Pg Blazer - Online Test Series 16 - Surgery | Attempts: 1134

2.

Which of the following colonic polyps is not premalignant

Juvenile polyps
Hamartomatous polyps associated with Peutz-Jegher’s syndrome
Villous adenoma
Tubular adenomas

Correct Answer

A. Juvenile polyps

Explanation

Juvenile polyps are not premalignant.

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3.

Carcinoembryonic antigens (CEA) is increased in all except

Lung cancer
Breast cancer
Colon cancer
Osteogenic sarcoma

Correct Answer

A. Osteogenic sarcoma

Explanation

CEA is increased in adenocarcinoma of colon, pancreas, breast, ovary and lungs

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4.

Tumor marker for primary hepatocellular carcinoma are all except

Alpha feto protein
Alpha 2 macroglobulin
PIVKA-2
Neurotensin

Correct Answer

A. Alpha 2 macroglobulin

Explanation

Alpha 2 macroglobulin is not a tumor marker for primary hepatocellular carcinoma. Tumor markers are substances that are produced by cancer cells or by the body in response to cancer. Alpha feto protein (AFP) and PIVKA-2 are commonly used tumor markers for hepatocellular carcinoma, as they are elevated in the blood of patients with this type of cancer. Neurotensin, although not commonly used as a tumor marker for hepatocellular carcinoma, has been found to be associated with cancer progression in some studies. However, alpha 2 macroglobulin is not considered a specific marker for hepatocellular carcinoma.

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5.

True about Branchial cyst is

Cysts are more common than sinuses
Mostly arises from 2nd branchial system
Causes dysphagia and hoarseness
Sinus should always be operated

Correct Answer

A. Mostly arises from 2nd branchial system

Explanation

Branchial cysts are congenital abnormalities that occur due to the incomplete closure of the branchial apparatus during embryonic development. They are more common than sinuses, which are also a result of branchial apparatus anomalies. Branchial cysts most commonly arise from the second branchial system, which is the most frequently affected branchial arch. These cysts can cause symptoms such as dysphagia (difficulty swallowing) and hoarseness. The treatment for branchial cysts may involve surgical removal, but the decision to operate depends on various factors and should be determined on a case-by-case basis.

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6.

A patient has carcinoma of right tongue on its lateral border of anterior 2/3rd, with lymph node of size 4 cm in level 3 on the side of the neck, stage of disease is

N0
N1
N2
N3

Correct Answer

A. N2

Explanation

AJCC staging for oral cavity tumours:

N0 - No clinically palpable lymph nodes
N1 - Single ipsilateral node less than 3cm
N2a - Single ipsilateral lymph node 3-6cm
N2b - Multiple ipsilateral lymph nodes less than 6cm
N2c - Bilateral / Contralateral lymph nodes less than 6cm
N3 - Nodes more than 6cm

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1

7.

Adjuvant chemotherapy is of definite value in

CA colon
CA pancreas
CA gall bladder
CA oesophagus

Correct Answer

A. CA colon

Explanation

Adjuvant chemotherapy is beneficial in the treatment of colon cancer. It is used after surgery to kill any remaining cancer cells and reduce the risk of recurrence. This type of chemotherapy has been shown to improve overall survival rates and increase the chances of cure. Therefore, it is considered a standard treatment option for patients with colon cancer.

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8.

Prognosis in head injury is best given by

Glasgow coma scale
Age of patient
Mode of injury
CT head

Correct Answer

A. Glasgow coma scale

Explanation

The Glasgow Coma Scale is the best predictor of prognosis in head injury. This scale assesses the patient's level of consciousness based on eye opening, verbal response, and motor response. It provides a numerical score that correlates with the severity of the injury and helps to determine the likelihood of recovery and long-term outcomes. Age of the patient, mode of injury, and CT head may provide additional information, but the Glasgow Coma Scale is considered the most reliable and widely used tool for assessing prognosis in head injury cases.

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9.

Most common site of Morgagni hernia :

Right anterior
Right posterior
Left anterior
Left posterior

Correct Answer

A. Right anterior

Explanation

Morgagni hernia is a rare type of congenital diaphragmatic hernia. It occurs when there is a defect in the diaphragm muscle, allowing abdominal organs to protrude into the chest cavity. The most common site for a Morgagni hernia is the right anterior portion of the diaphragm. This means that the hernia occurs on the right side of the diaphragm towards the front of the body.

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10.

A 60 year old smoker came with the history of painless gross hematuria for one day. The investigation of choice would be :

Urine routine and microscopy
Plain x—ray KUB
USB KUB
Urine for malignant cytology

Correct Answer

A. Urine for malignant cytology

Explanation

Painless gross hematuria indicates the diagnosis of urinary tract malignancy.

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Pg Blazer - Online Test Series 16 - Surgery

Severity of acute pancreatitis correlate with levels of all ofthe following except

Quiz Preview

Which of the following colonic polyps is not premalignant

Carcinoembryonic antigens (CEA) is increased in all except

Tumor marker for primary hepatocellular carcinoma are all except

True about Branchial cyst is

A patient has carcinoma of right tongue on its lateral border of anterior 2/3rd, with lymph node of size 4 cm in level 3 on the side of the neck, stage of disease is

Adjuvant chemotherapy is of definite value in

Prognosis in head injury is best given by

Most common site of Morgagni hernia :

A 60 year old smoker came with the history of painless gross hematuria for one day. The investigation of choice would be :