Q) 45 year old male with 24 hour old blunt colon injury is explored and found to have limited spillage of contents. There is no other intra abdominal injury. Haemodynamically stable. He has received three units of blood transfusion. Ideal management at surgery would be ?
a) Resection and Anastomosis
b) Resection anastomosis with loop ileostomy
c) Resection and Hartmanns
d) Ileostomy
Sabiston page 422
Q ) 48 year old male is about to under go TEPP. On PAC on mouth opening only hard palate is seen. Which modified Mallampati grade is this?
a) Grade I
b) Grade II
c) Grade III
d) Grade IV
Nutrition and Perio Op management
Q) What is not seen in Distributive Shock?
a) High central venous pressure
b) High Cardiac output
c) High Base deficit
d) High Mixed Venous Saturation
MCQs on Shock and Body Response
Q) 40 year old lady was on anti thyroid medications which she stopped for 2 weeks.
She presented in emergency with high grade fever and hypotension. ( Thyroid Storm) .
What is not a part of further management?
a) Oxygen
b) Beta blockers
c) Radio active Iodine
d) Lugol's idodine
Q) Patient with 2cm lung nodule , biopsy proven adenocarcinoma. CT shows hilar lymph node 1.5cm and left pleural effusion. Pleural fluid cytology is positive for malignant cells. What is the stage?
a. T1N1M0
b. T1N2M1
c. T4N1M0
d. T1N1M1
Q) Which is not a complication of TPN given through central line?
a) Aspiration
b) refeeding syndrome
c) Pneumothorax
d) Osteoporosis
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Expect 2-3 questions on cardiology signs asked in MCH exams
I am listing the 8 most common
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Q) 45 year old male with road side accident and fracture of 3 ribs on left side.
CT scan of the abdomen is shown below. Out of the five grades of splenic injury What is the grade in him ?
a) Grade II
b) Grade III
c) Grade IV
d) Grade V
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