GENERAL SURGERY
Golden Points
1. Muscle which is primarily responsible for rectal continence - Puborectalis
2. Commonest complication of immunosuppression is - Infection
3. Highest chance of success,in renal transplant is seen when the donor is the - identical twin
4. Commonest type of cancer of the renal pelvis & upper ureter is - transitional cell Ca
5. Commonest site of intestinal atresia is in the - Duodenum
6. Complications of meckel’s diverticulam include - hemorhage, intussusception,
strangulation
7. In Budd chiari syndrome the occlusion is at the - Hepatic vein
8. Best diagnostic aid in blunt trauma abd. Is - peritoneal lavage
9. Hemoblia is characterised by - Jaundice,biliary colic,malena
10. Ectopic testis is found in – perineal ,intra abdominal, inguinal
11. Prognosis for Ca rectum is best assessed by - histological grading
12. Acute urinary retention in a male child may be due to - Meatal ulcer with scabbing
13. Rare complication of ulcerative colitis - Toxic dilatation
14. Commonest site of peptic ulcer perforation - ant. Aspect of 1st part of duodenum
15. Bronchogenic Ca which produce paraneoplastic syndrome - Oat cell ca
16. Warthins tumour is - gives a hot pertechnetate scan
17. Earliest sympt. Of Ca rectum - Bleeding PR
18. Commonest site of Ca tongue - Lateral borders
19. Dentigerous cyst arises from - an unerupted tooth
20. Curlings ulcer is seen in - Burns patient
21. Commonest cause of A-V fistula - congenital
22. Earliest symptom in acute appendicites - Pain
23. In acute diverticulitis of the colon,the sigmoidoscope can’t be passed beyond
15cm
24. Features of Ca penis - surgery/circumcision soon after birth provides total immunity /metastatic to inguinal nodes.
25. Spider leg appearance in IVP is suggestive of - Renal cyst ,Renal Ca
26. Percentage of gallstones which are radio opaque - 10%
27. Percentage of renal stones which are radio opaque - 90%
28. Staghorn calculus is made out of - Phosphate
29. Primary closure of incised wounds must be done within - 6hrs
30. Hypotension in a case of gas gangrene is best treated by - whole blood
31. Glomerular filtration stops when the systolic pressure falls below - 70mmhg
32. Highest concentration of potassium is in - Darrow’s solution
33. Maximum tourniquet time for the upper limb - 1 hr
34. Charcots joint seen in - T2DM, syringomyelia, tertiary syphillis
35. MC type of spina bifida - spina bifida oculta
36. Disc prolapse most commonly occurs at the level - L4/L5 level
37. Cleft lip is repaired - for cosmetic reason
38. Cleft palate is repaired around - after 1&half yrs
39. Mandible is commonly # - at the neck of the condyle
40. Parotid duct is known as - stenson’s duct
41. Vincent’s angina is caused by - borrelia vincentii & fusiformis fusiformis
42. Ca tongue less than 2 cm is treated by - Radiotherapy
43. Earliest tumor to appear after birth is - cystic hygroma
44. Therapy of choice for diffuse toxic goitre in a pt over 45 yrs - Radio iodine
45. MC site for thyroglossal cyst is - Subhyoid
46. Commonest symptom of Ca bronchus is - Cough
47. Sensitivity of casoni’s test is 75%
48. MC type of diaphragmatic hernia is - Hiatus hernia
49. Saint’s triad - gall stones/diverticula coli/hiatus hernia
50. To diagnose hypertrophic pyloric stenosis - palpation of the hypertrophic pylorus
51. Most imp. Radiological sign of splenic rupture is - obliteration of splenic shadow
52. Normal portal venous pressure is - 6-12mmhg
53. Commonest type of hernia is - Inguinal
54. Rx of annular pancrease is - duodeno dudenostomy
55. Whipple’s triad in Insulinoma includes - hypoglycemia below 45mgdl / symp relieved by glucose / hypoglycemia in fasting stage
56. Commonest site of intra peritoneal abscess - pelvic
57. Commonest position of the appendix - retrocecal
58. Surgery for carcinoid of the appendix - appendicectomy
59. Superior rectal artery arises from the - Inferior mesentric artery
60. Commonest type of anorectal abscess - perianal
61. Burst abdomen most commonly occurs on the - 7th day
62. MC congenital anomaly of the upper renal tract is - duplication of renal pelvis
63. Earliest symptom of wilm’s tumour - abdominal mass
64. MCC for pulsion diverticulum of the urinary bladder is-contracture of the bladder neck
65. Commonest org. giving rise to UTI - E-coli
66. Most malignant carcinoma of the bladder is - Adenocarcinoma
67. Commonest type of hypospadiasis is - glandular
68. Narrowest part of the male urethra is - External meatus
69. Commonest indication for liver transplantation in Infant is - Biliary atresia
70. Thromboembolism after pelvic surgery is usually from the veins - Calf
71. Hemorrhage from a bleeding duodenal ulcer is due to the erosion of -gastroduo- denal artery
72. Commonest bladder tumour is - papilloma
73. TOC for stab injury caecum - ileo-transverse anastomosis
74. Bleeding per nipple is seen in - Duct papilloma
75. Commonest site of brain abscess - Temporal
76. Lymph node metastasis commonest in - papillary Ca thyroid
77. Commonest testicular malignancy is - Seminoma
78. Commonest cause for hyperparathyroidism is - adenoma
79. Acute onset of anuria in elderly man - obstructive urinary disease
80. TOC in nasopharyngeal Ca - Radiotherapy
81. Pt with H/o fall comes 1 wk later with headache & progressive neurological dete- rioration diagnosis could be - chronic SDH
82. TOC in severe Flail chest - IPPV
83. TOC in duodenal atresia - duodenojejunostomy
84. Paeu ‘d’ orange is due to - subcutaeneous lymphatic involvement
85. Mucocele of the appendix is - retention cyst
86. Cause of blood in stools in children - Meckels divert,intususception,juvenile polyp
87. Commonest site of Ca breast - upper outer quadrant
88. Highest frequency of coarcation of Aorta is seen in - Turner’s syndrome
89. Highest frequency of VSD is seen in - Down’s syndrome
90. Bronchogenic Ca commonly metastasizes to which endocrine organ - Thyroid
91. Gynecomastia may be seen in patients with cimetidine therapy, cirhosis of liver, klienfelter’s syndrome
92. Symptoms of endemic goiter - dysphagia, hoarseness, cold intolerance
93. Following resection of 2/3 of the liver, regeneration is complete within - 4-6
months
94. Transitional cell lining is seen in – ureter ,bladder, urethra
95. During esophagoscopy,the area in the esophagus mostly perforated is - cricopharyngeal
96. Recurrent prolapse of the rectum in children is treated by - Thiersh wiring
97. Rx of cystic hygroma is - surgical excision
98. Injury to superior laryngeal nerve causes - loss of timbre of voice
99. Rx in Hashimoto’s disease - Thyroxine
100. Acute mastitis commonly occurs during - Lactation
101. MC complication post operatively in splenectomy is - left lower lobe atelectasis
102. TOC in Desmoid tumors is - wide excision
103. Pulmonary neoplasm ass. with smoking is - squamous cell Ca
104. MC nodule found in the liver - Hemangioma
105. Commonest cause of esophageal perforation is - Instrumentation
106. Most reliable investigation for bladder rupture - Retrograde cystogram
107. Principal cause of death in renal transplant pt’s is - Infection
108. MCC of colonic obstruction is - Neoplasm
109. Thumb printing is characteristic of - Ischemic colitis
110. Ulcerative colitis always involves the - Rectum
111. Procedure of choice in ulcerative colitis with acute perforation - total colectomy & ileostomy
112. MC coagulopathy noted in surgical pt’s - Thrombocytopenia
113. Golden period for Rx of open wounds is - 6 hrs
114. MCC of adrenal insufficiency is - diffuse atrophy due to steroid administration
115. Pain relief in chronic pancreatitis can be obtained by destruction of - celiac ganglia
116. Treatment of pouch of doughlas abscess is - Posterior colpotomy
117. Urinary incontinence results from - neurogenic bladder, VVF, ectopic ureter
118. Sr. Amylase usually becomes elevated in acute pancreatitis after - 4-6hrs
119. Predisposing factors for development of oral Ca - smoking, syphillis, alcohol
120. Ca of oropharynx is most commonly found in the - Tonsils
121. Nerve which lies in ass. To Wharton’s duct is - Lingual
122. Lung abscess secondary to aspiration is most often seen in - Apical lower lobe
123. MCC of hemoptysis is - Pulmonary TB
124. Intermittant claudication at the level of the Hip indicates - iliac artery occlusion
125. Commonest symptom ass. with thoracic outlet syndrome - pain in ulnar distri bution
126. Most reliable investigation in the diagnosis of pulmonary embolism is - angiog raphy
127. Rate of growth of nerves after peripheral nerve suturing is - 1mm/day
128. Tensile strength of wound reaches that of normal tissue by - 6 months
129. Bee venom can be neutralized by applying - Soda bicarbonate
130. Most dangerous injury is - human bite
131. Gas gangrene is caused by - cl.welchii/cl.edematiens/cl.septicum
132. Best site for IM injection - upper outer segment of buttocks
133. Worst position for scars is - Sternum
134. Commonest cause of cellulitis is - Streptococcus
135. Foaming liver is seen in - Gas gangrene
136. Erysipelas is caused by - strep pyogenes
137. Hyperbaric oxygen is useful in - gas gangrene,tetanus,frostbite
138. Commonest form of anthrax is - cutaneous type
139. Secondary amylodosis occurs in - chronic osteomyelitis,rheumatoid arthritis, le prosy
140. Most reliable investigation in amyloid disease - Rectal biopsy
141. Which of the parts of body is not affected by leprosy - Ovary
142. MC peripheral nerve affected in leprosy is - Ulnar
143. Moth eaten alopecia is seen in - Syphilis
144. Term universal tumour refers to - Lipoma
145. Blood platelets is stored blood do not remain functional after - 24hrs
146. Commonest site for rodent ulcer is - inner canthus
147. MC infection of the hand is - acute paronychia
148. Following TPN one expects weight gain after - 7 days
149. Features of raised ICT - convulsions/papilledema/altered sensorium
150. Pt presents with high fever,signs of raised ICT & past H/O chronic otitis media likely diagnosis is - Pyogenic meningitis
151. Facial nerve palsy is seen in the following # - Middle cranial fossa
152. Common cause of ventilatory insufficiency is - Airway obstruction
153. Treatment of ventricular fibrillation - immediate electro cardioversion
154. Cracked nipple may be - fore runner of breast abscess
155. Left ventricular failure is indicated if pulmonary artery wedge pressure exceeds - 20mmhg
156. Reliable parameter of fluid deficiency in burns is - urine output
157. Following is a physiological solution for infusion in burns pt - ringer lactate
158. Pt has lacerated untidy wound of the leg & came to cauality after 2 hrs his wound should be - debrided & sutured immediately
159. Commonest renal calculi - calcium oxalate
160. In a case of pelvic # i urethral injury most imp 1st step in management is - Rx
shock & hemorrhage
161. Dupytrens contracture of the hand commonly starts in - Ring finger
162. Full thickness skin graft can be taken from - elbow/back to neck/supra clavicular area
163. Full thickness loss of middle 1/3rd of upper lip is best reconstructed by -Abbey flap
164. Sjogren syndrome refers to disease of - Parotid glands
165. Rx of cancer cheek using single drug,the best results r obtained by-CIS platinum
166. 40 yr old lady is found to have symptomatic Gall stones.the TOC - cholecystectomy
167. Commonest type of Breast cancer is - Ductal
168. Commonest orbital tumour causing exopthalmous is - Glioma
169. Commonest site for colonic diverticula is - sigmoid colon
170. Ramsted’s operation is done for - hypertrophic pyloric stenosis of infants
171. Diagnostic of hirschsprungs disease is - rectal biopsy
172. Cancer of the anus is commonly - squamous cell Ca
173. Commonest symptom of pheochromocytoma is - Headache
174. Commonest malignancy in men over the age of 65 - Prostatic Ca
175. Complimentary operation done at the time of prostectomy is - Vasectomy
176. Bones most commonly involved in metastasis in Ca prostate is - Pelvis
177. Sistrunk’s operation is used in - thyroglossal fistula
178. TOC for mixed parotid tumour is - superficial parotidectomy
179. Commonest pancreatic tumour is - ductal adenocarcinoma
180. Hiatus hernia is treated by - surgery when medical treatment is failed
181. Commonest site of Ca tongue is - Ant2/3 lateral aspect
182. In Ca prostate with metastasis which is raised - acid phosphatase
183. Intermittent claudication is caused by - arterial insufficiency
184. Renal tuberculosis is characterized by - sterile acid pyuria
185. Vincent’s angina affects - Pharynx
186. Fibroadenoma of breast are - Solitary mobile mass
187. Renal transplant pt’s receive - Azathioprine
188. Common cancer of the oral cavity is - squamous cell Ca
189. Acanthosis nigricans is seen in - colonic Ca/ Ca Breast
190. Gynecomastia is seen in - spirinolactone / digitalis / INH administration
191. Massive transfusion results in - DIC / hypothermia / thrombocytopenia
192. Burgers disease is seen in - male/age less than 40yrs / smoker
193. Commonest cause of recto vaginal fistula in India is - Ca cervix
194. Narrowest part of urethra is - External meatus
195. Triad of wilms tumour is - hematuria / mass abdomen / fever
196. Middle rectal artery is branch of - Internal pudendal artery
197. Lacerated wound looks like an incised wound in the - Scalp
198. Budd chiari syndrome is due to thrombosis of - Hepatic veins
199. Budd chiari syndrome can be caused by - polycythemia / membranous webs of IVC / thrombosis of hepatic veins
200. Blood supply of the Jejunum is through the - superior mesenteric artery
201. Rx of zollinger ellison syndrome is - PPI
202. Commonest tumour occuring in undescended testis is - Seminoma
203. In cholangitis the organism mostly responsible is - E.coli
204. Reseection of the terminal ileum results in - vit B12 defeciency / inc.incidence of gall stones / steatorhea
205. Excision of the hyoid bone is done in - Thyroglossal cyst
206. Commonest cause of intestinal obstruction in children is - Intussusception
207. Commonest thyroid malignancy is - pappilary Ca
208. Ulceration of peyer’s patch occur in - Salmonella infection
209. Rx of spreading streptococcal cellulitis is - Penicillin
210. Massive spleenomegaly is seen in- Hairy cell leukemia / chronic myeloid leukemia
211. Commonest cause of recurrent laryngeal nerve palsy - thyroidectomy
212. Ca breast is seen in- Nulliparity / positive family history / high socio economic status
213. Gastrin levels r raised in - zollinger ellison synd./pernicious anemia / gastric ulcer
214. Appendicular artery is a branch of - ileo colic artery
215. Ideal Rx of Hashimoto’s thyroiditis - Thyroxine
216. Spleen contains about - 1% of the total blood volume
217. Hereditary spherocytosis is transmitted as - Autosomal dominant
218. Commonest intra abdominal tumor below 2 yrs - neuroblastoma
219. Commonest intra abdominal tumor bet 2-5yrs - wilm’s tumour
220. Commonest benign tumor of the esophagus - leiomyoma
221. Radio lucent renal stones are composed of - Uric acid / Xanthine
222. Commonest bladder stone is - triple phosphate
223. Polycystic kidneys can be ass. with - cysts in liver, lungs / coarcation of aorta / bery aneurysms
224. Commonest presenting C/O medullary Ca thyroid - Diarrhoea
225. Commonest renal stone - Oxalate
226. Commonest site of primary krukenberg tumour is - Stomach
227. Inverse 3 sign on barium meal is seen in - Ca head of pancreas
228. Pt with alkaline urine which is cloudy with plenty of pus cell is suffering from-proteus infection
229. Dumbell tumour is seen in - Neurofibroma
230. Commonest site of diverticulosis is - Sigmoid colon
231. In obstruction of the large gut,rupture occurs at the - cecum
232. Best prognosis in acute pancreatitis is seen in - gall stone pancreatitis
233. Preferred material for femoro popliteal bypass is - saphenous vein
234. Bony metastasis in children is commonest in - Neuroblastoma
235. Rx of uncomplicated hydatid cyst in lung is - Enucleation
236. Caudate lobe of liver is situated - IVC & ligamentum venosum
237. Calcification of adrenal is seen in- TB / addison’s disease
238. Commonest cause of intussusception is - hypertrophy of submucous peyer’s patches
239. White leg is due to - femoral vein thrombosis & lymphatic obstruction
240. Drug used for Achalasia cardia - Nifedipine
241. Typhoid perforation occurs in 3rd week
242. Best Rx in tension pneumothorax is - immediate letting out of air
243. Tenesmus occurs in lesions of - Sigmoid colon
244. Scalp hemorrhage is best controlled by -0 Pressure
245. Burning epigastric pain is due to - Reflux esophagitis
246. Skin flap is used in - bone /tendon /pressure sores & not in - burns wound
247. Incubation period of gangrene is - 1-3 days
248. Graft from sister to brother is - Allograft
249. Raynaud’s phenonmenon is seen in - atherosclerosis/scleroderma/buerger’s disease
250. Sjogren syndrome is ass. With rheumatoid arthritis / SLE / scleroderma
251. Rectal examination should not be done in - Anal fissure
252. Fournier’s gangrene occurs in the - Scrotum
253. Coffee bean sign is seen in - Volvulus
254. Commonest cause of death in peptic ulcer pt is - hemorhage
255. Heller’s operation is done in - Achalasia cardia
256. Radiolucent is - Uric acid
257. Antiseptic means - agent applied on skin to eradicate pathogenic microbes
258. Seen in DVT - swelling / discolouration / pain & not claudication
259. Commonest site of TAO - popliteal artery
260. Triad of jaundice,fever & chills occur in - CBD stones
261. Commonest cause of unilateral pedal edema in India is - Filariasis
262. Diarrhoea in zollinger ellison syndrome is due to - Gastrin
263. Sulfonamide useful in treating ulcerative colitis is - sulfasalazine
264. Commonest presentation of meckels diverticulum is - Bleeding
265. B/L spider leg appearance of kidney in IVP is seen n -polycystic kidney /renal cell Ca
266. Thimble bladder is seen in - Chronic TB
267. Bladder tumors mostly arise from - Mucosa
268. Testicular cancer is common in - undescended abdominal testis
269. Serum calcitonin level is raised in - Medullary Ca thyroid
270. Commonest parotid tumour is - pleomorphic adenoma
271. G- cells are present mostly in - Pyloric antrum
272. Multiple fistula in ano commonly occurs in - Tuberculosis
273. Dupytrens contracture results from - contraction of palmar aponeurosis
274. Best diagnostic tool in obstructive jaundice - USG
275. Thyroglossal fistula develops due to - incomplete removal of thyroglossal cyst
276. Acanthosis nigricans is commonly seen in- T2DM
277. Precancerous condition of the stomach is - atrophic gastritis
278. TOC in polycystic kidney is - Renal transplant
279. Tinnels sign indicates -regeneration of nerves
280. Healing is slow below the knee joint because of - poor vascularity
281. Most important clinical finding in a case of head injury - level of consciousness
282. DOC for carrier’s of diptheria - Erythromycin
283. Calcification of the prostate is seen in - Alkaptonuria
284. Features of ARDS - pulmonary edema / stiff lung / hypoxia
285. Deep skin burns is treated with - full thickness graft
286. Normal acid level in stomach is - 15-20 meq
287. Commonest type of cleft lip is - Unilateral
288. Gasless abdomen in x-ray is a sign of - ulcerative colitis
289. Commonest cause of bleeding PR in a male bet 20-40yrs - internal hemorhoids
290. Commonest presentation of B/L ureteric stones - Pain
291. TOC for pagets disease of nipple is - mastectomy
292. Commonest bladder tumor in children is - Rhabdomyosarcoma
293. Amputated digits are preserved in - plastic bag in ICE
294. Commonest type of pancreatic Ca is - ductal adenocarcinoma
295. SAH is commonly due to - rupture aneurysm
296. Best method for diagnosis of DVT is - Doppler examination
297. Commonest late complication of traumatic rupture of urethra is - stricture
298. Rx for EDH - immediate evacuation
299. Cleft lip is due to non fusion of - maxillary process with medial nasal process
300. MCC of acute intestinal obstruction in neonates is - duodenal atresia
301. MC site for intra abdominal abscess following laparotomy is - pelvic
302. Commonest complication following hemorrhoidectomy is - urinary retention
303. GERD is best diagnosed by - endoscopy
304. Raised serum alkaline phosphatase is suggestive of - Pagets disease
305. In radical mastectomy,which is spared - supra clavicular lymph nodes
306. Hour glass stomach is seen in - Gastric ulcer
307. Strawberry gallbladder is seen in - cholesterolosis
308. Marker of hepatitis B in the window period is - Anti HBC
309. Pre-B cells & B cells are produced in - Bone marrow
310. Pseudolymphoma is a common presentation of - Sjogren’s syndrome
311. DOC in sarcoidosis - Prednisolone
312. Respiratory arrest due to respiratory alkalosis is rectified by - insufflation with CO2
313. Most specific antibody in the diagnosis of SLE is - anti-sm
314. In Burns heat loss is by - exposed area by evaporation
315. MC complication of varicose vein stripping is - Ecchymosis
316. Aspiration pneumonia is most commonly occurs in - right lower lobe
317. Courvoisier’s law is related to - Jaundice
318. Multiple sclerosis may be diagnosed by - MRI
319. Internal sphincterotomy is the treatment of choice for - fissure in ano
320. Sterile needle test helps in differentiating - depth of burns
321. In intestine lipoma is commonest in - caecum
322. Cleft lip all the stitches are removed on - 4th day
323. Cold water Rx of burns has the disadvantage that it increase the chances of
infection
324. TOC from inguinal hernia in infants is - Herniotomy
325. Most useful method to diagnose cause of upper GI bleed is - Endoscopy
326. Ca bladder constantly shows - persistent & recurrent UTI
327. Unilateral clefts are most common on left side
328. Commonest cause of aneurysm formation is - Atherosclerosis
329. Margins of squamous cell Ca is - Everted
330. Brain space occupying lesions causes death by - brain herniation
331. Cellulitis is infection of - subcutaeneous spaces
332. Arrow headed finger on x-ray is suggestive of - Acromegaly
333. Common cause of hematemesis - chronic peptic ulcer /esophageal varices / Ca stomach
334. Frequent mechanism in perforation of appendix is - tension gangrene due to the accumulating secretions
335. Best investigation of acute mechanical intestinal obstruction is - x-ray abdomen
336. Odourless peritoneal fluid is noticed in - perforated peptic ulcer
337. Hashimoto’s disease is - an auto-immune thyroiditis
338. Sequence of symptoms in pulmonary embolism – dyspnea ,pain, haemoptysis
339. Haemostasis in scalp wound is best achieved by - direct pressure over the wound
340. Preoperative shaving is idealy done at - just before operation
341. Most important in assessing fertility potential is - sperm motility
342. Undescended testis usually develops - seminoma
343. Life of preserved semen for artificial insemination is - 5yrs
344. Renal TB originates in the - renal papilla
345. Cryoprecipitate is a rich source of - Factor 8
346. Seldinger needle is used for - arteriography
347. Intra lobar sequestration of lung is commonest in the - lateral basal segment of lower lobe
348. Most important complication of PDA in a child is cardiac failure
349. In semen banks, semen is preserved at low temperature using - liquid nitrogen
350. Marion’s disease s due to-muscular hypertrophy of int. sphincter of urinary bladder
351. Wilm’s tumour is also ass. with - Glaucoma
352. After surgical Rx of Ca esophagus,replacement of esophagus is done with -
Stomach
353. Rx of a case of iliac artery embolism requires - Embolectomy
354. Immediate TOC in flail chest is - Positive pressure ventilation
355. Gall stones do not contain - Oxalate
356. Aaron’s sign is seen in - Acute appendicites
357. Normal amount of pleural fluid is approximately - 15ml
358. Blood stained discharge from the nipple means that the patient may have -
duct papilloma
359. After an open injury,the optimum time for nerve suture is - when wound is free from infection
360. An overdose of heparin is treated by - Protamine sulphate
361. Optimum time of splenectomy in a child with hereditary spherocytosis is -
3-4 yrs of age
362. Ca of pancreas attains greatest size when it is located in - Body & tail
363. TOC of hypertrophic pyloric stenosis of adults is - pyloroplasty
364. Salmon patch usually disappears by age - one year
365. Flower vase pattern of the pelvis in an IV urogram is seen in - Horse shoe kidney
366. Hynes pharyngoplasty is used to improve a child’s - speech
367. Painless ulcer of the tongue is due to - syphillis
368. Maximum life of a transfused RBC is - 50 days
369. Operation of choice in congenital pyloric stenosis is - pyloromyotomy
370. Pyrexia due to wound infection commonly occurs after - 5th post op day
371. B/L breast Ca occur commonly in - Lobular Ca
372. Catgut is prepared from submucosal layer of the intestine of - sheep
373. PDA needs surgery to prevent the development of - CHF
374. MC type of bronchgenic Ca is - Epidermoid
375. Clinodactyly most often involves - little finger
376. Horner’s syndrome ass. With pain shoulder & arm is suggestive of - pancoast tumour
377. Morphine given for injury is primarily - an analgesic
378. Presenting symptom of Ca stomach - weight loss
379. A cricoid hook is used particularly - in tracheostomy
380. Kiss cancer of the urinary bladder is - Benign
381. Cullen’s sign is seen in - acute hemorhagic pancreatitis
382. Ramsteds operation is for - congenital pyloric stenosis
383. Rx of strangulated hernia is - immediate surgery
384. Rx for primary piles is - sclerotherapy
385. Best investigation to diagnose piles is - proctoscopy
386. Complication of ectopic testes is - seminoma/atrophy/torsion
387. Maximum dilatation of esophagus occurs in - achalasia cardia
388. Skin cancer which can occur due to exposure of light is - Melanoma
389. MCC of surgical wound infection - Staph aureus
390. Paralytic ileus is caused by - Peritonitis
391. Golf-hole ureter is seen in - tuberculosis of ureter
392. Earliest symptom of BPH - frequency
393. Diverticular disease is not common in- stomach
394. Hernia which often simulates a peptic ulcer is - fatty hernia of the linea alba
395. Commonest cause of metabolic alkalosis is - pyloric stenosis
396. Nephrocalcinosis - deposition of calcium within renal substance
397. Auto nephrectomy is seen in - sickle cell anemia
398. Most reliable indicator of carcinoma of prostate recurrence after surgery - PSA
399. To rule out azzospermia as a cause of infertility due to obstruction of seminal vesicles, substance to be found in semen is - fructose
400. What is true about keloids - appears few days after surgery
401. Rx of contaminated wound in gas gangrene - debridement of wound
402. Commonest cause of metabolic alkalosis in surgical patient is - gastric outlet obstruction
403. Commonest cause of nosocomial infection - staphylococci
404. Punctuate yellow exudates in colon, found on endoscopic examination are
indicative of antibiotic colitis
405. Skeletal metastasis is common in - cancer breast
406. Rx in # pelvis with rupture urethra is - supra pubic cystostomy
407. 26yr old woman in the first trimester of pregnancy has been admitted with retching & repeated vomitting with large hematemesis.her pulse rate is 126/ mt & BP is 80 mmhg systolic,diagnosis is - Mallory weiss syndrome
408. Male infertility occurs if the sperm count is less than - 20million/ml
409. Pulp space infection can lead to - avascular necrosis of the terminal phalanx
410. Cock’s peculiar tumour is - secondary to infectious sebaceous cyst
411. Trans urethral resection syndrome is due to - hyponatremia
412. Keloid is best treated by - wide excision & grafting
413. Toxic megacolon is a complication of - ulcerative colitis
414. Skip transmural lesions with tuberculoid granuloma seen in - crohn’s dx
415. Commonest cause of solitary thyroid nodule - follicular adenoma
416. In extraperitoneal bladder rupture urine escapes into - below urogenital
diaphragm
417. Dendtric ulcer commonly seen in - Herpes simplex
418. In a case of acute trauma best guidline for quick replacement of fluids is - PCV
419. Commonest tumor metastasis to heart is - Bronchogenic Ca
420. Paget’s disease of nipple is treated by - biopsy & simple mastectomy
421. Horner’s syndrome is produced due to pressure on - stellate ganglion
422. Pancoast tumor - causes radicular pain in upper limb
423. Commonest complication of cryotherapy is - persistant watery discharge
424. Commonest cause of abdominal aortic aneurysm - atherosclerosis
425. In hand inj.first to be repaired is - Bone
426. Commonest presentation of TB pericarditis - constrictive
427. Painless effusions in joints in congenital syphilis is called - clutton’s joint
428. Marjolin’s ulcer is - squamous cell Ca from scar
429. Commonest tumor in parotid gland is - pleomorphic adenoma
430. Neck swelling moves on swallowing - thyroid gland
431. Complication commonly occurs in ant. Duodenal ulcer - perforation
432. Commonest benign tumour of heart is - myxoma
433. In ankylosing spondylitis radiological changes first seen in - sacro iliac joint
434. Adult femlae c/o of fainting fits/dysphonia/amnesia/anorexia the most likely diagnosis is Hysteria
435. A cystic swelling at the root of the nose which increases in size on straining is likely to be meningocele
436. Most common malignancy after cholecystectomy is of - Stomach
437. Cystic hygroma - may cause respiratory obstruction/ common in neck/present at birth
438. Treatment of primary retinoblastoma is - Enucleation
439. White pupillary reflex in a child is due to - retinoblastoma
440. Kaposi sarcoma is commonly seen in - Head & neck
441. Cause of gaseous distension of abdomen in acute intestinal obstruction is
swallowed atmospheric air
442. Indication of TPN - post operative ileus /enterocolic fistula/ enterocutaeneous fistula & not acute pancreatitis
443. Broncho lithiasis means - calcified lymphnodes eroding into bronchus
444. Example for radiation induced cancer is - papillary Ca thyroid
445. Massive blood transfusion is defined as – transfusing whole blood volume
446. Thyroid scan is most useful in diagnosing - toxic adenoma of thyroid
447. Organism causing destruction of skin grafts - streptococcus
448. MCC of painless bleeding PR in man is - Piles
449. Duration of heparin therapy in DVT is - 7-10 days
450. Tylosis is ass. With - esophageal Ca
451. Rectal stricture is a common manifestation of - lymphogranuloma inguinale
452. Flower vase pattern of the pelvis in an IV urogram is seen in - Horse shoe kidney
453. Accurate diagnostic aid in renal artery stenosis is - selective renal angiography
454. Earliest symptom of BPH - frequency
455. Lymph node first involved in cancer of the skin of the scrotum - superficial inguinal
456. Commonest cause of urethral stricture in a young person is - Gonococcal
457. Bisgaard Rx is for - venous ulcer
458. Migrating thrombophlebitis ass. With cancer of - Pancreas
459. On exertion urine steam increases in - Urethral stricture
460. Delayed wound healing is seen in - malignancy/diabetes/infection & not in - Hypertension
461. Periampullary carcinoma feature is - early jaundice
462. Splenic vein thrombosis is best treated by - splenectomy
463. Rx of non-functioning thyroid nodule in a 40yr old male should be -surgical excision
464. Pt is admitted i severe pain in abdomen,nausea,vomitting & fever,tenderness & rigidity + sr.amylase -1000 IU/litre - acute pancreatitis
465. Nasopharyngeal Ca originates in - Fossa of rosenmuller
466. Rheumatoid arthritis commonly affects the - Cervical spine
467. In 40yrs male, thrombus in the common femoral artery is because of - Atheroma
468. IOC for an early gastric Ca - stained endoscopic biopsy
469. Commonest metastasis in renal cell Ca is to - Lung
470. Somatostatin is secreted by - D cells
471. Prognosis of breast cancer is best determined by - axillary node involvement
472. Rectal polyps usually present with - Bleeding
473. A boil is due to staphylococcal infection of - hair follicle
474. Commonest side effect of 5 fluro-uracil is - Bone marrow suppresion
475. Lymphatic metastasis of buccal Ca 1st involves - submandibular
476. IOC of case of obstructive jaundice - USG
477. Serum amylase levels raised in - duodenal ulcer perforation /pancreatitis/small bowel strangulation
478. Liver biopsy is done through 8th midaxillary line to avoid – lung injury
479. Commonest cause for mediastinitis is - esophageal perforation
480. Trendelenburg test is positive in to injury of - superior gluteal nerve
481. Most of the parotid tumor are managed by - superficial parotidectomy
482. Immediate management of a child with foreign body inhalation is - Bronchoscopy
483. Function of thick gastric mucosa is - protects epithelium
484. Tension pneumothorax due to # rib is treated by - tube drainage
485. In modified radical neck dissection,structure not preserved is - submandibular gland
486. Uncommon cause of upper GI bleed is - Ca stomach
487. Initial treatment in a management of trauma - Airway
488. TOC in choledochal cyst - excision of cyst with hepatojejunostomy
489. Best way to diagnose lower intestinal obstruction - multiple air gas shadows on x-ray
490. 60yr old man present with an ulcer on lateral margin of tongue,also complains of ear pain, most probable diagnosis - carcinomatous ulcer
491. Disc prolapse is recognised by - CT/MRI/Myelography
492. During parotid surgery injury to the nerve which results in Frey’s syndrome-
Auriculotemporal nerve
493. In a pt with aneurysmal bleed in the brain, deterioration of the mental state on the 7th day indicates - spasm
494. For an open wound on leg with exposure of bone,treatment of choice - pedicle graft
495. Ventilation/perfusion ratio is highest in - apex of lung
496. Cause of death in blunt trauma chest is - tracheobronchial rupture
497. Earliest symptom in Ca bladder is - hematuria
498. Procedure of choice for elective removal of CBD stones is - endoscopic choledocholithotomy
499. TIPSS involves percutaneous creation of a shunt between - portal vein & hepatic vein
500. Orchidopexy for undescended testis is recommended at which age - 2yrs
501. Commonest type of VSD - perimembranous VSD
502. Sentinel node of gallbladder is - - lymphnode of lund
503. Positive kehrs sign is - haemoperitoneum
504. Patchy meningitis hemorhagica interna is manifesteed by - SAH
505. Best test to differentiate between medicals & surgical jaundice is - USG
506. Causes for cholecystitis - estrogen/OCP/obesity
507. Elective cholecystectomy is - clean contaminated
508. Intestinal angina is a symptom complex of - postprandial abdominal pain, weight loss, chronic mesenteric vessel occlusion
509. Organ secretes zinc in large amount in man - prostate
510. Biliary stricture developing after laparoscopic cholecystectomy usually occurs
at which part of the common bile duct - Upper
511. MCC of acquired Av fistula - Penetrating trauma
512. Procedure of choice for the evaluation of an aneurysm - MRI
513. MCC of gastric outlet obstruction in India is - peptic ulcer disease
514. Narrowest part of respiratory tract in children - subglottic area
515. Hyper-acute rejection is seen in - kidney
516. Acute onset of pain n left testis for 16yr old boy Rx s-antibiotix & review after 1 week
517. Posterior urethra is best visualised by - voiding cystogram
518. MC location of intracranial neurocysticercosis - Brain parenchyma
519. MCC of peripheral limb ischemia in India is - Atherosclerosis
520. MC nerve in the neck from which schwannoma arises - vagus nerve
521. Term left sided appendicites as popularly called is - Diverticulitis
522. Pancreatitis that has good prognosis - post operative pancreatitis
523. Snow storm ascites is seen in - Meconium ileus
524. MC type of Ca gall bladder in a pt i gall stones - adenocarcinoma
525. Insulinoma is most commonly located in which part of pancreas - equally distributed
526. Compression of a nerve within the carpel tunnel produces inability to - oppose the thumb
527. In IV drug abuser whish artery is affected most - Brachial
528. TOC for medullary Ca of thyroid is - Total thyroidectomy
529. MC cancer, affecting both males & females of the world is - Lung cancer
530. MCC of morbidity & mortality in pts undergoing major vascular surgery is-
Thrombo embolic phenomenon
531. Tumor presenting with proptosis - Neuroblastoma
532. Tensile strength of the wound starts & increases after - 3-4 days
533. Amoebic liver abscess - occurs in right lobe/surgical drainage is indicated/ extension of abscess from liver to pericardium is the most dreaded complication
534. Clinical manifestations of Bronchogenic Ca include - hoarseness of voice due to involvement of left laryngeal nerve/horner’s syndrome/diaphragmatic palsy due to infiltration of phrenic nerve
535. Vitamin which has inhibitory effect on wound healing - Vit E
536. MC practised operative procedure for a perforated duodenal ulcer is -Graham’s
omental patch repair
537. MC neurologic abnormality that occurs with head injury is - Altered consciousness
538. Favors’ postoperative wound dehiscence - jaundice/malignancy/ hypoproteinemia
539. Testicular tumor most sensitive to radiation is - seminoma
540. Adenocarcinoma of esophagus is seen in - Barret’s esophagus
541. Which tumor is treated by hormones - Ca prostate
542. IOC for reflux esophagitis - 24hrs acid output
543. Most accurate & non invasive method for diagnosing DVT - Plethesmography
544. Earliest method of diagnosing pitutary tumour - CT scan
545. Gastro-jejunostomy is an example of - clean,contaminated wound
546. MC site of aortic dissection - ascending aorta
547. Aortic dissection is seen in - Marfan’s syndrome
548. MC sarcoma in a child is - Rhabdomyosarcoma
549. MC site for venous thrombosis - Soleal vein
550. Keloid scars is made up of - Dense collagen
551. Highest concentration of hydroxy proline is seen in - Collagen
552. IOC in the early phase of renal transplant - USG
553. After surgery,a small left over stone in the CBD is best treated by - ERCP
554. Best investigation for Ca colon - colonic biopsy
555. Re-implantation time for lower limb is - 8hrs
556. Stump pain is relieved by - continuous tapping over the stump
557. Spring water cyst is another name for - pericardial cyst
558. Increased amylase in pleural fluid is seen in - Malignancy
559. Gold standard for diagnosis of pulmonary embolism - pulmonary angiography
560. Commonest site of ischemic colitis - splenic flexure
561. Lymphovenous anastamosis done in - filariasis
562. TOC for flail chest - strapping & internal fixation of ribs & IPPV
563. Diagnosis of Hodgkin’s disease is confirmed by - lymphnode biopsy
564. Cystic hygroma is seen in - Turner’s syndrome
565. CA-125 is a tumour marker for - ovary
566. Hypercalcemia is seen in - sarcoidosis/thyrotoxicosis/vit A intoxication & not in phenytoin therapy
567. SIADH is most commonly seen in - Oat cell Ca
568. Renal artery stenosis in young female is caused due to - fibromuscular
hypertrophy
569. Common site for esophageal perforation is - cervical esophageal
570. Hyperkeratosis of palms & soles is seen in - oesophageal ca
571. Commonest viral tumour - Warts
572. In anal Ca the TOC is - Radio + chemo
573. Foreign body aspiration most commonly enters - right main bronchus
574. Lisch nodules in neurofibromatosis are - hamartomas
575. Commonest cause of hematemesis & malena - esophageal varices
576. Commonest cause of death in sophisticated world - IHD
577. Renal trauma is best treated by - observation & supportive measures
578. Cause of hydrocele in infants – infection
579. Old female with hard nodular,painless swelling in the thyroid region diagnosis in this case is best established by - F.N.A.C
580. Felon is - terminal pulp space infection
581. Best investigation for air in peritoneal cavity is - X-ray abdomen-erect view
582. Rugger jersy sign is seen in - Ankylosing spondylitis
583. 58 yrs male with acute onset of varicocele on left side most probable cause - Ca kidney
584. Hyoid bone is closely ass. To - thyroglossal cyst
585. Regarding adenocarcinoma esophagus - caused by barrets esophagus
586. Human bite spreads - anaerobic streptococci
587. Single most prognostic factor in breast carcinoma - lymphnode status
588. In radical mastectomy which of the following is preserved - cephlic vein
589. 5 day self subsiding pain is diagnostic of - thrombosed external hemorrhoids
590. Duodenal blowout is - complication of partial gastrectomy
591. Paget’s disease of nipple is - Neoplasia
592. Irritation of diaphragm radiates to - C3-C4
593. Inguinal lymph node enlargement is seen in - malignant melanoma foot
594. In thyroglossal cyst carcinoma which arises is - Papillary
595. Ca of the right colon usually present with - massive bleeding
596. Commonest histological variety of bronchogenic Ca is - Squamous cell Ca
597. Commonest cause of A-V fistula - congenital
598. Keloid - local recurrence is common after excision
599. FNAC may not be diagnostic in which Ca of thyroid - follicular
600. Tension pneumothorax results in - decreased venous return
601. MC neoplasm of kidney is - Renal cell Ca
602. Tear drop bladder is found in - Pelvic hematoma
603. Sequestrated lung is supplied most commonly by - Descending aorta
604. Gas most suited for laproscopy is - Carbon dioxide
605. Gold standard investigation for stone in bile duct is - USG
606. Most diagnostic investigation in pulmonary embolism is - Angiography
607. Hyperacute graft rejection is caused by - preformed antibodies
608. Most common artery used for coronary artery bypass graft is - Inferior mammary artery
609. Recovery of renal functions after renal transplant usually takes - 1 month
610. Hernia is prevented by - transversalis fascia
611. Infection in renal transplant patient is usually caused by - CMV
612. MC type of renal transplantation in India is - Allograft
613. Best method to confirm treatment of TB kidney - IUP
614. Warfarin is stopped - 6-8 days prior to surgery
615. Most reliable urine specimen is obtained by - suprapubic aspiration
616. MC site of Berry aneurysm - anterior communication artery
617. Most useful investigation for profuse lower GI bleed is - colonoscopy
618. Old man of prolonged vomitting in excessive hematamesis following alcohol ingestion, likely to suffer from - Mallory weiss syndrome
619. Gas under diaphragm seen in - typhoid perforation/perforated duodenal ulcer/ after laporotomy & not in spontaneous rupture of esophagus
620. Best Rx in SDH in deteriorating pt - surgical evacuation
621. Excision of hyoid bone is commonly done us - thyroglossal cyst
622. Features of hypernephroma - persistant pyrexia/hematuria/polycythemia
623. Ca of colon develops in - juvenile polyps/inflammatory polyps/hamartomatous polypi & not in - familial adenamatous polypi
624. Amyl nitrate inhalational test is used to detect - Ca esophagus
625. In triage green colour indicates - Ambulatory pts
626. Rotation of sigmoid volvulus ocurrs - anticlockwise
627. Rectal polyp most commonly presents as - Bleeding
628. Intestine gets strangulated Mc in - Omental bursa
629. Mild head injury is having GCS - 10/15
630. Most frequently used procedure for diagnosing palpable breast masses is - fine needle aspiration
631. Low & fixed specific gravity of urine is seen in - CRF
632. Painless lymphnode in cervical region,biopsy shows normal thyroid gland
normal on palpation also, most likely to be - papillary ca thyroid
633. In meckel’s diverticulum, ectopic gastric tissue is diagnosed by - Radionuclide
scan
634. Best guide to adequate tissue perforation in the fluid management of pt i burns is to ensure a minimum hourly urine output of - 30-50ml
635. 4 points of probe placement in focused abdominal sonogram for trauma in blunt thoracoabdominal trauma are - epigastrium, rt.hypochondrium, lt.lower chest, hypogastrium
636. Catgut is preserved in - isopropyl alcohol
637. TOC for a mucocele of gall bladder is - Cholecystectomy
638. Length of a standard proctoscope is - 6 inches
639. MC rhythm disturbance during early postop period is - tachycardia
640. Sentinel lymph node biopsy is done in which malignancy - Breast
641. Double bubble appearance on x-ray is seen in - duodenal atresia/annular pancraes/malrotation of gut
642. Seat belt causes injury to - Duodenum
643. Rx for pyoderma gangrenosum is - surgery + antibiotics
644. Rare site for metastasis - forearm & legbones
645. Neonatal kidney achieves concentrating ability equal to adult kidney by-1yr of age
646. Thickened mucosal walls in the stomach occur due to - Lymphoma
647. Hypoparathyroidism following thyroid surgery commonly occurs within - 2-5
days
648. 1st permanent molar erupts between - 6-7yrs
649. Indications of circumcision are - chronic balanoposthitis/jew religion/ paraphimosis & not in Ca penis
650. Bedsore is example of - trophic ulcer
651. Neurosurgical Rx of epilepsy usually involves,- removal of epileptic focus from
which lobe temporal lobe
652. Initial therapy of documented DVT in a post op case is - IV heparin therapy
653. Complications of A-V fistula done for renal failure include - infection/ thrombosis/high output cardiac failure
654. When do we have to start antibiotics to prevent post op infections - 1hr before surgery & continue after surgery
655. H.pylori infection causes Ca by which mechanism - Gastric metaplasia
656. Steroids are used in transplantation - to prevent graft rejection
657. Disinfect the bronchoscopy tube - 2% gluteraldehyde for 20 mts
658. Commonest complication of meckel’s diverticulum is - Bleeding
659. Battle sign is seen in # of - middle cranial fossa
660. Best cure rate in keloids is achieved by - excision & radiotherapy
661. Commonest tumor at inner canthus of eye - rodent ulcer
662. Commonest spinal tumor - ependynoma
663. Commonest peripheral aneurysm is - popliteal
664. Somatostatin inhibits release of - GH, gastrin, TSH
665. Urethral anomaly most common is - Hypospadiasis
666. AV fistula leads to - sinus tachy ,increased preload, increased cardiac output
667. Thorocotomy is indicated in esophageal perforation, masive air leak, bleeding>200ml/hr
668. Death in blunt trauma chest is due to - tracheobronchial injury
669. Infection of flexor tendon of index finger can spread to - thenar space
670. In whipple’s operation removed are - CBD, head of pancrease,duodenum & not portal vein
671. DVT is caused by - lower limb trauma,hip & pelvic surgery, cushing’s syndrome
672. MC route of infection/cause,for pyogenic liver abscess is - biliary sepsis
673. Stone at lower end of ureter removed by - Endoscopic removal
674. Mc source of bleeding in EDH - Middle meningeal artery
675. Type of bleeding in SDH is - Venous
676. MC type of Hypospadiasis - Glandular
677. Burn patients die in 24 hours because of - Sepsis
678. Iv Fluid of choice in burns patients is - Ringer lactate
679. MCC of bleeding from breast - Papilloma
680. Slip sign is seen in – Lipoma
681. Dermoepidermal burn is what degree of burn – 2
682. Pyloric stenosis best palpated when – Feeding
683. Feline esophagus seen in – GERD
684. Cholecystocaval line – Seperates right and left lobe
685. Surgery for perforated duodenal ulcer – Omental patch repair
686. MC type of hiatus hernia – Sliding
687. Staghorn calculs tx- PC
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