Surgery MCQS for NEET SS Surgery and INI GI Surgery with explanations & references.
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With an experience of 18 years we know high yield topics and mcqs built around them. This site is a supplement to your standard surgery text books and helps you understand the important topics and parts in books from where mcqs are asked.
Q) A 48-year-old male undergoes excision of a chronic pilonidal sinus with a rhomboid-shaped defect over the sacrococcygeal region.
The reconstructive plan involves a local flap designed adjacent to the defect, where the flap is transposed into the primary defect and the donor site is closed primarily.
The flap follows the lines of minimal skin tension and relies on subdermal vascular supply without a named artery. What is the correct classification of this flap?
A. Rotation flap
B. Axial pattern transposition flap
C. Random pattern transposition flap
D. Advancement fasciocutaneous flap
Q) A 25-year-old male presents after a stab wound to the left 5th intercostal space at the midclavicular line.
He is hypotensive, tachycardic, and confused. eFAST reveals pericardial fluid. What is the next best step in management?
A. Pericardiocentesis
B. Emergency thoracotomy
C. CT angiography of the chest
D. Chest tube insertion
Q) A 30-year-old male presents to the emergency department after a stab wound to the right chest.
On examination, there is a 4 cm open wound in the 5th intercostal space anteriorly, with a sucking sound during inspiration, decreased breath sounds on the right, and respiratory distress.
What is the next best step in management? # Theme neet ss mocktest 1
A. Immediately close the wound with an airtight dressing
B. Insert a chest tube on the same side and then close the wound
C. Intubate and initiate positive pressure ventilation
D. Apply a three-sided occlusive dressing to the wound
Q) A 60-year-old man with cirrhosis presents with refractory ascites requiring frequent large-volume paracentesis. He is evaluated for TIPS placement. Which of the following findings would be the strongest contraindication to proceeding with the procedure?
A) Serum bilirubin of 3.5 mg/dL
B) MELD score of 18
C) Right heart catheterization showing mean pulmonary artery pressure of 55 mmHg
D) History of prior hepatic encephalopathy controlled on lactulose
#Theme from INI CET GI Mock test Liver
Q) During a surgical skills assessment, you are asked to perform a hand-sewn intestinal anastomosis using a continuous, inverting suture that enters the bowel lumen.
Which of the following suture techniques best fits this description?
#Theme from INI CET GI Mock test
A. Lembert suture
B. Cushing suture
C. Gambee suture
D. Connell suture
Q) Risk of malignancy is highest with which stem cells. # Bailey Chapter 4
#Theme from INI CET GI Mock test
a) Somatic cells
b) SSc
c) Fetal cells
d) All
Q) A patient develops a delayed hemorrhage 3 weeks after an open necrosectomy. Which of the following best describes the pathophysiology of this complication?
A) Coagulopathy from systemic inflammatory response
B) Arterial pseudoaneurysm formation and rupture
C) Disseminated intravascular coagulation (DIC)
D) Portal hypertension due to splenic vein thrombosis
