1- Primary assessment for trauma patient include all except
a- Airway
b- Chest and abdomen
c- Breathing
d- Circulation
2- Definitive care for trauma patient
a- Transfer
b- Fluid
c- BLTS and ALTS
d- All of above
3- Period of Primary or Stabilizations is
a- 1-3 hr
b- 1-72 hr
c- 3-8 days
d- 5-10 days
4- Incision through the abdominal wall to gain access into the
abdominal cavity, it is also known
a- laparotomy
b- thoracotomy
c- craniotomy
d- none of above
5- In acute tubular necrosis
a- treat shock
b- maintain urine output
c- excess fluid and proteins
d- peritoneal and haemodialysis
6- Normal urine output is per minute is
a- 4-5cc
b- 3-4cc
c- 2-2.5cc
d- 1-1.5 cc
7- All of the following are the advantages of monofilament sutures except;
a) Smooth surface
b) Less tissue trauma
c) No bacterial harbors and capillaries
d) STRETCH
8- Stitch sinuses in deeper layers are prevented by;
a) Purse string sutures
b) Interrupted sutures
c) BURRIED SUTURES
d) Continuous sutures
9- ______ needles are used for suturing soft tissues such as intestine and
peritoneum and ______ are used for friable tissues such as liver and
kidneys;
a) Blunt point, taper point
b) Blunt point, blunt point
c) Taper point, taper point
d) TAPER POINT, BLUNT POINT
10- Sump suction involves the use of a double lumen tube; first for ____
and second for _____;
a) AS A VENT TO ALLOW AIR FLOW DOWN TO THE TIP OF THE DRAIN,
DRAINAGE
b) Drainage, as a vent to allow air flow down to the tip of the drain
c) None of the above
11- Which of the following drains is placed at the end of an operative
procedure to prevent the accumulation of fluids;
a) PROPHYLACTIC DRAIN
b) Therapeutic drain
c) Open drain
d) Closed drain
12- Penrose drain is an example of;
a) OPEN DRAIN
b) Closed drain
c) Therapeutic drain
d) Prophylactic drain
13- which of the following is not a sterilization technology
a: filtration
b: cold sterilization
c: bactericides
d: ethylene oxide
ANSWER: c
14- Heat disinfection is done by boiling water at atmospheric pressure
for____
a: 10 mins
b: 8-10 mins
c: 5 mins
d: 20 mins
ANSWER: c
15- Disinfectants ____ all sort of microrganisms
a: destroy
b: reduce
c: both a and b
d: none of the above
ANSWER: b
16- Asepsis includes all except
a: pre vacuum period
b: intermediate vacuum period
c:post vacuum period
d: sterilizing period
ANSWER: b
17- which gas autoclaves have been developed for sterilizing endoscopes
and anesthetic apparatus
a: Formalin
b: ethylene oxide
c: methyl alcohol
d: none of the above
ANSWER: a
18- which of the following is not a disadvantage of radiation sterilization?
a: Posses threat to humans (radiation)
b: Lengthy process
c: Requires very qualified personnel
d: dry process
ANSWER :d
19- Which of the following is not a problem that may affect
perioperative morbidity and mortality?
a) cardiac disease
b) kidney disease
c) arthritis
d) endocrine disease - diabetes, obesity etc
20- Perioperative Care Consists of all, except:
a) Preoperative Care
b) Preoperative Evaluations
c) Preoperative Management
d) Postoperative Complications
21- What is second phase of recovery in post operative
a) Hospital stay
b) Post anesthesia
c) Discharge to full recovery
d) All of the above
22- components of post operative care are
a) Homeostasis
b) Immediate post op care
c) Pain management
d) Both b & c
23- in post operative cases , respiratory care can be given by
a) O2 mask
b) Ventilator
c) Tracheal suction
d) All of the above
24- late respiratory failure occur
a. 1 to 2 hours post operative
b. After 12 hours post operative
c. After 48 hours post operative
d. After 72 hours post operative
25- The Following Are True About Clostridium Tetani:
A.Areobic Bacteria
B.Gram Positive Cocci
C.Gram Positive Rod
D.Non-Spore Forming
26- A Unique Feature Of Tetanus Is
A.Drooling.
B.Fever.
C.Sweating.
D.Muscle Spasm In The Jaw And Neck.
27- In Order To Get Tetanus, A Person Must Have
A)An Impaired Immune System.
B)An Open Wound (Non-Surgical).
C)A Family History Of Tetanus.
D)A High Stress Life Style.
28- Types Of TetnusInclude,Except’
A.Local Tetanus
B.Generalized Tetanus
C.RegionalTetnus
D.Neonatal Tetanus
29- Neonatal Tetanus Manifests As,except.
A.Poor Sucking
B.Irritability
C.Trismus
D.Without Spasms.
30- Treatment Of TetnusAre,except.
A.WoundDebriment
B.Nsaids
C.Muscle Relaxant
D.Anti-Toxin
31- Haemorrhage is based on all of these except…
a. Source of haemorrhage
b. Time of onset
c. Nature of haemorrhage
d. Duration of haemorrhage
e. All of the above
32- A patient have increased indirect billirubin (unconjugated albumin
bound ) the diagnosis is which kind of haemorrhage….
a. Deep
b. Superficial
c. Surface
d. None of the above
33- Blood that has been solidified within vascular lumen or cardiac
chamber is known is ….
a. clot
b. embolie
c. thrombus
d. all of the above
34- A patient have haemorrhage its clinical features are all except…
a. air hunger
b. dry mouth
c. hyper tension
d. both a and b
35- a patient have class 4 haemorrhagic shok its clinical representation
will be ….
a. normall
b. anurea
c. pallor
d. hypotension
36- in emergency department a patient represent with hemolytic
transfusion reactions what will be the immediate treatment …
a. urine exam
b. stop transfusion as soon as reaction is suspected
c. wait for complete transfusion
d.kidney dialysis
37- Following are the major classes of shock except:
a) Hypovolemic
b) Cardiogenic
c) hypervolemic
d) distributive
e) Septic shock
38- cardiogenic shock is :
a) Results from pump failure
b) Decrease systolic functions
c) Resultant decreased cardiac output
d) All of the above
39- Which of the following is not a sign of cardiogenic
shock?
a. Decreased cardiac contractility
b. Increased pulmonary edema
c. Decreased stroke volume
d. Increase systemic vascular resistance
e. Decreased left ventricular end diastolic volume
40- What characteristics distinguish septic shock from
hypovolemic and cardiogenic shock?
a)Septic shock patients will present with cool skin due to
vasoconstriction
b)Patients with septic shock will have a bluish color to their
skin
c)Vasodilation will lead to warm flushed skin in septic shock
patients
d)Septic shock patients present with pulsus paradoxus
41- Anaphylactic schock is associated with which type
of hypersensitivity?
a)Type I (immediate)
b)Type II (cytotoxic)
c)Type III (immunocomplex)
d)Type IV (cell mediated)
42- Identify the FALSE statement:
a)Hypovolemic shock is associated with low cardiac output
b)Septic shock is associated with cold clammy skin
c)Cardiogenic shock is associated with arrhythmia, MI, and
myocarditis
d)Extracardiac obstructive shock is associated with cardiac
tamponade, pneumothorax, and pulmonary emboli
43- Regarding Neurogenic Shock , most appropriate ?
a) Cold & clammy peripheries
b) Hypovolumia
c) decreased peripheral vascular resistance
d) decreased functioning of Heart
e) none of these
44- All of the followings are type of stitches,except one
a) silk
b) catgut
c) lavage
d) vicryl
45- Followings are type of hernia except one
a)epigastric
b) femoral
c)inguinal
d) pelvic
46- A 30 year old lady taking in OPD with appendicitis, classical
presentation of appendicitis is
a) postumbilical pain, pain localiza to RLQ
b) epigastric pain and localize to LLQ
c)periumbilical pain and localize to RLQ
47- Abdominal x-ray of female with appendicitis will show following
findings
a) blurred Quads muscle and localize ileus
b) psoas and obturator sign are positive
c) early fever findings
48- A young boy taking to hospital with diverticulitis and diagnosis of his
CT sacn will show all of the following diagnosis except one
a) pericolic fat standing
b) thickened bowel wall
c)peridiverticular abcess
d) pericecal inflammation
49- Cullen sign is
a) bluish discoloration of back
b) bluish discoloration of the flanks
c) bluish discoloration around the umbilicus
50- The amount of sodium(Na+) in electrolyte balance in body is;
a) 136 -145 mEq / L
b)186-165mEq/L
c)276-246mEq/L
d)none of the above.
51-Reabsorption of sodium in renal tubule is regulated by:
a)Aldosterone
b)Renin/angiotensin
c)both of the above
d)none of the above
52-Hypernatremia is a condition which is due to;
a) Increase in sodium or decrease in water.
b)Decrease in pottasium or increase in water.
c)Increase in calcium or decrease in water.
d)none of the above.
53- Clinical manifestations of hypernatremia includes all except;
a) Thirst
b) Lethargy
c)Dyspnea(shortness of breath)
d)none of the above
54- Intracellular fluid is;
a)1/3
b)2/3
c)3/3
d)none of the above
55- Normal ranges of PH lies between;
a)7.35-7.45
b)7-7.3
c)both of above
d)none of the above
56-Translumenal endoscopic surgery can be done by the orifice?
-Mouth/stomach
-Both (A) and (C)
-Vagina
-Rectum
-All of above
57- All are the disadvantages of Robotic surgery except?
-3D Vision/magnified
-Lack of haptics
-Long set up/procedure time
-None of the above
58-What operations can we do Laparoscopically?
-Cholecystectomy
-Hernia repair
-Division of adhesions
-Bowel resection
-All of above
59- General length for laproscopic instruments is?
- 2 - 8’’
- 15 - 18’’
- 6-10”
- 4-12”
60-Improved Outcomes of Gallbladder laproscopic surgery are all except?
-shorter hospital stay
-more incision pain and scarring
- faster return to work
-None of the above
61- Differences between Laparoscopic and Open Surgery are?
-Post operative pain related to size of incision- smaller incisions =less pain.
-Less Handling of intestines results in little or no disturbance of normal function.
-Avoidance of the trauma of abdominal wall injury by the incision allows rapid
return to normal activity
-No incision allows early return to more strenuous activities: driving, lifting, sport
etc
-All of the above
62-Which of the following is true regarding Minimally Invasive Partial Knee
Replacement ?
-A partial knee replacement done with a smaller incision to reduce post-operative
pain and improve the recovery period
-All articulating surfaces of the knee joint are replaced with synthetic prosthesis
-Only a portion of the knee joint is replaced
-All of the above
63- Limitations of minimal access surgery are all except?
-Loss of tactile feedback
-Difficulty with hemostasis
-Extraction of large specimens
-None of the above
-All of the above
64- Relative contraindications for appendicectomy are?
-Peritonitis
-Portal hypertension
- Third trimester pregnancy
-All of the above
-None of the above
65-Following is not a type of gangrene?
A. Noma
B. Gas Gangrene
C. Fournier gangrene
D. Clostridium prifinges
66-Dry, shrunken, dark black is a characteristic appearance of?
A. Gas gangrene
B. Wet gangrene
C. Noma
D. Dry gangrene
67-The affected part is soft, putrid, rotten and dark in?
A. Gas gangrene
B. Wet gangrene
C. Fasciitis
D. Tuberculosis
68-Which of the following is not true about treating gangrene?
A. Hyperbaric oxygen
B. Surgical debridement
C. Antibiotics
D. Oxygen free environment
69-Necrotizing fasciitis is commonly known as?
A. Gangrene
B. Flesh eating disease
C. Fungal infection
D. Cancer
70-A 60 yrs old patient presented in emergency with swollen foot black
discoloration and rotten appearance, the affected part smell like pure gasoline,
what is the probable diagnosis?
A. Compartment syndrome
B. Wet gangrene
C. Dry gangrene
D. None o the above
71-Preoperative Risk reduction strategies for diabetic patients
includes_____________?
a. Lipid Lowering agents
b. Improving Diabetic control
c. Cessation of smoking
d. All of the above
72-In examination for diabetic foot following may be positive factors
except_______________.
e. Insensate
f. Foot deformities
g. Absent pulses
h. Prolonged venous filling time
i. All of the above
73-A foot that exhibits any pathology that results directly from Diabetes Mellitus
or long term complications of Diabetes Mellitus is called_____________.
j. Halluxabductovalgus
k. Diabetic foot
l. Hammer toe
m. Flat foot
74-Diabetes is a/an __________?
n. Exocrine disorder
o. Endocrine disorder
p. Both A & B
q. None of above
75-Major complication of diabetes is?
r. TalipesEquinoVarus
s. Hammer toe
t. Diabetic foot
u. Halluxabductovalgus
76-Treatment protocol for Grade 1 ulceration in diabetic patients includes all
except __________
v. Antibiotic therapy
w. Wound care
x. Surgery
y. Plastic surgical closure
77- a mass of tissue for grafting, usually including skin, only partially removed
from one part of the body so that it retains its own blood supply during
transfer to another site.
a. graft
b. flap
c. infection
d. contracture
78-All of them are the treatment of burns , except one
a) Wound care
b) Analgesics
c) Surgery
d) Antidepressants
79- Composite graft is
a) containing skin and underlying tissue
b) epidermis and the entire dermis
c) epidermis and part of dermis only
d) None of them
80- parkland formula
a) 4 ml x percentage of total body surface area x person’s weight in kgs
b) Half in first 8 hours and the rest in next 16 hours
c) Both of them
d) Half in first 12 hours and the result in next 23 hours
81- according to 2nd degree of burn which one is correct option,
a) Texture dry
b) Extend into dermis
c) Stiff and white brown
d) Layer involved – epidermis
82- a type of injury to flesh caused by heat, electricity, chemicals, light, radiation
or friction
a. burn
b. fracture
c. infection
d. fever
.
83-Anesthesia allows -------------------- procedures to be performed in a
manner which is painless to the patient
1.Surgical
2.Obstetrical
3.diagnostic
4.All of the above
84-General Anaesthesia can be defined as:
1.Totally Reversible Induced Pharmacological type of Unconsciousness so it
can be differentiated from sleep, head injury, hypnosis, drug poisoning ,
coma or acupuncture
2.Totally Irreversible Induced Pharmacological type of Unconsciousness so it
can be differentiated from sleep, head injury, hypnosis, drug poisoning ,
coma or acupuncture
3.Totally Reversible Induced Pathological type of Unconsciousness so it can be
differentiated from sleep, head injury, hypnosis, drug poisoning , coma or
acupuncture
4.None of the above
85-The famous components of general anaesthesia are :
1.UNCOSCOUSNESS.
2. ANALGESIA
3. MUSCLE RELAXATION
4.all of the above
5.none of the above
86-The agent used is in Inhalation anesthesia is a gas like :
1.Nitrogen
2.Carbondioxide
3.O2
4.Ether
87-Anesthesia in the spinal cord is injected in ? :
1.subarachnoid space
2.Dural space
3.Epidural space
4.None of the above
88-Advantages of Inhalation anaesthesia:
1.- cheap
2 easy control of dose and effect, but not as good as in TIVA
3.hypnotic, analgesic and muscle-relaxing effect from the
gaseous agent alone in most cases
4.All of the above
