The left side of the heart is commonly affected
Ans: D

29:-The Triangle of Epidemiology shows the interaction and interdependence of
A:-Agent, Host and Environment B:-Agent, Host, Environment and Time
C:-Agent, Host and Place D:-Agent, Host, Environment and Place
Ans: B

30:-The Stanford Three Community study is a
A:-C|inica| Trial B:-Preventive Trial C:-Risk factor Trial D:-Tria| of Etiological agents
Ans: C

31:-ALL are Phenotypic methods for detection of Mycobacteria directly from clinical samples except
A:-Catridge Based Nucleic acid amplification test B:-TB STAT-PAC C:-|nsta test TB D:-Fast Plaque TB
Ans: A

32:-Cerebra odollam is a predominant fatal
A:-Cardiac poison B:-Hepatorenal poison C:-Respiratory depressent D:-Gastro intestinal poison
Ans: A

33:-Interruption of transmission of a communicable disease from a large geographic area is known as
A:-Disease control B:-Disease termination C:-Disease elimination D:-Disease eradication
Ans: C

34:-An office clerk badly snubbed by his superior takes it out to his wife and children on reaching home. What is the type of defence mechanism was he adopted
A:-Projection B:-Compensation C:-Displacement D:-Regression
Ans: C

35:-Most effective form of Chlorine in water disinfection is
A:-Hychlorite ion B:-Hypochlorous ion C:-Hypochloric acid D:-Hypochlorous acid
Ans: D

36:-An international treaty that was designed to reduce the movements of hazardous waste between nations
A:-Rotterdam Convention B:-Basel Convention C:-Brokered Convention D:-Stockho|m Convention Ans: B

37:-Fixation is completed by
A:-1 month B:-2 years C:-6 months D:-1 year
Ans: C

38:-ALL are features of papilloedema except A:-Transcient visual obscurations B:-B|urring of optic disc margins
C:-Ear|y visual loss D:-En|argement of blind spot
Ans: C

39:-Which of the following intra ocular foreign body causes suppurative reaction
A:-Nickel B:-Platinum C:-Porcelain D:-Gold
Ans: A

40:-Major cause of blindness in India is
A:-Refractive errors B:-Glaucoma C:-Trachoma D:-Cataract
Ans: D

41:-Distant direct ophthalmoscopy is done at a distance of
A:-15 cm B:-25 cm C:-50 cm D:-100 cm
Ans: B

42:-Which of the following is true about Peter's anomaly?
A:-Treatment is with rigid gas permeable lenses B:-Defects in corneal endothelium and Descemets membrane
C:-Identification of ‘PAX_(6)‘ mutation in all cases D:-Bi|atera|ity in 10% of cases
Ans: B

43:-PeriNeural invasion and pain are associated with which of the following orbital tumour
A:-Neurob|astoma B:-Adeno Carcinoma of Lacrimal gland
C:-Rhabdo myo sarcoma D:-Adenoid cystic carcinoma of lacrimal gland
Ans: D

44:-Characteristics of Congenital motor Nystagmus are all except
A:-Bilateral B:-Horizontal C:-Worsens with attempted fixation D:-Worsens with convergence
Ans: D

45:-Isshiki - Type 1 Thyroplasty is
A:-Media| displacement of vocal cord B:-Latera| displacement of vocal cord
C:-Shortening of vocal cord D:-Lengthening of vocal cord
Ans: A

46:-Device which offers hearing in a person with severe to profound sensorineural hearing loss
A:-Bodyworn hearing aid B:-Behind the ear hearing aid C:-BAHA D:-Coch|ear implant
Ans: D

47:-Epistaxis most common site is
A:-Woodruffs plexus B:-Litt|e's area
C:-Dona|dson's line D:-Hyrt|es fissure
Ans: B

48:-Thumb sign is seen in
A:-Acute Laryngotracheobronchitis
B:-Quincke's edema
C:-Epig|ottitis
D:-Reinke's edema
Ans: C

49:-Mo|ecu|ar genetic testing of GJB2 variants is done in the diagnosis of:
A:-Van der Hoeve syndrome B:-DFNBl C:-Van der Woude Syndrome D:-Apert syndrome
Ans: B

50:-Gutzmann's pressure test is used in:
A:-Adductor dysphonia B:-Functiona| aphonia C:-Mutationa| falsetto D:-Phonasthenia
Ans: C

51:-F|uctuating hearing loss is seen in all except:
A:-Otosc|erosis B:-Méniere's disease C:-Peri|ymph fistula D:-Syphi|itic labyrinthitis
Ans: A

52:-Bi|atera| loss of vestibular function is known as:
A:-Costen syndrome B:-Wallenberg syndrome C:-Sipple's syndrome D:-Dandy syndrome
Ans: D

53:-ALL are features of sensory ataxia except
A:-Sink sign B:-Pseudoathetosis C:-Rombergs sign D:-Wadding gait
Ans: D

54:-ALL are causes of euvolemic hyponatremia except
A:-Hypothyroidism B:-Adrena| insufficiency C:-Hyperthyroidism D:-SIADH
Ans: C

55:-Serum sickness is a representative example of following type of immunologically mediated drug reaction
A:-Anaphy|atic type B:-Cytotoxic Type C:-Immune complex mediated D:-Cell mediated
Ans: C

56:-Smokeless powder used in cartridge of shotgun comprises of
A:-Potassium nitrate, charcoal, sulphur B:-Potassium chloride, sulphur
C:-Nitro guanidine, Potassium nitrate D:-Nitrocellulose, Nitroglycerine
Ans: D

57:-ALL are causes of aortic regurgitation except?
A:-Rheumatoid Arthritis
B:-Aortic Dissection
C:-Congenita|
D:-Syphi|is
Ans: C

58:-Following is small vessel Vasculitis
A:-Wegener's granulamatosis B:-Kawasaki Disease C:-Po|yarteritis Nodosa D:-Takayasu's disease
Ans: A

59:-ALL are suppurative lung diseases except
A:-Bronchiectasis B:-Lung Abscess C:-Empyema D:-|nterstitia| lung disease
Ans: D

60:-Following is the drug associated with RED MAN SYNDROME
A:-Gemifloxacin B:-Vancomycin C:-Daptomycin D:-Co|istin
Ans: B

61:-Negative symptoms of schizophrenia include all except
A:-Apathy B:-A|ogia C:-Automatic obedience D:-Avo|ition
Ans: C

62:-Which among the following is used as an anticraving agent?
A:-Naltrexone B:-Disulfiram C:-Ch|ordiazepoxide D:-Atomoxetine
Ans: A

63:-ALL about demantia are ture except
A:-Sundowning is associated with dementia
B:-A|zheimer's disease is a type of subcortical dementia
C:-Recurrent visual hallucinations and motor features of Parkinsonism are key features of dementia with Lewy bodies
D:-Pick's disease is a type of frontotemporal dementia
Ans: B

64:-Pressure of speech usually occurs in
A:-Dementia B:-Depression C:-Mania D:-Obsessive compulsive disorder
Ans: C

65:-The period of gestation during which Nuchal Translucency (NT) scan is done
A:-7 - 10 weeks B:-11 - 14 weeks C:-16 - 19 weeks D:-20 - 24 weeks
Ans: B

66:-Which one of the following toco|ytics is having neuroprotective effect on the fetus?
A:-Beta-mimetics B:-Progestogens C:-Ca|cium channel blockers D:-Magnesium Sulphate
Ans: D

67:-After vasectomy, additional method of contraception is advised for a period of
A:-1 Month B:-2 Months
C:-3 Months D:-6 Months
Ans: C

68:-ALL of the following conditions cause amenorrhoea except
A:-Polycstic Ovarian Disease B:-Congential adrenal hyperplasia C:-Fibroid uterus D:-Hyperprolactinemia
Ans: C

69:-Dermatophagoides Pteronyssinus is a
A:-Hard Tick B:-House - Dust Mite C:-Locust D:-Butterfly
Ans: B

70:-B|ack piedra is caused by
A:-Piedraia Hortae B:-Exophiala werneckii C:-Stenella araguata D:-Trichophyton Rubrum
Ans: A

71:-'C|uster ofJeweIs' sign is seen in
A:-Pemphigus vulgaris B:-Dermatitis Herpetiformis C:-Linear IgA disease D:-Epidermolysis Bullosa simplex
Ans: C

72:-Wide follicular pits in the triangular fossa of the ear is seen in
A:-Discoid lupus erythematosus B:-Keratosis pilaris C:-Phrynoderma D:-Follicular mucinosis
Ans: A

73:-In performing perioperative assessments, the most reliable biochemical predictors of operative morbidity and mortality across surgical specialities include which of the following
A:-Serum albumin B:-Defects in cellular immunity C:-Serum urea nitrogen level D:-Prothrombin time
Ans: A

74:-Which is true regarding hypertrophic scar
A:-Another name for keloid B:-Common in face C:-Preventable D:-Worsened with steroids
Ans: C

75:-Abdomina| compartment syndrome produces all of the following except
A:-Acute renal failure B:-Hypoxia C:-Elevated urinary bladder pressure D:-Intestinal obstruction
Ans: D

76:-Deep second degree burns reepithelialise from retained keratinocytes in
A:-Rete ridges B:-Hair follicles C:-Reticu|ar dermis D:-Moll glands
Ans: B

77:-"Spilled Teapot sign" is seen in
A:-Perilunate dislocations B:-Scaphoid non-union C:-Fracture navicular D:-Talar dislocation
Ans: A

78:-ALL are true about "Paprika sign" except
A:-Determines limit of debridement B:-Characterised by punctuate cortical bleeding
C:-Characterised by punctuate cancellous bleeding D:-Seen in avascular necrosis of head of femur
Ans: D

79:-ALL are true about "SCFE" except
A:-head slips posteriorly and inferiorly B:-Right hip more affected than left hip
C:-Perkin's sign is seen D:-Steels metaphyseal blanch sign positive
Ans: B

80:-Least common location of 'Chondroblastoma' among the following is
A:-Distal femur B:-Proximal humerus C:-Proximal tibia D:-Proximal radius
Ans: D

81:-Work hardening is a term used in rehabilitation for
A:-Setting of the socket of a prosthesis B:-Improving muscle strength
C:-Simu|ation of an occupation following Low back pain D:-Hardening of the resin laminate used in orthosis
Ans: C

82:-The following are types of Dyskinesia in cerebral palsy except
A:-Chorea B:-Ballismus C:-Athetosis D:-Spasticity
Ans: D

83:-Kellegren’s classification is used to assess the severity of
A:-Parkinsonism B:-Osteo arthritis C:-COPD D:-Multiple Sclerosis
Ans: B

84:-ALL of the following could be life threatening complications in a C5 complete spastic quadriplegic with diabetes except
A:-Shoulder hand syndrome B:-Pressure sore - Trochanteric C:-Autonomic Dysreflexia D:-Aspiration Pneumonia
Ans: A

85:-Thalidomide resulted in tragic epidemic of birth defects because
A:-Previously it was harmless but became harmful due to mutation
B:-Was toxic only in higher dose
C:-Terato|ogical effects may not become apparent until many thousands of women consume a particular drug
D:-None of the above
Ans: C

86:-The electron transport chain in mitochondria, which one is the only ‘Cu"(2+)‘ containing protein complex?
A:-NADH-CoQ Reductase B:-Cytochrome C oxidase
C:-Cytochrome C D:-‘COQH_(2)‘ - cytochrome C reductase
Ans: B

87:-The frequency and intensity of incident radiation falling on a photosensitive surface is increased by a factor of two. This will
A:-Increase the maximum kinetic energy of the photoelectron as well as the photoelectric current by a factor of two
B:-Increase the maximum kinetic energy of photoelectron and would increase the photoelectric current by a factor of two
C:-Increase the maximum kinetic energy of the photoelectron by a factor of two and have no effect on the photoelectric current
D:-Increase the photoelectric current by a factor of two and have no effect on kinetic energy of the photoelectron
Ans: B

88:-Morphine, the first alkaloid was extracted by German pharmacologist
A:-Castaing B:-F.W.A. Serturner C:-Pellatan D:-Humphry Davy
Ans: C

89:-Concerning anaphylactic and anaphylactoid reactions during anesthesia the most common precipitating agent IS
A:-Latex B:-Antibiotics C:-Amide local anesthetics D:-Neuromuscular blocking agents
Ans: D

90:-Concerning LMA ProSeaI choose the incorrect statement
A:-Second generation Supraglottic airway device
B:-Allows positive pressures upto 30 cm H20
C:-Cuff pressures should not exceed 30 cm H20
D:-Incorporates a gastric drainage tube that allows for gastric access with an orogastric tube
Ans: C

91:-The most accurate technique for assessing residual neuromuscular blockade is by
A:-Acceleromyography B:-TOF ratio C:-50 Hz Tetanic stimulation D:-Double burst stimulation
Ans: A

92:-Concerning crystalloids choose the incorrect statement
A:-Currently available balanced salt solutions have lower osmolarity than isotonic saline
B:-Buffer in the balanced salt solution is metabolised to produce bicarbonate
C:-Excretion of excess water and electrolyte load with balanced salt solution is slower than with isotonic saline
D:-Balanced salt solution do not reduce strong ion difference to the same degree as isotonic saline and therefore do not cause acidosis Ans: C

93:-ALL are methods for confirming proper endotracheal intubation EXCEPT
A:-Pulse oximetry B:-Spirometry C:-Capnography D:-Chest X-ray
Ans: B

94:-Which is FALSE regarding the history of anaesthesia?
A:-Oliver Wendell Holmes coined the term Anaesthesia
B:-Nitrous oxide was first synthesised byJoseph Priestley
C:-First public administration of anaesthesia was by W T G Morton
D:-The use of chloroform was popularised in England by Humphrey Davy
Ans: D

95:-ALL are examples of spinal needles EXCEPT
A:-Quinckes needle B:-Tuohy needle C:-Sprotte needle D:-Whitacre needle
Ans: B

96:-Which among the following is NOT CORRECT regarding latest CPCR guidelines
A:-The sequence of events in resuscitation is C-A-B and not A-B-C B:-You should minimize pause during compressions
C:-Recommended chest compression rate is 100 - 120 D:-Chest compressions should be more than 6 cms
Ans: D

97:-Which metal ingestion is known to mimic Kawazaki disease?
A:-Lead B:-Arsenic C:-Cadmium D:-Mercury
Ans: D

98:-The fragile site that has its clinical significance in Fragile X Syndrome is
A:-Xp 28.3 B:-Xq 27.3 C:-Xp 21.3 D:-Xq 28.5
Ans: B

99:-Mission Indradhanush was launched in the year
A:-2013
B:-2014
C:-2015
D:-2016
Ans: B

100:-For prophylaxis of pediatric migraine the only FDA approved drug is
A:-Flunarizine B:-Topiramate C:-Onabotulinum toxin D:-Sumatriptan
Ans: C