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Surgery A Paper For Final Prof.

2013 (A) The

Bold Option is KEY:
1. Which of the following procedure cannot yet be performed endoscopically except.
a. Removal of gall stones.
b. Removal of renal stones.
c. Repair of valricose vein
d. Removal Repair of inf
e. Removal of brain tumor
2. Name the gas used for in sufflation during lap surgery:
a. Nitrogen
b. CO2
c. Oxygen
d. Methan
e. Helium
3. Complications of Lap, cholecysectomy include all of the following Except:
a. Vomiting
b. Fever
c. shoulder pain
d. Bile duct injury
e. Prolapse of examination through the wound
4. All of the following can happen with lap surgery except:
a. Bile duct injury
b. Bleeding
c. Retained stone
d. conversion to open surgery
e. leaving of towel in the abdomen
5. Following cholecystectomy operation the patient drains 100-150 ml of Bile on second day
of surgery appropriate measure for this patient:
a. Give brought spectrum antibodies and observe for 3 - 4 days
b. ERCP and stent the rent in CBD.
c. Replace the drain by large bore drain
d. Open and check if ligartre is silpped of then
e. Pass N/G tube and weight
6. A 40 years old man presents with thyroid nodule and gives history of exposure to
irradiation over 20 years … which of the following type of cancer is more likely that he
can develop:
a. Papillary Ca
b. follicular Ca
c. Modularly Ca
d. Lymphoma
e. Anaplastic
7. Regarding the fracture that posses greatest risk of injury to the redial nerve:
a. Fracture of anatomical neck of humerus
b. Fracture of surgical neck of humerus
c. Fracture of shaft of humerus
d. Spiral fracture of shaft humerus
e. Suparacondalour fracture of humerus
8. In a wound abcess the commonest bacterium found is :
a. Step aurous
b. Step pyogenous
c. pseudomonas aeruginosa
d. Bacterium
e. Ecoli
9. Isotope scanning is near waste of time in:
a. Demonstration of metastasis after thyroidectomy
b. Distinguishing benign from malignant
c. Demonstration of ectopic thyroid tissue.
d. Thyrotoxicosis with palpable thyroid nodule
e. In Bone metabolism
10. A swelling in the neck is thyroid swelling if:
a. It is bilobed swelling
b. It can be moved from side to side
c. It is fluctuant
d. It moves with deglutition
e. Causes pressure in trachea
11. Following thyroid operation the patient develops dyspnea and labored breathing
in the ward nearly 08 hours after operation, to save his life, which of the following
steps should you take:
a. Immediately start her on O2
b. Arrange and transfuse blood
c. Stat her O2, open the wound and arrange to take her to operation theater
d. Ask the seniors to come to see her
e. Apply pressure bandage on to the wound in the ward

12. Respiratory distress following thyroid surgery is caused by:

a. Hematoma pressing on Trachea
b. Bleeding inside Trachea
c. Pressure on neck vein, causing edema of the larynx
d. Damage to recurrent laryngeal nerve
e. Perforation of thyroid membrane
13. The cause of recurrence in Hernia is:
a. Improper suturing of tissues
b. Poor hemostasis
c. Poor quality suture material
d. Suturing tissues under tensions
e. Infection

14. A 65 years old lady comes to Casualty with 3 days H/o abdominal pain, vomiting and
inability to pass wound. On examination, the abdomen is distended visible peristalsis and
lump in the right groin below the pubic tubercle, what is your diagnosis?
a. Small bowel after due to tuberculosis
b. Fecal impaction
c. Sigmoid volvulus
d. Obstruction due to femoral hernia
e. Obstruction due to inguinal hernia
15. A 60 years old come to you with retention of urine since three days. He had H/o
marked frequency pain during day time, all night he is comfortable, on PR he has
modality enlarged soft prostate. X-Ray of the kidney , ureter and balder (KuB)
show radio -opaque shadow in the bladder are, what is your diagnosis?
a. EP
b. Stricture urethra
c. Urinary bladder stone
d. Large Hds
e. Detrusor muscle instability
16. Following Hemorrhoidectomy the common post OP complication is:
a. Severe and bleeding
b. Retina of urine
c. Structure
d. Fecal impaction
e. High Grade Fever
17. A 65 years old lady c/o severe pain in’ R’Hip after a fall. Normally she is well
enough to do her cooking etc. she is Apyrexial, Pain, ‘R ‘Hip Leg was shortened and
rotated. The pulse was normal and no neurological deposit found was muscle the
left, the leg up. What is your diagnosis?
a. Bruises and Haemate ine formation over the Hip.
b. Neck of fever
c. Dislocation of R Hip
d. Psoas abscess
e. Pathological fracture ‘R’Hip
18. Regarding Perforated Duodenal ulcer which statement is true:
a. Not very common in females
b. Mostly its occurs in the post wall of the 1st part of duodenum
c. Recurrence of perforation is very common
d. While closing the perforation kocherization of the duodenum is essential
e. Closure must be excepted by G.T to avoid tension of Reagan
19. Regarding treatment of Hds by milligram margin method which in true.

a. And starch is not essential

b. All the veins around the anal verge must be excised
c. It is mandatory to leave the skin bridges between the excised Hds
d. Post of prolapse is very common
e. In the above method no post OP complication occur
20. Regarding diagnosis of appendicitis with of the following statements is true.
a. History of pain around the umbilicus and vomiting
b. Always accompanied by loose motion
c. Initial the pain start around the umbilicus and then after 1 -2 hour shift to right llia
d. Urinary symptoms are frequently associated with it
e. Usually right testicle is very painful
21. When operated for appendicitis which one of the following is true:
a. Do not remove the appendix if not inflamed.
b. Remove the appendix if it is not inflamed and then look of Meckel’s if it is inflamed
remove it.
c. Finding appendicular mass after anesthesia has been given to the patient do not
do appendicectomy
d. Do not put drain if puss is found around the appendix
e. In badly inflamed appendix to avoid faucal fistula formation only put a drain
22. Regarding FA which statement is false:
a. Low velocity bullet injury behaves like knife injury.
b. High velocity injury causes cavitation.
c. Permanent cavity is the one where stays at the sight of initial impact.
d. A temporary cavity is one that last momentararily and is not apparent during
clinical examination.
e. Permanent cavity gives an idea of extent of the damage.
23. Which of the following problem is associated with surgery in jaundice patient
a. Hepatorenal syndrome.
b. clotting problem
c. Infection.
d. Burst abdomen.
e. Myocardial infarction
24. Regarding fracture of the ankle anatomical reduction is important because the
aim is:
a. To enable the patient returns with full range of movements.
b. To allow full strength in ankle.
c. To improve proprioception.
d. To prevent premature onset of osteoarthritis.
e. To prevent premature onset of osteoporosis.
25. Which one of the following statement is false:
a. Pancrease weighs 200 gms.
b. The uncinate process of Pancrease lies behind the superior mesenteric vein.
c. The vast majority of pancreatic tissue is composed of exocrine tissue.
d. The endocrine portion contain 75% beta cells ,20% alfa cells, and remaining D cells.
e. The accessory duct drain head and uncinate process.
26. Which one the following causes of pancreatitis is not true:
a. Gall stones.
b. Increase alcohol.
c. Steroids.
d. Autoimmune pancreatitis.
e. Pregnancy.
27. Which of the following name is given to the Radical pancreato duodenectomy
operation for Ca Head of Pancrease.
a. Millions procedure.
b. Whipple operation.
c. Freyer’s rocedure.
d. Brinier procedures.
e. Kocher’s procedure.
28. Regarding CA breast which of the following statement ids true:
a. Majority of the ca occurs in upper outer quadrant of breast.
b. FNAC has no place in breast tumors.
c. ca breast is more common in patient with early menarche.
d. Family history has no role to play in developing ca.
e. MRI can be used as imaging tool.
29. Regarding hydrocele which statement is true:
a. You can get above the swelling.
b. Testis can be felt separately.
c. Colour of aspirated fluid is distilled water.
d. Always associated with inguinal hernia.
e. Post op mortality is frequent.
30. Regarding repair of inguinal hernia which statement is true:
a. Basins repair carries no recurrence.
b. Hernioplasty with mesh carries very low recurrence.
c. Suture material must be strong and non absorbed.
d. Suture must be tight and applied closed together.
e. Young patient do not need repair of inguinal hernia.
31. Regarding pyloric stenosis which statement is false:
a. It results from structure in pylorus.
b. Stomach can dilate to be feel in pyloris.
c. The most common cause of pyloric stenosis is starching Duodenum ulcer
d. It is best treated by surgical by pass procedure.
e. Pre OP, N9 aspiration of stomach is mandatory.
32. Regarding surgical procedure for tuberculous abdomen which statement is true.
a. Right hemicolectomy.
b. Strictureplasty
c. Ileotransverse anastomosis.
d. Ileocecal anastomosis.
e. All of the above.
33. Which of the following statement is true:
a. When tissue perfusion is decreased the cell metabolism shifts from aerobic to
b. The product of aerobic metabolism is lactic acid.
c. The product of anaerobic metabolism is co2.
d. The accumulated lactic acid produce respiratory acidosis..
e. Lack of O2 leads to Na/k+ pump failures, and cell death is prevented by blood
34. Varicose vein statement is true.
a. Defined as dilated leg vein.
b. They sometime bleed profusely and cause shock.
c. Never cause leg ulcer.
d. May result from increase systolic blood pressure.
e. The varicose veins are best examined in lying down position on coach
35. keloid; which statement is true.
a. It is excessive fibrous tissue formation beyond the limit of necrosis.
b. It is best treated by excision and skin graft.
c. Recurrence after surgery is non common.
d. Malignant changes are very common.
e. Occasionally it disappears spontaneously.
36. Regarding pancreatitis which statement is false:
a. Acute pancreatitis accounts for 30%hospital admission.
b. Acute pancreatitis is classified as mild and severe type.
c. 80%of acute pancreatitis are mild with 1% mortality.
d. 20% of severe pancreatitis carries mortality of 20---50%.
e. In all cases serum amylase is increased.
37. Which of the following statement does not contribute to respiratory distress
syndrome following burns.
a. Laryngeal edema.
b. Chemical pancreatitis.
c. Carbon monoxide poisoning.
d. Massive pleural effusion.
e. No ventilation.
38. An adult sustain burns that involves the entire head. Torso. Both Upper limbs and
sparing the lower limbs from the groin, Which of the following % mark the extent
burns in this patient.
a. 36—43%
b. Above 60%.
c. 51—57%
d. 44---50%
e. 100%.
39. Histologically the commonest oral tumors Is:
a. Squamous cell carcinoma.
b. Basal cell carcinoma.
c. Adenocarcinoma.
d. Leongoscrcone.
e. Transitional cell carcinoma.