Davinci Medical Academy

GENERAL SURGERY
1. Muscle which is primarily responsible for rectal continence - Puborectalis
2. Commonest complication of immunosuppression is - Infection
3. Highest chance of success,in renal transplant is seen when the donor is the -
identical twin
4. Commonest type of cancer of the renal pelvis & upper ureter is - transitional
cell Ca
5. Commonest site of intestinal atresia is in the - Duodenum
6. Complications of meckel’s diverticulam include - hemorhage, intussusception,
strangulation
7. In Budd chiari syndrome the occlusion is at the - Hepatic vein
8. Best diagnostic aid in blunt trauma abd. Is - peritoneal lavage
9. Hemoblia is characterised by - Jaundice,biliary colic,malena
10. Ectopic testis is found in – perineal ,intra abdominal, inguinal
11. Prognosis for Ca rectum is best assessed by - histological grading
12. Acute urinary retention in a male child may be due to - Meatal ulcer with scabbing
13. Rare complication of ulcerative colitis - Toxic dilatation
14. Commonest site of peptic ulcer perforation - ant. Aspect of 1st part of duodenum
15. Bronchogenic Ca which produce paraneoplastic syndrome - Oat cell ca
16. Warthins tumour is - gives a hot pertechnetate scan
17. Earliest sympt. Of Ca rectum - Bleeding PR
18. Commonest site of Ca tongue - Lateral borders
19. Dentigerous cyst arises from - an unerupted tooth
20. Curlings ulcer is seen in - Burns patient
21. Commonest cause of A-V fistula - congenital
22. Earliest symptom in acute appendicites - Pain GENERAL SURGERy
23. In acute diverticulitis of the colon,the sigmoidoscope can’t be passed beyond
15cm
24. Features of Ca penis - surgery/circumcision soon after birth provides total immunity
/metastatic to inguinal nodes.
25. Spider leg appearance in IVP is suggestive of - Renal cyst ,Renal Ca
26. Percentage of gallstones which are radio opaque - 10%
27. Percentage of renal stones which are radio opaque - 90%
28. Staghorn calculus is made out of - Phosphate
29. Primary closure of incised wounds must be done within - 6hrs
30. Hypotension in a case of gas gangrene is best treated by - whole blood
31. Glomerular filtration stops when the systolic pressure falls below - 70mmhg
32. Highest concentration of potassium is in - Darrow’s solution
33. Maximum tourniquet time for the upper limb - 1 hr

General Surgery
Davinci Medical Academy
34. Charcots joint seen in - T2DM, syringomyelia, tertiary syphillis
35. MC type of spina bifida - spina bifida oculta
36. Disc prolapse most commonly occurs at the level - L4/L5 level
37. Cleft lip is repaired - for cosmetic reason
38. Cleft palate is repaired around - after 1&half yrs
39. Mandible is commonly # - at the neck of the condyle
40. Parotid duct is known as - stenson’s duct
41. Vincent’s angina is caused by - borrelia vincentii & fusiformis fusiformis
42. Ca tongue less than 2 cm is treated by - Radiotherapy
43. Earliest tumor to appear after birth is - cystic hygroma
44. Therapy of choice for diffuse toxic goitre in a pt over 45 yrs - Radio iodine
45. MC site for thyroglossal cyst is - Subhyoid
46. Commonest symptom of Ca bronchus is - Cough
47. Sensitivity of casoni’s test is 75%
48. MC type of diaphragmatic hernia is - Hiatus hernia
49. Saint’s triad - gall stones/diverticula coli/hiatus hernia
50. To diagnose hypertrophic pyloric stenosis - palpation of the hypertrophic pylorus
51. Most imp. Radiological sign of splenic rupture is - obliteration of splenic shadow
52. Normal portal venous pressure is - 6-12mmhg
53. Commonest type of hernia is - Inguinal
54. Rx of annular pancrease is - duodeno dudenostomy
55. Whipple’s triad in Insulinoma includes - hypoglycemia below 45mgdl / symp
relieved by glucose / hypoglycemia in fasting stage
56. Commonest site of intra peritoneal abscess - pelvic
57. Commonest position of the appendix - retrocecal
58. Surgery for carcinoid of the appendix - appendicectomy
59. Superior rectal artery arises from the - Inferior mesentric artery GENERAL SURGERy
60. Commonest type of anorectal abscess - perianal
61. Burst abdomen most commonly occurs on the - 7th day
62. MC congenital anomaly of the upper renal tract is - duplication of renal pelvis
63. Earliest symptom of wilm’s tumour - abdominal mass
64. MCC for pulsion diverticulum of the urinary bladder is-contracture of the bladder
neck
65. Commonest org. giving rise to UTI - E-coli
66. Most malignant carcinoma of the bladder is - Adenocarcinoma
67. Commonest type of hypospadiasis is - glandular
68. Narrowest part of the male urethra is - External meatus
69. Commonest indication for liver transplantation in Infant is - Biliary atresia
70. Thromboembolism after pelvic surgery is usually from the veins - Calf

General Surgery
 71. Hemorrhage from a bleeding duodenal ulcer is due to the erosion of -gastroduo-
denal artery
72. Commonest bladder tumour is - papilloma
73. TOC for stab injury caecum - ileo-transverse anastomosis
74. Bleeding per nipple is seen in - Duct papilloma
75. Commonest site of brain abscess - Temporal
76. Lymph node metastasis commonest in - papillary Ca thyroid
77. Commonest testicular malignancy is - Seminoma
78. Commonest cause for hyperparathyroidism is - adenoma
79. Acute onset of anuria in elderly man - obstructive urinary disease
80. TOC in nasopharyngeal Ca - Radiotherapy
81. Pt with H/o fall comes 1 wk later with headache & progressive neurological dete-
rioration diagnosis could be - chronic SDH
82. TOC in severe Flail chest - IPPV
83. TOC in duodenal atresia - duodenojejunostomy
84. Paeu ‘d’ orange is due to - subcutaeneous lymphatic involvement
85. Mucocele of the appendix is - retention cyst
86. Cause of blood in stools in children - Meckels divert,intususception,juvenile polyp
87. Commonest site of Ca breast - upper outer quadrant
88. Highest frequency of coarcation of Aorta is seen in - Turner’s syndrome
89. Highest frequency of VSD is seen in - Down’s syndrome
90. Bronchogenic Ca commonly metastasizes to which endocrine organ - Thyroid
91. Gynecomastia may be seen in patients with cimetidine therapy, cirhosis of liver,
klienfelter’s syndrome

Davinci Medical Academy

92. Symptoms of endemic goiter - dysphagia, hoarseness, cold intolerance
93. Following resection of 2/3 of the liver, regeneration is complete within - 4-6
months
94. Transitional cell lining is seen in – ureter ,bladder, urethra
95. During esophagoscopy,the area in the esophagus mostly perforated is -
cricopharyngeal
96. Recurrent prolapse of the rectum in children is treated by - Thiersh wiring
97. Rx of cystic hygroma is - surgical excision
98. Injury to superior laryngeal nerve causes - loss of timbre of voice
99. Rx in Hashimoto’s disease - Thyroxine
100. Acute mastitis commonly occurs during - Lactation
101. MC complication post operatively in splenectomy is - left lower lobe atelectasis
102. TOC in Desmoid tumors is - wide excision
103. Pulmonary neoplasm ass. with smoking is - squamous cell Ca
104. MC nodule found in the liver - Hemangioma
105. Commonest cause of esophageal perforation is - Instrumentation
106. Most reliable investigation for bladder rupture - Retrograde cystogram
107. Principal cause of death in renal transplant pt’s is - Infection
108. MCC of colonic obstruction is - Neoplasm
109. Thumb printing is characteristic of - Ischemic colitis
110. Ulcerative colitis always involves the - Rectum
111. Procedure of choice in ulcerative colitis with acute perforation - total colectomy
& ileostomy
112. MC coagulopathy noted in surgical pt’s - Thrombocytopenia
113. Golden period for Rx of open wounds is - 6 hrs
114. MCC of adrenal insufficiency is - diffuse atrophy due to steroid administration
115. Pain relief in chronic pancreatitis can be obtained by destruction of - celiac
ganglia GENERAL SURGERy
116. Treatment of pouch of doughlas abscess is - Posterior colpotomy
117. Urinary incontinence results from - neurogenic bladder, VVF, ectopic ureter
118. Sr. Amylase usually becomes elevated in acute pancreatitis after - 4-6hrs
119. Predisposing factors for development of oral Ca - smoking, syphillis, alcohol
120. Ca of oropharynx is most commonly found in the - Tonsils
121. Nerve which lies in ass. To Wharton’s duct is - Lingual
122. Lung abscess secondary to aspiration is most often seen in - Apical lower lobe
123. MCC of hemoptysis is - Pulmonary TB
124. Intermittant claudication at the level of the Hip indicates - iliac artery occlusion
125. Commonest symptom ass. with thoracic outlet syndrome - pain in ulnar distri
bution
126. Most reliable investigation in the diagnosis of pulmonary embolism is - angiog
raphy
General Surgery
 127. Rate of growth of nerves after peripheral nerve suturing is - 1mm/day
128. Tensile strength of wound reaches that of normal tissue by - 6 months
GENERAL SURGERy
129. Bee venom can be neutralized by applying - Soda bicarbonate
130. Most dangerous injury is - human bite
131. Gas gangrene is caused by - cl.welchii/cl.edematiens/cl.septicum
132. Best site for IM injection - upper outer segment of buttocks
133. Worst position for scars is - Sternum
134. Commonest cause of cellulitis is - Streptococcus
135. Foaming liver is seen in - Gas gangrene
136. Erysipelas is caused by - strep pyogenes
137. Hyperbaric oxygen is useful in - gas gangrene,tetanus,frostbite
138. Commonest form of anthrax is - cutaneous type
139. Secondary amylodosis occurs in - chronic osteomyelitis,rheumatoid arthritis,
le prosy
140. Most reliable investigation in amyloid disease - Rectal biopsy
141. Which of the parts of body is not affected by leprosy - Ovary
142. MC peripheral nerve affected in leprosy is - Ulnar
143. Moth eaten alopecia is seen in - Syphilis
144. Term universal tumour refers to - Lipoma
145. Blood platelets is stored blood do not remain functional after - 24hrs
146. Commonest site for rodent ulcer is - inner canthus
147. MC infection of the hand is - acute paronychia

Davinci Medical Academy

148. Following TPN one expects weight gain after - 7 days
149. Features of raised ICT - convulsions/papilledema/altered sensorium
150. Pt presents with high fever,signs of raised ICT & past H/O chronic otitis media
likely diagnosis is - Pyogenic meningitis
151. Facial nerve palsy is seen in the following # - Middle cranial fossa
152. Common cause of ventilatory insufficiency is - Airway obstruction
153. Treatment of ventricular fibrillation - immediate electro cardioversion
154. Cracked nipple may be - fore runner of breast abscess
155. Left ventricular failure is indicated if pulmonary artery wedge pressure
exceeds - 20mmhg
156. Reliable parameter of fluid deficiency in burns is - urine output
157. Following is a physiological solution for infusion in burns pt - ringer lactate
158. Pt has lacerated untidy wound of the leg & came to cauality after 2 hrs his
wound should be - debrided & sutured immediately
159. Commonest renal calculi - calcium oxalate
160. In a case of pelvic # i urethral injury most imp 1st step in management is - Rx
shock & hemorrhage
161. Dupytrens contracture of the hand commonly starts in - Ring finger
162. Full thickness skin graft can be taken from - elbow/back to neck/supra clavicular
area
163. Full thickness loss of middle 1/3rd of upper lip is best reconstructed by -Abbey
flap
164. Sjogren syndrome refers to disease of - Parotid glands
165. Rx of cancer cheek using single drug,the best results r obtained by-CIS platinum
166. 40 yr old lady is found to have symptomatic Gall stones.the TOC -
cholecystectomy
167. Commonest type of Breast cancer is - Ductal
168. Commonest orbital tumour causing exopthalmous is - Glioma
169. Commonest site for colonic diverticula is - sigmoid colon GENERAL SURGERy
170. Ramsted’s operation is done for - hypertrophic pyloric stenosis of infants
171. Diagnostic of hirschsprungs disease is - rectal biopsy
172. Cancer of the anus is commonly - squamous cell Ca
173. Commonest symptom of pheochromocytoma is - Headache
174. Commonest malignancy in men over the age of 65 - Prostatic Ca
175. Complimentary operation done at the time of prostectomy is - Vasectomy
176. Bones most commonly involved in metastasis in Ca prostate is - Pelvis
177. Sistrunk’s operation is used in - thyroglossal fistula
178. TOC for mixed parotid tumour is - superficial parotidectomy
179. Commonest pancreatic tumour is - ductal adenocarcinoma
180. Hiatus hernia is treated by - surgery when medical treatment is failed
181. Commonest site of Ca tongue is - Ant2/3 lateral aspect

General Surgery
 182. In Ca prostate with metastasis which is raised - acid phosphatase
183. Intermittent claudication is caused by - arterial insufficiency
184. Renal tuberculosis is characterized by - sterile acid pyuria
185. Vincent’s angina affects - Pharynx
186. Fibroadenoma of breast are - Solitary mobile mass
187. Renal transplant pt’s receive - Azathioprine
188. Common cancer of the oral cavity is - squamous cell Ca
189. Acanthosis nigricans is seen in - colonic Ca/ Ca Breast
190. Gynecomastia is seen in - spirinolactone / digitalis / INH administration
191. Massive transfusion results in - DIC / hypothermia / thrombocytopenia
192. Burgers disease is seen in - male/age less than 40yrs / smoker
193. Commonest cause of recto vaginal fistula in India is - Ca cervix
194. Narrowest part of urethra is - External meatus
195. Triad of wilms tumour is - hematuria / mass abdomen / fever
196. Middle rectal artery is branch of - Internal pudendal artery
197. Lacerated wound looks like an incised wound in the - Scalp
198. Budd chiari syndrome is due to thrombosis of - Hepatic veins
199. Budd chiari syndrome can be caused by - polycythemia / membranous webs of
IVC / thrombosis of hepatic veins
200. Blood supply of the Jejunum is through the - superior mesenteric artery
201. Rx of zollinger ellison syndrome is - PPI
202. Commonest tumour occuring in undescended testis is - Seminoma
203. In cholangitis the organism mostly responsible is - E.coli

Davinci Medical Academy

204. Reseection of the terminal ileum results in - vit B12 defeciency / inc.incidence of
gall stones / steatorhea
205. Excision of the hyoid bone is done in - Thyroglossal cyst
206. Commonest cause of intestinal obstruction in children is - Intussusception
207. Commonest thyroid malignancy is - pappilary Ca
208. Ulceration of peyer’s patch occur in - Salmonella infection
209. Rx of spreading streptococcal cellulitis is - Penicillin
210. Massive spleenomegaly is seen in- Hairy cell leukemia / chronic myeloid leukemia
211. Commonest cause of recurrent laryngeal nerve palsy - thyroidectomy
212. Ca breast is seen in- Nulliparity / positive family history / high socio economic
status
213. Gastrin levels r raised in - zollinger ellison synd./pernicious anemia / gastric ulcer
214. Appendicular artery is a branch of - ileo colic artery
215. Ideal Rx of Hashimoto’s thyroiditis - Thyroxine
216. Spleen contains about - 1% of the total blood volume
217. Hereditary spherocytosis is transmitted as - Autosomal dominant
218. Commonest intra abdominal tumor below 2 yrs - neuroblastoma
219. Commonest intra abdominal tumor bet 2-5yrs - wilm’s tumour
220. Commonest benign tumor of the esophagus - leiomyoma
221. Radio lucent renal stones are composed of - Uric acid / Xanthine
222. Commonest bladder stone is - triple phosphate
223. Polycystic kidneys can be ass. with - cysts in liver, lungs / coarcation of aorta /
bery aneurysms
224. Commonest presenting C/O medullary Ca thyroid - Diarrhoea
225. Commonest renal stone - Oxalate
226. Commonest site of primary krukenberg tumour is - Stomach
227. Inverse 3 sign on barium meal is seen in - Ca head of pancreas
228. Pt with alkaline urine which is cloudy with plenty of pus cell is suffering GENERAL SURGERy
from-proteus infection
229. Dumbell tumour is seen in - Neurofibroma
230. Commonest site of diverticulosis is - Sigmoid colon
231. In obstruction of the large gut,rupture occurs at the - cecum
232. Best prognosis in acute pancreatitis is seen in - gall stone pancreatitis
233. Preferred material for femoro popliteal bypass is - saphenous vein
234. Bony metastasis in children is commonest in - Neuroblastoma
235. Rx of uncomplicated hydatid cyst in lung is - Enucleation
236. Caudate lobe of liver is situated - IVC & ligamentum venosum
237. Calcification of adrenal is seen in- TB / addison’s disease
238. Commonest cause of intussusception is - hypertrophy of submucous peyer’s
patches

General Surgery
 239. White leg is due to - femoral vein thrombosis & lymphatic obstruction
GENERAL SURGERy 240. Drug used for Achalasia cardia - Nifedipine
241. Typhoid perforation occurs in 3rd week
242. Best Rx in tension pneumothorax is - immediate letting out of air
243. Tenesmus occurs in lesions of - Sigmoid colon
244. Scalp hemorrhage is best controlled by -0 Pressure
245. Burning epigastric pain is due to - Reflux esophagitis
246. Skin flap is used in - bone /tendon /pressure sores & not in - burns wound
247. Incubation period of gangrene is - 1-3 days
248. Graft from sister to brother is - Allograft
249. Raynaud’s phenonmenon is seen in - atherosclerosis/scleroderma/buerger’s
disease
250. Sjogren syndrome is ass. With rheumatoid arthritis / SLE / scleroderma
251. Rectal examination should not be done in - Anal fissure
252. Fournier’s gangrene occurs in the - Scrotum
253. Coffee bean sign is seen in - Volvulus
254. Commonest cause of death in peptic ulcer pt is - hemorhage
255. Heller’s operation is done in - Achalasia cardia
256. Radiolucent is - Uric acid
257. Antiseptic means - agent applied on skin to eradicate pathogenic microbes
258. Seen in DVT - swelling / discolouration / pain & not claudication
259. Commonest site of TAO - popliteal artery

Davinci Medical Academy

260. Triad of jaundice,fever & chills occur in - CBD stones
261. Commonest cause of unilateral pedal edema in India is - Filariasis
262. Diarrhoea in zollinger ellison syndrome is due to - Gastrin
263. Sulfonamide useful in treating ulcerative colitis is - sulfasalazine
264. Commonest presentation of meckels diverticulum is - Bleeding
265. B/L spider leg appearance of kidney in IVP is seen n -polycystic kidney /renal
cell Ca
266. Thimble bladder is seen in - Chronic TB
267. Bladder tumors mostly arise from - Mucosa
268. Testicular cancer is common in - undescended abdominal testis
269. Serum calcitonin level is raised in - Medullary Ca thyroid
270. Commonest parotid tumour is - pleomorphic adenoma
271. G- cells are present mostly in - Pyloric antrum
272. Multiple fistula in ano commonly occurs in - Tuberculosis
273. Dupytrens contracture results from - contraction of palmar aponeurosis
274. Best diagnostic tool in obstructive jaundice - USG
275. Thyroglossal fistula develops due to - incomplete removal of thyroglossal cyst
276. Acanthosis nigricans is commonly seen in- T2DM
277. Precancerous condition of the stomach is - atrophic gastritis
278. TOC in polycystic kidney is - Renal transplant
279. Tinnels sign indicates -regeneration of nerves
280. Healing is slow below the knee joint because of - poor vascularity
281. Most important clinical finding in a case of head injury - level of consciousness
282. DOC for carrier’s of diptheria - Erythromycin
283. Calcification of the prostate is seen in - Alkaptonuria
284. Features of ARDS - pulmonary edema / stiff lung / hypoxia
285. Deep skin burns is treated with - full thickness graft GENERAL SURGERy
286. Normal acid level in stomach is - 15-20 meq
287. Commonest type of cleft lip is - Unilateral
288. Gasless abdomen in x-ray is a sign of - ulcerative colitis
289. Commonest cause of bleeding PR in a male bet 20-40yrs - internal hemorhoids
290. Commonest presentation of B/L ureteric stones - Pain
291. TOC for pagets disease of nipple is - mastectomy
292. Commonest bladder tumor in children is - Rhabdomyosarcoma
293. Amputated digits are preserved in - plastic bag in ICE
294. Commonest type of pancreatic Ca is - ductal adenocarcinoma
295. SAH is commonly due to - rupture aneurysm
296. Best method for diagnosis of DVT is - Doppler examination
297. Commonest late complication of traumatic rupture of urethra is - stricture

General Surgery
 298. Rx for EDH - immediate evacuation
299. Cleft lip is due to non fusion of - maxillary process with medial nasal process
300. MCC of acute intestinal obstruction in neonates is - duodenal atresia
301. MC site for intra abdominal abscess following laparotomy is - pelvic
302. Commonest complication following hemorrhoidectomy is - urinary retention
303. GERD is best diagnosed by - endoscopy
304. Raised serum alkaline phosphatase is suggestive of - Pagets disease
305. In radical mastectomy,which is spared - supra clavicular lymph nodes
306. Hour glass stomach is seen in - Gastric ulcer
307. Strawberry gallbladder is seen in - cholesterolosis
308. Marker of hepatitis B in the window period is - Anti HBC
309. Pre-B cells & B cells are produced in - Bone marrow
310. Pseudolymphoma is a common presentation of - Sjogren’s syndrome
311. DOC in sarcoidosis - Prednisolone
312. Respiratory arrest due to respiratory alkalosis is rectified by - insufflation with
CO2
313. Most specific antibody in the diagnosis of SLE is - anti-sm
314. In Burns heat loss is by - exposed area by evaporation
315. MC complication of varicose vein stripping is - Ecchymosis
316. Aspiration pneumonia is most commonly occurs in - right lower lobe
317. Courvoisier’s law is related to - Jaundice
318. Multiple sclerosis may be diagnosed by - MRI
319. Internal sphincterotomy is the treatment of choice for - fissure in ano
320. Sterile needle test helps in differentiating - depth of burns
321. In intestine lipoma is commonest in - caecum

Davinci Medical Academy

322. Cleft lip all the stitches are removed on - 4th day
323. Cold water Rx of burns has the disadvantage that it increase the chances of
infection
324. TOC from inguinal hernia in infants is - Herniotomy
325. Most useful method to diagnose cause of upper GI bleed is - Endoscopy
326. Ca bladder constantly shows - persistent & recurrent UTI
327. Unilateral clefts are most common on left side
328. Commonest cause of aneurysm formation is - Atherosclerosis
329. Margins of squamous cell Ca is - Everted
330. Brain space occupying lesions causes death by - brain herniation
331. Cellulitis is infection of - subcutaeneous spaces
332. Arrow headed finger on x-ray is suggestive of - Acromegaly
333. Common cause of hematemesis - chronic peptic ulcer /esophageal varices /
Ca stomach
334. Frequent mechanism in perforation of appendix is - tension gangrene due to the
accumulating secretions
335. Best investigation of acute mechanical intestinal obstruction is - x-ray abdomen
336. Odourless peritoneal fluid is noticed in - perforated peptic ulcer
337. Hashimoto’s disease is - an auto-immune thyroiditis
338. Sequence of symptoms in pulmonary embolism – dyspnea ,pain, haemoptysis
339. Haemostasis in scalp wound is best achieved by - direct pressure over the wound
340. Preoperative shaving is idealy done at - just before operation
341. Most important in assessing fertility potential is - sperm motility
342. Undescended testis usually develops - seminoma
343. Life of preserved semen for artificial insemination is - 5yrs
344. Renal TB originates in the - renal papilla
345. Cryoprecipitate is a rich source of - Factor 8
346. Seldinger needle is used for - arteriography GENERAL SURGERy
347. Intra lobar sequestration of lung is commonest in the - lateral basal segment of
lower lobe
348. Most important complication of PDA in a child is cardiac failure
349. In semen banks, semen is preserved at low temperature using - liquid nitrogen
350. Marion’s disease s due to-muscular hypertrophy of int. sphincter of urinary
bladder
351. Wilm’s tumour is also ass. with - Glaucoma
352. After surgical Rx of Ca esophagus,replacement of esophagus is done with -
Stomach
353. Rx of a case of iliac artery embolism requires - Embolectomy
354. Immediate TOC in flail chest is - Positive pressure ventilation
355. Gall stones do not contain - Oxalate
356. Aaron’s sign is seen in - Acute appendicites
General Surgery
 357. Normal amount of pleural fluid is approximately - 15ml
358. Blood stained discharge from the nipple means that the patient may have -
duct papilloma
GENERAL SURGERy
359. After an open injury,the optimum time for nerve suture is - when wound is free
from infection
360. An overdose of heparin is treated by - Protamine sulphate
361. Optimum time of splenectomy in a child with hereditary spherocytosis is -
3-4 yrs of age
362. Ca of pancreas attains greatest size when it is located in - Body & tail
363. TOC of hypertrophic pyloric stenosis of adults is - pyloroplasty
364. Salmon patch usually disappears by age - one year
365. Flower vase pattern of the pelvis in an IV urogram is seen in - Horse shoe kidney
366. Hynes pharyngoplasty is used to improve a child’s - speech
367. Painless ulcer of the tongue is due to - syphillis
368. Maximum life of a transfused RBC is - 50 days
369. Operation of choice in congenital pyloric stenosis is - pyloromyotomy
370. Pyrexia due to wound infection commonly occurs after - 5th post op day
371. B/L breast Ca occur commonly in - Lobular Ca
372. Catgut is prepared from submucosal layer of the intestine of - sheep
373. PDA needs surgery to prevent the development of - CHF
374. MC type of bronchgenic Ca is - Epidermoid
375. Clinodactyly most often involves - little finger
376. Horner’s syndrome ass. With pain shoulder & arm is suggestive of - pancoast
tumour
377. Morphine given for injury is primarily - an analgesic
378. Presenting symptom of Ca stomach - weight loss
379. A cricoid hook is used particularly - in tracheostomy

Davinci Medical Academy

380. Kiss cancer of the urinary bladder is - Benign
381. Cullen’s sign is seen in - acute hemorhagic pancreatitis
382. Ramsteds operation is for - congenital pyloric stenosis
383. Rx of strangulated hernia is - immediate surgery
384. Rx for primary piles is - sclerotherapy
385. Best investigation to diagnose piles is - proctoscopy
386. Complication of ectopic testes is - seminoma/atrophy/torsion
387. Maximum dilatation of esophagus occurs in - achalasia cardia
388. Skin cancer which can occur due to exposure of light is - Melanoma
389. MCC of surgical wound infection - Staph aureus
390. Paralytic ileus is caused by - Peritonitis
391. Golf-hole ureter is seen in - tuberculosis of ureter
392. Earliest symptom of BPH - frequency
393. Diverticular disease is not common in- stomach
394. Hernia which often simulates a peptic ulcer is - fatty hernia of the linea alba
395. Commonest cause of metabolic alkalosis is - pyloric stenosis
396. Nephrocalcinosis - deposition of calcium within renal substance
397. Auto nephrectomy is seen in - sickle cell anemia
398. Most reliable indicator of carcinoma of prostate recurrence after surgery - PSA
399. To rule out azzospermia as a cause of infertility due to obstruction of seminal
vesicles, substance to be found in semen is - fructose
400. What is true about keloids - appears few days after surgery
401. Rx of contaminated wound in gas gangrene - debridement of wound
402. Commonest cause of metabolic alkalosis in surgical patient is - gastric outlet
obstruction
403. Commonest cause of nosocomial infection - staphylococci
404. Punctuate yellow exudates in colon, found on endoscopic examination are
indicative of antibiotic colitis GENERAL SURGERy
405. Skeletal metastasis is common in - cancer breast
406. Rx in # pelvis with rupture urethra is - supra pubic cystostomy
407. 26yr old woman in the first trimester of pregnancy has been admitted with
retching & repeated vomitting with large hematemesis.her pulse rate is 126/
mt & BP is 80 mmhg systolic,diagnosis is - Mallory weiss syndrome
408. Male infertility occurs if the sperm count is less than - 20million/ml
409. Pulp space infection can lead to - avascular necrosis of the terminal phalanx
410. Cock’s peculiar tumour is - secondary to infectious sebaceous cyst
411. Trans urethral resection syndrome is due to - hyponatremia
412. Keloid is best treated by - wide excision & grafting
413. Toxic megacolon is a complication of - ulcerative colitis
414. Skip transmural lesions with tuberculoid granuloma seen in - crohn’s dx

General Surgery
 415. Commonest cause of solitary thyroid nodule - follicular adenoma
416. In extraperitoneal bladder rupture urine escapes into - below urogenital
diaphragm
417. Dendtric ulcer commonly seen in - Herpes simplex
418. In a case of acute trauma best guidline for quick replacement of fluids is - PCV
419. Commonest tumor metastasis to heart is - Bronchogenic Ca
420. Paget’s disease of nipple is treated by - biopsy & simple mastectomy
421. Horner’s syndrome is produced due to pressure on - stellate ganglion
422. Pancoast tumor - causes radicular pain in upper limb
423. Commonest complication of cryotherapy is - persistant watery discharge
424. Commonest cause of abdominal aortic aneurysm - atherosclerosis
425. In hand inj.first to be repaired is - Bone
426. Commonest presentation of TB pericarditis - constrictive
427. Painless effusions in joints in congenital syphilis is called - clutton’s joint
428. Marjolin’s ulcer is - squamous cell Ca from scar
429. Commonest tumor in parotid gland is - pleomorphic adenoma
430. Neck swelling moves on swallowing - thyroid gland
431. Complication commonly occurs in ant. Duodenal ulcer - perforation
432. Commonest benign tumour of heart is - myxoma
433. In ankylosing spondylitis radiological changes first seen in - sacro iliac joint
434. Adult femlae c/o of fainting fits/dysphonia/amnesia/anorexia the most likely
diagnosis is Hysteria
435. A cystic swelling at the root of the nose which increases in size on straining is
likely to be meningocele
436. Most common malignancy after cholecystectomy is of - Stomach
437. Cystic hygroma - may cause respiratory obstruction/ common in neck/present at
birth

Davinci Medical Academy

438. Treatment of primary retinoblastoma is - Enucleation
439. White pupillary reflex in a child is due to - retinoblastoma
440. Kaposi sarcoma is commonly seen in - Head & neck
441. Cause of gaseous distension of abdomen in acute intestinal obstruction is
swallowed atmospheric air
442. Indication of TPN - post operative ileus /enterocolic fistula/ enterocutaeneous
fistula & not acute pancreatitis
443. Broncho lithiasis means - calcified lymphnodes eroding into bronchus
444. Example for radiation induced cancer is - papillary Ca thyroid
445. Massive blood transfusion is defined as – transfusing whole blood volume
446. Thyroid scan is most useful in diagnosing - toxic adenoma of thyroid
447. Organism causing destruction of skin grafts - streptococcus
448. MCC of painless bleeding PR in man is - Piles
449. Duration of heparin therapy in DVT is - 7-10 days
450. Tylosis is ass. With - esophageal Ca
451. Rectal stricture is a common manifestation of - lymphogranuloma inguinale
452. Flower vase pattern of the pelvis in an IV urogram is seen in - Horse shoe kidney
453. Accurate diagnostic aid in renal artery stenosis is - selective renal angiography
454. Earliest symptom of BPH - frequency
455. Lymph node first involved in cancer of the skin of the scrotum - superficial
inguinal
456. Commonest cause of urethral stricture in a young person is - Gonococcal
457. Bisgaard Rx is for - venous ulcer
458. Migrating thrombophlebitis ass. With cancer of - Pancreas
459. On exertion urine steam increases in - Urethral stricture
460. Delayed wound healing is seen in - malignancy/diabetes/infection & not in -
Hypertension
461. Periampullary carcinoma feature is - early jaundice GENERAL SURGERy
462. Splenic vein thrombosis is best treated by - splenectomy
463. Rx of non-functioning thyroid nodule in a 40yr old male should be -surgical
excision
464. Pt is admitted i severe pain in abdomen,nausea,vomitting & fever,tenderness &
rigidity + sr.amylase -1000 IU/litre - acute pancreatitis
465. Nasopharyngeal Ca originates in - Fossa of rosenmuller
466. Rheumatoid arthritis commonly affects the - Cervical spine
467. In 40yrs male, thrombus in the common femoral artery is because of -
Atheroma
468. IOC for an early gastric Ca - stained endoscopic biopsy
469. Commonest metastasis in renal cell Ca is to - Lung
470. Somatostatin is secreted by - D cells
471. Prognosis of breast cancer is best determined by - axillary node involvement

General Surgery
 472. Rectal polyps usually present with - Bleeding
GENERAL SURGERy 473. A boil is due to staphylococcal infection of - hair follicle
474. Commonest side effect of 5 fluro-uracil is - Bone marrow suppresion
475. Lymphatic metastasis of buccal Ca 1st involves - submandibular
476. IOC of case of obstructive jaundice - USG
477. Serum amylase levels raised in - duodenal ulcer perforation /pancreatitis/small
bowel strangulation
478. Liver biopsy is done through 8th midaxillary line to avoid – lung injury
479. Commonest cause for mediastinitis is - esophageal perforation
480. Trendelenburg test is positive in to injury of - superior gluteal nerve
481. Most of the parotid tumor are managed by - superficial parotidectomy
482. Immediate management of a child with foreign body inhalation is -
Bronchoscopy
483. Function of thick gastric mucosa is - protects epithelium
484. Tension pneumothorax due to # rib is treated by - tube drainage
485. In modified radical neck dissection,structure not preserved is - submandibular
gland
486. Uncommon cause of upper GI bleed is - Ca stomach
487. Initial treatment in a management of trauma - Airway
488. TOC in choledochal cyst - excision of cyst with hepatojejunostomy
489. Best way to diagnose lower intestinal obstruction - multiple air gas shadows on
x-ray
490. 60yr old man present with an ulcer on lateral margin of tongue,also complains
of ear pain, most probable diagnosis - carcinomatous ulcer
491. Disc prolapse is recognised by - CT/MRI/Myelography
492. During parotid surgery injury to the nerve which results in Frey’s syndrome-
Auriculotemporal nerve

Davinci Medical Academy

493. In a pt with aneurysmal bleed in the brain, deterioration of the mental state on
the 7th day indicates - spasm
494. For an open wound on leg with exposure of bone,treatment of choice - pedicle
graft
495. Ventilation/perfusion ratio is highest in - apex of lung
496. Cause of death in blunt trauma chest is - tracheobronchial rupture
497. Earliest symptom in Ca bladder is - hematuria
498. Procedure of choice for elective removal of CBD stones is - endoscopic
choledocholithotomy
499. TIPSS involves percutaneous creation of a shunt between - portal vein & hepatic
vein
500. Orchidopexy for undescended testis is recommended at which age - 2yrs
501. Commonest type of VSD - perimembranous VSD
502. Sentinel node of gallbladder is - - lymphnode of lund
503. Positive kehrs sign is - haemoperitoneum
504. Patchy meningitis hemorhagica interna is manifesteed by - SAH
505. Best test to differentiate between medicals & surgical jaundice is - USG
506. Causes for cholecystitis - estrogen/OCP/obesity
507. Elective cholecystectomy is - clean contaminated
508. Intestinal angina is a symptom complex of - postprandial abdominal pain, weight
loss, chronic mesenteric vessel occlusion
509. Organ secretes zinc in large amount in man - prostate
510. Biliary stricture developing after laparoscopic cholecystectomy usually occurs
at which part of the common bile duct - Upper
511. MCC of acquired Av fistula - Penetrating trauma
512. Procedure of choice for the evaluation of an aneurysm - MRI
513. MCC of gastric outlet obstruction in India is - peptic ulcer disease
514. Narrowest part of respiratory tract in children - subglottic area
515. Hyper-acute rejection is seen in - kidney
GENERAL SURGERy
516. Acute onset of pain n left testis for 16yr old boy Rx s-antibiotix & review after 1
week
517. Posterior urethra is best visualised by - voiding cystogram
518. MC location of intracranial neurocysticercosis - Brain parenchyma
519. MCC of peripheral limb ischemia in India is - Atherosclerosis
520. MC nerve in the neck from which schwannoma arises - vagus nerve
521. Term left sided appendicites as popularly called is - Diverticulitis
522. Pancreatitis that has good prognosis - post operative pancreatitis
523. Snow storm ascites is seen in - Meconium ileus
524. MC type of Ca gall bladder in a pt i gall stones - adenocarcinoma
525. Insulinoma is most commonly located in which part of pancreas - equally
distributed

General Surgery
 526. Compression of a nerve within the carpel tunnel produces inability to - oppose
the thumb
527. In IV drug abuser whish artery is affected most - Brachial
528. TOC for medullary Ca of thyroid is - Total thyroidectomy
529. MC cancer, affecting both males & females of the world is - Lung cancer
530. MCC of morbidity & mortality in pts undergoing major vascular surgery is-
Thrombo embolic phenomenon
531. Tumor presenting with proptosis - Neuroblastoma
532. Tensile strength of the wound starts & increases after - 3-4 days
533. Amoebic liver abscess - occurs in right lobe/surgical drainage is indicated/
extension of abscess from liver to pericardium is the most dreaded complication
534. Clinical manifestations of Bronchogenic Ca include - hoarseness of voice due to
involvement of left laryngeal nerve/horner’s syndrome/diaphragmatic palsy due to
infiltration of phrenic nerve
535. Vitamin which has inhibitory effect on wound healing - Vit E
536. MC practised operative procedure for a perforated duodenal ulcer is -Graham’s
omental patch repair
537. MC neurologic abnormality that occurs with head injury is - Altered
consciousness
538. Favors’ postoperative wound dehiscence - jaundice/malignancy/
hypoproteinemia
539. Testicular tumor most sensitive to radiation is - seminoma
540. Adenocarcinoma of esophagus is seen in - Barret’s esophagus
541. Which tumor is treated by hormones - Ca prostate
542. IOC for reflux esophagitis - 24hrs acid output
543. Most accurate & non invasive method for diagnosing DVT - Plethesmography
544. Earliest method of diagnosing pitutary tumour - CT scan

Davinci Medical Academy

545. Gastro-jejunostomy is an example of - clean,contaminated wound
546. MC site of aortic dissection - ascending aorta
547. Aortic dissection is seen in - Marfan’s syndrome
548. MC sarcoma in a child is - Rhabdomyosarcoma
549. MC site for venous thrombosis - Soleal vein
550. Keloid scars is made up of - Dense collagen
551. Highest concentration of hydroxy proline is seen in - Collagen
552. IOC in the early phase of renal transplant - USG
553. After surgery,a small left over stone in the CBD is best treated by - ERCP
554. Best investigation for Ca colon - colonic biopsy
555. Re-implantation time for lower limb is - 8hrs
556. Stump pain is relieved by - continuous tapping over the stump
557. Spring water cyst is another name for - pericardial cyst
558. Increased amylase in pleural fluid is seen in - Malignancy
559. Gold standard for diagnosis of pulmonary embolism - pulmonary angiography
560. Commonest site of ischemic colitis - splenic flexure
561. Lymphovenous anastamosis done in - filariasis
562. TOC for flail chest - strapping & internal fixation of ribs & IPPV
563. Diagnosis of Hodgkin’s disease is confirmed by - lymphnode biopsy
564. Cystic hygroma is seen in - Turner’s syndrome
565. CA-125 is a tumour marker for - ovary
566. Hypercalcemia is seen in - sarcoidosis/thyrotoxicosis/vit A intoxication & not in
phenytoin therapy
567. SIADH is most commonly seen in - Oat cell Ca
568. Renal artery stenosis in young female is caused due to - fibromuscular
hypertrophy
569. Common site for esophageal perforation is - cervical esophageal
570. Hyperkeratosis of palms & soles is seen in - oesophageal ca
GENERAL SURGERy
571. Commonest viral tumour - Warts
572. In anal Ca the TOC is - Radio + chemo
573. Foreign body aspiration most commonly enters - right main bronchus
574. Lisch nodules in neurofibromatosis are - hamartomas
575. Commonest cause of hematemesis & malena - esophageal varices
576. Commonest cause of death in sophisticated world - IHD
577. Renal trauma is best treated by - observation & supportive measures
578. Cause of hydrocele in infants – infection
579. Old female with hard nodular,painless swelling in the thyroid region diagnosis
in this case is best established by - F.N.A.C
580. Felon is - terminal pulp space infection

General Surgery
 581. Best investigation for air in peritoneal cavity is - X-ray abdomen-erect view
GENERAL SURGERy 582. Rugger jersy sign is seen in - Ankylosing spondylitis
583. 58 yrs male with acute onset of varicocele on left side most probable cause - Ca
kidney
584. Hyoid bone is closely ass. To - thyroglossal cyst
585. Regarding adenocarcinoma esophagus - caused by barrets esophagus
586. Human bite spreads - anaerobic streptococci
587. Single most prognostic factor in breast carcinoma - lymphnode status
588. In radical mastectomy which of the following is preserved - cephlic vein
589. 5 day self subsiding pain is diagnostic of - thrombosed external hemorrhoids
590. Duodenal blowout is - complication of partial gastrectomy
591. Paget’s disease of nipple is - Neoplasia
592. Irritation of diaphragm radiates to - C3-C4
593. Inguinal lymph node enlargement is seen in - malignant melanoma foot
594. In thyroglossal cyst carcinoma which arises is - Papillary
595. Ca of the right colon usually present with - massive bleeding
596. Commonest histological variety of bronchogenic Ca is - Squamous cell Ca
597. Commonest cause of A-V fistula - congenital
598. Keloid - local recurrence is common after excision
599. FNAC may not be diagnostic in which Ca of thyroid - follicular
600. Tension pneumothorax results in - decreased venous return
601. MC neoplasm of kidney is - Renal cell Ca
602. Tear drop bladder is found in - Pelvic hematoma
603. Sequestrated lung is supplied most commonly by - Descending aorta
604. Gas most suited for laproscopy is - Carbon dioxide
605. Gold standard investigation for stone in bile duct is - USG

Davinci Medical Academy

606. Most diagnostic investigation in pulmonary embolism is - Angiography
607. Hyperacute graft rejection is caused by - preformed antibodies
608. Most common artery used for coronary artery bypass graft is - Inferior
mammary artery
609. Recovery of renal functions after renal transplant usually takes - 1 month
610. Hernia is prevented by - transversalis fascia
611. Infection in renal transplant patient is usually caused by - CMV
612. MC type of renal transplantation in India is - Allograft
613. Best method to confirm treatment of TB kidney - IUP
614. Warfarin is stopped - 6-8 days prior to surgery
615. Most reliable urine specimen is obtained by - suprapubic aspiration
616. MC site of Berry aneurysm - anterior communication artery
617. Most useful investigation for profuse lower GI bleed is - colonoscopy
618. Old man of prolonged vomitting in excessive hematamesis following alcohol
ingestion, likely to suffer from - Mallory weiss syndrome
619. Gas under diaphragm seen in - typhoid perforation/perforated duodenal ulcer/
after laporotomy & not in spontaneous rupture of esophagus
620. Best Rx in SDH in deteriorating pt - surgical evacuation
621. Excision of hyoid bone is commonly done us - thyroglossal cyst
622. Features of hypernephroma - persistant pyrexia/hematuria/polycythemia
623. Ca of colon develops in - juvenile polyps/inflammatory polyps/hamartomatous
polypi & not in - familial adenamatous polypi
624. Amyl nitrate inhalational test is used to detect - Ca esophagus
625. In triage green colour indicates - Ambulatory pts
626. Rotation of sigmoid volvulus ocurrs - anticlockwise
627. Rectal polyp most commonly presents as - Bleeding
628. Intestine gets strangulated Mc in - Omental bursa
629. Mild head injury is having GCS - 10/15 GENERAL SURGERy
630. Most frequently used procedure for diagnosing palpable breast masses is - fine
needle aspiration
631. Low & fixed specific gravity of urine is seen in - CRF
632. Painless lymphnode in cervical region,biopsy shows normal thyroid gland
normal on palpation also, most likely to be - papillary ca thyroid
633. In meckel’s diverticulum, ectopic gastric tissue is diagnosed by - Radionuclide
scan
634. Best guide to adequate tissue perforation in the fluid management of pt i
burns is to ensure a minimum hourly urine output of - 30-50ml
635. 4 points of probe placement in focused abdominal sonogram for trauma in
blunt thoracoabdominal trauma are - epigastrium, rt.hypochondrium, lt.lower
chest, hypogastrium
636. Catgut is preserved in - isopropyl alcohol

General Surgery
 637. TOC for a mucocele of gall bladder is - Cholecystectomy
638. Length of a standard proctoscope is - 6 inches
639. MC rhythm disturbance during early postop period is - tachycardia
640. Sentinel lymph node biopsy is done in which malignancy - Breast
641. Double bubble appearance on x-ray is seen in - duodenal atresia/annular
pancraes/malrotation of gut
642. Seat belt causes injury to - Duodenum
643. Rx for pyoderma gangrenosum is - surgery + antibiotics
644. Rare site for metastasis - forearm & legbones
645. Neonatal kidney achieves concentrating ability equal to adult kidney by-1yr of
age
646. Thickened mucosal walls in the stomach occur due to - Lymphoma
647. Hypoparathyroidism following thyroid surgery commonly occurs within - 2-5
days
648. 1st permanent molar erupts between - 6-7yrs
649. Indications of circumcision are - chronic balanoposthitis/jew religion/
paraphimosis & not in Ca penis
650. Bedsore is example of - trophic ulcer
651. Neurosurgical Rx of epilepsy usually involves,- removal of epileptic focus from
which lobe temporal lobe
652. Initial therapy of documented DVT in a post op case is - IV heparin therapy
653. Complications of A-V fistula done for renal failure include - infection/
thrombosis/high output cardiac failure
654. When do we have to start antibiotics to prevent post op infections - 1hr before
surgery & continue after surgery
655. H.pylori infection causes Ca by which mechanism - Gastric metaplasia
656. Steroids are used in transplantation - to prevent graft rejection
657. Disinfect the bronchoscopy tube - 2% gluteraldehyde for 20 mts

Davinci Medical Academy

658. Commonest complication of meckel’s diverticulum is - Bleeding
659. Battle sign is seen in # of - middle cranial fossa
660. Best cure rate in keloids is achieved by - excision & radiotherapy
661. Commonest tumor at inner canthus of eye - rodent ulcer
662. Commonest spinal tumor - ependynoma
663. Commonest peripheral aneurysm is - popliteal
664. Somatostatin inhibits release of - GH, gastrin, TSH
665. Urethral anomaly most common is - Hypospadiasis
666. AV fistula leads to - sinus tachy ,increased preload, increased cardiac output
667. Thorocotomy is indicated in esophageal perforation, masive air leak,
bleeding>200ml/hr
668. Death in blunt trauma chest is due to - tracheobronchial injury
669. Infection of flexor tendon of index finger can spread to - thenar space
670. In whipple’s operation removed are - CBD, head of pancrease,duodenum & not
portal vein
671. DVT is caused by - lower limb trauma,hip & pelvic surgery, cushing’s syndrome
672. MC route of infection/cause,for pyogenic liver abscess is - biliary sepsis
673. Stone at lower end of ureter removed by - Endoscopic removal
674. Mc source of bleeding in EDH - Middle meningeal artery
675. Type of bleeding in SDH is - Venous
676. MC type of Hypospadiasis - Glandular
677. Burn patients die in 24 hours because of - Sepsis
678. Iv Fluid of choice in burns patients is - Ringer lactate
679. MCC of bleeding from breast - Papilloma
680. Slip sign is seen in – Lipoma
681. Dermoepidermal burn is what degree of burn – 2
682. Pyloric stenosis best palpated when – Feeding
683. Feline esophagus seen in – GERD
GENERAL SURGERy
684. Cholecystocaval line – Seperates right and left lobe
685. Surgery for perforated duodenal ulcer – Omental patch repair
686. MC type of hiatus hernia – Sliding
687. Staghorn calculs tx- PCNL

General Surgery
 MCQ’s
1. A patient suddenly experienced pain radi- Ans. A
ating along the medial border of the dor-
sum of foot. Which of the following nerve is 4. A 24 years old man falls on the ground when
most likely to be accidently ligated: he is struck in theright temple by a baseball.
A. Sural nerve While being driven to the hospital, he lapses
B. Saphenous nerve into coma. He is unresponsive with the di-
C. Deep peroneal nerve lated right pupil when he reaches the emer-
D. Genicular nerve gency department. The most important step
Ans. B in initial management is:
A. Craniotomy
2. In an adult patient with pleural effusion, B. CT scan of the head
the most appropriate site for pleurocente- C. X-ray of the skull and cervical spine
sis done by inserting a needle is in: D. Doppler ultrasound examination of the
A. 5th intercostal space in midclavicular neck
line Ans. A
B. 7th intercostal space in midaxillary line
C. 2nd intercostal space adjacent to the 5. Kamla Rani, 75 years old woman, presents
sternum after 6 weeks with post myocardial infarc-
D. 10th intercostal space adjacent to the tion with mild CHF. There was past history
vertebral column of neck Surgery for parathyroid adenoma
Ans. B 5 years ago. EKG shows slow artrial fibril-
lation. Serum Ca2+ 13.0 mg/L and urinary
3. Measurements of intravascular pressure Ca2+ is 300 g/24 h. On examination these
by a pulmonary artery catheter should be is small mass in the paratracheal position
done: behind the right clavicle. Appropriate man-
A. At end expiration agement at this time is:
B. At peak of inspiration A. Repeat neck Surgery
C. During mid inspiration B. Treatment with technetium -99
D. During mid expiration C. Observation and repeat serum Ca2+ in

Davinci Medical Academy

 two months the same side as the lesion. The preferred
D. Ultrasound-guided alcohol injection of treatment should be:
the mass A. Removal of the involved node, the
Ans. D isthmus,and the enlarged lymph node
B. Removal of the involved lobe, the
6. Not a feature of de Quervain’s disease: isthmus, a portion of the opposite lobe,
A. Autoimmune in etiology and the enlarged lymph node
B. Raised ESR C. Total thyroidectomy and modified neck
C. Tends to regress spontaneously dissection on the side of the enlarged
D. Painful & associated with enlargement lymph node
of thyroid D. Total thyroidectomy and irradiation of
Ans. A the cervical lymph nodes
Ans. C
7. A 35 years old woman has had recurrent
episodes of headache and sweating. Her 11. The most common tumor of the salivary
mother had renal calculi and died of thyroid gland is:
cancer. Physical observations revealed a A. Mucoepidermoid tumor
thyroid nodule and ipsilateral enlarged cer- B. Warthin’s tumor
vical lymph nodes. Before performing thy- C. Acinic cell tumor
roid Surgery the woman’s physician should D. Pleomorphic adenoma
order: Ans. D
A. Thyroid scan
B. Estimation of hydroxy indole acetic 12. The premalignant condition with the high-
acid in urine est probability of progression to malignan-
C. Estimation of urinary metanephrines, cy is:
VMA and catecholamines A. Dysplasia
D. Estimation of TSH, and TRH levels in B. Hyperplasia
serum C. Leucoplakia
Ans. C D. Erythroplakia
Ans. D
8. All of the following are associated with thy-
roid storm, except: 13. An old man who is edentulous developed
A. Surgery for thyroiditis squamous cell CA in buccal mucosa that has
B. Surgery for thyrotoxicosis infiltrated to the alveolus. Following is not
C. Stressful illness in thyrotoxicosis indicated in treatment:
D. I131 therapy for thyrotoxicosis A. Radiotherapy
Ans. A B. Segmental mandibulectomy
C. Marginal mandibulectomy involving re
9. Needle biopsy of solitary thyroid nodule in a moval of the outer table only
young woman with palpable cervical lymph D. Marginal mandibulectomy involving re
nodes on the same sides demonstrates am- moval of upper half of mandible
yloid in stroma of lesion. Likely diagnosis is: Ans. C
A. Medullary carcinoma thyroid
B. Follicular carcinoma thyroid 14. Corkscrew esophagus is seen in which of the
C. Thyroid adenoma following condition?
D. Multinodular goitre A. Carcinoma esophagus
Ans. A B. Scleroderma
C. Achalasia cardia
10. A 26 years old woman presents with a pal- D. Diffuse esophagus spasm
pable thyroid nodule, and needle biopsy Ans. D
demonstrates amyloid in the stroma of the
lesion. A cervical lymph node is palpable on

General Surgery
15. Treatment for achalasia associated with 21. All the following indicates early gastric can-
high rate of recurrence: cer except:
A. Pneumatic dilatation A. Involvement of mucosa
B. Laparoscopic myotomy B. Involvement of mucosa and submucosa
C. Opefl surgical myotomy C. Involvement of mucosa, submucosa
D. Botulinum toxin and muscularis
Ans. D D. Involvement of mucosa, submucosa
and adjacent lymph nodes
16. Barrett’s esophagus is: Ans. C
A. Lower esophagus lined by columnar
epithelium 22. In gastric outlet obstruction in a peptic ul-
B. Upper esophagus lined by columnar cer patient, the site of obstruction is most
epithelium likely to be:
C. Lower esophagus lined by ciliated A. Antrum
epithelium B. Duodenum
D. Lower esophagus lined by C. Pylorus
pseudostratified epithelium D. Pyloric canal
Ans. A Ans. B

17. The adenocarcinoma of esophagus deve- 23. Ramesh met an accident with a car and has
lopes in: been in ‘deep coma’ for the last 15 days. The
A. Barrett’s esophagus most suitable route for the administration
B. Long standing achalasia of protein and calories is by:
C. Corrosive stricture A. Jejunostomy tube feeding
D. Alcohol abuse B. Gastrostomy tube feeding
Ans. A C. Nasogastric tube feeding
D. Central venous hyperalimentation
18. The lowest recurrence of peptic ulcer is as- Ans. A
sociated with:
A. Gastric resection 24. A 10 months old infant present with acute
B. Vagotomy + drainage intestinal obstruction. Contrast enema X-ray
C. Vagotomy + antrectomy shows the intussusception. Likely cause is:
D. Highly selective vagotomy A. Peyer’s patch hypertrophy
Ans. C B. Mekel’s diverticulum
C. Mucosal polyp
19. Risk factor for development of gastric CA: D. Duplication cyst
A. Blood group O Ans. A
B. Duodenal ulcer
C. Intestinal hyperplasia 25. After undergoing Surgery , for carcinoma of
D. Intestinal metaplasia type III colon, a 44 year old patient developed sin-
Ans. D gle liver metastasis of 2 cm. What do you do
next:
20. In a case of hypertrophic pyloric stenosis, A. Resection
the metabolic disturbance is: B. Chemo-radiation
A. Respiratory alkalosis C. Acetic acid injection
B. Metabolic acidosis D. Radiofrequency ablation
C. Metabolic alkalosis with paradoxical Ans. A
aciduria
D. Metabolic alkalosis with alkaline urine 26. Ten days after a splenectomy for blunt
Ans. C abdominal trauma, a 23 years old man
complains of upper abdominal and low-
er chest pain exacerbated by deep breath-

Davinci Medical Academy

 ing. He is anorectic but ambulatory and 28. A man who weighs 70 kg (154 pounds) is
otherwise making satisfactory progress. transfered to a burn center 4 weeks after
On physical examination, his temperature sustaining a second and third-degree burn
is 38.2°C(108°F) rectally, and he has de- injury to 45% of his total body surface area.
creased breath sounds at the left lung base. Prior to accident, the patients weight was
His abdominal wound appears to be healing 90 kg (198 pounds). The patient has not
well,. bowel sound are active and there are been given anything by mouth since the in-
no peritoneal signs. Rectal examination is jury except for antacids because of previ-
negative. The WBC count is 12,500 per mm3 ous ulcer history. On physical examination,
with a shift to left. Chest X-ray shows plate the patient’s burn wounds are clean, but
like atelectasis of the left lung field. Abdom- only minimal healing is evident and thick
inal X-rays show a nonspecific gas pattern adherent eschar is present. The patient’s
in the bowel and an air-fluid level in the left abdomen is soft and nondistended, and ac-
upper quadrant. Serum amylase is 150 So- tive bowel sounds are heard. His stools are
mogyi units/ dl (normal 60 to 80). The most trace-positive for blood, and he has a right
likely diagnosis is: inguinal hernia, which appears to be easily
A. Subphrenic abscess reducible. He has poor range of motion of all
B. Pancreatitis involved joints and has developed early ax-
C. Pulmonary embolism illary and popliteal fossae flexion contrac-
D. Subfascial wound infection tures. In managing this patient at this stage
Ans. A of his injury, top priority must be given to
correcting:
27. Sentinel lymph node biopsy is an important A. The presence of blood in stools by the
part of the management of which of the fol- increasing the dose of antacids and H1
lowing conditions? receptor blocker
A. Carcinoma prostate B. The open, poorly healing burn wounds
B. Carcinoma breast treated by surgical excision and grafting
C. Carcinoma lung C. The inguinal hernia treated by surgical
D. Carcinoma nasopharynx repair using local Anaesthesia
Ans. B

General Surgery
 D. The nutritional status by oral
supplementation or parenteral 31. Rani, a 16 years old girl who has non-pitting
hyperalimentation edema of recent onset affecting her right leg
Ans. D but no other symptoms is referred for eval-
uation. True statements about this patient
29. A 14 years old girl sustains a steam bum include:
measuring 6 by 7 inches over the ulnar as- A. Prophylactic antibiotics are indicated
pect of her right forearm. Blisters devel- B. A lymphagiongram will show
op over the entire area of the bum wound, hypoplasia of the lymphatics
and by the time the patient is seen 6 hours C. Elastic stocking and diuretics will lead
after the injury, some of the blisters have to a normal appearance of the limb
ruptured spontaneously. In addition to de- D. A variety of operations will ultimately
bridement of the necrotic epithelium, all lead to a normal appearance of the limb
the following therapeutic regiments might Ans. B
be considered appropriate for this patient
except: 32. Kamla, a 59 years old woman, has a left
A. Application of silver sulfadiazine and femoral vein thrombosis during a pregnan-
daily washes, but no dressing cy 30 year ago. The left greater saphenous
B. Application of polyvinylpyrrolidone vein had been stripped at age 21. She now
foam, daily washes and a light occlusive presents with a large non healing ulceration
dressing changed daily over the medial left calf, which has continu-
C. Application of mafenide acetate cream, ously progressed despite bedrest, elevation,
but no daily washes or dressing and use of a support stocking. Descending
D. Heterograft application with sutures to phlebography of the left leg demonstrates a
secure it in place and daily washes, but patent deep venous system, with free flow of
no dressing dye from the groin to foot. The first profun-
Ans. D da femoris valve is competent. Appropriate
management might include which of the fol-
30. All of the following are the clinical features lowing:
of thromboangitis obliterans except: A. Division of the superficial femoral vein
A. Raynaud’s phenomenon in the groin and transposition of its
B. Claudication of extremeties distal end onto the profunda femoris
C. Absence of popliteal pulse vein below the level of the competent
D. Migratory superficial thrombophlebitis profunda valve
Ans. C

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 B. Saphenous venous crossover graft with A. Emergency carotid arteriogram is to be
anastomosis of the end of the right done
saphenous vein onto the side of B. Secondary to metabolic acidosis there
competent femoral vein is hypokalemia
C. Ligated iliofemoral venous C. A small qantity of hypertonic saline
thrombectomy with creation of the should be given
temporary arteriovenous fistula D. IV infusion of 20 ml of 50% MgSO4 is
D. Subfascial ligation of perforating veins given over a period of 4 hours
in the left calf. Ans. C
Ans. A
35. All of the following statements about acute
33. On her third day of hospitalization, a 70 adrenal insufficiency are true except:
years old woman who is being treated with A. Hyperglycemia is usually present
antibiotics for acute cholecystitis devel- B. Acute adrenal insufficiency usually is
ops increased pain and tenderness in the secondary to exogenous glucocorticoid
right upper quadrant with a palpable mass. administration
Her temperature rises to 40°C (104°F) her C. Acute adrenal insufficiency presents
blood pressure falls to 80/60 mmHg. He- with weakness, vomiting, fever, and
matemesis, and melena ensue and pete- hypotension
chiae are noted. Laboratory studies reveal D. Hyponatremia occurs because of
thrombocytopenia, prolonged prothrombin impaired renal tubule sodium
time, and a decreased fibrinogen level. The resorption
most impotant step in the correction of this Ans. A
patient’s coagulopathy is:
A. Exploratory laparotomy 36. All of the following are correct statements
B. Administration of heparin - about radiological evaluation of a pateint
aminocaproic acide with Cushing’s syndrome except:
C. Administration of A. MRI of the sella turcica will identify a
D. Administration of fresh frozen plasma pituitary cause for Cushing’s syndrome
Ans. A B. Petrosal sinus sampling is the best way
to distinguish a pituitary tumor from an
34. A 64 years old previously healthy man is ectopic ACTH producing tumor.
admitted to a hospital because of a closed C. MRI of the adrenals may distinguish
head injury and ruptured spleen following adrenal adenoma from carcinoma
a road side automobile accident. During D. Adrenal CT scan distinguishes adrenal
the first 4 days of hospitalization, following cortical hyperplasia from an adrenal
laparotomy and splenectomy, he receives tumor
5% dextrose, 0.5% normal saline solution Ans. A
at a rate of 125 mL/h. Recorded daily fluid
outputs include 450 to 600 mL of nasogas- 37. Q 207. A 70 year old male patient presented
tric drainage and 700 to 1000 mL of urine. with history of chest pain and was diagnosed
The patient is somnolent but easily aroused to have coronary artery disease. During rou-
until the morning of the 5th hospital day, tine evaluation, an ultrasound of the abdo-
when he is noted to be in deep coma. By men showed presence of gallbladder stones.
the afternoon, he begins having seizures. There was no past history of biliary colic or
The following laboratory data are obtained. jaundice. What is the best treatment advice
Serum electrolytes (mEq/L): Na+ 130; K+ for such a patient for his gallbladder stones:
1.9; CI– 96; HCO3– 19. Serum osmolality A. Open cholecystectomy
260 mOsm/L. Urine electrolytes (mEq/L): B. Laparoscopic cholecystectomy
Na+ 61; K+ 18. Which of the following state- C. No surgery for gallbladder stones
ments about diagnosis or treatment of this D. ERCP and removal of gallbladder stones
patient’s condition is true: Ans. C

General Surgery
38. Early stage of trauma is characterized by: 42. The best treatment for cystic hygroma is:
A. Catabolism. A. Surgical excision.
B. Anabolism. B. Radiotherapy.
C. Glycogenesis. C. Sclerotherapy.
D. Gluconeogenesis. D. Chemotherapy.
Ans. A Ans. A

39. Bedsore is an example of: 43. Which of the following is most suggestive of
A. Tropical ulcer neonatal small bowel obstruction:
B. Trophic ulcer A. Generalised abdominal distension.
C. Venous ulcer B. Failure to pass meconeum in the first
D. Post thrombotic ulcer 24 hours.
Ans. B C. Bilious vomiting.
D. Refusal of feeds.
40. Marjolin’s ulcer is: Ans. C
A. Malignant ulcer found on the scar of
burn. 44. What is most characteristic of congenital
B. Malignant ulcer found on infected foot. hypertrophic pyloric stenosis:
C. Trophic ulcer. A. Affects the first born female child.
D. Meleney’s gangrene. B. The pyloric tumour is best felt during
Ans. A feeding.
C. The patient is commonly marasmic.
41. If a patient with Raynaud’s disease D. Loss of appetite occurs early.
immersed his hand in cold water, the hand Ans. B
will:
A. Become red. 45. Which of the following lasers is used for
B. Remain unchanged. treatment of benign prostatic hyperplasia
C. Turn white. as well as urinary calculi?
D. Become blue. A. CO2 laser
Ans. C B. Excimer laser
C. Ho : YAG laser

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 D. Nd : YAG laser 51. A 70 year old patient with benign prostatic
Ans. C hyperplasia underwent transurethral re-
section of prostate under spinal anaesthe-
46. What is the most appropriate operation for sia. One hour later, he developed vomiting
a solitary nodule in one lobe of thyroid: and altered sensorium. the most probable
A. Lobectomy cause is:
B. Hemithyroidectomy. A. Overdosage of spinal anaesthetic agent.
C. Nodule removal. B. Rupture of bladder.
D. Partial lobectomy with 1 cm margin C. Hyperkalemia.
around nodule. D. Water intoxication.
Ans. B Ans. D

47. A posteriorly perforating ulcer in the pylor-52. A 50-year old male, working as a hotel cook,
ic antrum of the stomach is most likely to has four dependent family members. He has
produce initial localized peritonitis or ab- been diagnosed with an early stage squa-
scess formation in the following: mous cell cancer of anal canal. He has more
A. Omental bursa (lesser sac) than 60% chances of cure. The best treat-
B. Greater sac ment option is:
C. Right subphrenic space A. Abdomino-perineal resection.
D. Hepatorenal space (pouch of Morrison) B. Combined surgery and radiotherapy.
Ans. A C. Combined chemotherapy and
radiotherapy.
48. A 65-year old male smoker presents with D. Chemotherapy alone.
gross total painless hematuria. The most Ans. C
likely diagnosis is:
A. Carcinoma urinary bladder. 53. The commonest cause of an obliterative
B. Benign prostatic hyperplasia. stricture of the membranous urethra is:
C. Carcinoma prostate. A. Fall-astride injury.
D. Cystolithiasis. B. Road-traffic accident with fracture pelvis
Ans. A and rupture urethra.
C. Prolonged catheterization.
49. A 10-mm calculus in the right lower ureter D. Gonococcal infection
associated with proximal hydrouretero-ne- Ans. B
phrosis is best treated with:
A. Extracorporeal shockwave lithotripsy. 54. Which of the following is an absolute indica-
B. Antegrade percutaneous access. tion for surgery in cases of benign prostatic
C. Open ureterolithotomy. hyperplasia:
D. Ureteroscopic retrieval. A. Bilateral hydroureteronephrosis.
Ans. D B. Nocturnal frequency.
C. Recurrent urinary tract infection.
50. Semen analysis of a young man who pre- D. Voiding bladder pressures >50 cm of
sented with primary infertility revealed low water.
volume, fructose negative ejaculate with Ans. A
azoospermia. Which of the following is the
most useful imaging modality to evaluate 55. A 27 year old man presents with a left tes-
the cause of his infertility ? ticular tumor with a 10 cm retroperitoneal
A. Colour duplex ultrasonography of the lymph node mass. The treatment of choice
scrotum. is:
B. Transrectal ultrasonography. A. Radiotherapy.
C. Retrograde urethrography B. Immunotherapy with interferon and
D. Spermatic venography. inter-leukins.
Ans. B C. Left high inguinal orchidectomy plus
chemotherapy.
General Surgery
 D. Chemotherapy alone. C. Scleroderma
Ans. C D. Achalasia cardia
Ans. A
56. The best time for Surgery of hypospadias is:
A. 1-4 months of age. 60. Most common site for squamous cell carci-
B. 6-10 months of age. noma esophagus is:
C. 12-18 months of age. A. Upper third
D. 2-4 years of age. B. Middle third
Ans. B C. Lower third
D. Gastro-esophageal junction.
57. The Hunterian Ligature operation is per- Ans. B
formed for:
A. Varicose veins. 61. What is true regarding congenital hypertro-
B. Arteriovenous fistulae. phic pyloric stenosis:
C. Aneurysm. A. More common in girls
D. Acute ischemia. B. Hypochloremic alkalosis
Ans. C C. Heller’s myotomy is the procedure
of choice.
58. Sympathectomy is indicated in all the fol- D. Most often manifests at birth
lowing conditions except: Ans. B
A. Ischaemic ulcers.
B. Intermittent claudication. 62. Patient presents with recurrent duodenal
C. Anhidrosis. ulcer of 2.5 cm size. Procedure of choice is:
D. Acrocyanosis. A. Truncal vagotomy and antrectomy
Ans. C B. Truncal vagotomy and
gastrojejunostomy
59. A male aged 60 years has foul breath. He C. Highly selective vagotomy
regurgitates food that is eaten 3 days ago. D. Laparoscopic vagotomy and
Likely diagnosis is: gastrojejunostomy
A. Zenker’s diverticulum Ans. A
B. Meckel’s diverticulum

Davinci Medical Academy

63. All are features of hyperplastic tuberculosis the catheter thereafter
of gastrointestinal tract except: D. Catheterize, drain bladder and retain
A. Presents with a mass in RIF the catheter thereafter
B. Barium meal shows pulled up caecum Ans. D
C. Most common site is ileocecal junction
D. ATT is the treatment of choice 69. Chandu, a 45 years male shows calcification
Ans. D on the right side of his abdomen in an AP
view. In lateral view the calcification is seen
64. A 56 year old woman has not passed stools to overlie the spine. Most likely diagnosis is:
for the last 14 days. X-ray shows no air/fluid A. Gallstones
levels. Probable diagnosis is: B. Calcified mesenteric nodes
A. Paralytic ileus C. Renal stones
B. Aganglionosis of the colon D. Calcified rib
C. Intestinal pseudo-obstruction Ans. C1
D. Duodenal obstruction.
Ans. C 70. CA prostate commonly metastasises to the
vertebrae because:
65. A man aged 60 years has history of IHD and A. Valveless communication exist with
atherosclerosis. He presents with abdomi- Batson’s prevertebral plexus
nal pain and maroon stools. Most likely di- B. Via drainage to sacral lymph node
agnosis is: C. Of direct spread
A. Acute intestinal obstruction D. None of above
B. Acute mesenteric ischemia Ans. A
C. Peritonitis
D. Appendicitis 71. Following sexual intercourse, a person de-
Ans. B velops pain in the left testes that does not
get relieved on elevation of scrotum. Diag-
66. True statement regarding ‘fistula in ano’ is: nosis is:
A. Posterior fistulae have straight tracks A. Epididymo-orchitis
B. High fistulae can be operated with no B. Torsion testis
fear of incontinence C. Fournier’s gangrene
C. High and low divisions are made in D. Tumor testes
relation to the pelvic floor Ans. B
D. Intersphincteric is the most common
type 72. A testicular tumor in a man aged 60 years is
Ans. D most likely to be:
A. Germ cell tumor
67. In a 27 year old male most common cause of B. Sertoli cell tumor
a colovesical fistula would be: C. Teratocarcinoma
A. Crohn’s disease D. Lymphoma
B. Ulcerative colitis Ans. D
C. TB
D. Cancer colon 73. A patient presents with bilateral proptosis,
Ans. A heat intolerance and palpitations. Most un-
likely diagnosis here would be:
68. Following trauma, a patient presents with a A. Hashimoto’s thyroiditis
drop of blood at the tip of urinary meatus. B. Thyroid adenoma
He complains of inability to pass urine. Next C. Diffuse thyroid igoitre
step should be: D. Reidel’s thyroiditis
A. IVP should be done Ans. D
B. MCU should be done
C. Catheterize, drain bladder and remove 74. A patient with long standing multinodular

General Surgery
 goitre develops hoarseness of voice. Also, 76. A patient on the same evening following
the swelling undergoes sudden increase in thyroidectomy presents with a swelling in
size. Likely diagnosis is: the neck and difficulty in breathing. Next
A. Follicular CA management would be:
B. Papillary CA A. Open sutures immediately
C. Medullary CA B. Intubate oro-tracheally
D. Anaplastic CA C. Wait and watch
Ans. A D. Administer oxygen by mask
Ans. A
75. A patient presents with swelling in the neck
following a thyroidectomy. What is the most 77. Patient presents with neck swelling and re-
likely resulting complication: spiratory distress few hours after a thyroid-
A. Respiratory obstruction ectomy Surgery . Next management would
B. Recurrent laryngeal nerve palsy be:
C. Hypovolemia A. Open immediately
D. Hypocalcemia B. Tracheostomy
Ans. A C. Wait and watch

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 D. Oxygen by mask dominal pain. He is found to have a fusiform
Ans. A dilatation of the descending aorta. Likely
cause is:
78. A patient undergoes thyroid Surgery , fol- A. Trauma
lowing which he develops perioral tingling. B. Atherosclerosis
Blood Ca2+ is 8.9 mEq. Next step is: C. Right ventricular failure
A. Vitamin D orally D. Syphilitic aortitis
B. Oral Ca2+ and vitamin D Ans. B
C. Intravenous calcium gluconate and
serial monitoring 84. All of the following are correct regarding AV
D. Wait for Ca2+ to decrease to < 7.0 fistula except:
before taking further action A. Arterialization of the veins
Ans. C B. Proximal compression causes increase
in heart rate
79. A case of blunt trauma is brought to the C. Overgrowth of a limb
emergency in a state of shock. He is not re- D. Causes LV enlargement and LV failure
sponding to IV crystalloids. Next step in his Ans. B
management would be:
A. Immediate laparotomy 85. All of the following are correct about axil-
B. Blood transfusion lary vein thrombosis except:
C. Albumin transfusion A. May be caused by a cervical rib
D. Abdominal compression B. Treated with IV anticoagulant
Ans. A C. Embolectomy is done in all cases
D. May occur following excessive exercise
80. Babu is brought to the emergency as a case Ans. C
of road- traffic accident. He is hypotensive.
Most likely ruptured organ is: 86. A 80 year old patient presents with a mid-
A. Spleen line tumor of the lower jaw, involving the al-
B. Mesentery veolar margin. He is edentulous. Treatment
C. Kidney of choice is:
D. Rectum A. Hemimandibulectomy
Ans. A B. Commando operation
C. Segmental mandiblectbmy
81. Q 224. A patient is brought to the emergen- D. Marginal mandibulectomy
cy as a case of head injury, following a head Ans. C
on collision road traffic accident. His BP is
90/60 mmHg. Tachycardia is present. Most 87. Most common cause of unilateral parotid
likely diagnosis is: swelling in a 27 year old male is:
A. EDH A. Warthin’s tumor
B. SDH B. Pleomorphic adenoma
C. Intracranial hemorrhage C. Adenocarcinoma
D. Intra-abdominal bleed D. Haemangioma
Ans. D Ans. B

82. Ulcer that may develop in burn tissue is: 88. A 45 year old woman presents with a hard
A. Marjolin’s and mobile lump in the breast. Next inves-
B. Rodent tigation is:
C. Melanoma A. FNAC
D. Curling’s B. USG
Ans. A C. Mammography
D. Excision biopsy
83. An elderly man presents with history of ab- Ans. A

General Surgery
89. A 45 years old man presents with progres- 95. In which one of the following conditions the
sive cervical lymph nodes enlargement sialography is contraindicated?
since 3 month. Most diagnostic investiga- A. Ductal calculus.
tion is: B. Chronic parotitis.
A. X-ray soft tissue C. Acute parotitis.
B. FNAC D. Recurrrent sialadenitis.
C. Lymph node biopsy Ans. C
D. None of the above
Ans. C 96. The most common site of leak in CSF rhinor-
rhoea is:
90. All of the following are true about fibrola- A. Sphenoid sinus.
mellar carcinoma of the liver except: B. Frontal sinus.
A. Equal incidence in males and females C. Cribriform plate.
B. Better prognosis than HCC D. Tegmen tympani.
C. AFP levels always greater than > 1000 Ans. C
D. Occur in younger individuals
Ans. C 97. Which one of the following soft tissue sar-
comas frequently metastasizes to lymph
91. A child presents with an expansible swell- nodes?
ing on medial side of the nose. Likely diag- A. Fibrosarcoma.
nosis is: B. Osteosarcoma.
A. Teratoma C. Embryonal rhabdomyosarcoma.
B. Meningocele D. Alveolar soft part sarcoma.
C. Dermoid cyst Ans. C
D. Lipoma
Ans. B 98. Lumbar sympathectomy is of value in the
management of :
92. According to the Glasgow coma scale (GCS) a A. Intermittent claudication.
verbal score of 1 indicates: B. Distal ischaemia affecting the SKIN of
A. No response. the toes.
B. Inappropriate words. C. Arteriovenous fistula
C. Incomprehensible sounds. D. Back pain.
D. Disoriented response. Ans. B
Ans. A
99. A blood stained discharge from the nipple
93. Abbey-Estlander flap is used in the recon- indicates one of the following:
struction of: A. Breast abscess.
A. Buccal mucosa. B. Fibroadenoma.
B. Lip. C. Duct papilloma.
C. Tongue. D. Fat necrosis of breast.
D. Palate. Ans. C
Ans. B
100. The earliest manifestation of increased
94. In which one of the following perineural in- intracranial pressure following head injury
vasion in head and neck cancer is most com- is:
monly seen? A. Ipsilateral papillary dilatation.
A. Adenocarcinoma. B. Contralateral papillary dilatation.
B. Adenoid cystic carcinoma. C. Altered mental status.
C. Basal cell Adenoma. D. Hemiparesis.
D. Squamous cell carcinoma. Ans. A
Ans. B

Davinci Medical Academy

101. In which of the following conditions D. PSC reverts after a total colectomy.
splenectomy is not useful? Ans. D
A. Hereditary spherocytosis.
B. Porphyria. 107. The most common complication seen in
C. Thalassemia. hiatus hernia is:
D. Sickle cell disease with large spleen . A. Oesophagitis.
Ans. None/B B. Aspiration pneumonitis.
C. Volvulus.
102. The following is ideal for the treatment D. Esophageal stricture.
with injection of sclerosing agents: Ans. A
A. External hemorrhoids.
B. Internal hemorrhoids. 108. Patients of rectovaginal fistula should be
C. Prolapsed hemorrhoids. initially treated with:
D. Strangulated hemorrhoids. A. Colostomy.
Ans. B B. Primary repair.
C. Colporrhaphy.
103. In which of the following locations, car- D. Anterior resection.
cinoid tumor is most common? Ans. A
A. Esophagus.
B. Stomach. 109. Which of the following catheter materi-
C. Small bowel. als is most suited for longterm use is?
D. Appendix. A. Latex.
Ans. C B. Silicone.
C. Rubber.
104. Pancreatitis, pituitary tumor and phaeo- D. Polyurethane.
chromocytoma may be associated with: Ans. D
A. Medullary carcinoma of thyroid.
B. Papillary carcinoma of thyroid. 110. Which of the following is the most trou-
C. Anaplastic carcinoma of thyroid. blesome source of bleeding during a radical
D. Follicular carcinoma of thyroid. retropubic prostatectomy?
Ans. A A. Dorsal venous complex.
B. Inferior vesical pedicle.
105. Gardener’s syndrome is a rare heredia- C. Superior vesical pedicle.
tary disorder involving the colon. It is char- D. Seminal vesicular artery.
acterized by: Ans. A
A. Polyposis colon, cancer thyroid, SKIN
tumours. 111. The most sensitive imaging modality for
B. Polyposis in jejunum, pituitary diagnosing ureteric stones in a patient with
adenoma and SKIN tumours. acute colic is:
C. Polyposis colon, osteomas, epidermal A. Xray KUB region.
inclusion cysts and fibrous tumorus in B. Ultrasonogram.
the SKIN . C. Non contrast CT scan of the abdomen.
D. Polyposis of gastrointestinal tract, D. Contrast enhanced CT scan of the
cholangiocarcinoma and SKIN tumours. abdomen.
Ans. C Ans. C

106. All of the following are true for patients 112. Which one of the following is not used as
of ulcerative colitis associated with primary a tumor marker in testicular tumors?
sclerosing cholangitis (PSC), except: A. AFP.
A. They may develop biliary cirrhosis. B. LDH.
B. May have raised alkaline phosphatase. C. HCG.
C. Increased risk of hilar D. CEA.
cholangiocarcinoma. Ans. D
General Surgery
Davinci Medical Academy