Solve Surgery INICET 2023 Total Questions: 29 1. Which of the following statements about claudication pain is not true? Pain in intermittent claudication comes at first step of walking. Rest pain is seen more in the night Most common cause is atheroma The clinical stem does not reflect the site of peripheral arterial obstruction None 2. A 73-year-old patient presents with painless rectal bleeding. Which of the below-mentioned investigations are done for this patient? Colonoscopy CECT CEA CA 19-9 1, 2 and 3 2, 3 and 4 3 and 4 1 and 2 None 3. A 25-year-old patient presents with fever and weight loss. He gives a history of blood in the stools and vomiting 2 weeks ago. On examination, there is right hypochondriac tenderness and hepatomegaly. Abdominal CT a lesion in the right lobe of the liver with ragged edges, multiple septations, and heterogenous densities. What is the most likely diagnosis? Hydatid cyst Pyogenic liver abscess Hemangioma Amoebic liver abscess None 4. Smoking increases the risk of which of the following diseases? Duct ectasia Fibroadenoma Mondor's disease Breast carcinoma 2, 3, 4 2 & 3 1, 3, 4 1 & 4 None 5. Which of the following tests is done before performing an A-V fistula procedure? The image of the test is given below. Adson's test Allen's test Nicoladoni's test Elevated arm stress test None 6. Identify the following image: Cystic hygroma Hemangioma Ranula Branchial cyst None 7. Match the following positions of the appendix: a.Subcaecalb.Retrocaecalc.Inside the pelvisd.Paracaecal 1-b, 2-d, 3-a, 4-c 1-c, 2-a, 3-b, 4-d 1-b, 2-a, 3-d, 4-c 1-c, 2-b, 3-a, 4-d None 8. Feeding is done through the given method. Which of the following is not a complication of this? Osteoporosis Refeeding syndrome Aspiration pneumonia Pneumothorax None 9. A patient presents with dull aching pain in both legs. He gives a history of prolonged standing and tortuous veins in the legs. Which of the following tests are done for saphenofemoral incompetence? Brodie Trendelenburg Test Morrissey's test Fegan's test Modified Perthes test 1, 2 1, 2 and 3 1, 2, 3 and 4 3, 4 None 10. Identify the surgical instrument shown in the image. Kocher's forceps Adson's forceps Mixter forceps Rampley forceps None 11. Which of the following statements is true about thymoma? Most common posterior mediastinal tumor. Most common neoplasm of thymus Chest Xray is the investigation of choice Usually symptomatic with dyspnoea, dysphagia and SVC syndrome None 12. A 25-year-old male patient was brought to the casualty after a road traffic accident with a suspected pelvic fracture. On examination, he is found to be in hypovolemic shock. What is the earliest treatment for the control of hemorrhage in this case? Multiple blood transfusions Immediate internal fixation Use bedsheets to compress the pelvis Emergency external fixation None 13. In a patient who underwent laparoscopic cholecystectomy, what is the ideal urine output? 0.5 ml/minute 500 ml/day 1 ml/kg 0.5-1.5 ml/kg/hour None 14. Which of the following are done in Breast Conservation Surgery? Wide local excision Axillary node dissection Frozen section (biopsy) to be done during surgery Post-operative radiotherapy optional 1, 2 2, 3 1, 3, 4 1, 2, 3 None 15. In a patient presenting with rectal prolapse, which of the following procedures is not done via the perineal approach? Altemeier procedure Ripstein operation Delorme operation Thiersch operation None 16. Match the features seen due to compression of the following structures in case of thyroid swelling. 1-c, 2-d, 3-a, 4-b 1-c, 2-d, 3-b, 4-a 1-d, 2-b, 3-c, 4-a 1-a, 2-b, 3-d, 4-c None 17. In a patient with an inguinal hernia, the surgeon reduces the entire hernial sac into the abdominal cavity without reducing the contents. What is this known as? Reduction en masse Maydl's hernia Incarcerated hernia Sliding hernia None 18. Which classification of bile duct injury takes into account both vascular as well as the location of the injury? Strassberg Hannover McMahon Bismuth None 19. A 63-year-old female presented to the OPD with abdominal pain and a tense and tender swelling below and lateral to the pubic tubercle. What is the most likely diagnosis of this condition? Strangulated femoral hernia Strangulated inguinal hernia Intussusception Adhesions None 20. If open cardiac massage were to be performed on a patient, what category would it come under? Clean Contaminated Dirty Clean-contaminated None 21. A patient presented with a Type 1 Choledochal cyst. All of the following statements are correct except? Increased risk of cholangiocarcinoma Cyst opened and drainage is done Due to anomalous pancreaticobiliary junction Todani classification is used None 22. A patient who was a known case of rheumatoid arthritis is brought to the ER due to dizziness. Her BP was 90/60mmHg. She was prescribed a medication by her local doctor which she stopped taking suddenly. Her blood sugar was low and serum potassium was 6mEq/L. Which of the following drugs should be given to her next? IV Saline Dopamine infusion Hydrocortisone Sodium bicarbonate None 23. A patient underwent laparoscopic cholecystectomy for cholelithiasis. Specimen revealed that she had gall bladder carcinoma infiltrating the muscularis layer. What is the manage Radical cholecystectomy with adjuvant chemotherapy Extended cholecystectomy Adjuvant chemotherapy Surveillance None 24. What is the most common cause of hypercalcemia in hospitalized patients? Malignancy Parathyroid adenoma Hypervitaminosis D Parathyroid hyperplasia None 25. A man presented with a history of stab injury over the arm. On examination, there was a hematoma present, and radial and ulnar pulses were not felt. A 3.5cm longitudinal tear is noted in the brachial artery. Which among the following is the best treatment option? Repair with great saphenous vein graft Primary repair with end to end anastomosis Repair with saphenous vein patch Repair with prosthetic graft None 26. An elderly lady was diagnosed to have a gallbladder polyp. She was told that she has a risk for gallbladder cancer. Which of the following is not a risk factor for gallbladder cancer? Porcelain GB A single gall bladder polyp < 1 cm Primary sclerosing cholangitis Gall stone > 3cm None 27. Which of the following drugs are not used in the management of a thyrotoxic crisis? Acetaminophen Lugol's iodine Aspirin Propranolol None 28. Which of the following is the most important prognostic factor of breast carcinoma? Size Axillary lymph node status Hormonal status Distant metastasis None 29. Which of the following is the best method to conclusively localize a parathyroid adenoma? SPECT sestamibi Tc99 sestamibi scan USG neck MRI None 1 out of 29 Time's up
