Surgery PYQ 2017 AIIMS 2017 Solve Surgery AIIMS 2017 Total Questions: 20 1. Which parameter is the best guide to monitor the adequacy of fluid resuscitation in a patient? Urine output Central venous pressure Oxygen saturation Blood pressure None 2. A man met with a road traffic accident, which resulted in paralysis of both his upper and lower limbs. He has not passed urine and tenderness is elicited in the cervical region. What will you advise regarding radiography? Order a cervical x-ray and shift the patient from the trolley by himself. The patient should not be shifted and portable x-ray machine should be used after neck stabilization. Instruct the radiographer to take cervical and chest x-ray. Instruct the radiographer to take cervical x-ray AP and lateral view without any cervical support. None 3. Which of the following is the most common presentation of abdominal desmoid tumor? Rectal prolapse Fever Abdominal mass Abdominal pain None 4. A 42-year-old woman presented with a history of painless breast lump measuring 6.2 X 4.5 cm in the left upper outer quadrant and no axillary nodes. Core cut biopsy showed ductal carcinoma in situ. She underwent tumor resection with adequate margins and postoperative HPE showed DCIS with intermediate-grade necrosis and with 6-mm clearance on margins. What is the next step of treatment? Adjuvant radiotherapy No additional treatment Adjuvant chemoradiotherapy Adjuvant chemotherapy None 5. A 10-year-old child came with complaints of pain over the right lower quadrant and lower back pain. On examination, the patient had pain over the right side of the hip on passive extension with a mass in the right lumbar region pointing towards the groin. What is the most probable diagnosis? Psoas abscess Pyelonephritis Torsion of right undescended testis Appendicitis None 6. Which of the following is false regarding imaging in the primary survey of a trauma patient? All patients should have chest X-ray PA view only Hemodynamically unstable patient should not be sent for CT scan X-ray of the pelvis is essential in primary survery X-rays in primary survey must also be done in pregnant women None 7. Which layer is involved in blister formation in a superficial partial thickness burn? Subcutaneous tissue Epidermis Papillary dermis Reticular dermis None 8. A patient presents with renal calculus of > 4 cm of the staghorn type. What is the best management? Percutaneous nephrolithotomy Extracorporeal shockwave lithotripsy Ureteroscopic removal Retrorenal surgery None 9. Proper functioning of ICD tube is indicated by Auscultation Chest X-ray Oscillation of water column in the tube Continuous air bubbles coming out of the underwater drain None 10. All of the following can be done to transport a polytrauma patient who is conscious except? Put patient on lateral position and shift him immediately Strap their thorax, abdomen and lower limbs on a stretcher Place in prone position to prevent aspiration Roll the patient onto a hard board None 11. In a preoperative surgical safety checklist, which of the following is not present? Consent Signature of the doctor Sterility of instruments Functioning pulse oximeter None 12. Identify the condition. Strawberry gallbladder Cholesterolosis Gallbladder carcinoma Gallbladder polyps None 13. A trauma patient suffers a renal laceration with urine extravasation. He is managed conservatively. However, after a few days, he presents with a urinoma. The next best management for this patient would be? Surgical repair and exploration Ureteral stenting Percutaneous drainage Observation None 14. Colour of 22G IV Cannula is? Blue Yellow Green Pink None 15. Which of the following is considered balanced resuscitation? Allow permissible hypotension Maintaining airway, breathing and circulation Fluid resuscitation by giving colloids and crystalloids Maintain ph by ensuring acid-base balance None 16. The flap shown in the picture is which of the following? Pectoral myocutaneous flap Serratus anterior flap VRAM flap TRAM flap None 17. Fr in size of Foley's catheter refers to: Outer Diameter Inner Diameter Inner Circumference Radius None 18. A 25-year-old patient presented with neck swelling which moves with deglutition as shown below. What is your diagnosis? Cystic hygroma Thyroglossal cyst Branchial cyst Cervical lymphadenopathy None 19. A school bus full of children met with an accident. As the doctor in charge of triage, which of the following will you attend to first? Flail Chest Grade 4 Shock Airway Obstruction Severe head injury CD None 20. A 28-year-old patient was brought to the casualty ward with high fever and pain abdomen. He had a history of bloody diarrhea for several months. His past history was negative for long-term medications and previous surgeries. The abdominal X-ray image obtained is shown below. What is the most probable diagnosis? Ogilvie syndrome Volvulus Toxic megacolon Pneumatosis intestinalis None 1 out of 20 Time's up
