NEET SS practise tests

Waldeyer fascia

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Mock Test 2 • 1 March 2026 | Rectal Surgical Anatomy

A 60-year-old man undergoes total mesorectal excision for low rectal cancer. During posterior dissection, a dense fascial condensation at the level of S4 is divided to enter the deep retrorectal space.

All of the following statements regarding Waldeyer fascia are true EXCEPT:

A. It forms the anterior boundary of the mesorectum and separates the rectum from the prostate
B. It connects the presacral fascia to the fascia propria of the rectum
C. It is usually encountered at the level of the fourth sacral vertebra
D. Division allows entry into the deep retrorectal space
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Small bowel distenson

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NOMI MCQ | mcqsurgery.com
Q) A critically ill ICU patient on high-dose vasopressors develops abdominal distension and rising lactate. CT angiography shows patent mesenteric vessels but poor distal bowel wall enhancement. The most appropriate management is:
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Valve Surgery

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Valve Choice in Young Female with Rheumatic Mitral Stenosis MCQ

Clinical Scenario: A 28-year-old woman with rheumatic mitral stenosis requires valve replacement. She wishes to become pregnant.

Best valve choice?

A. Mechanical mitral valve
B. Bioprosthetic mitral valve
C. Ross procedure
D. Mitral valve repair is contraindicated

Nutritional Screening

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NRS-2002 Nutritional Screening MCQ | mcqsurgery.com
Q) According to NRS-2002, which patient needs nutritional intervention?
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Debakey Classification

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Aortic Dissection – DeBakey Classification MCQ

Clinical Scenario: A 52-year-old hypertensive male presents with sudden retrosternal chest pain radiating to the back. CT angiography reveals dissection confined to the ascending aorta without involvement of the arch or descending thoracic aorta.

Which DeBakey classification does this correspond to?

A. Type I
B. Type II
C. Type IIIa
D. Type IIIb

AFP & Embryomal cell carcinoma of Testis

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AFP in Pure Embryonal Cell Carcinoma MCQ | mcqsurgery.com
Q) Which of the following statements about alpha-fetoprotein (AFP) in pure embryonal cell carcinoma is most accurate?
✅ Answer: c) AFP is elevated in 50-80% of cases of pure embryonal cell carcinoma.

🔍 Explanation:
Alpha-fetoprotein (AFP) is a **tumor marker** commonly elevated in **non-seminomatous germ cell tumors** (NSGCTs), which includes **embryonal cell carcinoma**. AFP levels are elevated in approximately **50-80%** of cases of **pure embryonal carcinoma**, and this elevation is associated with the **yolk sac tumor component** that is often seen within these tumors.
  • AFP is a **glycoprotein** produced by the fetal liver and yolk sac, and its levels are typically **low in adults**.
  • It is elevated in conditions like **liver cancer**, **germ cell tumors**, and **yolk sac tumors** (which may be seen with embryonal carcinoma).
  • In **seminomas**, AFP is **usually normal**, and they are typically not associated with AFP elevation.
  • Correct interpretation of AFP levels is important for **diagnosis**, **monitoring treatment response**, and **detecting recurrence** in **germ cell tumors**.
Misinterpreting AFP levels can lead to **incorrect staging** or **diagnosis** of testicular cancers.
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GCS Intubated patient

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Multiple MCQs Example | mcqsurgery.com
Q1) What is the maximum possible GCS score for an intubated patient?
Show Answer & Explanation
✅ Answer: c) 11T

🔍 Explanation: In intubated patients, verbal cannot be assessed (T). Max score = Eye 4 + Motor 6 = 10, written as 11T. Explanation and Teaching Points: Intubated patients cannot be assessed for the verbal response, which is replaced by “T”. The verbal component (maximum 5) is omitted, so the best total becomes Eye (4) + Motor (6) = 10, and the notation “T” is added, making it 11T. Regular reassessment (every 30 minutes) is crucial to detect changes in neurological status.

Post gastrectomy management

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Q) A 60-year-old woman presents with chronic postprandial epigastric pain, nausea, and bilious vomiting. She had a Billroth II gastrectomy 8 years ago. Despite medical therapy with proton pump inhibitors, sucralfate, and cholestyramine, her symptoms persist. Endoscopy and biopsy confirm ongoing bile reflux gastritis with reactive gastropathy. She is nutritionally declining and has poor quality of life.

What is the most appropriate next step in management?

A. Increase the dose of cholestyramine
B. Add prokinetic therapy (e.g., metoclopramide)
C. Perform total gastrectomy with esophagojejunostomy
D. Convert Billroth II to a Roux-en-Y gastrojejunostomy
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Shock

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Q) A 25-year-old male is brought to the emergency department after a high-speed motorbike accident. He is conscious but reports inability to move his lower limbs. On examination his blood pressure is 75/40 mmHg, pulse 48/min, skin warm and dry. There is flaccid paralysis of both lower limbs and decreased sensation below the level of the umbilicus. Jugular venous pressure is low.

What is the most likely diagnosis?

A. Hypovolemic shock due to occult intra-abdominal bleed
B. Neurogenic shock due to spinal cord injury
C. Cardiogenic shock due to blunt cardiac contusion
D. Septic shock due to aspiration pneumonia
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Retinoblastoma

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Q) Retinoblastoma, the most common ocular malignancy of childhood, has the following features. Which statement is TRUE?

a) It is always unilateral and sporadic
b) Bilateral disease occurs in about one-third of cases
c) It is inherited in an autosomal recessive fashion
d) It is caused by mutation of the p53 gene on chromosome 17