100%(1)100% found this document useful (1 vote) 1K views106 pagesSurgery 2 Efy
Book on surgery scenarios and their answers
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content,
claim it here.
Available Formats
Download as PDF or read online on Scribd
SURGERY - II
60 MCQs | 13 SEQs | 125 Marks
Dr. Ali Raza Chaudary & Dr. Hasaan Abdullah
6
r Gastrointestinal System
wo 662
] 14 MCQs | 2 SEQs | 24 Marks
9 Lower Gastrointestinal System 761
| ts 12MCQs | 2SEQs | 22 Marks
Urogenital System 736
3 10MCQs | 2 SEQs | 20 Marks
Musculoskeletal System 769
4 | 1SEQ | 11 Marks
Boy 786
0 4MCQs | 1 SEQ | 9 Marks
6 Heart & Great Vessels 802
< 2MCQs | 1 SEQ | 7 Marks 7
] Head & Neck (Orodental Surgery) 815
¥ 6MCQs | 2 SEQs | 16 Marks
8 Breast 843
4 4MCQs | 1SEQ | 9 Marks
9 Neurosurgery 858
2MCQs | 1 SEQ | 7 Marks00
—— /ROINTESTINAL svSTEH
[Eee eam
a oy
scopy ~ investigation of choi ae. mee
UPPER GASTROINTESTIN, rc ai ss,
SYSTEy
pte ee
here erat
ee
3000000 ESOPHAGUS0200000 a
PYENIEN
vesT0n 1
arene tony nono tots? enue 3
arte gras, Muti sclerosis, Stroke
@eeeeenr>
he tod
vil. Elevate bed or head eves
reas 69. Ma(OH),
{I Proton pump inion oneal abel mat acne
: arene ‘Mediastinal mass, Foreign body
(old standard: Laparoscopic Nissen fundoplication)
I or 300 err nde
1. Totzet: 0" pester dept sutasueny mode 03 270egree wap
". Beby Marc 270 nearer Rngopeabon =” Moe #8270Gearee
“Neen 36 fungal
2 Ronee a
Clonee odin oer ot oppearnce: Restrnt baring Pan
‘Sms teguaon > Eppes pan jwonanaa by bend. wat
cet ola med wih toroch id bed ve ES
ios cor
fees pa oor ;
Sas orcad
Biiatiece ceo se S
' Sen ee
ALE RAZA CHAUDARY & DR. WASAAN ABDULLAHoem Av
- SSE ron derecrrerocacoreran
ven GASTROINTESTINAL tay a ee Ps
eves
es Ente. poet o bd beak appa
: : oe 4 Men ey. 7
ss one symone cf etn 24 reopen
es win wore ymtans eo ht era and evidence of Fein:
eee Upper Gt ena
5s met norma es |
‘question 2
eee arcane
Beattie a
inept eeasaoe emar ”
@eeeeenr>
oe ce sone is
= dose orm en ga ee
fecinscrsoae snare
sree
: ae ‘mESTIGATIONS: cm
ts chin 12. ~‘ony pt ac of treatment Se QUESTION 1 (0) in 2.
oeaeioto we as
ma cas vitro Barts mus Sra QUESTION 1 (c)in 4.3
4 Symotome pease a3 youn age
A2eyear oi
gs
Ii how he he developed aut
Ay Bitte the mos ly dager? 7
5) iat veststons weld ou tke to get rach the diagnosis?
RR “ow stents en tamua 2020)
cma
DR. ALT RAZA CHAUDARY & OR, HASAAN ABDULLAH
weed# A
tn on cst
‘eee mes
ere casrRomnres Sa
_ le
Question +
ie os etsscicby I tml a ata eter ne wad, ne
[oeger Santana on exorinotn, fet cea ae nt Ne oe
Bie,
a Peeters,
Bere te
ae i c
art ‘question 5 ee m- |ovannaisereattomnen | @
sa naples onset yeone wh axohicin 2 a aa pes IREATIOL sven asohne vote anata
Aor pe es a Brum nappy ei et alee siemens rial andcan naarty says be manaed conserve; @
eT moon 4 a ara | @
csi 5 Besegearim atts cater mae” | @
ae or folowing cst:
se aetesTiON 1) 13.
‘question 6
1 male resets wih yghaaa ard eles Baro sty shows
635 a ere Enocey saws prsetce cn ose oth alt
ee Ay
Benewah parce pers ef acres otis 3
5) tears nb empresa on vse wet hs oon? Anna 20
reporter Peep meds os
aeaano
2" Water-soluble contrat (gatrograin)~ investor of cice
oy
Se ey
re as QUESTION 1 (cin 1.3. = Oly surgical therapy
(o
ists rocoins e mea
Sue a QUESTION 1c) 13 =e endocope therapy
[Ji.4. ESOPHAGEAL PERFORATION
2, 2
"casi rouma poop cave, penerating chet uy ec
: ‘HY eng to benign esophageal stricture
Sagealenphneme sat es .
emda tay ocho Pypaeon St endoscopy Deep cr, Geaysh back eschae
“
a 4 “ pererin
aces
Sonn
‘DR ALT RAZA GHAUDARY & DR RASAAN AEDULEAM ‘DR. ALT RAZA CHAUDARY & DR HASAAN ABDULLA
at we{EPISODE FINAL YEAR" epg ana Ean 2 £9. © SURGERY TE
ea
i eriptan a owl ad
ota gma Hineeet yu snes? tanta 3038}
2 Ebon 34 Feo pags
ore aso 0
Ea ct cea te
Seer ese so ae
Sameera mena ea
coe. esTGATONS:
SSM EE hematogenous sored by CT scan
1 ice eet rearaiy 8 pxny
eeeeenr>
es10N 4 5
ea
A33 y pant eet an There is ry of a a, ANC, te
Popeeeromerera
Wee Eton soins
Tones ;
8) fom wt yore tia?
2)Osinth tenant tspole 2020 held in 2023)
= oa a
ges vesigaton cn he nT (a) ag
ae sete space meh an Spec Oe Se
ste ecommended route of eroperive non ates tet? [Supple 2017 had in 2038)
eee
(a).
wesc wonocia es camoN roe siz stag
- 0)
ne seronces, Ds
a SS 8 QUESTION 1 (en 3.6, - "ony surge! therapy
scuypen aoure m nee
estaeous endoscopic gastrostomy (PEG) taba
e eon ince agate) !
i ny or Two-phase operation :
S : oe Eevee custorormugian }
ees In dancd/ metatatcexophageal arian Sia Or annem }
e &. eacoc atone ee ners) stern mts : |
e acy etic setacanuanuass: see !
feson nem plea conglasen "retvulr mass (Viena ode) is indleation of metastasis from gotric carcinoma.
A |v. Alcohol injection Pith ‘.
«canta me : é
C fortran ses hay ot egute @
j
rt 7
eee toca Ends ee
nes "RAZA CHAUDARY & DR. HASAAN ABDULLAH
DR-ALTRAZA CHAUDARY & OR, HASAAN ABDULLAM
ail
668{915006 FINAL YEAR 2” 19.0
—
sresTINAL SYSTEM sone —
urven GASTRO! GHEIONS casa cha oo \GASTROWNTESTINAL svsreM
wg teal s under you survetance @ PESTON 6
geen pater en race ta eee, A
Sirs eee 4
seri a i
Sr a ea ana paeal emaminatinn may Nl YoUo ie Ut 26neA al Pore
Siegert ne ort ReEaion 5 i616
nt Te Sue hl 2071 eas 3 () c
ina = e
a Ti: ne
ne7gigicn ton rus abo V0 wean nid a on aroma ay cts @
Fine nec?
“ cits tb noe nzoay e
‘ a)-
a SO gu e
ee Fs JONS: (0) e
SAQUESTION 1 (0) in 2.6.
coos s BRA QUESTION 1 (c) in 3.6.
questioN 6
Sra mas sae et he
Se etc et ocr ene demas
SoESCe keto ane eos Nw eg at
Bre rratena oes vaca moe ne ch aaa
Sierras Ss orn al a
e000 STOMACH & DUODENUMso0
AT OCT
Ee Ser snoceemamete eee
a oo
id 2 eae aa
ovecod ale presente wi
ese
as
cen, :
oe
TS cencen ms meaty
ieee =e 6am
Repetto tect ne nding care dng
4o- 6 RSG tba venous pressure
$; Sader cahetrenten
1 AESERsson tr cross mateing
ey: M: Boeke, PPls,Tranexamle acid wae
O7r>eese0eo
DR. ALL RAZA GHAUDARY & OR. WASAAN ABDULLAH
sero. “eis$O. Sinety wat YEAR 2° ED. © SURGERY-tt
ven GAsrRNTESTINAL SYSTEM a A eee
= og TINTON RETO IROINTESTINAL SYSTEM
QUESTION? amy
aoe pan tA Pe OS Oa
ce ocr ck lke 0) —— SS]
de yo ureter arate
ia ee ere pate ATE ay pi us, ESuPpIe 2016 held tn 2047]
DES. naatoneo sro m aces | — — face tke Many a codomen wih ber) bowel sounds ond eb
=f oli 0y cet Gsvaer prog
ferences:
Ela
(SOeeSois eae
@eeeeenr>
BioMed pet cer
2 Feces dt i ec a
Stee pa
2 Sect tects 9m rs
resented emaraaney soem
‘iw m'yoomanooe? [Supple 2018 hain
or o-
same (o-
taton and renctaton
‘Laparotomy folowed ty appa
2) RBs preva: laure with omental pate
on: Partial gastrectomy wth Rien econstiction
On7n>eoecoeooe
DR: ALI RAZA CHAUDARY & OR HASAAN ABDULLAH= {915008 FINAL YEAR 2,6 tpg
QUESTION. He presented in suai em
eon ag SLD lm B02, abo
aa if SEARS egatons wich ate ost kt 0 ave YOU the agro? Whi an
efor art eres or our ansmer.CAnqual 2
co
confirmatory ivesiation
Gren 166
alec esr (6) as
7 raduces the incidence ofthese sie fet
o-
arent She presented in Emergency ah
sso.yearald female as ben taking NSAID fo Dea als, She presented nm
et ore an saad wiles abcamen. 09 earinatio, 2
HSS eran ature Ar LSM ue
i Mow nu You esoeate and rest hs pater? (Supple 2016 held in 20171
“Ce
“-
e
© erro tsi tog tm na el
eee
A Secu cents
R Scere ae
DIAGNOSIS; 3
cue
® ALT RAZA CHAUDARY & OR, HASAAN ABDULLAH
ee +e
gaastrron 1 () 8
QUESTION 6
sore completions of peptic ers?
panel SPC ee le stan ety
pscaT1ONS
ireng — [Met nmen campo n
‘asus Berton
Doctors eng
rr etna
@eeeeenr>
coma
Fe od
tee ee ee
| ee
ong itor of pan nests On
“@)-
fei nto
iene mangers pa a
ay
Pett pc cer
‘cue
mee SOW 1 (9 and (on
“0
*RUESTION 1 (in 18N7>OCCCe
EPISODE FINAL YEAR 2" £6 gy
rn g,000LTVER®020000008 a
BLEEDING
‘question 1
TS wc ts
Q000' = which she tak R
oe et es ASE PADMEDES She es hy oe dS R
IETS ee co eager ea ac
ae aa es oof manaaeret. (Supple 2010 hed in 2088) e@
SES aa pecodee ene sso oT ip
ape Eocene is <
a ~o- °
e@
e@
Jkt smetons
ote dares eet
2} te esl a etonenes ot " -
‘Thee i no unde ane
sacuosts crore rate a
ve dese “eo Boren)
2 in nar or hepa
PEE magne
ee te omy orca
Se oregon ronan ea ran
Roncrterb aye cine ese
i Ree ecermecr eer la
ti ae res
“o-
sion ~ pases trough bows! wall forming Fase uaa
[Phcrons of hepatocytes a protali ayes = Ams
1.10. HYDATID LIVER DISEASE
fsTION 2
ot te nae ute enim, clnca fee sre management of dad er
(lo
i imac" | leat
i Siemens
car a oe oa ee
* Surial treatment: Excision of cyst after sterilization with 0:64 A
OE i tte rte
conti (peraperstoty ol protscoees)
pets 28 pt eth ey Resp)
ALT RAZA CHAUDARY & DR
"676pena YEAR PD: © SURGERY eprom
Eos)
Ep
14.01 UO pan «Fevers eskocyons
—T
ve ee sce i nice
Ay See Pei baton rea
ge meee ate 3
eos
ec in et 0102081
@eeeeenn>
rears
Fires tet noma presented sh agen nth ne ay ty oa
fii ike of L1Glmin. She isnot cincaly jaundiced. On ekarnatin ofthe reese EMEA FS
ete Nr snes =»
SGiN GALL STONES:
Bo a) |
Facies areca
ae = Penrice
ESomowicsctt ERE pte ok tam 308)
: oes “
SBSTLINE TREATMENT: ne
sp ae
Se nannies 3 Sead eno ena
a
rete of nace
“Ce “e
vSTIGATIONS: =e
2 Sancemina utrasenography: Uvasonograpic Murphy sign = investigation as
ce hlagipancretography (MRCP)
isis (tA) sean = gl tandard
por show golstones, You a6
2 ee set snes: Tel here fea and complains of
FETs AD COMPLETIONS Gr GASTONE:
‘DR: ALI RAZA CHAUDARY & DR. HASAAN ABDULLAH
679"syste a
uppen GASTROINTESTINAL oat .
mae pe
ersumcesere sl
eeeeenr>
eee ris ote. (Annual 2020), ig a
o fan ees lnsrscak clecetomy in 34-yard wit MUR plone)
(Bie dois beta in 30%
i oe pe cobs CHO ECYSTECTONY:
2 fyopertori sblned whine apo Vere rede (Sed cha)
4. Two imports ae inetd long gk cai ortr for vrgons le hand and grasp frcept
5 raul section a aot’ tangle to ety, dp and Gide cyte duct ad artery
6 dodanie’ Scvoced tough unBil pat
2 gate 2U9 and emave cer prs unde drat vison whe aowing eacape of 0,
Gos monca’ ass say Saas oes
(Cos tn by aubcticularabsortestches + Intille anesthe fo post-op pin
A
question +
sisi ser peostvcbe mi! vave replacement. He is planned
SSSI i aoe ee hw a you maroe ponerse pera? CANA 2017
(question 2
1 tua ctoecsctomy in 2 0-year fea with 2 sngle
Stop 2048 held in 2013)
+ made 3-4 cm below slght costal mara a
ovextendedsupenony to xiphaed TEES:
hus apeath ate ned
eos.
es ad pacer eects ‘ia (conte une
crn heather of oon, dsdenum and esse OME Se, “er
soy eet i ng ree Petes
vey extn FEC Leona
DR ALT RAZA GHAUDARY & OR. HASAAN ABDULLAH ‘DR, ALI RAZA CHAUDARY & DR. HASAAN ABDULLAH = ae
* 680 Seah”cians | Ree eae eee
rie dean ‘esa tone conred of case
‘Soden pace or wat ea Ta
(question 2
nat are he restet tin for le ct stone? Yana 2009]
questron 3
‘so-yenroeceptntt presns wih neg Iushundcm 2 necment unde, Sha
Jeger sb! emminn gal de fs aaa
tw nd yous hs ptr? [Annual 2008)
tar
(Goal havo s Wad Fever (ig Jaunlce ROG severe ah
uesrioN 1
4 Samual ema presents wih tree dae AE Of Hahaade IE
sud Tee Noy eaasae coated fr Sarma gall
as ln 6) went ar insane 0S Teed
Eeaigh tiem onl e
5) By desert your manegemant lan, caing varius tretment. Supple!
20S “(a)
suse: +
AO7>eceeoeoe
DR: ALT RAZA CHAUDARY & DR HASAN ABDULLAH
aie
‘question 2
su ool eure rong GPO ono a A
sac wey dann et MG ete
in Sonat R
ie ane wl you pert?
pearance maze ic
i 5 e
UBS us ae to cede
aes a e
oyint.t. e
as reser ith atthe e
herent nvr ornate ent at Pe Sata a so nies wh
feasts e
‘prencaTions:
SSISTION 1 (in 1.27. only investors!
20000000PANCREAS 2000000:
EN
[pacnosne cueRY ERY
77 ot low leche
~ "den ever plat pai (ancy rosiaing to back.
‘cy reaching mano urn. ond eve by ing
Senang tomer)
“er
)-
itn
nl FY using Ringers nctate + Supplemental oxyen comes treatment
Sue anc ss
ashe) tas, carl venus resi, ine ut, A865
ery: Us se conus see, Seen ccm Bs cre
ranan (oi nay
‘DR. ALI RAZA CHAUDARY & DR. HASAAN ABDULLAH
a.pnen GASTRODNTESTIN aaa Say gp psne rE YEAR 2” ED.© SIGE
ern
0
Caen eee
ora presents in surge
Pee eel
tn youmenae hi? (Supple 2044 hel
sores ‘rma e dad eho ZU B20
Saeco, pt reno es Stree be Wn ay
2) Se easy see mths pate CAnnaa 2013] ss
“
eeeeenr>
ees ———— =
em ———— | ES =
Pe EEE
7 eat phase: Some a6 QUESTION 1 (6) in 39.
5. Lang reson: Same as QUESTION Y (in 119,
Question s
roe presets wih sun state saline assecte wih vomting, on examination he s
inv otmusces of uae abdomen, Yoray adore nor
es cect scan after 72 hours investi of chice vious eis
© veeem investigate his batene? iui
4 Eoxane reapace chengopencetos ome ina
Pearadopashy amcarons: a
5. Parone unten te Ses QUESTION 2 (0) in .19,
ae crn
9 een ee eee
Hon wo ei he sever of hs ase enon Ranson toed ete
uate De vrs el canplcaons faa pancreas You may eneout
[supple 2012 hel in 2031 Sitaeaees 5
“2
SU S1STE FR SEVER:
x casted a sre when 23 lowing factors ae present:
Tenet 109 pn 1 Aral a0; <6 mk
& Nn se Saad Muds
(080) <$0 mg
20 nna (maa)
‘aenn nn es
Asiv PALLIATIVE PROCEDURES FOR 8
meagan POC tS pena
ge eee! Saticton)
neo evn (ove ie cc comprenlon)
menace retrograde choanopacreatgrpty (ERCP) OR
ones WartbepsteSlangogoph Te)
PAL IATIVE OPERATION: ase
so year ity, str fo
@eeeeenr>
Tumour marker: CAL9-9 (ost sense), CEA
ml
cr ay naa n.- a
bas eae Po i nts
Shee um ne gr? o ie ‘amnion reves Geta uns
Bienen ot an :
} met fete ttn
Sacer tla
© Se ced parce ae eS —-
msm: pee mete | Cancer?
—— eet =
a —
sae 1 Renna atcs
Sa pee
rea 0 aaa 80 ae et
ne ik ectscan“invesignson of emoee a et
2 nin eP* Maneduodel, ranopest Aor vat Bipay
my a 2 Pep preparation; Same 35 QUESTION 1 (2) in 1.21,
‘open supeal cringe tn frm of Cystoyastostomy OR Cystodunéenaony Stil therapy 2
Tolga! '" Pylorus:preserving pancreatoduodenectomy (Longmire-Traverso procedure)
na
UTE elias ee
i tee fn and at ary ep:
‘biliary bypass
e
e : = ce ee
. en
QUESTION 1 Transthoracic nice
A man " .
© p70 ya nan wth sioner carceama Sone pope for ‘Symptom relefand gosta
deranged bleeding profile. © Encour a
2 Eeyme ‘
ose
tenon oe ’ Mae a sl pally
Ean ml eta 2 Boot ee aoa
eo ay oroge canes)
5 malt)
‘R-ALE RAZA CHAUDARY & DR, HASAAN ABDULLAM ‘DR: ALT RAZA GHAUDARY & DR WASAAN ABDULLANrH £.0 su
rT rovecoPERITONEUM <6253iy
frz2. ACUTE PERITONITIS
19 2ne deep espeation
7 4a)
acnosis:
ai
mec
&, Blasn al avage (OP) agpraton (OPA) —nvestiaton of che
rect chest xy: Subdapregmatic as
Insertion of rasogat range
dre ae
Iesegnte feeding fo rut
al einer of ase (wtenaporopats): Laparotomy followed BY
ee
reecee
Recreate rng SON
C feaicraeeae et
gfe ahmen On oon
SS RET hemos et a Me Sc Osteon wih adie of eit aa
OF ALI RAZA CHAUDARY & DR. HASAAN ABDULLAH
ness
oe FINAL YEAR 2° £0. © SURGERY.tr
2 oan oe aa UPPER GasrmonNresTINAL sysTEH
‘at tnd emergency manbgemert. (Supple 2020 hy
or nos
a ide 2014)
Eons
Serer ae
96S) 122. — ony vetnene
“a 0)
PEL TS
MCQS WITH oPrroNs
ee:
{Ooi 8d\man complains f regurgaton of salve ang
es. You would enect oe ofthe flaming in is ns
mt pan is canon nthe advanced sage of a
{reset eon be epectad sow gn ese are uml erveran
@eeeenr>
eee cc mcmama
Seer eo eee
Pci ie =o one ay
shure 17d
[Ser nga rn
jar ret ea
ie 3 Se ey
tan /: QUESTION 3
rae
‘lit eh henge atone Expy comme
{Sco cd eh nt aden er. Ne sonra
smear
) ‘um
2) Yoram
EE cas coc
an ah onte vrteotan mike eon ain,
3) Anmaar pancreas
) Vals Beontara
‘PR: ALT RAZA CHAUDARY & DR. HASAAN ABDULLAH
Tee