Pg Blazer - Online Test Series 16 - Surgery

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Quizzes Created: 37 | Total Attempts: 127,015
Questions: 10 | Attempts: 1,128

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MCQ test in Surgery. For more online practice tests, go to PG Blazer Online Test Series


Questions and Answers
  • 1. 

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

    • A.

      Glucose

    • B.

      Amylase

    • C.

      Transaminase

    • D.

      Calcium

    Correct Answer
    B. Amylase
    Explanation
    Amylase levels can be used to diagnose acute pancreatitis. But there is no correlation between amylase levels and severity of acute pancreatitis.

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  • 2. 

    Which of the following colonic polyps is not premalignant

    • A.

      Juvenile polyps

    • B.

      Hamartomatous polyps associated with Peutz-Jegher’s syndrome

    • C.

      Villous adenoma

    • D.

      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

    • A.

      Lung cancer

    • B.

      Breast cancer

    • C.

      Colon cancer

    • D.

      Osteogenic sarcoma

    Correct Answer
    D. 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

    • A.

      Alpha feto protein

    • B.

      Alpha 2 macroglobulin

    • C.

      PIVKA-2

    • D.

      Neurotensin

    Correct Answer
    B. 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

    • A.

      Cysts are more common than sinuses

    • B.

      Mostly arises from 2nd branchial system

    • C.

      Causes dysphagia and hoarseness

    • D.

      Sinus should always be operated

    Correct Answer
    B. 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

    • A.

      N0

    • B.

      N1

    • C.

      N2

    • D.

      N3

    Correct Answer
    C. 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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  • 7. 

    Adjuvant chemotherapy is of definite value in

    • A.

      CA colon

    • B.

      CA pancreas

    • C.

      CA gall bladder

    • D.

      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

    • A.

      Glasgow coma scale

    • B.

      Age of patient

    • C.

      Mode of injury

    • D.

      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 :

    • A.

      Right anterior

    • B.

      Right posterior

    • C.

      Left anterior

    • D.

      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 :

    • A.

      Urine routine and microscopy

    • B.

      Plain x—ray KUB

    • C.

      USB KUB

    • D.

      Urine for malignant cytology

    Correct Answer
    D. Urine for malignant cytology
    Explanation
    Painless gross hematuria indicates the diagnosis of urinary tract malignancy.

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