Quiz

Question :1 Operative management of a newborn with chest X-ray shown in figure is done

Immediately after birth
Within 24 hours
Within 72 hours
Within 2 to 4 days

Question :2 Which of the following patients would most likely benefit from robotic-assisted versus laparoscopic surgery or colorectal cancer

75 year old admitted with a lower gastrointestinal bleed, ound to have a bleeding cecal tumor on colonoscopy
60-year-old man with a low rectal cancer Abutting prostate on EUS
64-year-old man with no significant medical history with a descending colon mass
55-year-old man admitted with obstipation with obstructing sigmoid tumor

Question :3 Which of the following is not true regarding Traumatic hernia

Hernias arise through anatomical defects caused by injury
Include incisional hernia
Hernias through abdominal stab wound sites
Hernias protruding through splits or tears in the abdominal muscles after blunt trauma

Question :4 Intracranial Aneurysms most typically present with:

Incidental demonstration on imaging
Parenchymal hemorrhage
Subarachnoid hemorrhage
CN III neuropathy

Question :5 A CSF leak after transsphenoidal hypophysectomy is initially treated with

Surgery
Blood patch
Packing
Observation

Question :6 After resection of GIST microscopic margin is +ve. True statement is

Carries worse prognosis
Poor overall surveillance
Re resection is not needed
Recurrence is linked to R1 resection

Question :7 Which of the following type of lymphoma involves Extrahepatic biliary route

Diffuse large cell
Mantle cell
MALT
Follicular

Question :8 Most common gastric polyp is

Adenomatous
Hyperplastic
Hamartomatous
Inflammatory

Question :9 Risk of malignancy in Meckels diverticulum is

70 times
50 times
30 times
10 times

Question :10 Which findings indicate classical achalasia in Chicago classification

IRP normal, DCI>450
IRP> 15, DCI<100
IRP>15, DCI>450
IRP normal, DCI>8000

Question :11 Incorrect match is

Larry's hernia- anteromedial
Achalasia- allgrove disease
Boerhaave syndrome- meckler triad
Dysphagia lusoria- bergquist triad

Question :12 True about Rapunzel syndrome is

Most common in adult
Always black hair are found
Papain and cellulase are effective
All of the above

Question :13 Treatment of choice for Intraabdominal desmoid

Sulindac
Tamoxifen
Doxorubicin
Wide excision

Question :14 In patients with medullary thyroid carcinoma (MTC), which of the following preoperative basal calcitonin levels is an indication for ipsilateral central and lateral neck dissection

15 to 20 pg/mL
20 to 50 pg/mL
50 to 200 pg/mL
200 to 500 pg/mL

Question :15 Genital branch of Genitofemoral nerve is

It Is typically anteriorly on top of spermatic cord
Provides sensation to the base of the penis and inner thigh
Typically lies on anterior surface of internal oblique muscle
Provides sensation to side of scrotum and motor innervations to cremaster muscle

Question :16 Which one of the following statements is false

In severe uncontrollable bleeding, soft clamp must be applied immediately across vessel
Wounds should be classified as tidy and untidy before deciding upon intervention
Repair of all damaged structures can be attempted under certain situations
Pulsed jet lavage for saline irrigation is not always ideal for saline irrigation

Question :17 Which of the following are not risk factors for post-ERCP pancreatitis

Young age
Difficult cannulation
Increased bilirubin
Pancreatic sphincterotomy

Question :18 Capsule endoscopy is not used in which of the following situations

Diagnosis of obscure gastrointestinal bleeding
Diagnosis of small bowel Crohn’s disease
Assessment of coeliac disease
Assessment of small bowel obstruction

Question :19 Which of the following statements are not true

Extent of the disease, local and distant, should be mapped by staging
Once diagnosed, the cancer should be radically excised at the earliest
Non-surgical treatment of cancer can be expressed in reproducible units, unlike surgery
Radiotherapy works by damage to the DNA of cells and targeting gene expression

Question :20 The following statements are true except

Duplication of the renal pelvis is found in 4% and ureter in 3% of patients
Previoiusly mentioned abnormalities are usually incidental findings
Retrocaval ureter cause bilateral hydronephrosis
Ureterocele is a cystic enlargement of the intramural ureter

Question :21 Operation preferred in patients with short segment full rectal prolapse

Thiersch
Delorme
Altemeier's
None

Question :22 How many well targeted biopsies need to be taken before gastric ulcer to be labelled benign

12
8
10
6

Question :23 Procedure of choice in patients with incarcerated and strangulated rectal prolapse

Thiersch
Delorme
Altemeier's
None

Question :24 Terson's syndrome is

SAH + aqueous humour hemorrhage
SAH + vitreous hemorrhage
Vitreous hemorrhage following blunt trauma eye
SAH + acoustic neuroma

Question :25 Risk factor for aneurysmal bleeding are all except

Hypertension
Smoking, Cocaine abuse
Male sex
Family history with two first degree relative affected

Question :26 Most common tissue of origin for brain metastasis is

Lung
Melanoma
Renal
Adrenal

Question :27 Incidence of Epithelial neoplasm in appendicectomy specimen is

<1%
<2%
<3%
<4%

Question :28 Premature closure of metopic suture causes

Microcephaly
Plagiocephaly
Brachycephaly
Trigonocephaly

Question :29 Myelomeningocele is commonly associated with

Chiari I malformation
Chiari I I malformation
Noth
Danday walker malformation

Question :30 What should be flow rate in BOO

<50 ml/sec
<30 ml/sec
<20 ml/sec
<10 ml/sec

Question :31 False about carcinoid tumour of appendix

Also called as Argentaffinoma
Arise from kulchitsky cells of crypts of lieberkuhn
Frequently found in Distal third of appendix
Commonly gives rise to metastasis

Question :32 Treatment of secondary spontaneous pnemothorax of size >2cm is

Conservative
Aspiration
Chest drain
Thoracotomy

Question :33 Tripartite risk assessment used for

Cardiac surgery
Lung surgery
Breast surgery
Neurosurgery

Question :34 True about LIFT is

Sphincter preserving procedure
Used in suprasphincteric fistula
Used in intersphincteric fistula
Maintaining continence upto 50%

Question :35 Percentage of incidentoloma that are phaeochromocytoma

2%
4%
6%
8%

Question :36 Most serious complication of hernia surgery is

Chronic pain
Seroma
Wound infection
Testicular infarction

Question :37 Which doesn’t form boundary of Beahr's triangle

RLN
Carotid artery
Inferior thyroid artery
Superior thyroid artery

Question :38 Light meshes are defined by

<40 gm/m2
40-60 gm/m2
60-80 gm/m2
>80 gm/m2

Question :39 Chronic pain after hernioplasty is defined as pain persisting more than

3 months
6 months
1 Year
3 Years

Question :40 Regarding Subdural empyema which is incorrect

Sequel of potts puffy tumour
It is characterised by pus collection in sub dural space, thrombosis of cortical veins
Craniotomy and drainage is TOC
Lumber puncture may be done in equivocal case on CT finding

Question :41 Diagnosis of Non-union is made _____ after injury

3 months
4 months
5 months
6 months

Question :42 Parinaud's syndrome is

Dorsal midbrain compression with upgaze palsy
Dorsal midbrain compression with downgrade palsy
Dorsal brain stem compression with upgaze palsy
Dorsal mid brain compression with down gaze palsy

Question :43 Which of the following is incorrect

Normal csf volume is 150 ml, formed at the rate of 20 ml per minute
CSF is reabsorbed in arachnoid villi along the superior sagittal sinus
MRI is investigation of Choice for raised ICP
Communicating hydrocephalus formed after brain haemorage

Question :44 Radiopharmaceutical of choice for UPJO

DTPA
DMSA
MAG3 Renogram
none

Question :45 All are indications of esophageal perforation except

Hypertension
Drooling saliva
Abdominal pain
Chest pain

Question :46 Puboprostatic ligament is condensation of

Anterior endopelvic facsia
Lateral endopelvic facsia
Posterior endopelvic facsia
Both A and B

Question :47 Most common cause of acute retention

BOO
Stricture urethra
Phimosis
Acute prostatitis

Question :48 All of the following are incorrect about neural tube defect except

Vitamin B12 supplements during pregnancy decrease the risk of neural tube defect
Antenatal CEA level assessment has a role in guiding treatment
Meningocele is covered with skin and has better prognosis
It is also associated with type 2 Arnold Chiari Malformation

Question :49 Type of HPV play significant role in Oral Cancer is

6
8
16
32

Question :50 Bjork flap is used in

Cricothyroidotomy
Laryngectomy
Elective Tracheostomy
Emergency Tracheostomy

Question :51 One of the following is not a component criteria according to kings criteria for non paracetamol induced liver injury:

Age of Patient
Etiology
Prothrombin time
Encepahlopathy

Question :52 To detect peritoneal tumour spread and superficial Metastasis in liver following required

USG
Spiral CT
PET scan
Laparoscopic or laparoscopic ultrasound

Question :53 Flail chest is defined as

2 or more ribs in three or more place
2 or more ribs in two or more place
3 or more ribs in two or more places
3 or more ribs in three or more places

Question :54 Minimum amount of contrast inserted for Cystogram

200ml
300ml
400ml
500ml

Question :55 Tertiary hyperparathyroidism characterised by all of the following except

High PTH
High calcium
High phosphate
Low phosphate

Question :56 Commonest mode of treatment of urinary tract stone is

ESWL
PCNL
Nephrolithotomy
Ureteroscopic retrival

Question :57 Abdominal closure include which stage of damage control surgery

3
2
4
5

Question :58 Per rectal ____ immediately before or after ERCP reduce risk of post ERCP pancreatitis

Indomethacin
Diclofenac
Any of the above
None

Question :59 All are true about Ranula except

It is a mucous retention cyst
Arises from sublingual gland
Incision and drainage results in recurrence
Translucent swelling

Question :60 Calcitonin gene related peptide secreted from

C- cells of thyroid
Parathyroid
Beta cells of pancreas
All of the above

Question :61 Most Abscess in surgical wound develops on

2-4 day
4-7 day
7-10 day
Any time

Question :62 One of the following is true about stafne bone cyst

It is most common ectopic salivary tissue
Usually symptomatic
Occurs above the inferior dental neuro vascular bundle
Surgical excision is always required

Question :63 All are true about necrotising sialometaplasia except

It occurs in floor of mouth
Mimics like an aggressive cancer
Presents as deep punched out ulcer
Resolves spontaneously with symptomatic treatment

Question :64 Pancreatic injury to ampulla is considered Grade

I
II
III
IV

Question :65 Bupivacaine toxicity manifests primarily as

CNS excitation and convulsions
CNS depression and respiratory depression
CVS excitation and hypertension
CVS depression and arrest

Question :66 Benign tumors of palate of size __ can be excised and heal by secondary intention

< 5mm
< 1mm
< 1cm
< 5cm

Question :67 __% of sublingual gland tumors are malignant.

50%
60%
70%
85%

Question :68 True about Schatzki's ring include all except

Circular ring in proximal esophagus
Consists of fibrous tissue and cellular infiltrate
Most rings are incidental findings
Responds to dilatation and PPI's

Question :69 Extraluminal Duodenal diverticulum is common is which part

First
Second
Third
Third

Question :70 Treatment of annular pancreas is (DNB SS Pattern 2013)

Duodeno-duodenostomy1
Duodeno-jejunostomy
Annular pancreas division and then duodeno-duodenostomy
All of the above

Question :71 Not true about lymphedema precox is

More common in women
Onset starts in childhood
Mostly affects calf only
Also called as Latessier Meige’s disease

Question :72 Rigler traid for gallstones ileus not include

Hemobilia
Small bowel obstruction
Peumobilia
Atypical mineral shadow on X ray

Question :73 In recent abdominal surgery ..pneumoperitoneum can be persist for

2-3 days
3-5 days
5-7 days
10-14 days

Question :74 In USG guided foam sclerotherapy foam is produced by mixing sclerosant and air in ratio

1:3
1:4
1:5
Both A & B

Question :75 Contrast agent for CT scan in small bowel obstruction is

Iodine contrast
Non iodinated contrast
Gadolinium contrast
Fluid in bowel lumen

Question :76 Drug that need not be discontinue before endoscopy

Aspirin
Warfarin
Clopidogril
Dabigatrin

Question :77 Diameter of small bowel in small bowel obstruction radiologically is

2.5-3.5 cm
3.5-5 cm
4-6 cm
5-8 cm

Question :78 In USG Sliding motion of the pleura is lost in

Hemothorax
Hemopericardium
Hemoperitoneum
Pneumothorax

Question :79 Most common site of pressure sore is

Ischium
Greater trochanter
Sacrum
Occiput

Question :80 Secondary hyperparathyroidism characterised by all of the following except

High PTH
Low or normal calcium
High phosphate
Low phosphate

Question :81 Five year survival rate lowest for which lung cancer

Small cell carcinoma
Adenocarcinoma
Squamous cell carcinoma
Undifferentiated carcinoma

Question :82 Fluid turnover in pleural space in 24 hrs

1 to 2 litre
500ml to 1Litre
2 to 3 litre
3 to 4 Litre

Question :83 Size of salivary stone retrieved with dormia basket

4 mm
6 mm
8 mm
10 mm

Question :84 Prognostic cutoff size of malignant salivary gland tumor is

2 cm
4 cm
6 cm
8 cm

Question :85 Structure passing through parotid gland all except

Facial nerve trunk
Terminal branch of external carotid artery
Intraparotid lymph node
Retromandibular artey

Question :86 Most common site of abdominal abscess is

Subphrenic
Pelvic
Right subhepatic
Left subhepatic

Question :87 Which of the following true about Spontaneous Bacterial Peritonitis

Increased neutrophil count 250/mm3
Culture positive in 60% patients
Most common organism is gram positive
All of the above

Question :88 All of the following are true about small bowel injury except

Needs urgent repair
Hemorrhage control takes priority
These wounds can be temporarily closed with simple sutures
Haematomas in the small bowel mesentric border need not to be explored

Question :89 Dermis forms how much percent of skin

95%
90%
85%
80%

Question :90 Flow between neighbouring angisome is by

Myocut perforatrs
Fascicutaneous perforators
Choke vessels
Subfascial plexus

Question :91 Regarding Hidradenitis supurrativa which one is false statement

No genetic predisposition
Most commonly associated with staphylococcus aures infection
Associated with Smoking
Female : male ratio 4:1

Question :92 Phrygian cap in gallbladder is present in how many cases

5%
10%
15%
20%

Question :93 Infants and small children during laparotomy greatest level of access is provided by:

Transverse supraumbilical incisions
Transverse infraumbilical incisions
Vertical midline incision
None of the above

Question :94 For securing the airway in an infant the following are used:

Curved Laryngoscope & Cuffed Endotracheal tube
Straight bladed laryngoscope & Cuffed Endotracheal tube
Curved Laryngoscope & Uncuffed Endotracheal tube
Straight Laryngoscope & Uncuffed Endotracheal tube

Question :95 Immunohistochemical Stain used for Lung Cancer

Cytokeratin
Thyroid Transcription Factor
DOG-1
HepPar

Question :96 Post Upper abdominal surgery insulin resistance may persist up to

1week
2 weeks
3 weeks
4 weeks

Question :97 Length of rigid sigmoidoscope (NEET Pattern 2018)

20 cm
25 cm
30 cm
60 cm

Question :98 Jejunum is ____% of small intestine

40
50
60
70

Question :99 Inhalation agent of choice in children (DNB Pattern 2013)

Sevoflurane
Desflurane
Isoflurane
Enflurane

Question :100 TIVA is commonly used in all except

Neurosurgery
Day care surgery
Cardiopulmonary bypass
Plastic surgery

Question :101 Which of the following Clinical picture suggests Polycystic kidney disease?

A 34-year-old man presents with painless frank haematuria. He has a history of back pain and mentions that he had a sister who died earlier in the year from a bleed in her brain. He is a non-smoker. On examination, his blood pressure is 170/110 mmHg and both kidneys are palpable
A 58-year-old man presents with painless frank haematuria. He has attended his general Practitioner several times in the previous months for recurrent urinary tract infections. He is a smoker with a 100 pack year history
A 48-year-old woman presents to the emergency department with sudden-onset loin pain that radiates to her groin and haematuria. She has no significant past medical history. On examination, her temperature is 36.7°C and there is no abnormality
A 58-year-old man presents with pain on passing urine and haematuria. He also admits to frequency of urination. The pain is experienced in suprapubic region and is worse at the end of micturition.Abdominal examination reveals no abnormality

Question :102 True about Amyand hernia is

A hernia that has two parts, each either side of the inferior epigastric artery
A hernia that contains a ‘W’ loop of intestine within its sac
A hernia that arises from the triangle of Petit
A hernia that contains the appendix within its sac

Question :103 A 46-year-old woman presents with intermittent severe retrosternal chest pains that occur soon after eating and are accompanied by dysphagia. She complains of no other symptoms. An ECG shows no acute abnormality and cardiac enzymes are normal

Bulbar palsy
Chagas disease
Diffuse oesophageal spasm
External oesophageal compression

Question :104 Focal pancreatic enlargement is given how many points according to Balthazar CT index (DNB SS Pattern 2012)

1
2
3
4

Question :105 Order of correction of Hypospadias:

Straightening of penis–Balanoplasty–Urethroplasty
Urethroplasty–Balanoplasty–Straightening
Straightening–Urethroplasty–Balanoplasty
Balanoplasty–Urethroplasty–Straightening

Question :106 Vasodilator substances control renal artery tone except

Endothelin
Nitric oxide
Prostaglandin E2
Glucocorticoids