Question Paper

Exam Date & Time: 26-Aug-2019 (02:00 PM - 03:00 PM)

MANIPAL ACADEMY OF HIGHER EDUCATION

SIXTH SEMESTER BPT/BOT AND FOURTH SEMESTER B.Sc. M.I.T. DEGREE EXAMINATION - AUGUST 2019
SUBJECT: GENERAL SURGERY - I
(BPT 304/BOT 304/BMIT 202 - 2016 SCHEME)
Monday, August 26, 2019 (14.00 - 15.00)
General Surgery - I [BPT 304 - 2016]
Marks: 50 Duration: 60 mins.
A
Answer all the questions.
1) Which of the following is TRUE for shock? (1)

A) Hypotension
B) Hypoperfusion to
tissues
C) Hypoxia
D) All of the above

2) Delayed wound healing is seen in all EXCEPT: (1)

A) Malignancy
B) Hypertension
C) Diabetes
D) Infection

3) The most common cause of peripheral limb ischemia in India is: (1)

A) Trauma
B) Atherosclerosis
C) Buerger's disease
D) Takayasu
disease
4) NOT TRUE about hemorrhoids: (1)

A) First degree-no prolapse

B) Excision for externo-internal piles
C) Third degree-no surgery
D) Conservative treatment in first
degree

5) Delorme's procedure is used for: (1)

A) Rectal prolapse
B) Solitary rectal
ulcer
C) Fistula-in-ano

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 D) Hemorrhoids
6) Following are important in maintenance of normal fecal continence EXCEPT: (1)

A) Anorectal
angulation
B) Rectal innervations
C) Internal sphincter
D) Haustral valve

7) TRUE statements about principles of abdominal incisions (1)

A) Incision should be long enough for a good exposure

B) Splitting the muscle is better than cutting EXCEPT rectus
muscle
C) Transverse incisions are better than vertical incisions
D) All of the above
8) Hemorrhage leads to: (1)

A) Septic shock
B) Neurogenic shock
C) Hypovolemic
shock
D) Cardiogenic shock

9) All of the following are major complications of massive transfusion EXCEPT: (1)

A) Hypokalemia
B) Hypothermia
C)
Hypomagnesaemia
D) Hypocalcemia
10) Five day self subsiding pain is diagnostic of: (1)

A) Anal fissure
B) Fistula -in-ano
C) Thrombosed external
hemorrhoids
D) Thrombosed internal hemorrhoids
11) Which of the following is NOT an important cause of hyponatremia? (1)

A) Gastric fistula
B) Excessive vomiting
C) Excessive sweating
D) Prolonged Ryle's tube
aspiration
12) Which one of the following surgical procedures is considered to have a clean-contaminated wound? (1)

A) Elective open cholecystectomy for cholelithiasis

B) lnguinal Hernioplasty
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 C) Lumpectomy with axillary node dissection
D) Appendectomy with walled off abscess

13) Treatment of choice for 3rd degree hemorrhoids is: (1)

A) Sclerotherapy
B) Band ligation
C)
Hemorrhoidectomy
D) All of the above
14) TRUE about wound healing: (1)

A) Infected wound heal by primary intention

B) Deep dermal wounds heal by scar formation
C) Wound contraction is found in healing by primary
intention
D) More intense inflammatory response in primary intention
15) Most common cause of metabolic alkalosis: (1)

A) Cancer stomach
B) Pyloric stenosis
C) Small-bowel obstruction
D) Diuretics

16) Which of the following statements about acute hemolytic blood transfusion is TRUE? (1)

A) Complement mediated hemolysis

seen
B) Rarely life threatening
C) Renal blood flow is always maintained
D) No need for stopping transfusion

17) Incisions for appendicectomy: (1)

A) McBurney's
B) Lanz crease
C) Rutherford Morison muscle
cutting
D) All of the above
18) One of the following is earliest indication of concealed acute bleeding: (1)

A) Tachycardia
B) Postural hypotension
C) Oliguria
D) Cold clammy fingers

19) Strangulation most commonly occurs in: (1)

A) Femoral hernia

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 B) Direct inguinal hernia
C) Indirect inguinal
hernia
D) Lumbar hernia

20) TRUE about wound healing: (1)

A) Found in Diabetes Mellitus

B) May associated with vascular compromise
C) Any wound that does NOT heal within 3
months
D) All of the above

21) Recurrent prolapse of the rectum in children is treated by: (1)

A) Thiersch wiring
B) Digital reposition
C) Excision
D) Ripstein's operation

22) Most important disadvantage of cryosurgery for hemorrhoid is: (1)

A) Pain
B) Infection
C) Profuse watery
discharge
D) Hemorrhage

23) In an open injury during toileting and debridement, muscle viability is detected by: (1)

A) Colour of the muscle

B) Muscle contraction
C) Punctate bleeding spots on cut
edge
D) All of the above

24) Patient has lacerated untidy wound of the leg and attended the casualty after 2 hours. His wound (1)
should be:

A) Sutured immediately
B) Debrided and sutured immediately
C) Debrided and sutured secondarily
D) Cleaned and dressed

25) TRUE about blood transfusions: (1)

A) Antigen D determines Rh positivity

B) Febrile reaction is due to HLA
antigens
C) Anti-d is naturally occurring antibody
D) Both A) and B)

26) In traumatic cases, shock is most likely due to: (1)

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 A) Injury to intra -abdominal solid
organ
B) Head injury
C) Septicemia
D) Cardiac failure
27) Compensatory mechanism in a patient with hypovolemic shock: (1)

A) Increased renal blood flow

B) Decrease in cortisol
C) Decrease in vasopressin
D) Decreased cutaneous blood
flow

28) Which of the following is NOT TRUE about hemorrhoids? (1)

A) Pruritus is NOT common

B) Can be palpated on digital rectal examination in absence of
complications
C) Band ligation is most commonly done office procedure
D) Stapled hemorrhoidopexy causes less post- operative pain

29) Hesselbach's triangle is bounded by the following EXCEPT: (1)

A) Rectus abdominis muscle

B) Transversus abdominis muscle
C) Inferior epigastric artery
D) Inguinal ligament

30) TRUE statements in management of hemorrhoids: (1)

A) Fiber supplementation is effective

B) Improvement in bowel function is
helpful
C) Ligation with rubber bands effective
D) All of the above

31) A 30 year old male present with complete rectal prolapse. Which of the following procedure is (1)
associated with lowest risk of recurrence?

A) Delorme's procedure
B) Thiersch procedure
C) Abdominal rectopexy
D) Altmeir's procedure

32) Incisional hernia, NOT TRUE: (1)

A) Faulty operative technique

B) There is distension of abdomen
C) Associated with infection of the
wound
D) Caused by use of local anaesthesia
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33) Immediate management of a patient with multiple fracture and fluid loss includes the infusion: (1)

A) Blood
B) Dextran
C) Normal
saline
D) Ringer
lactate

34) TRUE regarding indirect inguinal hernia are all EXCEPT: (1)

A) Most common type of hernia

B) Always unilateral
C) Inguinal herniotomy is the basic operation
D) Transillumination distinguishes it from
hydrocele

35) After blood transfusion the febrile non-hemolytic transfusion reaction occurs due to: (1)

A) Alloimmunization
B) Antibodies against donor leukocytes and HLA
Ag
C) Allergic reaction
D) Anaphylaxis

36) Metabolic changes associated with excessive vomiting includes the following: (1)

A) Metabolic acidosis
B) Hyperchloremia
C) Hypokalemia
D) Decreases
bicarbonates

37) In the immediate post- operative period, the common cause of respiratory insufficiency could be (1)
because of the following EXCEPT:

A) Residual effect of muscle

relaxant
B) Overdose of narcotic analgesic
C) Mild hypovolemia
D) Myocardial infarction

38) Factors that may adversely affect the healing of wounds include all of the following EXCEPT: (1)

A) Exposure to ultraviolet
light
B) Exposure to radiation
C) Obstructive jaundice
D) Advanced neoplasia

39) In the healing of clean wound the maximum immediate strength of the wound reached by: (1)

A) 2-3 days

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 B) 4-7 days
C) 10-12
days
D) 13-18
days

40) Degloving injury is: (1)

A) Lacerated
wound
B) Blunt injury
C) Avulsion injury
D) Abrasive wound

41) Which of the following is a complication of sinusitis? (1)

A) Mastoiditis
B) Deviated Septum
C) Orbital cellulitis
D) Parapharyngeal
Abscess

42) Tracheostomy commonly involves: (1)

A) Entry into right bronchus

B) Entry into left bronchus

C) Entry into 7th tracheal ring

D) Entry into 3rd tracheal

ring

43) Tympanoplasty is done for : (1)

A) Otosclerosis
B) Chronic suppurative otitis
media
C) Acute suppurative otitis media
D) Otitis media with effusion

44) Diagnostic Test for BPPV: (1)

A) Epleys
B) Dix-
Hallpike
C) Rinne Test
D) Fistula Test

45) Cortical Mastoidectomy is indicated in : (1)

A) Mastoiditis
B) Otosclerosis
C) Chronic suppurative otitis media Unsafe
ear
D) Otitis Externa
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46) Cylindrical lenses are prescribed in: (1)

A) Presbyopia
B)
Astigmatism
C) Myopia
D) Squint

47) Vision centre is located in which lobe of the brain? (1)

A) Frontal
B) Temporal
C) Parietal
D) Occipital

48) What is Cataract? (1)

A) Opacity in the cornea

B) Opacity in the lens
C) Opacity in the Retina
D) Opacity in the
Vitreous

49) Lagophthalmos occurs as a result of paralysis of: (1)

A) 6th Cranial nerve

B) 5th cranial nerve

C) 2nd cranial nerve

D) 7th cranial nerve

50) Near sightedness is also called as: (1)

A) Myopia
B) Hypermetropia
C) Astigmatism
D) None of the above

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