NEET Pattern Questions

Gastric lymphoma

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Q ) Treatment of Primary Gastric Lymphoma is 

a) Surgery

b) chemotherapy

c) Radiotherapy

d) Both chemo and radiotherapy

Haemorrhoidectomy

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Q) 57 year old male come to the surgery clinic with bleeding PR. He is diagnosed with Haemarrhoids . What is  not an indication of haemorrhoidectomy 

a) Persistent Second degree haemorrhoid 5 days after sclerotherapy

b) 3rd degree haemorrhoid

c) Fibrosed  haemorrhoid

d)  Interno-external haemorrhoids when the external haemorrhoid is well defined.

Ans a

Haemorrhoids can persist for 10 days after sclerotherapy

The indications for haemorrhoidectomy include:

● third- and fourth-degree haemorrhoids;

● second-degree haemorrhoids that have not been cured by non-operative treatments;

● fibrosed haemorrhoids;

● interno-external haemorrhoids when the external haemorrhoid is well defined.

Four degrees of haemorrhoids ●●

First degree – bleed only, no prolapse ●●

Second degree – prolapse but reduce spontaneously ●●

Third degree – prolapse and have to be manually reduced ●●

Fourth degree – permanently prolapsed

MCQS on Rectum

Intussusception in childhood

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Q) Most common intussusception in children is

a) Ileocolic

b) Ileoileal

c) Ileoileocolic

d) Colocolic

Answer for premium 

Marjolin Ulcer

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Marjolin Ulcer MCQ – Most Common Histological Type

📘 Theme: Plastic Surgery – Chronic Ulcers & Malignant Transformation (NEET SS / INI-CET High Yield)

Clinical Surgery MCQ

A 35-year-old male presents with a Marjolin ulcer involving the leg. Which of the following statements regarding Marjolin ulcer is true?

A. Lymphatic spread is common
B. They are painful
C. They are aggressive and fast-growing tumors
D. Squamous cell carcinoma is the most common type

Answer: D. Squamous cell carcinoma is the most common type

Explanation

Marjolin ulcer refers to the development of a malignancy, most commonly squamous cell carcinoma (SCC), within a long-standing scar, burn scar, sinus tract, or chronic ulcer. Basal cell carcinoma may also occur but is much less common.

Scar tissue is relatively avascular and lacks normal lymphatic channels. As a result, these tumors typically exhibit slow growth initially. However, once the tumor extends into surrounding normal tissue, lymphatic spread and metastasis may occur.

Marjolin ulcers are classically associated with chronic burn scars but may arise in any long-standing ulcer, including venous ulcers.

Why other options are incorrect

  • A. Lymphatic spread is common: False. Scar tissue lacks lymphatics; lymphatic spread usually occurs only after invasion into adjacent normal tissue.
  • B. They are painful: False. Scar tissue lacks nerve endings, therefore pain is typically a late feature.
  • C. They are aggressive and fast-growing tumors: False. Marjolin ulcers are generally slow-growing because of the avascular nature of scar tissue, although they possess metastatic potential.

High-yield teaching points

  • Marjolin ulcer = malignant transformation in a chronic scar or ulcer.
  • Most common histology: Squamous cell carcinoma. ⭐
  • Classically develops in long-standing burn scars.
  • Can also occur in venous ulcers, pressure sores, osteomyelitic sinuses, and chronic wounds.
  • Pain and lymphatic spread are usually late features.
  • Scar tissue is relatively devoid of lymphatics and nerve endings.
  • Although slow growing, these lesions can metastasize once they invade surrounding healthy tissue.
  • Bailey & Love 28th Edition, Page 625.

Practice More Surgery MCQs

 

Contrast hazards in radiology

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Q1. Not true about hazards of contrast medium use in radiological interventions?

a) Use of newer agents have improved the risk of sudden death

b) Low osmolar contrast agents are better than previously used high contrast medium

c) After contrast injections, patients should be observed for 30 mins

d) Metformin can be continued in patients with normal renal function
Answer 1

Blood transfusion

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Surgery MCQ | mcqsurgery.com
Q81) In trauma what is the ratio of PRBC: FFP to be transfused?
a) 1:1
b) 1:2
c) 1:3
d) 1:4
Correct Answer: a) 1:1

When there is requirement of more than 6 units of PRBC, FFP and other blood products are required. FFP and platelets should be transfused first and then PRBC. For every 7–12 Units of PRBC, ideally 6 units of FFP and one unit of platelets should be given.
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lymphatics of colon

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Q ) Which of the following group of lymph nodes  lymphatics of the colon first drain to?

a) Paracolic

b) Epicolic

c) Nodes along SMA/IMA

d) Para aortic

Ans ) b

Lymphatics first drain to epicolic group along the bowel wall

Then it goes to  paracolic group along the marginal artery

Intermediate group along the named vessels SMA/IMA

Finally to para aortic 

Colon and upper 2/5 of rectum --- Para aortic

Lower 1/5 of rectum and anal canal - Superficial inguinal lymph nodes

Ref Sabiston-1317

Bilious vomiting child

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Q) Previous healthy infant presents at 6 weeks with bilious vomiting. What is the diagnosis?

a) Hypertrophic pyloric stenosis

b) Intussusception

c) jejunal atresia

d) Midgut Volvulus

Answer for premium members

Fasciotomy

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Q) True about fasciotomy of the lower limb? (# Gen Surgery Wound Healing  ) 

 

a) Fasciotomy should be done when distal pulses are absent

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Pressure sore

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Q) Pressure sore, grade II is (NEET 2017)  ( Wound healing Gen Surgery Questions) 

a) Partial thickness skin loss, epidermis and dermis are involved

b) Full thickness skin loss, involving subcutaneous tissue but not underlying fascia

c) Non blanchable erythema, no breach in epidermis

d) Involvement of bones and tendons