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Part 1 MCQ Surgery Nov 18
Part 1 MCQ Surgery Nov 18
November 7, 2018
Evening Shift
Paper I
a. Physiological jaundice
b. Breast milk jaundice
c. ABO incompatibility
d. Rh incompatibility
5. A young woman has signs of viral hepatitis. She has nausea for last few
days and mild scleral icterus. On laboratory investigations, her ALT and
AST are elevated. What cellular change leads to their elevation?
a. Pericardium
b. Myocardium
c. Pleura
d. Intercostal muscles
a. Diaphragm
b. External Oblique
c. Serratus Anterior
d. External intercostal muscle
12.Toll-like receptors
a. Are Important in adaptive immunity
b. Present on B-cells
c. Present on platelets and play a role in immune response
13. A patient has emphysema. What would be the acid-base imbalance present
in him?
a. Rise in H+ion concentration in plasma
b. Rise in plasma PCO2
c. Decrease in plasma HCO3- concentration
d. Positive base excess
e. Rise in plasma pH
20. Lymph
a. Production increases during exercise
b. Flow decreases during bacterial infection
c. Usually has no cells
d. Contains large amount of fibrinogen
e. Absorbs amino acids from small intestine
25. A 20 year old female has fever and pain in lumbar region for the last 5
days. What investigation would you conduct for accurate diagnosis of the
disease?
a. Urine culture
b. Blood Widal test
c. Urine and blood culture
d. Stool culture
26. A patient has fever, malaise, anemia and weight loss for several weeks. On
examination, there is splenomgelay and splinter hemorrhages under his
nails. He also has microscopic hematuria. Which investigation will help
you diagnose the illness?
a. Blood culture
b. Serology
c. Blood for cold agglutinins
d. Ultrasound of abdomen
27. Head of pancreas lies in front of
a. IVC
b. Superior mesenteric artery
29.Cortisol
a. Gluconeogenesis
b. Increases glucose utilization by cells
c. Decreases lipolysis
d. Causes protein anabolism
31. An elderly patient comes to your clinic and complains about the staff
being rude to him. He also feels the receptionist is rude. How will you
handle the situation?
a. Refer the patient for psychiatric evaluation
b. Apologize to the patient and ask the receptionist to change her behavior
c. Fire the receptionist
d. Tell the patient no one else has complained about the staff
32. The side effect of chlorpromazine is
a. Dystonic features
b. Polyuria
c. Weight loss
d. Hallucinations
33. The size of drug is more than 1000, so the drug will move into the cell via
a. Simple diffusion
b. Osmotic pressure
c. Carrier protein
d. Phagocytosis
40. Patient after a few days of severe burns, developed high grade fever.
Blood culture yielded of gram negative rods in chains. He has suddenly
developed a bleeding daithesis. What is the cause?
a. DIC
41. A homosexual male has developed reddish lesions on his skin. One of his
partners has similar lesions too.
a. Kaposi’s sarcoma
42. What kind of bond is present between proteins and lipids in a membrane?
a. Hydrophobic bond
b. Covalent and hydrophobic bonds
c. Hydrogen bonds
43. A patient with end stage renal failure has had multiple blood tranfusions
for anemia. What can be given to reduce the number of transfusions?
a. G-CSF subcutaneous
b. Subcutaneous erythropoietin
45. A patient visits a psychiatrists. His mother calls the doctor to ask about his
illness but the psychiatrist refuses to divulge anything. What is this called?
a. Confidentiality
b. Non- Maleficence
c. Benevolence
47. A patient, while his stay in a hospital, develops MRSA infection. What
about the treatment would you keep in mind?
a. MRSA is sensitive to vancomycin
b. MRSA is resistant to vancomycin
c. MRSA has more virulence than staphylococcus aureus
d. MRSA is sensitive to third generation cephalosporins
48.The rate of regeneration of peripheral nerve fiber is
a. 0.3 mm/day
49. A patient has polyuria and polydipsia. Her laboratory investigations show
hypercalcemia, hyperphosphatemia, normal alkaline phosphatase levels.
What is the cause?
a. Hypervitaminosis D
b. Thiazide diuretics
c. Primary hyperparathyroidism
52. A primigravida goes to her village where she develops fever and jaundice.
The disease can be fatal in her. What is the cause?
a. Hepatitis A
b. Hepatitis B
c. Hepatitis C
d. Hepatitis D
e. Hepatitis E
53. A patient is brought to the emergency in a state of shock and is promptly
resuscitated. Which signs will show successful resuscitation?
a. Increase in heart rate
b. Increase in urine output
c. Decrease in blood pressure
65. A patient had a bee sting. The inflammatory response will be due to
a. Histamine
b. Acetylcholine
c. Norepinephrine
d. Dopamine
68. A patient has received multiple blood transfusions. Now, his ECG shows
tall T waves. What is the cause
a. Hyperkalemia
b. Hypercalcemia
c. Hyponatremia
72.A farmer working in the field suddenly collapses. He has pin-point pupils
and is irritable. What is the specific antidote
a. Pralidoxime
b. Atropine
a. Coagulase test
86. A patient has been on supplemental O2 therapy for more than 24 hours and
later develops difficulty in breathing
a. Spontaneous Pneumothorax
88. Dye injected to visual urinary system, normal appearance of dye in right
lumbar region while there is no dye in left lumbar region and a small
amount of dye in pelvic region
a. Pelvic kidney
b. Renal agenesis
c. Horseshoe kidney
89. A patient has Hashimoto’s thyroiditis. How will you confirm the
diagnosis?
a. Antimicrosomal and Anti-thyroglobulin antibodies
90. GFR
a. 10% deccrease with 10mmHg decrease in blood pressure
b. Increases with decrease in colloidal pressure
96. A patient gets burn injury which heals into an irregular fibrous scar that
extends beyond the wound margins and does not contract
a. Keloid
1. A patient has received epidural anesthesia and feels tingling in her thumb.
What dermatome is involved?
a. C5
b. C6
c. C7
d. C8
e. T1
2. Trephine bone marrow biopsy is done to examine bone marrow aspirate for
a. Aplastic anemia
b. Chronic myelogenous leukemia
c. Iron deficieny anemia
5. A 30 year old female has come to you with a neck mass. She is diagnosed as
a case of high-grade B-cell lymphoma with c-myc translocation. Virus
involved
a. EBV
b. CMV
c. HIV
6. Left gastric vein drains directly into
a. IVC
b. Splenic vein
c. Superior mesenteric vein
d. Inferior mesenteric vein
e. Portal vein
8. Patient has a deep cut on the posterolateral surface of forearm, distal to the
neck of radius. He has loss of extension and abduction of thumb. There is no
loss of sensations. Which nerve is involved?
a. Superficial branch of radial nerve
b. Deep branch of radial nerve
c. Ulnar nerve
d. Median nerve
12. A boy falls on his outstretched hand and fractures his clavicle at the
junction of medial 1/3rd and lateral 2/3rd. Medial fragment is displaced
upwards and lateral downwards. Which muscle is responsible for upwards
displacement?
a. Sternocleidomastoid
b. Subclavius
c. Deltoid
14. A 30 year old male has been operated for enlarged goiter and now
complains of hoarseness of voice and difficulty in swallowing. The nucleus
of the nerve involved in
a. Upper part of Nucleus Ambiguus
b. Lower part of Nucleus Ambiguus
c. Middle part of Nucleus Ambiguus
d. Spinal nucleus of trigeminal nerve
e. Dorsal motor nucleus of vagus
15. Left gastroepiploic artery arises from
a. Splenic artery
b. Gastroduodenal artery
c. Right hepatic artery
17. A 20 year old male complains of abdominal bloating after meals and foul
smelling, frothy stools per day. Useful investigation would be
a. Stool culture and sensitivity
b. Complete stool examination
c. Blood culture
d. Ultrasound of abdomen
18.A 40 year old smoker has splenomegaly and congested face. What would be
the feature of polycythemia?
a. Increase red blood cell mass
b. Hematocrit above 50%
21. A 35 year old tall male has hypertension for the first time and dies. His
autopsy reveals a ruptured aneurysm. There is deficiency of media at the site
of rupture. What kind of aneurysm is this?
a. Dissecting aneurysm
b. Marfan aneurysm
c. Mycotic aneurysm
d. Leutic aneurysm
e. Berry aneurysm
24. Injury to shoulder joint in a patient leads to axillary nerve damage. Which
muscle is affected?
a. Deltoid
b. Serratus anterior
c. Supraspinatus
29. A patient has tumor in upper outer quadrant of right breast. The lymph from
this area will drain into
a. Anterior axillary lymph nodes
b. Apical axillary lymph nodes
c. Posterior axillary lymph nodes
d. Central axillary lymph nodes
30. During dissection of posterior triangle, which nerve might get damaged?
a. Spinal part of accessory nerve
34. A plastic surgeon is grafting midline forehead flap to a patient. The artery
supplying this area is
a. Supratrochlear arteries
b. Facial artery
c. Infratrochlear artery
36. A female has ulcer on lower 1/3rd of labia majora and labia minora. Which
glands are involved?
a. Paraurethral glands of skene
b. Greater vestibular glands
37. A patient undergoes endoscopy which reveals hyperemic area in lower third
of esophagus. There is no ulceration, growth or bleeding. This region shows
a. Metaplasia
b. Dysplasia
c. Hypertrophy
d. Hyperplasia
38. A gardener develops cough, his chest X-ray reveals a rounded opacity in
right lobe of lung
a. Aspergillosis
40. A boy falls down and fractures his medial epicondyle of humerus, damaging
the ulnar nerve. Sensations in which area would be affected?
a. Distal and palmar aspect of medial 1/3rd of hand