Name:Zunaira Sajid

Roll # 22682

Submitted To: Dr Zaid Arif

Assignment No : 01

Mcqs
1. What is the Latin word for surgery.
A. Chirurgiae
B. Cheirourgike
C. Chirurgen
D. Cheirgeon
2. How many types of surgery.
A. 5
B. 4
C. 6
D. 3
3. Escape of blood from any part of vascular system
A. Hematoma
B. Haemorrhage
C. Hemarthrosis
D. Wounds
4. A wound that results from a direct blow to the body, causing damage without breaking
the skin, is known as:
A. Laceration
B. Contusion (Bruise)
C. Crush Injury
D. Neuropathic Ulcer
5. What is the primary event that happens in the Hemostasis phase to stop bleeding?
A. Platelet aggregation and vasoconstriction
B. Tissue regeneration
C. Inflammation and white blood cell migration
D. Collagen synthesis
 6. What is the primary consequence of hypoxia and lactic acidosis during tissue ischemia?
A. Activation of fibroblasts
B. Activation of neutrophils, leading to the release of free radicals and cytokines
C. Increased blood flow to tissues
D. Decreased vascular permeability
7. What do positive chronotropes do?
A. Decrease blood flow to the brain
B. Decrease heart rate
C. Increase heart rate
D. Stop arrhythmias

Kaynat Nazir
Dpt 8th Semester
20458
Surgery II
MCQS
What is the function of surgical sutures and staples?
A) To remove tumors
B) To cut tissues
C) To close incisions and wounds
D) To diagnose internal bleeding
Answer: C) To close incisions and wounds

Which of the following is NOT a purpose of surgery?

A) Diagnostic
B) Preventive
C) Recreational
D) Reconstructive
Answer: C) Recreational

A patient arrives at the emergency department with severe abdominal trauma after a car
accident. Immediate access to the entire abdominal cavity is required. Which incision is
most appropriate?
A) Paramedian incision
B) Midline incision
C) Gridiron’s incision
D) Pfannenstiel incision
Answer: B) Midline incision

A diabetic patient presents with a non-healing ulcer on the foot. There is a loss of sensation
in the area and poor glycemic control. Which type of ulcer is this?
A) Pressure sore
B) Venous ulcer
C) Neuropathic ulcer
D) Arterial ulcer
Answer: C) Neuropathic ulcer
A patient sustains a traumatic wound contaminated with debris and signs of infection. The
wound is cleaned and kept open for several days before being surgically closed. What type
of healing is this?
A. Primary intention
B. Secondary intention
C. Tertiary intention
D. Chronic healing
Answer: C. Tertiary intention

Which sign would most likely be present in a patient with Class II hemorrhage?
A. Severe hypotension and anuria
B. Mild hypotension and cool, clammy skin
C. No change in heart rate or blood pressure
D. Bright red blood spurting from wound
Answer: B. Mild hypotension and cool, clammy skin

A 65-year-old man presents with sudden chest pain, shortness of breath, and hypotension.
Echocardiogram reveals fluid in the pericardial sac compressing the heart. Which type of
shock is most likely?
A. Hypovolemic shock
B. Cardiogenic shock
C. Obstructive shock
D. Distributive shock
Answer: C. Obstructive shock

A trauma patient presents with active bleeding and hypotension. You begin resuscitation.
Which step should be prioritized first?
A. Administer vasopressors immediately
B. Secure the airway and breathing
C. Insert a central venous catheter
D. Administer antibiotics
Answer: B. Secure the airway and breathing

Riphah International University Faisalabad

Assignment:
Surgery ||
Submitted by:
Tehreem Fatima
23019
Dpt 8th semester
Submitted to:
Dr.Zaid Arif
MCQ’s
1. Chronic ulcers are most commonly found in which part of body in women?
a) upper arms
b) abdomen
c) lower 3rd of legs and feets

d) upper back

2. Which of the following symptoms is NOT typically associated with class ||| hemorrhage?

a) oliguria

b) mental confusion

c) cyanotic skin

d) tachypnea

3. Pallative surgery is done to…?

a) diagnose a disease

b) prevent a potential health issue

c) restore appearance or function

d) improve quality of life without curing the condition

4.What is the main function of fibroblasts in the proliferative phase?

a) perform phagocytosis

b) lay bed of collagen

c) increase scar strength

d) release thromboplastin

5.Which of the following is an example of a 3rd space fluid loss?

a) sweating

b) urination

c) bowel obstruction

d) vomiting

6.The midline incision is commonly used for:

a) appendectomy

b) cholecystectomy

c) laprotomy

d) inguinal hernia repair

7. Which of following fluid is not a crystalloid?

a) Ringer’s lactate

b) Hartmann’s solution

c) Albumin

d) Normal saline

NAME :
 SEHAR NAZ
DEPARTMENT :
DPT
SEMESTER :
8th
ROLL NO .
22974
SUBJECT :
SURGERY – II
SUBMITTED TO :
SIR ZAID ARIF
1 . The type of surgery which is planned in advance and is not urgent is :
a ) Urgent Surgery
b ) Elective Surgery
c ) Emergency Surgery
d ) Semi – Elective Surgery
2 . Class I and II hemorrhage are managed by :
a ) Requires more aggressive treatment
b ) Managed with IV fluids
c ) Requires rapid transfusion of blood
d ) Surgical intervention is required
3 . Which of the following is the most accurate definition of shock :
a ) A condition of low blood pressure only
b ) A state of reduced cardiac output with bradycardia
c ) A clinical state of acute respiratory failure with inadequate oxygen utilization
d ) Respiratory failure due to airway obstruction
4 . What is most important initial step in managing a puncture wound ?
a ) Close the wound with suture
b ) Give high dose steroids
c ) Clean the wound , Removal of foreign bodies , antibiotics and tetanus prophylaxis
d ) Apply ice and send patient home
5 . Kocher ‘s incision is used for :
a ) Open cholecystectomy
b ) Gynecological surgeries
c ) Appendicitis and to drain pelvic abscesses
d ) Surgeries in chest cavity
6 . Vasodilation and phagocytosis take place in which phase of wound healing :
a ) Homeostasis
b ) Inflammatory phase
c ) Proliferative phase
d ) Remodeling phase
7 . A patient in septic shock is not responding to fluid resuscitation – What is next step ?
a ) Give antipyretics
b ) Start vasopressors like noradrenaline
c ) Administer sedatives
d ) Wait for cultures before treatment
Riphah International University, Faisalabad
Multiple Choice Questions for Surgery II
Qurat-Ul-Ain Raheel
A 62-year-old woman, carrying mutated BRCA1 gene, elects to undergo bilateral mastectomy
despite being asymptomatic. What type of surgical approach does this decision represent?
a) Reconstructive Surgery
b) Prophylactic Surgery
c) Diagnostic Surgery
d) Palliative Surgery
A 30-year-old female presents with a ruptured ovarian cyst requiring emergency surgical
intervention. The surgeon elects for a lower transverse abdominal incision to access the pelvic
cavity. Which type of incision is most likely to be preferred in this situation?
 a) Kocher’s Incision
b) Gridiron’s Incision
c) Paramedian Incision
d) Pfannenstiel Incision
A 40-year-old man sustains an open injury to his forearm after getting it trapped in boat propeller
at a lake park. The skin is irregularly torn with exposed muscles and visible crushed tissue. The
wound is contaminated and contains devitalized tissue. What should be the immediate next step
in managing this wound?
a) Immediate primary closure to promote healing
b) Application of a pressure dressing without surgical intervention
c) Wound excision to convert it into a tidy wound
d) Direct antibiotic therapy without surgical debridement
One week ago, a motorcyclist presented with a deep laceration on his forearm following a road
accident. The wound was managed immediately. Around one and a half weeks later, the wound
edges begin to contract and pull together. Name this phase of wound healing.
a) Hemostasis
b) Inflammatory Phase
c) Proliferative Phase
d) Remodelling/maturation Phase
A 35-year-old male, after a road traffic accident is brought to the trauma unit by first responders.
The patient presented with tachycardia, mild hypotension, delayed capillary refill, and clammy
skin. Blood loss is estimated to be between 15–30% of his total volume. What is the most
appropriate immediate response for managing this Class II hemorrhage?
a) IV Fluid to restore blood volume
b) Blood transfusion to stabilize the patient
c) Rapid transfusion of blood products
d) Surgical intervention to control the source of bleeding
A 40-year-old woman with a known history of sepsis becomes hypotensive despite adequate
fluid resuscitation. her skin was warm initially, but later she developed cold extremities and
confusion. Which type of shock best describes her symptoms?
a) Cardiogenic shock
b) Obstructive shock
c) Hypovolemic shock
d) Distributive shock
A patient in shock is given 500ml of IV fluids over 10 minutes. He shows brief improvement in
blood pressure and heart rate but soon returns to the previous hypotensive state. What does this
response indicate?
a) Responder – no further treatment needed
 b) Non-responder – volume status adequate
c) Transient responder – moderate ongoing loss
d) Over-responder
SUBMITTED BY : Reena (21266 ) and Mubshra (22768)
SUBMITTED TO: Sir Zaid Arif
MCQS
1: Which type of surgery is performed to relieve symptoms but not to cure the underlying
condition?
A) Diagnostic Surgery
B) Curative Surgery
C) Palliative Surgery
D) Preventive Surgery
Correct: C

2: What is the key difference between laparoscopic surgery and open surgery?**
A) Laparoscopic surgery uses large incisions, while open surgery uses small incisions.
B) Laparoscopic surgery is minimally invasive with small incisions, while open surgery
requires large incisions.
C) Laparoscopic surgery is only used for diagnostic purposes.
D) Open surgery is always robot-assisted.
Correct: B

3: Which type of surgical incision is most commonly used for a Caesarean section?**
A) Midline Incision
B) Kocher’s Incision
C) Pfannenstiel Incision
D) Gridiron Incision
Correct : C

4:What is the primary purpose of a palliative surgical intervention?

A) To cure the underlying disease
B) To diagnose a medical condition
C) To relieve symptoms without curing the disease
D) To prevent future health problems
Correct: C

5: Which type of wound is characterized by clean edges, minimal contamination, and the
ability to be closed primarily?
A) Untidy wound
B) Tidy wound
C) Chronic ulcer
D) Punctured wound
Correct : B

6:What is the most significant risk associated with untidy wounds if they are closed
primarily without proper management?
A) Immediate healing with minimal scarring
B) Increased risk of wound infection, dehiscence, or gas gangrene
C) Formation of a hematoma
D) Development of a friction burn
Correct: B

7: Which type of wound healing involves the intentional delay of wound closure to allow for
infection control or drainage before surgical approximation?
A) Primary intention
B) Secondary intention
C) Tertiary intention
D) Granulation intention
Correct :C
8: During which phase of wound healing does collagen synthesis and capillary formation
primarily occur?
A) Hemostasis phase
B) Inflammatory phase
C) Proliferative phase
D) Maturation phase

Correct : C
9: A patient presents with bright red blood spurting rhythmically from a wound. Which
type of hemorrhage is most likely occurring?
A) Venous hemorrhage
B) Capillary hemorrhage
C) Arterial hemorrhage
D) Petechial hemorrhage
Correct: C
10: A trauma patient has lost approximately 35% of their blood volume (1750 mL for a 70
kg adult). They exhibit tachycardia (HR 125 bpm), hypotension, and confusion. Which
ATLS hemorrhage class does this represent?
A) Class I
B) Class II
C) Class III
D) Class IV
Correct: C

11: A patient presents with hypotension, warm extremities, and a diffuse rash after a bee
sting. Which type of shock is most likely?
A) Hypovolemic shock
B) Cardiogenic shock
C) Distributive shock (anaphylactic)
D) Obstructive shock
Correct: C

12: MIn compensated shock, which physiological mechanism is primarily responsible for
maintaining blood flow to vital organs?
A) Systemic vasodilation
B) Activation of the renin-angiotensin-aldosterone system (RAAS)
C) Suppression of ADH release
D) Decreased heart rate
Correct: B

13:A patient in hypovolemic shock receives a 500 mL fluid bolus over 10 minutes but
shows no sustained improvement in blood pressure or perfusion. What is the most likely
classification of their fluid response?
A) Responder
B) Transient responder
C) Non-responder
D) Partial responder
Correct: C

14: Which of the following is the FIRST-line therapy for a patient with distributive shock
(e.g., septic shock) presenting with profound hypotension?
A) Immediate vasopressor administration (e.g., noradrenaline)
B) Aggressive fluid resuscitation with crystalloids
C) Positive inotropic support (e.g., dobutamine)
D) Blood transfusion
Correct: B
 Name:

Fatima Zahoor

DPT:

8th

Roll no:
22270

Subject:
Surgery-2

Riphah International University, Faisalabad

1-Surgery performed to relieve symptoms without curing the condition?

A: Diagnostic
B: Preventive
C: Curative
 D: palliative
2-What is the most commonly used incision for abdominal surgeries?
A: Gridiron incision
B: Subcostal incision
C: Midline incision
D: Pfannenstiel incision
3-In laceration which structure is usually damaged ?
A: Outer
B: Deeper
C: Middle
4- Healing by first intention refers to?
A: Healing with granulation tissue formation
B: Healing with large scar and delayed closure
C: Healing of clean wound with minimal tissue loss
D: Healing of an infected wound left open
5-Which class of hemorrhage is immediately life threatening and often requires massive
transfusion?
A: Class 1
B: Class 2
C: Class 3
D: Class 4
6- Which of the following best defines compensated shock?
A: BP falls & patient is unconscious
B: Normal blood flow with tachycardia & cool peripheries
C: Severe hypertension
D: Brachycardia with warm peripheries
7- What is first step in managing a patient with suspected shock?
A: Start antibiotics
B: Establish airways & ensure breathing
 C: Administer blood transfusion
D: Take a detailed history

Name: Anaya Tajammal

Roll # 22083
Semester: DPT 8th
Submitted to: Dr. Zaid Arif

MCQ’S

1) Stent placement in bile duct for obstructive Jaundice is example of which type of surgery:
a) Prophylactic Surgery
b) Transplant Surgery
c) Palliative Surgery
d) Curative Surgery
Right Option: Palliative Surgery
2) Oblique incision in right lower Quadrant of the abdomen involves which of the following
type of incision:
a) Kocher’s incision
b) Paramedian incision
c) Thoracotomy incision
d) Mc Burney’s incision
Right option: Mc Burney’s incision
3) A 30 years old paraplegic patients with lack of sensory input came to the hospital. He was
suffering from:
a) Chronic ulcers
b) Pressure sores
c) Avulsion
d) Laceration
Right option: Pressure sores
4) What are the key processes involved in the natural healing of injured skin?
a) Swelling, bleeding, and pain
 b) Resurfacing, reconstitution, and restoring tensile strength
c) Scabbing, bruising, and peeling
d) Infection, inflammation, and pus formation
Right Option: Resurfacing, reconstitution, and restoring tensile strength
5) Which of the following injury is caused by projectile weapon such as a firearm:
a) Laceration
b) Abrasion
c) Excoriation
d) Ballistic Trauma
Rightoption: Ballistic trauma
6) A patient of 40 years came to the hospital with spinal cord injury and anaphylaxis was
suffering from which type of shock?
a) Cardiogenic shock
b) Endocrine shock
c) Distributive shock
d) Obstructive shock
Right option: Distributive shock
7) Which of the following are risk of colloids?
a) Coagulation problems
b) Edema
c) Respiratory Problems
d) Gastrointestinal Issues
Right option: Coagulation problems
Surgery mcqs
Kshaf Waseem
Roll#20817
DPT 8 th

--------incision is limited by umblicus superiorly

 Lower midline
 Upper midline
 Vertical
 Paramedian
 Vasoconstriction is part of ----------phase of wound healing
Hemostasis
Inflammation
Proliferation
Maturation
Ionotropes is medication used to create -----
 Cardiac contractility
 Vasodilation
 Shock

---------- is abnormal amounts of fluid accumulate in the pericardial sac.

 Cardiac temponade
 Tension pneumothorax
 Pulmonary embolism
 Air embolism
Blood is dark red and flows steadily from the wound is characteristic of ---------.
Venous hemorrhage
Capillary hemorrhage
Arterial hemorrhage
Lacroscopic cholysystectomy Is -------surgery
 Micro
 Minimally invasive
 Robot assisted
 Open
All the layers of skin are damaged in ------
 Lacerations
 Abrasions
 Contusion
 Burns

Malaika Zahid
22031
SURGERY MCQs
1) A 58 years old woman of breast cancer test positive for BRCA1 Gene mutation She has no
sign and symptoms of cancer her physician recommends surgical procedure to reduce her risk.
Which type of surgery is more appropriate in this scenario?
A) Curative surgery
B) Diagnostic surgery
C) Preventive surgery
D) Palliative surgery
2) A 32 years old woman is casual for cesarean section .The surgeon decides to make a low
transverse incision with minimal cosmetic damage and faster healing. Which type of incision is
appropriate for this procedure?
A) Kochers incision
B) Pfannenstiel incision
C) Gridirons incision
D) Midline incision
3) Which of the following feature of a tidy wound?
A) Caused by Crushing or avulsion
B) Usually contaminated and contains devitalized tissue
C) Inflicted by sharp objects
D) Fractures are commonly present
4) What is the time required for recovery during proliferative phase?
A) 2 days to 3 weeks
B) 3 weeks to 2 years
C) 3 days to 3 weeks
D) 2 to 5 days
5) Which type of injury is caused by mechanical destruction of skin and is common with
abrasion?
A) Hematoma
B) Excoriation
C) Contusion
D) Blast trauma
6) Which type of shock is characterized by reduced circulating volume due to hemorrhage or
fluid loss?
A) Cardiogenic shock
B) Hypovolemic shock
C) Distributive shock
D) Obstructive shock
7) Which fluid type is associated with a higher risk of allergic reactions and coagulation
problems?
A) Crystalliods
B) Colloids
C) Normal saline
D) Ringers lactate
CamScanner CamScanner

NAME: SEHAR RAMZAN

ROLL NO:20630

SURGERY II

Here are 7 scenario-based multiple-choice questions (MCQs) based on the content of the
provided presentation on Wound Healing:

1. Scenario: Post-Surgical Incision

A 35-year-old patient underwent a clean surgical procedure and had the wound closed using
sutures. Two weeks later, the wound shows minimal scarring and no signs of infection.

What type of wound healing is most likely occurring in this patient?

A. Healing by secondary intention
B. Healing by tertiary intention
C. Healing by primary intention
D. Chronic wound healing
Correct Answer: C. Healing by primary intention

2. Scenario: Pressure Ulcer Case

An elderly patient presents with a pressure ulcer that is deep and open. The wound is healing
gradually from the base upwards without surgical closure.

Which wound healing process is this patient undergoing?

A. Primary intention
B. Secondary intention
C. Tertiary intention
D. Regenerative healing
Correct Answer: B. Secondary intention

3. Scenario: Infected Abdominal Wound

A patient has an abdominal wound initially left open due to signs of infection. After the infection
cleared, the wound was surgically closed.
Which type of wound healing does this best represent?
A. Primary intention
B. Delayed secondary intention
C. Tertiary intention
D. Inflammatory healing
Correct Answer: C. Tertiary intention

4. Scenario: Initial Wound Response

A trauma patient shows immediate vasoconstriction and platelet aggregation at the wound site.

Which phase of wound healing is being described?

A. Proliferative phase
B. Inflammatory phase
C. Remodeling phase
D. Hemostasis phase
Correct Answer: D. Hemostasis phase

5. Scenario: Tissue Building

A wound is showing new capillary growth and collagen deposition. Fibroblasts are active and
filling the tissue defect.

Which wound healing phase is most active in this scenario?

A. Inflammation
B. Hemostasis
C. Proliferation
D. Maturation
Correct Answer: C. Proliferation

6. Scenario: Long-term Recovery

Six months after a major burn injury, a patient’s scar tissue has increased in strength but remains
weaker than normal skin.

Which phase of wound healing is likely ongoing?

A. Inflammatory
B. Hemostasis
C. Maturation
D. Proliferative
Correct Answer: C. Maturation

7. Scenario: Skin Regrowth

A moist, shallow wound is healing, and epithelial cells are seen migrating over the wound bed at
a rate of approximately 3 cm from the origin.

Which sub-process of the proliferative phase is being observed?

A. Contraction
B. Granulation
C. Epithelialization
D. Remodeling
Correct Answer: C. Epithelialization

Naheeda Khan
21922
Surgery MCQs
1) What is the act of performing surgery commonly called
A) Operation
B) Diagnosis
C) Consultation
D) Therapy
2) A 35 years old man was involved in a car accident and sustained a severe facial injury,
resulting in significant disfigurement. He is scheduled for surgery to improve his appearance and
restore facial function. What is the primary indication for this surgery?
A) Diagnostic purpose
B) Reconstructive surgery
C) Symptomatic relief
D) Therapeutic intervention
3) A 15 years old boy falls off his skateboard and scrapes his knee on the pavement, resulting in
a painful wound where the skin surface is rubbed off, exposing nerve endings. What type of
wound is this?
A Hematoma
B) Abrasion
C) Contusion
D) Punctured wound
4) A 35 year old woman cuts her finger while chopping vegetables. Within minutes , bleeding
stops as a clot forms at the site of the injury . What phase of wound healing is occurring at this
moment?
A) Inflammation phase
B) Proliferation phase
C) Hemostasis phase
D) Remodeling phase

5) Which type of hemorrhage is typically minor and seen in superficial injuries like cuts , where
blood oozes slowly from damaged capillaries?
A) Arterial hemorrhage
B) Venous hemorrhage
C) Capillary hemorrhage
D) Hematoma

6) Cardiogenic shock is primarily caused by:

A) Severe vasodilation
B) Physical obstruction in blood flow
C) Failure of the heart to pump blood in to tissues
D) Hormonal imbalance
7) Inotropic support is most appropriately used in which type of shock?
A) Hypovolemic shock
B) Distributive shock
C) Cardiogenic shock
D) Obstructive shock
NEHA MARIYAM
22759
SURGERY

1.The Lanz incision is primarily used for which surgical procedure?

A. Cholecystectomy

B. Open appendectomy

C. Hernia repair

D. Colectomy

Answer B

2. Which of the following is considered an untidy wound?

A. Clean surgical incision

B. Sharp knife cut with clean edges

C. Crush injury with devitalized tissue

D. Superficial scratch on skin

Answer: C. Crush injury with devitalized tissue

3. Which of the following is the most common type of hemorrhage in trauma patients?
A. Intracerebral hemorrhage

B. Subarachnoid hemorrhage

C. External hemorrhage

D. Internal hemorrhage

Answer: C. External hemorrhage

4. The initial management priority in a patient with hypovolemic shock is:

B. Intravenous antibiotics

C. Fluid resuscitation

D. Blood transfusion

Answer : C

5. Which of the following is a common symptom of stroke?

A) Sudden weakness or numbness in the face, arm, or leg

B) Sudden confusion or trouble speaking

C) Sudden trouble seeing in one or both eyes

D) All of the above

Answer:D

6. Which of the following is the first phase of wound healing?

A. Proliferative phase

B. Maturation phase

C. Inflammatory phase

D. Remodeling phase

Answer C

7. In chronic wounds, delayed healing is often due to:

A. Excess collagen formation

B. Continuous inflammation

C. High oxygen levels

D. Rapid epithelialization

Answer: B. Continuous inflammation

4) What type of wound is caused by an object like a nail or needle penetrating the skin?

a) Hematoma

b Puncture

c) Laceration

d) Excoriation

Correct Ans: (B)

5) What type of surgery is done immediately to save a life or a timb?

a) Preventive Surgery
b) Elective Surgery
c)Diagnostic Surgery
d) Emergency Surgery

Correct Ans: (D)

6) What makes Abrasions and friction burns painful?

a) Muscle damage
b) Exposed nerve ending
c)Broken bones
d) Loss of Blood

Correct Ans.. Exposed nerve end

Assignment No: 01
Name laiba Zaheer
Roll no 23111
Subject : Surgery
Department:DPT
Semester:8th
Topic: Mcqs from Mid syllabus
1. What is the Greek word for surgery.
a) Chirurgiae
b) Cheirourgike
c) Churgous
d) Chirurgius
2. Break in _________ continuity is called wound.
a) Bone
b) Ligament
c) Tendon
d) Tissue
3. Surgical incisions should be parallel to the________ lines
a) Longitudinal lines
b) Transverse lines
c) Langer’s lines
d) Vertical lines
4. Inflammatory phase last up to ______ days
a) 3-5 days
b) 2-5 days
c) 4-7 days
d) 1-5 days
5. Reduced circulating volume is called ________ shock
a) Cardiogenic shock
b) Obstructive shock
c) Hypovolemic shock
d) Endocrine shock
6. Mixed venous oxygen saturation is_________ .
a) 50-70%
b) 60-80%
c) 60-90%
d) 60-100%
 7. Don’t give ionotropic support to ________ patients
a) Distributive shocked
b) Obstructive shocked
c) Cardiogenic shocked
d) Hypovolemic shocked

l)ate:

Bisma A

ROLL No :
htpubIisht18Aovn
Name: Saher

Roll No: 22949

Department: DPT

Assignment: Surgery

SURGERY MCQ’s

1) A combination of primary and secondary healing, tertiary intention is used when a wound
is intentionally left open for a period to allow drainage or infection clearance is?
A. Primary Healing
B. Secondary Healing

C. Delayed primary Healing

D. None of above

2)What is the total blood volume in infants due to hemorrhage?

A. 65-75ml/kg
B. 75-80ml/kg

C. 80-85ml/kg
D. 90-100ml/kg

3)Which type of shock is charterized by a decrease in a heat ability to pump blood effective?

A. Cardiogenic shock
B. Obstructive shock
C. Endocrine shock
D. Distributive shock

4)Which of the following is considered a close wound?

A. Laceration
B. Puncture

C. Hematoma
D. Abrasion
 5)A surgical procedure to remove a Cancerous growth would fall under which category of
surgical indication?

A. Diagnostic purpose

B. Therapeutic intervention
C. Symptomatic relief
D. Preventives measure

6)To remove and repair the cause of a condition like tumor removal or gallbladder removal?

A. Diagnostic

B. Curative
C. Palliative
D. Preventative/prophylactic

7)Which type of fluid typically stays in the intravascular space for a longer duration?

A. Crystalloids

B. Colloids
C. Both expand at same rate
D. It depends on the specific fluid

NAME: SUMMAYA FATIMA

ROLL NO: 22122

SECTION: DPT 8TH A

SUBJECT: SURGERY II

SUBMITTED TO: DR. ZAID ARIF

TOPIC: MCQ

The type of incision varies based on

A. Physiological aspects
B. Surgical instrument
C. Anatomical location
D. Physicians guide
Right answer is C

1. Wound healing can be classified into

A. 4 types
B. 2 types
C. 5 types
D. 3 types
Right answer is D

2. Colloid is a type of fluid that contains

A. Normal saline
B. Albumin and dextrane
C. Lactate solution
D. Blood

Right answer is B

3. Which type of wound cause more chances of infection in deeper tissues

A. Punctured wound
B. Hematoma
C. Bruise
D. Amputation
 Right answer is A

4. Which equipment is used to cut and remove growths with precision

A. Electrocautery
B. Surgical laser
C. Laproscope
D. Scalpel
Right answer is B

5. Loss of blood in class I hemorrhage is

A. Upto 12 % of blood volume
B. Upto 20% of blood volume
C. Upto 15% of blood volume
D. Upto 25% of blood volume

Right answer is C

6. Amount of blood loss in class IV hemorhage is

A. More than 40 % volume
B. Over 2000ml
C. More than 60% volume
D. Over 4000ml
Right answer is B
RIPHAH INTERNATIONAL UNIVERSITY FAISALABAD
NAME: MALAIKA ZAHRA KHAN
ROLL NO: 22275
SUBJECT: SURGERY
SUBMITTED TO: DR ZAID
TOPIC: MCQS.
1. A 12-year-old boy falls off his bicycle while riding on a gravel path. He scrapes his knee, and
the injury results in superficial skin damage with minor bleeding. The wound does not go deep
into the skin layers. What type of traumatic bleeding is most likely present in this scenario?
A) Laceration
B) Puncture
C) Abrasion
D) Avulsion
Correct answer (C)
2. A 35-year-old man sustains a deep cut to his forearm while working with sheet metal. At the
scene, the bleeding appears dark red and flows in a steady stream rather than spurting. First
responders note the bleeding is continuous but not forceful. What type of hemorrhage is most
likely present in this situation?
A) Capillary hemorrhage
B) Arterial hemorrhage
C) Venous hemorrhage
D) Internal hemorrhage
Correct Answer: C) Venous hemorrhage
3. A 28-year-old male is brought to the emergency department following a motor vehicle
collision. He appears confused and agitated. On examination, his heart rate is 130 bpm, blood
pressure is 80/50 mmHg, and his breathing is rapid and shallow. His skin is pale, cold, and
clammy, and his urinary output is minimal .Which class of hemorrhage is most consistent with
these findings?

A) Class I Hemorrhage
B) Class II Hemorrhage
C) Class III Hemorrhage
D) Class IV Hemorrhage
Correct Answer: C) Class III Hemorrhage
4.A 65-year-old man presents to the emergency department with chest pain, shortness of breath,
and confusion. ECG confirms an anterior wall myocardial infarction. Despite revascularization,
his blood pressure remains low, and he shows signs of poor peripheral perfusion and
oliguria .Which of the following best explains his clinical deterioration?
A) Septic shock
B) Hypovolemic shock
C) Cardiogenic shock
D) Neurogenic shock
Correct Answer: C) Cardiogenic shock
5. Which of the following statements about cardiogenic shock is TRUE?
A) It is commonly caused by dehydration and third-space losses
B) It occurs in most patients following a heart attack
C) It is a life-threatening condition resulting from the heart's inability to pump sufficient blood
D) It is primarily caused by spinal cord injuries
Correct Answer: C) It is a life-threatening condition resulting from the heart's inability to pump
sufficient blood
6. Which of the following is not a typical sign of severe shock?
A) Profound tachycardia
B) High urine output
C) Hypotension
D) Labored breathing
Correct Answer: B) High urine output
7. A patient is brought to the ER unconscious, with no urine output, labored breathing, and a
very fast heart rate. What is the most likely diagnosis?
A) Mild dehydration
B) Severe shock
C) Panic attack
D) Hyperventilation syndrome
Correct Answer: B) Severe shock

Name: Noreen Fatima

Roll #22369
Semester: DPT 8th
Submitted to: Dr. Zaid Arif

MCQ’S

1. Which type of surgery involves large incisions to access organs or tissues for
diagnosis or preparation for major surgery?

A. Minimally Invasive Surgery

B. Microsurgery
C. Open Surgery
D. Close Surgery

Answer: Open Surgery

2. Which type of incision is made in the right upper quadrant of the abdomen for
open cholecystectomy and is also known as the "roof top incision"?

A. Midline Incision
B. Kocher Incision
C. Vertical Incision
D. Transverse Incision

Answer: Kocher’s Incision

3. In managing chronic wounds, which of the following is most important for

promote healing?
 A. Only topical antibiotics
B. Surgical excision and skin grafting
C. Use of herbal remedies
D. Immediate amputation

Answer: Surgical excision and skin grafting

4. In the proliferative phase, epithelial cells travel about 3 cm from their point of
origin to cover a wound. This process is known as:

A. Granulation
B. Contraction
C. Epithelialization
D. Inflammation

Answer: Epithelialization

5. For an average adult with 5 liters of blood, how much blood is lost in ATLS Class I
Hemorrhage?

A. 1000 mL
B. 1500 mL
C. 750 mL
D. 500 mL

Answer: 750 mL

6. Which of the following conditions can lead to obstructive shock by causing a

reduction in preload?

A. Cardiac tamponade
B. Dehydration
C. Septic shock
D. Hypovolemic shock

Answer: Cardiac tamponade

 7. In cardiogenic shock, which type of medication is most commonly used to improve
cardiac output?

A. Vasopressors
B. Inotropes
C. Antibiotics
D. Diuretics

Answer: Inotropes

Submitted by: Ayesha najeeb

Roll no : 22918

Submitted to:Sir zaid

Surgery 2

Mcqs:-
1.Cut into body tissue or organ during surgery called?
•laceration
•puncture wound
•Incision
•Abrasion
2.Escape of blood from any part of vascular system?
•Contusion
•Haemorrhage

•injuries
•Trauma
3.Shock is a state of circulatory failure?
•chronic
•subacute
•Acute

•None
4. There are many types of burns?
•3

•2
•4

•1
5.Inflammatory phase range about
•within minutes
• within seconds

•Immediately to 2 or 5 days

•within hours
6. Langer’s lines described by Australian anatomists in?
•1860
•1871
•1861

•1890
7.A thin tube with camera used in minimally invasive surgeries
•Scalpel
•Electrocautery
•Microsurgery
•Laparoscope
Name: Maryam Aziz Ullah
Roll no.: 22870
Department: DPT
Subject: Surgery
Submitted to: Sir Zaid

1- Relieve the symptoms or improve the quality of the life without curing the condition;
which types of surgery?
a) Preventive surgery
b) Palliative surgery
c) Diagnostic surgery
d) Curative surgery

2- Gridiron’s incision is a:
a) Downward and inward
b) Upward and Inward
c) Downward
d) None of the above

3- Types of incision are:

a) Midline incision
b) Para Midian incision
 c) Gridiron’s incision
d) All of the above

4- . Sharp objects penetrate and cause open injuries, which have a higher chance of
infection in deeper tissue. What type of wound is this :
a) Punctured wound
b) Abrasion
c) Laceration
d) None of the above

5- All are characteristics of primary healing except:

a) Minimal scarring
b) Less risk of infection
c) Short time of healing
d) Large scar formation

6- Remolding is one of the stages of wound healing. how much time it takes to heal the
wound:
a) Within minute
b) 2 days to 3 weeks
c) 3 weeks to 2 years
d) 2 years to 4 years
7- The cardiovascular response of dynamic fluid is:
a) 250-500 ml fluid over 5-10 minutes
b) 500 ml fluid over 10 minutes
c) 300 ml over 7 minutes
d) None of the above

Aatiqa arif
22578
Surgery MCQs
1. Approximately how far can epithelial cells migrate from their point of origin in all directions?

A) 1 cm
B) 2 cm
C) 3 cm
D) 5 cm

Correct Answer: C) 3 cm

2.An ICU patient with hypovolemia is showing a mixed venous oxygen saturation of 48%.

Question:
3. This finding most likely indicates:

A) Excessive oxygen delivery to tissues

B) Decreased oxygen consumption by tissues
C) Impaired oxygen delivery due to low blood volume
D) Normal oxygen exchange and perfusion

Correct Answer: C) Impaired oxygen delivery due to low blood volume

A trauma patient is suspected of being in obstructive shock due to decreased preload despite
adequate fluid resuscitation.

Question:
Which of the following conditions is most likely causing this reduction in preload?

A) Acute myocardial infarction

B) Cardiac tamponade
C) Anaphylactic reaction
D) Spinal cord injury

Correct Answer: B) Cardiac tamponade

A patient presents with massive cerebral haemorrhage leading to loss of consciousness and
eventually death.

Question:
What is the appropriate WHO bleeding grade?

A) Grade 3
B) Grade 2
C) Grade 1
D) Grade 4

Correct Answer: D) Grade 4

A 40-year-old woman has her gallbladder removed using a technique that involves small
incisions and a camera.
Question:
Which surgical method is most likely used?

A) Laparotomy
B) Robot-assisted surgery
C) Laparoscopic cholecystectomy
D) Microsurgery

Correct Answer: C) Laparoscopic cholecystectomy

Which structure is commonly involved along with skin in incised wounds?

A) Hair follicles only

B) Deeper structures like muscles or vessels
C) Nails only
D) Outer skin layer only

Correct Answer: B) Deeper structures like muscles or vessels

A 22-year-old male presents with acute right lower abdominal pain, fever, and elevated white
blood cell count. Imaging confirms acute appendicitis.

Question:
What is the primary indication for the surgery in this case?

A) Diagnostic clarification
B) Symptomatic relief
C) Therapeutic removal of diseased tissue
D) Preventative care

Correct Answer: C) Therapeutic removal of diseased tissue

Submitted by: Hiba Arshad

Submitted to: Dr. Zaid Arif
Roll no: 20430
Subject: Surgery II

MCQ'S
1. Which type of hemorrhage is managed by IV fluid ( crystalloids) to restore blood volume
and observation?
a. Class I & II hemorrhages
b. Class III
c. Class IV
d. Class V

2. ________ is a downward and inward incision, can be used in right lower quadrant area
diseases, Such as appendicitis, and can also be drained pelvic abscesses.
a. Midline Incision
b. Gridiron's Incision
c. Upper midline incision
d. Lower midline incision

3. Which medication is used to create vasoconstriction or increase cardiac contractility,

respectively in patients with shock or any other reason for extremely low blood pressure?
a. Vasopressors
b. Inotropes
c. A and B both
d. Vasodepressor

4. What is the primary function of a scalpel in surgical procedures?

a. To clamp blood vessels
b. To suture skin
c. To make precise incisions
d. To retract tissues

5. What is the correct definition of a contusion?

a. A superficial scratch on the skin
b. A break in the continuity of the skin with bleeding
c. A bruise caused by blunt trauma without skin break
d. A deep cut caused by a sharp object
 6. In which type of wound healing wounds edges are brought together typically by sutures,
staples, or adhesive tape. This type of healing occurs in clean wounds with minimal tissue
loss such as surgical incisions?
a. Primary healing
b. Secondary healing
c. Delayed primary healing
d. Delayed secondary healing

7. What is the primary cause of hypovolemic shock?

a. Heart failure
b. Severe blood or fluid loss
c. Infection
d. Anaphylaxis

Name: Haseeba Afzal

Roll No: 22998
Subject: Surgery
Submitted To: Dr. Zaid
1: Which of the following best describes the primary goal of palliative surgery?
A) To cure the underlying disease and achieve complete remission.
B) To alleviate symptoms and improve the quality of life without altering the disease's
course.
C) To prevent the occurrence of the disease in healthy individuals.
D) To perform routine procedures unrelated to the patient's condition.
Correct answer:
B) To alleviate symptoms and improve the quality of life without altering the
disease's course.
2: Which of the following statements is true regarding Langer's lines?
A) They are lines of tension in the dermis that affect healing after surgical incisions.
B) They are always perpendicular to the underlying muscle fibers.
C) They are irrelevant to surgical procedures and wound healing.
D) They are only present in certain regions of the body.
Correct Answer:
A) They are lines of tension in the dermis that affect healing after surgical incisions.
3: Enlist the appropriate treatment of wound?
A) Debriding
B) Moist dressing
C) Nutritional support
D) Dry dressing
Correct answer:
C: Nutritional support

4: What is III. Proliferative Phase of wound healing?

A) 2 days to 3 weeks
B) 3 days to 5 weeks
C) Days to weeks
D) 5 days to 5 weeks
Correct answer:
A) 2days to 3 weeks
5: Caused by damage to a blood vessel that in turn causes blood to collect under the skin?
this is called:
A) Abrasion
B) Hematoma
C) Excoriation
D) None of these
Correct answer:
B) Hematoma
6: low levels of oxygen in body tissues meant by:
A) Hypoxia
B) Hyperoxia
C) Hyperoxias
D) All of above
Correct answer:
A) hypoxia
7: what is meant by intestinal obstruction?
A) Hypovolemia
B) Oral laxatives
C) High fiber diet
D) None
Correct answer:
A) Hypovolemia
SURGERY

Hina Akram
22288
DPT 8
Spring 2025
Riphah International University Faisalabad

1.Which type of surgery is performed primarily to relieve symptoms and improve quality
of life without aiming to cure the condition?

Options:

A. Curative Surgery

B. Palliative Surgery

C. Preventive Surgery

Correct Answer:

B.Palliative Surgery

2.What is the primary surgical use of the gridiron incision described by McBurney in
1894?

Options:

A. Cholecystectomy

B. Appendectomy

C. Inguinal hernia repair

Correct Answer:

B. Appendectomy

3.Which step is essential in managing an incised wound?

Options:
A) Wound exploration and hemostasis
B) Immediate application of a tourniquet
C) Allowing the wound to clot naturally

Correct Answer:
A)Wound exploration and hemostasis

4.Which type of hemorrhage is characterized by bright red blood that spurts rhythmically
with the heartbeat?

Options:
A) Arterial hemorrhage
B) Venous hemorrhage
C) Capillary hemorrhage

Correct Answer:
A) Arterial hemorrhage

5. What is a key feature of distributive shock?

Options:
A) Increased systemic vascular resistance
B) Vasodilation leading to hypotension and inadequate tissue perfusion
C) Decreased cardiac output with high afterload

Correct Answer:
B) Vasodilation leading to hypotension and inadequate tissue perfusion

6.Which of the following is NOT the first-line therapy for hypovolemic shock?

Options:
A) Fluid resuscitation
B) Vasopressor agents like Phenylephrine or Noradrenaline
C) Blood transfusion
Correct Answer:
B) Vasopressor agents like Phenylephrine or Noradrenaline

7.Which wound healing process occurs when a wound is left open to heal naturally due to
significant tissue loss or infection?

Options:
A) Primary intention
B) Secondary intention
C) Tertiary intention

Correct Answer:
B) Secondary intention
Assignment:

Surgery

Submitted to:

Dr. Zaid Arif

Submitted by:

Jawaria Anwar

Roll #:

20816

Department and Semester:

DPT 8th

A 24 years old male arrived at the hospital with severe pain of appendicitis. Which type of
surgery is needed in this situation?

a- Elective surgery
b- Semi-elective surgery
c- Emergency surgery
d- Urgent surgery
Correct Answer: Option D (Urgent Surgery)
 2- Surgical Incisions that are performed in surgery should be:
a- Perpendicular to langer lines
b- Parallel to langer lines
c- Inclined to langer lines
d- Oblique to langer lines
Correct Answer: Option B (Parallel to langer lines)
3- All of the following are the pressure sores areas, except:
a- Cervical area
b- Lumbar or lower back area
c- Heels
d- Inner knees
Correct Answer: Option A (Cervical Area)
4- The wound healing that is done by sutures, staples or adhesive tape is:
a- Primary healing
b- Secondary healing
c- Tertiary healing
d- Delayed primary healing
Correct Answers: Option A (Primary Healing)
5- The blood loss percentage in class VI hemorrhage is:
a- 15%
b- 30%
c- 40%
d- More than 40%
Correct Answer: Option D (More than 40%)
6- Which one is not the characteristic of moderate shock?
a- Renal compensatory mechanism fail
b- Tachycardia
c- Laboured breathing
d- Drowsy, mildly confused
Correct Answer: Option C (Laboured breathing)
7- The large molecule that stay longer in intravascular space is:
a- Collagen
b- Hydroxyethyl Starches
c- Iodine
d- Phospholipids
Correct Answer: Option B (Hydroxyethyl Starches) MCQ’s of Surgery ||
1.Elective surgery is a type of surgery that is a planned in advance and not urgent. while cancer
surgeries are included in which type of surgery:
a) Urgent surgery
b) Emergency surgery
c) Semi-elective surgery
d) Elective surgery
Answer is c).
2.Indications for surgery refer to the clinical conditions or situations where surgical intervention
is recommended or required. Prophylactic mastectomy in high-risk individuals is the surgery that
comes under:
a) Diagnostic purpose
b) Therapeutic interventions
c) Reconstructive
d) Preventive measures
Answer is d).
3.Incise means to cut something. These are the incisions made in the skin over the body during
surgical procedures. Type of incision varies based upon:
a) Anatomical position
b) Purpose of surgery
c) Location and lager’s lines position
d) All of these
Answer is d).
4.According to Classification of wound by Rank & Wakefield. Characteristics of untidy wounds
include:
a) Result from crushing, tearing, avulsion or burns
b) Skin wounds multiple & irregular
c) If closed primarily, wound infection, dehiscence, delayed healing, gas gangrene
d) All of these
Answer is d).
5.It happens when a wound is left open and heals naturally from the bottom up due to significant
tissue loss or infection. Examples include pressure ulcers, burns, or traumatic injuries. This type
of wound healing is called:
a) Healing by primary intention
 b) Healing by secondary intention
c) Healing by tertiary intention
d) None
Answer is b).
6.Symptoms of class 1 hemorrhage are: Minimal or no symptoms, Normal heart rate and blood
pressure, slightly increased respiratory rate, Patients may appear normal so what is the total loss
of blood in Class I Hemorrhage according to the Four classes by the College of Surgeons'
advanced trauma life support (ATLS):

a) Up to 30% of total blood volume

b) Up to 20% of total blood volume
c) Up to 15% of total blood volume
d) Up to 10% of total blood volume
Answer is c).
7. Shock is defined as a clinical state of acute circulatory failure with inadequate oxygen
utilization and/or delivery by the cells.it is a a life-threatening medical condition. The
pathophysiological factors that are involved at cellular level are:
a) Perfusion reduced (Delivery of blood to a capillary bed in tissue is reduced).
b) Hypoxia (low levels of oxygen in body tissues).
c) Metabolic acidosis (body fluids contain too much acid).
d) All of these.
Answer is d).
 Name Muhammad Abubakar Farooq

Roll no 15580

Department DPT

Semester 8th

Submitted to Dr. Zaid Arif

ASSIGNMENT OF SURGERY-II

Multiple choice questions:

1- Surgery aimed at relieving symptoms of advanced disease rather than curing the underlying
condition (e.g., tumor in cancer patients):
A)Transplantation B)Palliative care C)Reconstructive D) none of these

2- Third degree of burn usually describes:

A) Destruction of epidermis
B) Only includes outer layer of skin
C) All layers of skin are destroyed
D) None of the above

3- How many phases of wound healing are there?

A) Two
B) Three
C) Four
D) Five

4- Clinical examination gives clue about type of shock, in case of

Fear/be afraid is:
A) Hypovolemia
B) Hypervolemia
C) Ionotropic
D) None of these
5-Which shock type is rare:
A) Hypovolemic shock
B) Obstructive shock
C) Cardiogenic shock
D) Distributive shock

6- In neuromuscular symptoms of potassium depletion muscle

Weakness typically starts in:
A) Upper extremity
B) Lower extremity
C) Both A and B
D) None of these
7- In class-II of hemorrhage the blood loss is:
A) 10-20%
B) 15-30%
C) 30-45%
D) More than 40%

1) Which type of surgery involves large incisions to directly access organs or tissues?
A) Minimally Invasive Surgery
B) Open Surgery
C) Robot-Assisted Surgery
D) Microsurgery
2) Why is cardiac function evaluation necessary for diabetic patients before surgery?
A) To check for potential vision problems
B) To assess heart health due to increased cardiovascular risk
C) To monitor hydration levels
D) To prevent nerve damage
3) Which of the following surgeries is done primarily for symptomatic relief?
A) Fracture fixation
B) Prophylactic mastectomy
C) Gallbladder removal for gallstones causing pain
D) Cardiac function evaluation
4) What is a key cellular response involved in wound healing?
A) Suppression of immune function
B) Activation of tissue repair mechanisms
C) Random tissue degradation
D) Complete elimination of damaged cells without replacement
5) Hypovolemia can be caused by:
A) Fear-related stress
B) Increased blood volume
C) Controlled hemorrhage
D) Excessive fluid retention
6) Shock is primarily characterized by:
A) Increased oxygen delivery to cells
B) Acute circulatory failure leading to cellular hypoxia
C) Excessive blood perfusion to tissues
D) Rapid cell regeneration
7) What is the definition of hemorrhage?
A) Formation of blood clots within vessels
B) Escape of blood from a ruptured blood vessel
C) Reduced oxygen supply to tissues
D) Increased blood pressure in arteries

Name: Zain Shafique

Submitted to: Dr.Zaid Arif

Roll # 22836

1)A 60-year-old man arrives at the emergency department with sudden, severe chest and
abdominal pain. Imaging reveals a ruptured abdominal aortic aneurysm. The surgical team is
immediately called to perform an operation to control internal bleeding and save his life.

A. Elective Surgery
B. Semi-Elective Surgery
C. Urgent Surgery
D. Emergency Surgery

Correct Answer: D. Emergency Surgery

2)An ideal surgical incision should be cosmetically good, provide proper exposure, be easily
extendable, heal with minimal scarring, and be parallel to Langer’s lines

A. Only the first two points are correct

B. All points are correct

C. Only healing and cosmetic appearance matter

D. Langer’s lines are not considered in surgical incisions

Answer: B. All points are correct

3)Severe open injuries with degloving involve separation of tissue planes, ruptured vessels,
ischemia, and may require flap cover

A) Minor abrasion

B) Closed fracture

C) Severe open injury

D) Simple laceration

Correct Answer: C

4)Which of the following is not one of the four classic phases of the natural restorative response
to tissue injury?

A. Hemostasis

B. Inflammation

C. Proliferation

D. Calcification

Answer: D. Calcification

5) Which World Health Organization (WHO) bleeding grade involves gross blood loss requiring
transfusion?

A. Grade 1
B. Grade 2
C. Grade 3
D. Grade 4

Correct Answer: C. Grade 3

6)Reduced delivery of blood to tissue capillary beds results in which of the following conditions
due to inadequate oxygen supply?

A) Hyperoxia
B) Hypoxia

C) Respiratory alkalosis

D) Hypernatremia,

Correct answer: B) Hypoxia

7) Vasopressors and inotropes are mainly used in which types of shock to improve perfusion?
A) Hypovolemic and septic shock
B) Cardiogenic and distributive shock
C) Obstructive and hypovolemic shock
D) Neurogenic and hemorrhagic shock

Correct answer: B) Cardiogenic and distributive shock

SURGERY MCQs:

1) What is the primary advantage of minimally invasive surgery?

A) Use of large incisions
B) Improved visibility through microscopes
C) Reduced recovery time and small incisions
D) Dependence on robotic technology
2) Which diabetic complication can impact surgical outcomes by affecting kidney function?
A) Neuropathy
B) Retinopathy
C) Nephropathy
D) Cardiovascular disease
3) Therapeutic surgical interventions include
A) Performing a biopsy for diagnosis
B) Repairing damaged structures like fractures
C) Conducting nerve conduction studies
D) Prescribing medication for pain relief
4) Which of the following best describes the wound healing process?
A) A single-step mechanism
B) A series of cellular, tissue, and systemic events
C) A rapid healing process without complications
D) A process that occurs only in chronic wounds
5) In cases of active bleeding, the primary intervention is:
A) Ignoring it and waiting for stabilization
B) Encouraging fluid intake only
C) Controlling hemorrhage
D) Avoiding any surgical procedures
6) What is a major consequence of inadequate tissue perfusion in shock?
A) Enhanced oxygen utilization
B) Cellular injury and impaired tissue function
C) Increased aerobic metabolism
D) Improved cellular efficiency
7 Which of the following factors influence the severity of hemorrhage?
A) Blood volume lost, bleeding site, and speed of blood loss
B) The presence of oxygenated blood only
C) The patient's body temperature
D) The absence of red blood cells

NAME: QAMAR UL ZAMAN

ROLL NO :20508

SURGERY II

1. Which of the following is a characteristic of a tidy wound?

A. Multiple and irregular skin wounds
B. Commonly associated with fractures
C. Inflicted by sharp objects like knives or glass
D. Usually contaminated with devitalized tissue
Answer: C
2. What is the primary risk associated with untidy wounds if closed primarily?
A. Hypertrophic scarring
B. Excessive bleeding
C. Wound infection and delayed healing
D. Nerve regeneration
Answer: C

3. Which of the following is a closed wound?

A. Laceration
B. Puncture wound
C. Bruise (contusion)
D. Abrasion
Answer: C

4. What best describes a puncture wound?

A. Caused by blunt trauma
B. Involves surface rubbing off the skin
C. Caused by a sharp object penetrating the skin
D. Always results in hematoma
Answer: C

5. What distinguishes bites from other wound types?

A. They do not require antibiotics
B. Always result in hematomas
C. Caused by high-velocity impact
D. Combination of laceration and crushing with high infection risk
Answer: D

6. Which of the following is not a typical site for pressure sores?

A. Sacrum
B. Heels
C. Knuckles
D. Ischium
Answer: C

7. What is a key preventive measure for pressure sores?

A. Intravenous antibiotics
B. Immobilizing the patient
C. Frequent turning and use of pressure-relieving surfaces
D. Use of topical steroids
Answer: C

Name : Muhammad shah zaib

Roll no 22366
Submitted to Dr. Zaid MBBS
Dpt 8th semester

Mcqs of slide hemorrhage

1. A 25-year-old male is brought to the emergency department after a motorcycle accident. He
has a deep, irregular wound on his thigh with dark red blood flowing steadily. His heart rate
is 110 bpm, blood pressure is 90/60 mmHg, and his skin is cool and clammy.What type of
hemorrhage is most likely occurring in this patient?
A) Arterial hemorrhage
B) Venous hemorrhage
C) Capillary hemorrhage
D) Petechial hemorrhage
2. A 10-year-old child falls off a bicycle and sustains a superficial scrape on the knee. The
wound is oozing small amounts of blood.What is the most appropriate first-aid measure for
this injury?
A) Apply direct pressure and elevate the knee
B) Use a tourniquet above the knee
C) Administer IV fluids immediately
D) Pack the wound with gauze
3. A trauma patient with a gunshot wound to the abdomen is in hemorrhagic shock. Blood loss
is estimated at 35% of total volume.Which management step is most critical for this patient?
A) Oral rehydration
B) Blood transfusion and surgical intervention
C) Application of topical antibiotics
D) Observation and monitoring
4. A 60-year-old woman with a history of peptic ulcer disease suddenly vomits a large amount
of bright red blood. Her heart rate is 130 bpm, blood pressure is 70/40 mmHg, and she is
confused. Which class of hemorrhage does this patient most likely have?
A) Class I
B) Class II
C) Class III
D) Class IV
5. A hiker with a deep leg wound has uncontrolled bleeding despite direct pressure. What is the
next step?
A) Apply a tourniquet proximal to the wound
B) Administer IV fluids
C) Elevate the limb
D) Wait for EMS
6. A post-operative patient has a hemoglobin drop from 12 g/dL to 7 g/dL with no visible
bleeding. Which diagnostic tool is most appropriate to locate internal hemorrhage?
A) ECG
B) Ultrasound (FAST exam)
C) Capillary refill test
D) Blood pressure monitoring
7. A patient with Class IV hemorrhage is unconscious, has a BP of 60/40 mmHg, and absent
radial pulses. What is the most urgent intervention?
A) IV crystalloids
B) Tranexamic acid
C) Massive transfusion protocol
D) Elevation of limbs
8. A soldier sustains a gunshot wound to the chest. There are two external wounds (entry and
exit) with significant internal bleeding. This is an example of:
A) Puncture wound
B) Crushing injury
C) Ballistic trauma
D) Laceration
Answers
1. B
2. A
3. B
4. D
5. A
6. B
7. C
8. C

Name......... Adeel javed

Roll No......23168
Assignment...... Surgery 2
submitted to......Dr.Zaid Arif

1.Nurse Martha and Nurse Rosary are on a day shift in the Emergency Department at Brookfield
Hospital, Cambridge. They receive a 68-year-old male patient named Arthur who was involved
in a motor vehicle accident. Upon arrival, Arthur is conscious but pale and diaphoretic..His vitals
are as follows:Heart Rate: 120 bpm,Blood Pressure: 90/60 mmHg,Respiratory Rate: 26 breaths
per minute,Capillary refill: >3 seconds,Urine output: 20 mL/hr,Mental status: Anxious but
oriented with 40% Blood Loss
1. A 40% blood loss corresponds to which class of hemorrhagic shock?
A. Class I
B. Class II
C. Class III
D. Class IV
Answer: C. Class III

2.Nurse Rachel and Leah at St.thomas ,London hospital , are managing a patient named Esther
Ruth who sustained a puncture wound from a dog bite at Miss Laura Jason's Washington
birthday party in Los Angeles. The wound appears deep, caused by a sharp canine tooth, with
concerns about possible infection and retained foreign bodies.
Which of the following is the most appropriate initial management for a puncture wound caused
by a dog bite?

A. Immediate closure of the wound with sutures

B. Prescribe only painkillers and observe
C. X-ray to detect any retained foreign bodies, thorough wound wash, removal of foreign
material, administration of antibiotics, and tetanus prophylaxis
D. Application of antiseptic cream and bandage with no further intervention
Correct Answer:C. X-ray to detect any retained foreign bodies, thorough wound wash, removal
of foreign material, administration of antibiotics, and tetanus prophylaxis

3.Model Kendall Jenner get a nasal injury during a trip to Goa and later underwent rhinoplasty
performed by Dr. Lucas at holy family church hospital Houston Which category of surgery does
this procedure best fall under?

A. Cosmetic Surgery
B. Reconstructive/Restorative Surgery
C. Emergency Surgery
D. Elective Surgery
Correct Answer:
B. Reconstructive/Restorative Surgery

4.Abel Ernest sustained a wound during a football match at the Royal Melbourne Ground. After
proper initial care, the wound has entered the Remodeling/Maturation Phase of healing. This
phase typically lasts from 3 weeks to 2 years.
Which of the following statements is true about the Remodeling/Maturation Phase?
A) During the Remodeling/Maturation Phase, new collagen forms and the tensile strength of the
wound increases to match the original tissue.
B) The wound healing in this phase leads to the formation of scar tissue, which is only 20% as
strong as the original tissues
C) The wound site experiences maximum inflammation.
D) Blood clots form to prevent infection and excessive bleeding.
Correct Answer: a) New collagen forms, which increases tensile strength of the wound

5.During a classroom discussion at Xavier McKinney School in Delhi, sister Samantha D'Cruz
Alejandro explains the origin of the word "surgery." She mentions that the term comes from the
Greek word Cheirourgike and the Latin word Chirurgiae. What is the meaning of these root
words?

A) Healing with herbs

B) Manual or hand work
C) Science of bones
D) Study of human anatomy

Correct Answer:
B) Manual or hand work

6.During a business meeting at Hakkasan Heights, Mr. Nikolaos suddenly collapses. Concerned
colleagues Mr. Apollo Achilles and Mr. Dionysus rush him to a nearby hospital. Dr. Helena
Montana diagnoses him with hypovolemic shock. She explains that this can be caused by
hemorrhagic and non-hemorrhagic factors such as decreased fluid intake, excessive fluid loss, or
third-space fluid shifts (as seen in bowel obstruction or pancreatitis).
What is the primary cause of hypovolemic shock?
A) kidney stones
B) appendicitis
C) Reduced circulating blood or fluid volume
D) Allergic reaction to medication
Correct Answer: C) Reduced circulating blood or fluid volume

7.In the emergency department of Phoolan Devi hospital, maharashtra Dr. Ananya panday
continues to manage Mr.Sikandar salar shock. She discusses with the team the various types of
fluids used in resuscitation, including crystalloids, colloids, and blood products, especially in
cases of ongoing bleeding.Which of the following is an example of a crystalloid solution
commonly used in shock management?

A) Albumin
B) Dextrane
C) Normal Saline
D) Fresh frozen plasma

Correct Answer: C) Normal Saline

Name: Muntazir Abbas

Roll No: 22840
Semester:DPT8th
______________________________________________________________________________
______
1)Which of the following is the first priority in the management of a burn patient?
A. Fluid replacement
B. Pain management
C. Airway management
D. Wound dressing
Answer: Airway management
2)Which of the following is a factor that impairs wound healing?
A. Good nutrition
B. Diabetes mellitus
C. Young age
D. Oxygen therapy
Answer: B. Diabetes mellitus
3)Which of the following is the most common type of shock encountered in trauma patients?
A. Cardiogenic shock
B. Septic shock
C. Hypovolemic shock
D. Neurogenic shock
Answer: C. Hypovolemic shock
4)Which of the following is the most common acid-base disturbance seen in a patient with
prolonged vomiting?
A. Metabolic acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Respiratory acidosis
Answer: C. Metabolic alkalosis
5)What is the ideal target blood glucose level for a diabetic patient undergoing surgery?
A. 60–80 mg/dL
B. 80–180 mg/dL
C. 200–300 mg/dL
D. 300–400 mg/dL
Answer: B. 80–180 mg/dL
6)Which of the following is the first stage of wound healing?
A. Proliferation
B. Maturation
C. Hemostasis and inflammation
D. Remodeling
Answer: C. Hemostasis and inflammation
7)Which of the following is the most common cause of shock in surgical patients?
A. Cardiogenic shock
B. Septic shock
C. Hemorrhagic shock
D. Neurogenic shock
Answer: C. Hemorrhagic shock

Multiple Choice Questions

1. 1. What is the primary cellular consequence of shock?

 A. Hyperoxia
 B. Cellular hypoxia
 C. Hyperglycemia
 D. Hyperkalemia

2. 2. Which type of shock is caused by physical obstruction in the blood flow?

 A. Hypovolemic
 B. Cardiogenic
 C. Obstructive
 D. Distributive

3. 3. What is a hallmark sign of compensated shock?

 A. Hypotension
 B. Cool peripheries
 C. Unconsciousness
 D. No urine output

4. 4. Which shock type is associated with vasodilation and low systemic vascular resistance?

 A. Hypovolemic
 B. Distributive
 C. Cardiogenic
 D. Endocrine

5. 5. In decompensated shock, what percentage of volume loss typically leads to blood pressure
drop?

 A. 10-20%
 B. 20-30%
 C. 30-40%
 D. Over 50%

Answer Key
B. Cellular hypoxia
C. Obstructive
B. Cool peripheries
B. Distributive
C. 30-40%

Multiple Choice Questions

6. 1. What is the primary cellular consequence of shock?

 A. Hyperoxia
 B. Cellular hypoxia
 C. Hyperglycemia
 D. Hyperkalemia

7. 2. Which type of shock is caused by physical obstruction in the blood flow?

 A. Hypovolemic
 B. Cardiogenic
 C. Obstructive
 D. Distributive
8. 3. What is a hallmark sign of compensated shock?

 A. Hypotension
 B. Cool peripheries
 C. Unconsciousness
 D. No urine output

9. 4. Which shock type is associated with vasodilation and low systemic vascular resistance?

 A. Hypovolemic
 B. Distributive
 C. Cardiogenic
 D. Endocrine

10. 5. In decompensated shock, what percentage of volume loss typically leads to blood pressure
drop?

 A. 10-20%
 B. 20-30%
 C. 30-40%
 D. Over 50%

Answer Key
B. Cellular hypoxia
C. Obstructive
B. Cool peripheries
B. Distributive
C. 30-40%
Assignment Submitted By: Bilal Asif
Submitted to: Dr Zaid Arif
ROLL# 20510
1.Which of the following is a type of surgical procedure?
A) Diagnostic surgery
B) Therapeutic surgery
C) Palliative surgery
D) All of the above
2. Which of the following is a benefit of minimally invasive surgery?
A) Larger incisions
B) Increased postoperative pain
C) Shorter hospital stay
D) Increased risk of complications
3. Which of the following is a benefit of minimally invasive surgery?
A) Larger incisions
B) Increased postoperative pain
C) Shorter hospital stay
D) Increased risk of complications
4. What is the primary concern in managing a patient with hemorrhage?
A) Maintaining blood pressure
B) Controlling bleeding
C) Managing pain
D) Preventing infection
5.Which of the following is a sign of hypovolemic shock due to hemorrhage?
A) Increased urine output
B) Decreased heart rate
C) Decreased blood pressure
D) Flushed skin

Surgery-II

Assignment # 1st
  Name # M. Ahtisham Ul Haq

 Roll no. 22685

 Class # DPT

 Semester # 8th

 Submitted To # Dr. Zaid

A hernia repair is an example of which type of surgery?

A. Emergency surgery
B. Semi-elective surgery
C. Urgent surgery
D. Elective surgery
Answer: D. Elective surgery

In which region of the abdomen is a gridiron incision typically made?

A. Left upper quadrant
B. Right upper quadrant
C. Right lower quadrant
D. Left lower quadrant
Answer: C. Right lower quadrant

Which pressure sores are most commonly associated with peripheral vascular disease?
A. Sacral sores
B. Heel sores
C. Trochanteric sores
D. Ischial sores
Answer: B. Heel sores
A 60-year-old diabetic patient presents with a deep pressure ulcer on the sacrum. The wound
has been left open to heal and shows healthy granulation tissue. What type of wound healing is
most likely occurring?

A. Primary intention
B. Secondary intention
C. Tertiary intention
D. Delayed primary closure
Answer: B. Secondary intention

A patient loses approximately 30% of their blood volume due to trauma. They appear pale,
diaphoretic, and hypotensive. What treatment should be initiated promptly?
A. Oral fluids and oxygen therapy
B. Blood transfusion
C. Observation only
D. IV antibiotics
Answer: B. Blood transfusion

A 40-year-old trauma patient presents with tachycardia and cool, clammy skin, but has a
normal blood pressure. Urine output is adequate, and the patient is conscious. What stage of
shock does this presentation suggest?
A. Irreversible shock
B. Compensated shock
C. Decompensated shock
D. Cardiogenic shock
Answer: B. Compensated shock
What are the main reason vasopressors and inotropes are used in patients with shock?
A. To treat fever
B. To relieve pain
C. To increase perfusion to vital organs
D. To stop internal bleeding
Answer: C. To increase perfusion to vital organs

Surgery-II Assignment
11. 1. Which of the following surgical incisions is most commonly used for performing a
Caesarean section?

 A) Midline Incision
 B) Kocher’s Incision
 C) Pfannenstiel Incision
 D) Paramedian Incision

Correct Answer:
C) Pfannenstiel Incision

12. 2. Rules of nine can measure which degree of burns ??

 A) 1&2
 B) 2&3
 C) 3&4
 D) None of these

Correct Answer:
B) 2&3

13. 3. A 40% blood loss corresponds to which class of hemorrhagic shock?

 A) Class I
 B) Class II
 C) Class III
 D) Class IV

Correct Answer:
C) Class III
14. 4. A soldier sustains a gunshot wound to the chest. There are two external wounds (entry and
exit) with significant internal bleeding. This is an example of:

 A) Puncture wound
 B) Crushing injury
 C) Ballistic trauma
 D) Laceration

Correct Answer:
C) Ballistic trauma

15. 5. In class-II of hemorrhage the blood loss is:

 A) 10-20%
 B) 15-30%
 C) 30-45%
 D) More than 40%

Correct Answer:
B) 15-30%

16. 6. Symptoms of class 1 hemorrhage are: Minimal or no symptoms, Normal heart rate and
blood pressure, slightly increased respiratory rate, Patients may appear normal so what is the
total loss of blood in Class I Hemorrhage according to the Four classes by the College of
Surgeons' advanced trauma life support (ATLS):

 A) Up to 30% of total blood volume

 B) Up to 20% of total blood volume
 C) Up to 15% of total blood volume
 D) Up to 10% of total blood volume

Correct Answer:
C) Up to 15% of total blood volume

17. 7. What are the main reason vasopressors and inotropes are used in patients with shock?

 A) To treat fever
 B) To relieve pain
 C) To increase perfusion to vital organs
 D) To stop internal bleeding

Correct Answer:
C) To increase perfusion to vital organs

1.Which pressure sores are most commonly associated with peripheral vascular disease?
A.Sacral sores
B.Heel sores
C.Trochanteric sores
D.Ischial sores
Answer: B. Heel sores
2.According to Classification of wound by Rank & Wakefield. Characteristics of untidy
wounds include:
A.Result from crushing, tearing, avulsion or burns
B.Skin wounds multiple & irregular
C.If closed primarily, wound infection, dehiscence, delayed healing, gas gangrene
D.All of these
Answer is d
3.Which shock type is rare:
A.Hypovolemic shock
B.Obstructive shock
C.Cardiogenic shock
D.Distributive shock
Answers is c
4.Which of the following is not one of the four classic phases of the natural restorative
response to tissue injury?
A Hemostasis
B.Inflammation
C.Proliferation
D.Calcification
 Answer: D. Calcification
5. Which of the following is not a typical site for pressure sores?
A.Sacrum
B.Heels
C.Knuckles
D.Ischium
Answer: C
6.A post-operative patient has a hemoglobin drop from 12 g/dL to 7 g/dL with no visible
bleeding. Which diagnostic tool is most appropriate to locate internal hemorrhage?
A.ECG
B.Ultrasound (FAST exam)
C.Capillary refill test
D.Blood pressure monitoring
Answer :B
7.Mixed venous oxygen saturation is_________ .
A.50-70%
B.60-80%
C.60-90%
D.60-100%
Answer :A

Surgery-II Assignment
18. 1. Which of the following surgical incisions is most commonly used for performing a
Caesarean section?

 A) Midline Incision
 B) Kocher’s Incision
 C) Pfannenstiel Incision
 D) Paramedian Incision
Correct Answer:
C) Pfannenstiel Incision

19. 2. Rules of nine can measure which degree of burns ??

 A) 1&2
 B) 2&3
 C) 3&4
 D) None of these

Correct Answer:
B) 2&3

20. 3. A 40% blood loss corresponds to which class of hemorrhagic shock?

 A) Class I
 B) Class II
 C) Class III
 D) Class IV

Correct Answer:
C) Class III

21. 4. A soldier sustains a gunshot wound to the chest. There are two external wounds (entry and
exit) with significant internal bleeding. This is an example of:

 A) Puncture wound
 B) Crushing injury
 C) Ballistic trauma
 D) Laceration

Correct Answer:
C) Ballistic trauma

22. 5. In class-II of hemorrhage the blood loss is:

 A) 10-20%
 B) 15-30%
 C) 30-45%
 D) More than 40%
Correct Answer:
B) 15-30%

23. 6. Symptoms of class 1 hemorrhage are: Minimal or no symptoms, Normal heart rate and
blood pressure, slightly increased respiratory rate, Patients may appear normal so what is the
total loss of blood in Class I Hemorrhage according to the Four classes by the College of
Surgeons' advanced trauma life support (ATLS):

 A) Up to 30% of total blood volume

 B) Up to 20% of total blood volume
 C) Up to 15% of total blood volume
 D) Up to 10% of total blood volume

Correct Answer:
C) Up to 15% of total blood volume

24. 7. What are the main reason vasopressors and inotropes are used in patients with shock?

 A) To treat fever
 B) To relieve pain
 C) To increase perfusion to vital organs
 D) To stop internal bleeding

Correct Answer:
C) To increase perfusion to vital organs

Submitted by: M. Subhan Jahanzaib

Roll # 22294

Department: DPT 8TH

MCQs -
1. What is the first step in the management of shock?

 A. Fluid therapy
 B. Monitoring
 C. Securing airway
 D. Vasopressor support

Answer: C. Securing airway

2. Which of the following fluids is a crystalloid?

 A. Albumin
 B. Dextrane
 C. Ringer’s Lactate
 D. Blood

Answer: C. Ringer’s Lactate

3. Which type of shock is treated with vasopressor agents like Noradrenaline?

 A. Cardiogenic shock
 B. Hypovolemic shock
 C. Distributive shock
 D. Septic shock

Answer: C. Distributive shock

4. What does a mixed venous oxygen saturation of less than 50% indicate?

 A. Septic shock
 B. Adequate perfusion
 C. Hypovolemic or cardiogenic shock
 D. Normal oxygen utilization

Answer: C. Hypovolemic or cardiogenic shock

5. What is NOT included in traditional end points of resuscitation?

 A. Pulse
 B. Urine output
 C. Lactate
 D. Blood glucose

Answer: D. Blood glucose

Name : Farah Ahmad

Roll # 22476
DPT 8th

Subject : SURGERY B

Head : Dr. Zaid Arif

Topic : *MCQS*

 MCQ # 1

Which type of hemorrhage requires immediate life-saving intervention, including rapid transfusion of
blood products and surgical intervention to control the source of bleeding ?

a. Class IV hemorrhage
b. Class I hemorrhage
c. Class III hemorrhage
d. Class II hemorrhage

 MCQ # 2

Which is a vertical incision follows linea alba, extends from xiphoid process to public symphysis, used in
laparotomy, usually in trauma surgery, Allow wide access to most of the abdominal cavity ?

a. Paramedian incision
b. Midline incision
c. Maylard incision
d. Cherney incision

 MCQ # 3

Which of the following best describes cardiogenic shock?

 a. Shock caused by excessive fluid loss
b. Shock due to infection and vasodilation
c. Shock resulting from the heart’s inability to pump effectively
d. Shock from an allergic reaction

 MCQ # 4

What is an elective surgery?

a. A surgery that must be performed immediately to save life

b. A surgery done without patient consent
c. A planned, non-emergency surgery
d. A surgery only for cosmetic reasons

 MCQ # 5

A 10-year-old boy falls while playing football and hits his knee. Later, he notices a blue and purple mark
on the skin that is slightly painful when touched. There is no cut or bleeding.

What is the most likely injury?

a. Fracture
b. Bruise
c. Burn
d. Sprain

 MCQ # 6
Which type of healing Happens when a wound is left open and heals naturally from the bottom up due to
significant tissue loss or infection? Examples include pressure ulcers, burns, or traumatic injuries.

a. Secondary healing
b. Primary healing
c. Tertiary healing
d. No healing

 MCQ # 7

Which one of the following is not the type of fluid ?

a. Colloids
b. Blood
c. Intravenous fluid
d. Crystalloids

THE END !