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GENESIS
Post Graduation Medical Orientation Center
Pro le 

Investigation, Diagnosis_Class Test_Surgery_Special_2020

Questions Your Correct Remark
Answer Answer

(1 of 30 )
You are dealing a preoperative hypertensive case, nd out the
correct stems
a) BP must be <160/100 mmhg T T 
F F

b) After newer antihypertensive drugs should wait T T 

for 2 weeks F F

c) ACE or ARB must be withdrawn T T 

F F

d) Should take regularly in case of B-Blocker T T 

F F

e) Should be monitored properly T T 

F F

Reference Discussion

(2 of 30 )
A surgeon must be aware of deep vein thrombosis.Risk of
thrombosis increases in-
a) Age <60 years T T 
F F

b) Obesity T T 
F F

c) Anaesthsia>1.5 hr T T 
F F

d) Increased mobility T T 
F F

e) OCP T T 
F F
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Reference Discussion

(3 of 30 )

Commonly used General anaesthetic agents are-

a) Lignocaine T T 
F F

b) Nitrous oxide T T 
F F

c) Etomidate T T 
F F

d) Propofol T T 
F F

e) Atracurium T T 
F F

Reference Discussion

(4 of 30 )
MRI has role in following cases-
a) Pulmonary mass T T 
F F

b) Spinal disease T T 
F F

c) 3D bone reconstruction T T 
F F

d) Tendon rupture T T 
F F

e) Intracranial pathology T T 
F F

Reference Discussion

(5 of 30 )
You are giving follow up in a postoperative patient. Post
operative follow up must consist of-
a) Respiratory rate T T 
F F

b) Pulse T T 
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b) Pulse T T 
F F

c) GCS T T 
F F

d) FEV1 T T 
F F

e) Urine output T T 
F F

Reference Discussion

(6 of 30 )
A patient should not be fasted unwisely.Metabolic responses to
starvation-
a) Increased plasma insulin T T 
F F

b) Hepatic glycogenolysis T T 
F F

c) Protein catabolism T T 
F F

d) Adaptive ketogenesis T T 
F F

e) Lipogenesis T T 
F F

Reference Discussion

(7 of 30 )
Complications of short Bowel syndrome-
a) Peptic ulceration T T 
F F

b) Cholelithiasis T T 
F F

c) Pancreatitis T T 
F F

d) Ataxia T T 
F F

e) All of the above T T 

F F

Reference Discussion
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Reference Discussion

(8 of 30 )
Colloid solutions are-
a) Gelatin T T 
F F

b) Hartman T T 
F F

c) Polygelin T T 
F F

d) Starch T T 
F F

e) 5%DA T T 
F F

Reference Discussion

(9 of 30 )
FNAC is mainly suitable for-
a) Breast T T 
F F

b) Thyroid T T 
F F

c) Kidney T T 
F F

d) Prostate T T 
F F

e) Super cial lymph node T T 

F F

Reference Discussion

(10 of 30 )
Conventional radiography is the most common imaging
modalities  in the world.True regarding X-ray-
a) No radiation T T 
F F

b) Expensive T T 
F F
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c) First line for hepatobiliary disease T T 

F F

d) Best for bony blesions T T 

F F

e) Easily comparable T T 
F F

Reference Discussion

(11 of 30 )
Imaging ndings in common surgical clinical scenarios-
a) Bowel Obstruction-Air uid T T 
level(Central/Peripheral) F F

b) Perforation-Gas shadow below left diaphragm T T 

F F

c) Ischemia-MRI T T 
F F

d) Appendicitis-XRay T T 
F F

e) GIT haemorrhage-Ultrasound T T 
F F

Reference Discussion

(12 of 30 )
Endoscopy is a common investigation modality for GIT related
disease.Risks of endoscopy consist of-
a) Cardiorespiratory abnormalities T T 
F F

b) Aspiration T T 
F F

c) Radiation T T 
F F

d) Haemorrhage T T 
F F

e) Perforation T T 
F F

Reference Discussion

(13 f 30 )
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(13 of 30 )
Frozen section is a popular cytology,mostly popular for quick
diagnosis.Disadvantages of frozen section biopsy-
a) Quick diagnosis T T 
F F

b) Disruptive T T 
F F

c) Better quality T T 
F F

d) Risk of infection T T 
F F

e) Large sample required T T 

F F

Reference Discussion

(14 of 30 )
The main complications of abdominal surgery-
a) Paralytic ileus T T 
F F

b) Hemorrhage T T 
F F

c) Perforation T T 
F F

d) Abscess T T 
F F

e) Anastomotic leakage T T 
F F

Reference Discussion

(15 of 30 )
Following cases may be done as day case-
a) Haemorrhoidectomy T T 
F F

b) TURP T T 
F F

c) CABG T T 
F F
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d) Carpal tunnel disease T T 

F F

e) Sympathectomy T T 
F F

Reference Discussion

(16 of 30 )
A patient came to you with the complaints of sudden upper
abdominal pain,you suspect there may be calculus
cholecystitis,what is your next step?
a) CT abdomen A A 

b) MRI B B

c) High transducer  USG C C

d) Low transducer  USG D D

e) Abdominal X-ray E E

Reference Discussion

(17 of 30 )
Name of radioactive element except-
a) Technitium A A 

b) Gadolinium B B

c) Thallium C C

d) Gallium D D

e) Iodine E E

Reference Discussion

(18 of 30 )
A 30 years male came to you with suspected pulmonary
mass,now choose your next plan-
a) MRI A A 

b) USG B B

c) CT chest C C
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c) CT chest C C

d) Biopsy D D

e) Open thoracoscopy E E

Reference Discussion

(19 of 30 )
You are suspecting carcinoid tumor in a 30 years old male, but
relevant investigations  failed to con rm it and you go for
immunohistochemistry,what may be the ndinds?
a) Cytokeratin A A 

b) Epethelial B B

c) HER 2 C C

d) Chromogranin D D

e) None of the above E E

Reference Discussion

(20 of 30 )
A women child bearing age came to you with complaints of
headache,vomiting,papilloedema.With the help of MRI you
diagnosed this case as ICSOL and gave her a plan for
surgery.But she was in OCP  ,so you stoppedthe OCP and
postponed the operation for
a) 1 week A A 

b) 2 weeks B B

c) 3 weeks C C

d) 4 weeks D D

e) 5 weeks E E

Reference Discussion

(21 of 30 )
During postoperative period pyrexia is common,Which one
delayed cause of post-operative pyrexia-
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a) Atelactesis A A 

b) Drug reaction B B

c) DVT C C

d) Transfusion reaction D D

e) Aspiration pneumonia E E

Reference Discussion

(22 of 30 )
You are doing surgery in a middle aged man and unfortunately
resect ileum. Absorption of which vitamin will be affected by
ileal resection-
a) Vit-A A A 

b) Vit-B1 B B

c) Vit-E C C

d) Vit-B12 D D

e) Vit-D E E

Reference Discussion

(23 of 30 )
you operated a young women by laparoscopic cholecystectomy
as day case (12 hour)surgery,and now planning for discharge.
Before discharging a day case surgery patient-vitals must be
normal for at least-
a) 30 mins A A 

b) 45 mins B B

c) 1 hour C C

d) 2 hours D D

e) 3 hours E E

Reference Discussion

(24 of 30 )
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For a local case you choose bupivacaine,Dose of bupivacaine-

a) 6 mg/kg A A 

b) 8 mg/kg B B

c) 3 mg/kg C C

d) 2 mg/kg D D

e) 1 mg/kg E E

Reference Discussion

(25 of 30 )
A diabetic patient came to you for thyroid surgery.what is your
HBA1C target in a diabetic patient-
a) <61 mmol/mol A A 

b) <50 mmol/mol B B

c) <69 mmol/mol C C

d) <60 mmol/mol D D

e) None of the above E E

Reference Discussion

(26 of 30 )
Perioperative team is an extraordinary concept for better
outcome.Following persons should be included except-
a) Nursing staff A A 

b) Pulmonologist B B

c) Anesthesiologist C C

d) Surgeons D D

e) Special personnel if necessary E E

Reference Discussion

(27 of 30 )
Enhanchedrecovery  is a new concept consists of following
except-
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a) Prolong starvation A A 

b) Early mobilization B B

c) Early oral hydration C C

d) Opioid sparing analgesics D D

e) Early discharge planning E E

Reference Discussion

(28 of 30 )
For parenteral nutrition,peripherally venous  line may be
inserted in-
a) Femoral vein A A 

b) Femoral artery B B

c) Popliteal vein C C

d) Cephalic vein D D

e) Great saphenous vein E E

Reference Discussion

(29 of 30 )
During post-operative period Acute Kidney Injury is a
devastating complications.Prerenal causes of AKI
a) Nephrotoxic drugs A A 

b) Hypovolemia B B

c) Sepsis C C

d) Myoglobinuria D D

e) None of the above E E

Reference Discussion

(30 of 30 )
Sepsis rate in catheter related sepsis in parenteral nutrition is-
a) 1-11% A A 

b) 2 20%
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b) 2-20% B B

c) 3-14% C C

d) 3-33% D D

e) 4-40% E E

Reference Discussion

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