Surgery Mcqz
Subject wise MCQ test - Surgery. For more online practice tests, go to PG Blazer Online Test Series
- 1.
Barrett’s esophagus is diagnosed by
- A.
Squamous metaplasia
- B.
Intestinal metaplasia
- C.
Squamous dysplasia
- D.
Intestinal dysplasia
Correct Answer
B. Intestinal metaplasia -
- 2.
Which is not elevated in a child presenting with jaundice, icterus, pruritus & clay coloured stools.
- A.
Gamma glutanyl transpeptidase
- B.
Alkaline phosphatase
- C.
5′-nucleotidase
- D.
Glutamate dehydrogenase
Correct Answer
D. Glutamate dehydrogenase -
- 3.
A 50 year old male presented with history of hematemesis – 500 ml of blood and on examination shows BP – 90/60, PR – 110/min and splenomegaly 5 cm below lower costal margin. Most probable diagnosis is
- A.
Mallory Weiss tear
- B.
Duodenal ulcer
- C.
Gastritis
- D.
Portal hypertension
Correct Answer
D. Portal hypertension -
- 4.
A 45 yr old female complains of progressive lower limb weakness, spasticity, urinary hesitancy. MRI shows intradural enhancing mass lesion. Most likely diagnosis is -
- A.
Dermoid cyst
- B.
Lntradural lipoma
- C.
Neuroepithelial cyst
- D.
Meningioma
Correct Answer
D. Meningioma -
- 5.
Hypotension in acute spinal injury is due to
- A.
Loss of sympathetic tone
- B.
Loss of parasympathetic tone
- C.
Orthostatic hypotension
- D.
Vasovagal attack
Correct Answer
A. Loss of sympathetic tone -
- 6.
Most common biochemical abnormality in congenital pyloric stenosis.
- A.
Hyperkalemic metabolic acidosis
- B.
Hypokalemic metabolic acidosis
- C.
Hyperkalemic metabolic alkalosis
- D.
Hypokalemic metabolic alkalosis
Correct Answer
D. Hypokalemic metabolic alkalosis -
- 7.
Early postoperative complication of ileostomy
- A.
Obstruction
- B.
Prolapse
- C.
Diarrhoea
- D.
Necrosis
Correct Answer
A. ObstructionExplanation
Post operative complications that occur with sufficient frequency in ileostomy are : Nipple valve slippage, pouchitis, intestinal obstruction and fistula.
Ref: The ASCRS Manual of Colon and Rectal Surgery
Complications of ileostomy are Obstruction, Vitamin B12 anaemia, Pouchitis, Stoma problems, Valve malfunction and Phantom rectum
Ref: National Health Service UK websiteRate this question:
-
- 8.
Barrets esophagus is commonly associated with one of the following:
- A.
Adenocarcinoma
- B.
Squamous cell carcinoma
- C.
Sarcoma
- D.
Gastrointenstinal stromal tumor
Correct Answer
A. Adenocarcinoma -
- 9.
Which of the following brain tumours is highly vascular in nature?
- A.
Glioblastoma
- B.
Meningiomas
- C.
C P angle epidermoid
- D.
Pituitary adenomas
Correct Answer
A. GlioblastomaExplanation
Meningioma is also highly valscular, but it is said that glioblastoma is so vascular that it may resemble an arteriovenous malformation!Rate this question:
-
- 10.
A 40 year-old female patient presented with dysphagia to both liquids and solids and regurgitation for 3 months. The dysphagia was non-progressive. What is the most likely diagnosis?
- A.
Caricnoma of the esophagus
- B.
Lower oesophageal mucosal ring
- C.
Achalasia cardia
- D.
Reflux esophagitis with esophageal stricture
Correct Answer
C. Achalasia cardia -
- 11.
Chronic burrowing ulcer is caused by:
- A.
Microaerophilic streptococci
- B.
Peptostreptococcus
- C.
Streptococcus viridans
- D.
Streptococcus pyogenes
Correct Answer
A. Microaerophilic streptococciExplanation
Burrowing ulcer / Maleny’s ulcer is caused by synergistic infection of microaerophilic non hemolytic streptococci and aerobic hemolytic streptococciRate this question:
-
- 12.
Which of the following is not a histological variant of thyroid neoplasm?
- A.
Follicular
- B.
Merkel cell
- C.
Lnsular
- D.
Anaplastic
Correct Answer
B. Merkel cell -
- 13.
All of the following are true about Lymphoma of the thymus except:
- A.
More common in females
- B.
Slow growing
- C.
Clinically confused with undifferentiated tumours
- D.
May present with respiratory distress and dysphagia
Correct Answer
B. Slow growing -
- 14.
The following is a marker of Paget’s disease of breast
- A.
S- 100
- B.
HMB 45
- C.
CEA
- D.
Neuron specific enolase
Correct Answer
C. CEA -
- 15.
All of the following statements about Gynaecomastia are true except:
- A.
Subcutaneous mastectomy is the initial treatment of choice
- B.
Seen in liver disease
- C.
There may be estrogen – testosterone imbalance
- D.
Can be drug induced
Correct Answer
A. Subcutaneous mastectomy is the initial treatment of choice -
- 16.
Preferred incision for abdominal exploration in Blunt injury abdomen is:
- A.
Always midline incision
- B.
Depending upon organ
- C.
Transverse incision
- D.
Paramedian
Correct Answer
A. Always midline incision -
- 17.
Which of the following statements related to gastric injury is not true?
- A.
Mostly related to penetrating trauma
- B.
Treatment is simple debridement and suturing
- C.
Blood in stomach is always related to gastric injury
- D.
Heals well and fast
Correct Answer
C. Blood in stomach is always related to gastric injury -
- 18.
A patient sustained Traumatic injury to major abdominal vessels. lt has been planned to explore the Suprarenal Aorta. the Celiac Axis, the Superior Mesentric Artery, and the Left Renal Artery. What maneuver for exposure is recommended:
- A.
Cranial Visceral Rotation
- B.
Caudal Visceral Rotation
- C.
Left Medial Visceral Rotation
- D.
Right Medical Visceral Rotation
Correct Answer
C. Left Medial Visceral Rotation -
- 19.
All the following polyps are premalignant except
- A.
Juvenile polyposis syndrome
- B.
Famillial polyposis syndrome
- C.
Juvenile polyp
- D.
Peutz jegher syndrome
Correct Answer
C. Juvenile polyp -
- 20.
A 20 yr old girl presents with 9 month history of neck swelling with thyrotoxic symptoms. On investigation increased T4 and decreased TSH with palpable 2 cm nodule was found. Next investigation will be
- A.
USG
- B.
Thyroid scan
- C.
Radioactive iodine uptake
- D.
CT scan
Correct Answer
B. Thyroid scan -
- 21.
Severity of acute pancreatitis correlate with levels of all ofthe following except
- A.
Glucose
- B.
Amylase
- C.
Transaminase
- D.
Calcium
Correct Answer
B. AmylaseExplanation
Amylase levels can be used to diagnose acute pancreatitis. But there is no correlation between amylase levels and severity of acute pancreatitis.Rate this question:
-
- 22.
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 polypsExplanation
Juvenile polyps are not premalignant.Rate this question:
-
- 23.
Carcinoembryonic antigens (CEA) is increased in all except
- A.
Lung cancer
- B.
Breast cancer
- C.
Colon cancer
- D.
Osteogenic sarcoma
Correct Answer
D. Osteogenic sarcomaExplanation
CEA is increased in adenocarcinoma of colon, pancreas, breast, ovary and lungsRate this question:
-
- 24.
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 -
- 25.
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 -
- 26.
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. N2Explanation
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 6cmRate this question:
-
- 27.
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 -
- 28.
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 -
- 29.
Most common site of Morgagni hernia :
- A.
Right anterior
- B.
Right posterior
- C.
Left anterior
- D.
Left posterior
Correct Answer
A. Right anterior -
- 30.
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 cytologyExplanation
Painless gross hematuria indicates the diagnosis of urinary tract malignancy.Rate this question:
-
- 31.
Chronic burrowing ulcer is caused by:
- A.
Microaerophilic streptococci
- B.
Peptostreptococcus
- C.
Streptococcus viridans
- D.
Streptococcus pyogenes
Correct Answer
A. Microaerophilic streptococciExplanation
Burrowing ulcer / Maleny’s ulcer is caused by synergistic infection of microaerophilic non hemolytic streptococci and aerobic hemolytic streptococciRate this question:
-
- 32.
Which of the following is not a histological variant of thyroid neoplasm?
- A.
Follicular
- B.
Merkel cell
- C.
Lnsular
- D.
Anaplastic
Correct Answer
B. Merkel cell -
- 33.
All of the following are true about Lymphoma of the thymus except:
- A.
More common in females
- B.
Slow growing
- C.
Clinically confused with undifferentiated tumours
- D.
May present with respiratory distress and dysphagia
Correct Answer
B. Slow growing -
- 34.
The following is a marker of Paget’s disease of breast
- A.
S- 100
- B.
HMB 45
- C.
CEA
- D.
Neuron specific enolase
Correct Answer
C. CEA -
- 35.
All of the following statements about Gynaecomastia are true except:
- A.
Subcutaneous mastectomy is the initial treatment of choice
- B.
Seen in liver disease
- C.
There may be estrogen – testosterone imbalance
- D.
Can be drug induced
Correct Answer
A. Subcutaneous mastectomy is the initial treatment of choice -
- 36.
Preferred incision for abdominal exploration in Blunt injury abdomen is:
- A.
Always midline incision
- B.
Depending upon organ
- C.
Transverse incision
- D.
Paramedian
Correct Answer
A. Always midline incision -
- 37.
Which of the following statements related to gastric injury is not true?
- A.
Mostly related to penetrating trauma
- B.
Treatment is simple debridement and suturing
- C.
Blood in stomach is always related to gastric injury
- D.
Heals well and fast
Correct Answer
C. Blood in stomach is always related to gastric injury -
- 38.
A patient sustained Traumatic injury to major abdominal vessels. lt has been planned to explore the Suprarenal Aorta. the Celiac Axis, the Superior Mesentric Artery, and the Left Renal Artery. What maneuver for exposure is recommended:
- A.
Cranial Visceral Rotation
- B.
Caudal Visceral Rotation
- C.
Left Medial Visceral Rotation
- D.
Right Medical Visceral Rotation
Correct Answer
C. Left Medial Visceral Rotation -
- 39.
All the following polyps are premalignant except
- A.
Juvenile polyposis syndrome
- B.
Famillial polyposis syndrome
- C.
Juvenile polyp
- D.
Peutz jegher syndrome
Correct Answer
C. Juvenile polyp -
- 40.
A 20 yr old girl presents with 9 month history of neck swelling with thyrotoxic symptoms. On investigation increased T4 and decreased TSH with palpable 2 cm nodule was found. Next investigation will be
- A.
USG
- B.
Thyroid scan
- C.
Radioactive iodine uptake
- D.
CT scan
Correct Answer
B. Thyroid scan -
- 41.
Severity of acute pancreatitis correlate with levels of all ofthe following except
- A.
Glucose
- B.
Amylase
- C.
Transaminase
- D.
Calcium
Correct Answer
B. AmylaseExplanation
Amylase levels can be used to diagnose acute pancreatitis. But there is no correlation between amylase levels and severity of acute pancreatitis.Rate this question:
-
- 42.
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 polypsExplanation
Juvenile polyps are not premalignant.Rate this question:
-
- 43.
Carcinoembryonic antigens (CEA) is increased in all except
- A.
Lung cancer
- B.
Breast cancer
- C.
Colon cancer
- D.
Osteogenic sarcoma
Correct Answer
D. Osteogenic sarcomaExplanation
CEA is increased in adenocarcinoma of colon, pancreas, breast, ovary and lungsRate this question:
-
- 44.
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 -
- 45.
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 -
- 46.
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. N2Explanation
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 6cmRate this question:
-
- 47.
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 -
- 48.
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 -
- 49.
Most common site of Morgagni hernia :
- A.
Right anterior
- B.
Right posterior
- C.
Left anterior
- D.
Left posterior
Correct Answer
A. Right anterior -
- 50.
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 cytologyExplanation
Painless gross hematuria indicates the diagnosis of urinary tract malignancy.Rate this question:
-
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Current Version
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Apr 09, 2017Quiz Edited by
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Apr 09, 2017Quiz Created by
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