Pericardial Injury

by

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

Sucking chest wound

by

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
🆓 This is a free MCQ — click below to view the answer.
Recommended for Surgeons: Get Surgery Essentials

TIPS

by

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

Suturing Techniques

by

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

Malignancy risk in Stem cells

by

Q: Risk of malignancy is highest with which stem cells?

# Bailey Chapter 4

a) Somatic cells
b) SSc
c) Fetal cells
d) All
🔒 This is a premium MCQ. Only logged-in premium members can view the answer.

Secondary hemorrhage after necrosectomy

by

Q: A patient develops a delayed hemorrhage 3 weeks after an open necrosectomy. Which of the following best describes the pathophysiology of this complication?

# Pancreas INI CET MCQs

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
🔒 This is a premium MCQ. Only logged-in premium members can view the answer.

Gall bladder stone with obstruction

by

A 65-year-old male presents with abdominal pain, vomiting, and a history of multiple episodes of cholecystitis. X ray image is given below.

What is the most likely diagnosis?

Gall stone and intesinal obstruction

A. Acute cholecystitis
B. Gallstone ileus
C. Small bowel volvulus
D. Duodenal perforation

 

 

Answer: B. Gallstone ileus

Explanation:
Rigler's Triad consists of pneumobilia, small bowel obstruction, and an ectopic gallstone, which is diagnostic of gallstone ileus. This condition occurs when a gallstone enters the bowel through a biliary-enteric fistula, leading to mechanical obstruction.

A large gallstone (>2.5 cm) erodes through the gallbladder wall, creating a cholecysto-enteric fistula (most commonly into the duodenum).

The stone enters the bowel and may cause obstruction, most often at the ileocecal valve due to its narrow lumen.

The presence of air in the biliary tree (pneumobilia) results from communication between the biliary and intestinal tracts.

Surgery Instrument

by

Q) Identify the instrument

 

 

 

 

 

 

 

a) Craniotome

b) Hudson Brace

c) Humby's knife

d) CUSA

Ans b

The Hudson brace is a manually operated surgical drill used in neurosurgery and orthopedic procedures. It consists of a hand-cranked mechanism with interchangeable drill bits for trephination or skull perforation.

Puzzle people by Thomas Starzl

Mitraclip

by

Q ) A 68-year-old male with severe mitral regurgitation due to a prolapsed mitral valve is being evaluated for a MitraClip® procedure. Which of the following is a known limitation of the MitraClip® treatment?

A) It has a high risk of causing permanent heart valve failure.

B) Long-term durability of the device is uncertain, and its effectiveness may decline over time.

C) The MitraClip® is associated with increased risk of severe aortic stenosis.

D) The procedure is recommended for all patients with moderate to severe mitral regurgitation, regardless of surgical risk.

Surgery Absite book

Sestamibi in Parathyroid

by
Parathyroid Sestamibi MCQ
Q) The sensitivity and specificity of sestamibi for parathyroid localization are reported to be 79% and 90%, respectively. Which of the following best describes a potential source of false positives in sestamibi imaging?
A) Parathyroid adenomas in patients with hyperparathyroidism
B) Thyroid nodules with high oxyphilic content, such as Hürthle cell nodules
C) Low mitochondrial content in thyroid tissues
D) Parathyroid glands in normal positions
Answer For Premium Members

Theme from mock test on 16.2.25 — #parathyroid

🔓 Explore Free Surgery Questions