General Surgery New pattern Test

NEET SS 22  test 4  is from selected topics of Bailey and Sabiston.

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1. Q) Which drug is not a part of “Extreme”Trial in head and neck cancer recurrence ?

a)5 Fu

Cisplatin

c) Rituximab

d) Cetuximab

Question 1 of 30

2. Q) A 10 year old boy presents with Intestinal obstruction. ON CT there is complete block of small bowel with many curvilinear structures seen in the ileum and. Next step?

a) Laparotomy

b) Anti helminthic drugs

c) Saline ENema not to be given

d) None of the above

Question 2 of 30

3. Q) A 3 day old baby develops dyspneoa. A chest x-ray is performed and shows a radio-opaque shadow with an air-fluidlevel in the chest. It is located immediately anterior to the 6th hemivertebra. Which of the following is the most likelyunderlying diagnosis?

Bronchogenic cyst

B. Congenital diaphragmatic hernia

C. Infection with Staphylococcus aureus

D. Oesphageal duplication cyst

Question 3 of 30

4. Q) All are seen more in ameobic liver abscess than pyogenic liver abscess except?

a) Age 50 years

b) Jaundice not common

c) More in males

d) H/o travel to endemic area

Question 4 of 30

5. Q) Pus discharge along wound more than 2 cm falls under which grade of Southampton scoring system 

 

IIB

IIIA

IIIB

IV

Question 5 of 30

6. Q) 35 year old male with testicular tumor. Orchidectomy specimen on HPE shows oval cells with clear cytoplasm and large, rounded nuclei with prominent acidophilic nucleoli. This tumor will  have metastases mainly through??

a) Lymphatics

b) Blood

c) local

d) All

Question 6 of 30

7. A Child is born with haemophilia A. What will be the finding in his blood report?

A) prolonged PT

B) Prolonged aptt

C)both

D) none

Question 7 of 30

8. Q) What is seen in split thickness graft as compared to full thickness graft ? 

 

Better uptake

Better colour match

Better texture match

None

Question 8 of 30

9. Q) Mucoepidermoid carcinoma of  deep lobe of parotid. Facial nerve is spared. Best management would be ?

a) Superficial Parotidectomy

b) Deep Parotidecteomy with preservation of facial nerve

c) Deep Parotidectomy with sacrifice of facial nerve

Radiation therapy

Question 9 of 30

10. Q) Which of the following regarding lymphatic spread in head and neck cancers is not true?

a) Upper lip metastatise ipsilaterally where as lower lip goes bilateral

b)Tumors of tongue base go to ipsilateral II, III, IV

c)Tumors of nasopharynx go to retropharyngeal nodes

d) Tumors of larynx go to ipsilateral II, III, Iv

Question 10 of 30

11. Q) A 50 year old cirrhotic patient presents with massive Upper GI bleed with hemodynamic instability. EVL has failed to control bleed. A sengstaken Blakmoore tube is inserted and patient becomes temporarily  hemodynamically stable. Next step?

Beta blockers

TIPS

Emergency Transplant

Wait and watch

Question 11 of 30

12. Q) A 38 year old lady presents with right upper quadrant pain and nausea. She is otherwise well. Her liver function tests are normal. An ultrasound examination demonstrates a hyperechoic well defined lesion in the left lobe of the liver whichmeasures 14 cm in diameter. What is your diagnosis?

Cystadenoma

Cavernous haemangioma

Liver cell adenoma

Hydatid cyst

Question 12 of 30

13. Q) A new born baby is diagnosed to have hypospadias. Which is the most severe form of hypospadias?

a) Glanular

b) Penile

c) Perineal

d) Coronal

Question 13 of 30

14.

Which Streptococcus species is the most pathogenic?

Group A

Group B

Group D

Alpha haemolytic Streptococcus viridans

Question 14 of 30

15. Q) Which is not an effective treatment option for hypertrophic scar?

Intralesional steroid

Pressure

Silicone gel

Intralesional excision

Question 15 of 30

16. Q) Highest risk of Pseudomembranous colitis is with the use of which class of antibiotics 

a) Cephalosporins

b) Quinolones

c) Aminoglycosides

d) Imipenem

Question 16 of 30

17. Q) Which of the following is a selective shunt?

ECk Fistula

DSRS

PSRS

Side to Side PCS

Question 17 of 30

18. Q) 46 year old lady with mandible excision for head and neck tumor. Which of the following flaps would you use to cover the defect? 

a) Fibula osseous flap

b) Radial forearm

c) Scapula

d) Ant thigh

Question 18 of 30

19.

Q) What is the most common location for an ectopic testis?

Root of penis

Superficial inguinal pouch

Perineum

Femoral triangle

Question 19 of 30

20. Q) 61  year old male with HBV, CHILD C  Cirrhosis with HCC. CT shows 3  lesions, largest being 4 cm. Liver Transplant  can be done as per which criteria ? 

a) UCSF

b) MILAN

c) Cheng DU

d) Koyoto

Question 20 of 30

21. Q) Suppurative infections are most commonly caused by

a) Streptococcus

b) Staphylococcus

c) Clostridium

d) E coli

Question 21 of 30

22. Q) Which of the following is not a true statement regarding Blood supply to the liver

a) Portal blood is 75 % of total blood flow

b) Portal blood is 50- 70 % of oxygenation to liver

c) Portal blood is rich in nutrients

Increases in hepatic arterial flow causes reciprocal increase in portal vein flow

Question 22 of 30

23.  45 yr old male undergoes General Anesthesia  with isoflurane for bowel resection. He  develops tachycardia , fever , rhabdomyolysis and  30 mins after abdominal wall closure. Most probable diagnosis is ?

A) Malignant hyperthermia

B) Gas embolism

C) MI

D) Pulmonary embolism

Question 23 of 30

24. Q) 16 months old male child presents with10 cm liver mass which has been increasing. There is no unusual symptoms apart from that and growth is normal. Diagnosis of Hepatoblastoma is made on imaging, There is no metastasis. How will you manage the patient?

a) Plan for surgical resection

b) Radiotherapy and resection

c) Chemotherapy and resection

d) Chemotherapy only

Question 24 of 30

25.  Q) A 65 year old male a case of carcinoma colon. Two  days back he  underwent balloon angioplasty for recent  MI. After how many days can he safely undergo colectomy?

1 week

2 weeks

1 month

6 months

Question 25 of 30

26. Q) 18 months old male baby with soft cystic selling in posterior triangle of neck. It is brilliantly illuminating This is ? 

Branchial cyst

Dermoid cyst

Cystic hygroma

Rhabdomyosarcoma

Question 26 of 30

27. Q) A 56 year old worker falls astride on a scaffolding and suffers injury to the perineum. He can not void and has blood at the urinary meatus. Next step would be ?

a) Catheter insertion

b) Uretherography

c) IV Antibiotics

d) Reassure

Question 27 of 30

28. Q) 45 year old male with fungating, 3 cm mass tip of penis. Which of the following is true about ca penis ?

A) 90% will have inguinal lymph nodes

B) 2cm margin is necessary in resection

C) Results of Radiotherapy are equivalent to surgery

D) delay treatment of inguinal nodes for 3 weeks after prinary. Not to be done together

Question 28 of 30

29. Q) Full thickness skin loss without erosion of underlying fascia is which degree of pressure sore ?

Grade i

Grade ii

Grade iii

Grade Iv

Question 29 of 30

30. What would be the ASA grade for a 58-year-old male with diabetes and diabetic nephropathy (serum creatinine 2.1) who is otherwise ambulant and has no other complaints, undergoing evaluation for colon cancer resection?

II

III

IV

V

Question 30 of 30

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