Q) 70 year old male has pain in right buttock on standing and gets relieved on sitting. What will be the next relevant test to be ordered in him?
a) Doppler B/l lower limbs
b) MRI spine
c) Echo cardiography
d) Ankle Brachial Index
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Flail Chest Management
Q) Not a frontline treatment of flail chest ( Trauma Questions - 9)
a) Mechanical ventilation to internally splint the chest
b) Physiotherapy
c ) oxygen
d) Opiate
Colon Surgery SSI Infection rates
Q) In colon surgery with preoperative bowel preparation, infection rate is ?
a) 3-5%
b) 6-8%
c) 10%
d) 30%
Gen Surgery High yield MCQs on Infections
Lymphatic Spread carcinoma Prostate
Q) Most common lymph node involved in carcinoma prostate is
✅ Answer: A. Obturator
🔍 Explanation:
The most common lymph node involved in **prostate carcinoma** is the **obturator lymph node**.
Lymphatic spread may occur via lymphatic vessels that pass to the **obturator fossa**, along the sides of the rectum to the lymph nodes near the **internal iliac vein** and in the hollow of the sacrum.
Additionally, lymphatics pass over the **seminal vesicles** and follow the **vas deferens** for a short distance to drain into the **external iliac lymph nodes**.
From the retroperitoneal lymph nodes, the **mediastinal nodes** and occasionally the **supraclavicular nodes** may become implicated.
🧠 Key Point: **Obturator lymph nodes** are the first to be affected in prostate cancer due to the nature of lymphatic drainage from the prostate.
📘 Reference: NEET SS 2022 Paper
🔍 Explanation:
The most common lymph node involved in **prostate carcinoma** is the **obturator lymph node**.
Lymphatic spread may occur via lymphatic vessels that pass to the **obturator fossa**, along the sides of the rectum to the lymph nodes near the **internal iliac vein** and in the hollow of the sacrum.
Additionally, lymphatics pass over the **seminal vesicles** and follow the **vas deferens** for a short distance to drain into the **external iliac lymph nodes**.
From the retroperitoneal lymph nodes, the **mediastinal nodes** and occasionally the **supraclavicular nodes** may become implicated.
🧠 Key Point: **Obturator lymph nodes** are the first to be affected in prostate cancer due to the nature of lymphatic drainage from the prostate.
📘 Reference: NEET SS 2022 Paper
Testicular cancer
Q) Which of following testicular cancer will increase Overall Survival by Lymph Node dissection?
a) Seminoma
b) Embryonal cell
c) Yolk Cell
d) Sertoli cell
Nottingham Prognostic index
Q) In Nottingham prognostic index least preference is given for
a) Tumor size
b) Grade
c) Lymph nodes
d) All equal
Surgery MCQs for MCH – NEET SS
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Highest risk of pancreatic cancer
Q) Highest risk for pancreatic cancer ( AIIMS GI 2022)
a) Peutz jeghers
b) Hereditary pancreatitis
c) FAMMM
d) All equal
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Hereditary Risk of Ca Stomach
Q) Which is a hereditary risk factor associated with Ca stomach
a) FAP
b)Lynch syndrome
c) Li Fraumeni
d) All
How to Localize an insulinoma
Q) Best method of localization of insulinoma is ?
a) EUS
b) CT
c) Ultrasound
d) MRI