SURGERY MCQ=aims may 2012

SURGERY MCQ=aims may 2012

 167. Not a Causes of acute anal pain:

a. Thrombosed hemorrhoids

b. Acute anal fissure

c. Fistula in ano

d. Perianal abccess

Answer : (c) Fistula in ano Reference: Harrison 18th edition/chapter 297, Bailey and love 26th edition,page 1263

168. 70 yr old man with prostate cancer was given radiotherapy. The recurrence of the cancer is monitored biochemically by

a. Androgens only

b. Prostate specific antigen and carcino-embryonic antigen

c. Prostate specific antigen only

d. ALP and CEA

Answer: (b) Prostate specific antigen and carcino-embryonic antigen Reference: NICE clinical guideline 58 – Prostate cancer (http://www.nice.org.uk/nicemedia/pdf/CG58NICEGuideline.pdf) and http://emedicine.medscape.com/article/1967731-treatment#a1156

169. A patient has a surgical cause of obstructive jaundice. USG can tell all of the following except

a. Level of obstruction

b. Peritioneal deposits

c. Gall bladder stones

d. Ascites

ANSWER (b) Peritioneal deposits Reference: A. Sutton Textbook of Radiology Volume 1 page 716 & 717 B. Biliary Obstruction Workup Imaging :guidelines/http://emedicine.medscape.com/article/187001-workup#a0720 C. Harrison 18th edition chapter 311/ table 311.3 Sutton says - In presence of biliary obstruction ultrasound is reported to define level in 95% and cause upto 88% of patients

170. Organism associated with fish consumption and also cause carcinoma gallbladder

a. Clonorchis sinensis

b. Gnathisomia

c. Anglostronglyoidosis cantonensis

d. H. dimunata

Answer  (a) Clonorchis sinensis [Reference: Harrison 17/e p1330; http//www.ncbi.nlm.nih.gov/pubmed/12483392 http://www.ncbi.nlm.nih.gov/pubmed/3993073]

171. Rupture of urethra above the deep perineal pouch causes urine retention in which region?

a. Medial aspect of thigh

b. Scrotum

c. True pelvis only

d. Anterior abdominal wall

Answer: (c) True pelvis only Reference: Smith Urology page 910

172. Ileal resection for intusussception in adults would be done in?

a. Carcinoid Tumor

b. Lymphoma

c. Villous adenoma

d. Soft tissue

Answer: C, Villous adenoma

Reference: Chapter 91 Harrison 18th Edition Intussusception of the bowel in adults: A review World J Gastroenterol. 2009 January 28; 15(4): 407–411 Pediatric Intussusception  surgery/http://emedicine.medscape.com/article/937730-overview#a0102

173. All are true about intestinal obstruction radio-graphically except

a. On lying supine fluid air gap absence does not signify obstruction

b. Volvulus shows a characteristic appearance on radiograph

c. Small intestine dilation> 3 cm

d. Distal large intestine >9 cm and proximal intestine>3 cm

Answer (d) Distal large intestine >9 cm and proximal intestine>3 cm

Reference: Oxford textbook of surgery Reference: Swartz’s 9e

174. Buerger disease all except are true

a. Ulnar artery and peroneal arteries involved

b. Neural involvement present

c. small acral vessels of limb involved

d. Phlebitis migrans

Answer (c) Small Acral vessels of limb small acral vessels of involvement causes hypohidrosis Reference: CMDT 2012 page 458 Vascular Disease: Diagnostic and Therapeutic Approaches By Michael R. Jaff Robbins textbook page 517 8th Edition

175. Next Investigation to be done for painful breast lump in a lactating woman

a. Mammography

b. USG

c. MRI

d. X Answer

(b) USG Reference: Breast Ultrasonography/http://emedicine.medscape.com/article/1948269-overview

176. Which of the following is not associated with elevation Right hemi-diaphragam:

a. Amebic abscess

b. Pyogenic abscess

c. Cholecystitis

d. Subdiaphragmatic abscess

Answer. (c) Cholecystis Reference: Green filed surgery page No: 910& 911

177. Not true of hernia is :

a. Conservative managment

b. In Child hernia treatment with herniotomy

c. Aborshable mesh not used

d. Long standing hernia increases changes of incarceration

Answer: D long standing hernia increases chances of incarceration Reference: chapter 343 ,Nelson textbook of Pediatrics 18th edition

178. Stereotactic radiotherapy is used for treatment of ?

a. Brain tumor

b. Lungs carcinoma

c. Cervix cancer

a. Renal carcinoma

Answer. (a>b) Reference: Neurology tumors of the brain and spine – M.D. Anderson cancer care series Page 136 Radiation Oncology for Tumors of the Central Nervous System Reference: http://www.cancerresearchuk.org/cancer-help/type/brain-tumour/treatment/radiotherapy/stereotactic-radiotherapy-for-brain-tumours Reference:http://www.rtanswers.com/treatmentinformation/treatmenttypes/stereotacticradiation.aspx Stereotactic Radiation Therapy Reference: http://www.radiologyinfo.org/en/info.cfm?pg=stereotactic

 179. Patient presents with varicose vein with sapheno-femoral incompetence and normal perforator management :

a. endovascular striping

b. Sclero-theraphy

c. Sapheno-femoral flush ligation

d. saphenofemoral flush ligation with striping

Answer: (d) saphenofemoral flush ligation with striping Reference: Bailey& Love, Short practice of Surgery, 25th Edition ,page No: 930, Sabiston textbook of surgery 18th Edition Chapter Primary Venus Insufficiency /below figure 68.6