1.Water loss is severe if intestinal C.

Ileum
obstruction occurs D.Sigmoid colon
A.First part of duodenum 8.Which one of the following is the
B.Third part of duodenum treatment of gall stone ileus
C.Midjejunum A.Cholecystectomy alone
D.Ileum B.Removal of obstruction
2.Which is true about Intussusception C.Cholecystectomy closure of fistula
A.Common in neonates aud removal of stone by enterotomy
B.Fever always present D.Cholecystectomy with closure of
C.Not associated with tumors of fistula
intestine 9.Which of the following statement
D.Usually relieved by barium enema about volvulus is false
3.The least common type of A.More common in psychiatric patients
intussusception is B.Sigmoid volvulus is more common
A.Multiple than caecal volvulus
B.Colocolic C.Lower GI scopy is contraindicated in
C.Ileoileal sigmoid volvulus
D.Ileoilecolic D.Volvulus of caecum is managed by
4.Paralytic ileus is caused by conservative methods
A.Peritonitis 10 Early post-operative complication
B.Hyperkalemia of ileostomy in the post-operative
C.Acute intestinal obstruction period
D.Head injury A.Obstruction
5.Primary feature of small intestinal B.Necrosis
obstruction C.Diarrhea
A.Fever D.Prolapse
B.High peristalsis with colic 11.Investigation for acute abdomen
C.Abdominal distension includes
D.Empty rectum A.USG
6.Paralytic ileus is characterized by all B.BLOOD C/E
except C.Contrast enhanced CT
A.No bowel sounds on auscultation D.X-Ray contrast
B.No passage of flatus E.Echocardiography
C.Gas filled loops of intestine with 12 .Intestinal obstruction due to
multiple fluid levels meconium occurs in
D.Loops of intestine are not seen d/t loss A.Cystic fibrosis
of peristalsis B.Mucoviscidosis
7.The most common site of intestinal C.Hurschsprung disease
obstruction in gallstone ileus is D.Ileal atresia
A.Duodenum
B.Jejunum
13.The most common type of C.Ileal atresia
intussuception is D.Volvulus
A.Multiple 20.A new born child has not passed
B.Colocolic meconium for 48 hrs.What is the
C. Ileoсeсal diagnostic procedure of choice ?
D.Ileoilecolic A.USG
14.Commonest site of intestinal atresia B.Contrast enema
is in the C.CT
A.Duodenum D.MRI
B.Jeiunum 21.Claw sign seen in
C.Lleum A.Intussception
D.Colon B.Volvulus
15.Portal vein is formed by union of C.Both
A.Sup.mesenteric and inf.mesenteric v. D.Peptic ulcer
B.Inf.mesenteric & splenic vein 22.Complete Rx of intussception
C.Sup. & inferior vena cava indicates
D. Inf.mesenteric & Sup.mesenteric & A.Free passage of barium in the terminal
splenic vein ileum
16.Most common cause of colonic B.Passage of faceus and flatus along
obstruction is with barium
A.Volvulus C.Improvement of clinical condition
B.Hernia D.X-ray chest
C.Adhesions 23.”Red current jelly “Stool in an
D.Neoplasm infant is characteristic of
17.In obstruction of the large gut A.Acute gastroenteritis
rupture occurs at the B.Rectal piles
A. Cecum C.Intussusception
B.Ascending colon D.Fissure-in-ano
C.Transverse colon 24.Acute mechanical large bowel
D.Descending colon obstruction should be operated early
18.Commonest cause of because of the risk of
intussusception is A.Respiratory embarrassment due to
A.Submucous lipoma abdominal distension
B.Meckels diverticulum B.Electrolyte imbalance from vomiting
C.Hypertrophy of submucous peyers C.Septicemia from bowel contents
patches D.Closed loop obstruction and caecal
D.Polyp perforation
19.Commonest cause of colonic 25.Commonest site of ischemic colitis
obstruction in neonates is A.Hepatic flexure
A.Meconium ileus B.Splenic flexure
B.Aganglionic colon C.Transverse colon
D.Sigmoid colon A.Surgical correction
26.Treament of choice of acute B.Colectomy
obstruction due to left sided colonic C.Enema
carcinoma in a 70 year old male is D.Endoscopic correction
A.Left sided colectomy 33.Fluid levels are not visible in
B.Total colectomy A.Meconeum ileus
C Hartmans Procedure B. Intussusception
D.Defunctioning colostomy C.Colon pouch
27.In colonic obstruction immediate D.duodenal obstruction
treatment is required to prevent 34.Spastic ileus is seen in
A.Caecal rupture A.Porphyria
B.Water imbalance B.Retroperitoneal abscess
C.Abdominal distension C.Hypokalemia
D.Severe vomiting D.MI
28.Best way to diagnose lower 35.What are the features of colonic
intestinal obstruction obstruction
A.Pain abdomen A. passage of gas absolutely
B.Abdominal distension B. passage of stool absolutely
C.Profuse vomiting C.Distension of abdomen
D.Multiple air gas shadows on x-ray D.Mild fever initially
29.For intestinal obstruction 36.Recuurent obstruction, mass per
immediate operation should not be rectum and diarrhea in child
done in case of A.Intussusception
A. adhesion B.rectal prolapse
B.Appendix perforation C.Internal hernia
C.Volvulus D.Haemorrhoids
D.Obstructed hernia 37.In intestinal
30.What is intussuscepiens obstruction,intestigations needed are
A.The entire complex of intussusception A.Barium swallow
B.The entering layer B.BARIUM ENEMA
C.The outer layer C.Stomach barium meal
D.The process of reducing the D.Erect X-ray abdomen
intussusception 38.Features of intussusception are
31.Most common cause of acute A.Pincer sign
intestinal obstruction B. NO Target sign
A.Adhesions C.Dove sign
B.Carcinoma D.Coiled spring sign
C.Int. hernia 39.Malrotation presents as
D.Lymphoma A. NO Mass abdomen
32.Definitive Treatment of sigmoid B.Bleeding PR
volvulus is C.Billious vomiting
D.Haematomesis
40.Acute intestinal obstruction is
characterized by
A.Vomiting is common in duodenal
obstruction
B.Pain after each attack of vomiting is
characteristic of ileal obstruction
C.In colonic obstruction NO distension
is common than vomiting
D.X-ray erect posture is NOT
diagnostic
41.Most common cause of lower
gastro intestinal bleeding is
A.Diverticulitis
B.Colorectal carcinoma
C.Angiodysplasia
D.Anal fissure
42.Meckels diverticulum is patent of
A.Vitello intestinal duct
B.Urachus
C.Organic diaphragm
D.Peritoneal layer
43.Crohns disease can be seen in
A.Jejunum only
B.Colon only
C.Terminal ileum and right side
D.Mouth of anus
44.Cobble stone appearance is seen in
A.Ulcerative colitis
B.Crohns disease
C.Appendicitis
D.Carcinoma rectum
45.Most common cause of acute
mesenteric ischemia is
A.Arterial thrombosis
B.Venous thrombosis
C.Embolism
D.Non-occlusive disease
46.Most common cause of death in
Crohns disease is due to
A.Sepsis
B.Thromboembolic complication
C.Electrolyte disturbance
D.Malignancy
47.Skip lesions are seen in
A.Ulcerative colitis
B.Crohns disease
C.Typhoid
D.Tuberculosis
48.The commonest cause of significant
lower gastrointestinal bleed in a
middle aged person with unknown
reason is
A.Sigmoid diverticula
B.Angiodysplasia
C.Ischemic colitis
D.Ulcerative colitis
49.Which of the following statement
about sigmoid volvulus is incorrect?
A.More common with laxative abuse
B.Non-operative treatment has no role
C.Recurrence rate ground 40%
D.Sigmoid resection is definitive
treatment
50.Which of the following about crohn
disease is incorrect?
A.Granuloma presentfrequently
B.It is separate and distinct form
ulcerative colitis
C.Cigarrate smoking is a risk factor
D.Rectum spread in 50% patients with
large involement
51.Which one of the following
organisms produces signs and
symptoms that mimic acute
appendicitis
A.Enteropathic Escherichia coli
B.Enterobius vermicularis
C.Trichomonas hominis
D.Yersinia enterocolitica
52.Toxic megacolon is seen in
A.Chronic non specific ulcerative colitis
B.Crohns disease B.Done in cases where medical
C.Colonic diverticulosis treatment fails
D.Hamaratomatous polyp C.Pouch surgery not done
53.Rotation of sigmoid volvulus occurs 59.The term “Left sided appendicitis”
A.Clockwise as popularly called is nothing but
B.Anticlockwise A.Diverticulitis
C.Initially clockwise later anticlockwise B.Ascending colitis
D.Either clockwise or anticlockwise C.Descending colitis
54.The most useful intestigation for D.Typhilitis
profuse lower gastrointestinal 60.The diagnosis of congenital
bleeding is megacolon is confirmed by
A.Proctosigmoidoscopy A.Clinical features
B.Colonoscopy B.Barium enema
C.Double contrast barium enema C.Rectal biopsy
D.Selective arteriolography D.Recto-sigmoidoscopy
55.The fold of Treves is 61.All of the following extraintestinal
A.The fold of mucous membrane manifestations of ulcerative colitis
projecting into the lumen of the rectum respond to colectomy except
B.The ileo-appendicular fold of A.Primary sclerosing cholangitis
peritoneum B.Pyoderma gangrenosum
C.The fold of mucous membrane around C.Episcleritis
the papilla of Vater D.Peripheral arthralgia
D.The fold of peritoneum over the 62.Surgical indications in
inferior mesenteric vein inflammatory bowel diseases are A/E–
56.Signe-de-Dance is A.Obstruction
A.Empty right iliac fossa in B.Perianal complication
intussusception C.Extraintestinal complication
B.Pincer shaped appearance in barium D.Stricture
enema in intussusception E.Malignancy
C.Tenderness at the McBurneys Point 63.Paralytic ileus is seen in
D.Passing of large quantities of urine in A.Spinal cord injury
hydronephrosis B.Hypocalcemia
57.Common surgical indication in C.Hypermagnesemia
chronic inflammatory bowel disease D.Uremia
A.Peritonitis 64.Painless lower GI bleed is seen in
B. no Malignancy MALIGNANCY child with
C.Massive bleeding A.Meckles diverticulum
D.No bleeding B.Peptic ulcer
58.Surgical treatment of ulcerative C.Anal fissure
colitis D.Acute appendicitis
A. Done in late cases
65.Patient with recurrent 72.Commonest malignancy of the
diarrhoea,pseudopolyp,lead pipe small intestine
appearance on Ba enema has A.Adenocarcinoma
A.Ulcerative colitis B.Lymphoma
B.Crohns disease C.Carcinoid
C.Irritable bowel syndrome D.Leiomyosarcoma
D.Short bowel syndrome 73.During surgical exploration for
66.Ulcerative colitis involves hydrated cyst of the liver,any of the
A.Serosa following agents can be used as
B.Lamina propria scolicidal agent except
C.Mucosa A.Hypertonic sodium chloride
D.Circularis muscle B.Formalin
67.True about Hirschsprungs disease C.Cetrimide
A.Pathology of myenteric plexus of D.Povidine Iodine
Auerbach 74.All are used in treatment of
B.Blood in stools amoebic liver abscess except
C.May not involve small intestine rarely A.Diloxanide furoate
D.Present only in infant and children B.Chloroquine
68.Hirschprungs disease is treated by C.Metronidazole
A.Colostomy D.Emetine
B.Excision of aganglionic segment 75.Maximal reduction on gastric
C.Colectomy acidity is achieved by
D.Sodium chloride wash A.Truncal vagotomy and pyloroplasty
69.The commonest site of perforation B.Truncal vagotomy and antrestomy
during colonoscopy is C.Partial gastrectomy
A.Caecum D.Highly selective vagotomy
B.Hepatic flexure 76.Investigation of choice for an early
C.Splenic flexure gastric carcinoma
D.Sigmoid colon A.Endoscopic ultrasound
70.Antiperistalsis is seen in B.Stained endoscopic biopsy.
A.Distal colon C.Barium meal
B.Jejunum D.CT scan
C.Proximal colon 77.Function of thick gastric mucosa is
D.Ileum A.Protects epithelium
71.Commonest site of tuberculosis of B.Neutralises HCL
the intestine C.Traps foreign particles
A.Stomach D.None of the above
B.Ileum 79.”Crumbled egg appearance” in
C.Jejunum liver seen in
D.Colon A.Hepatic adenoma
B.Chronic amoebic liver abscess
C.Hydatid liver disease C.I-131 Fibrinogen studies
D.Haemangioma D.Stool for occult blood
80.Gastro jejunostomy is an example 87.Treatment of hydatid cyst
of A.Excision of cyst
A.Clean contaminated wound B.Percutaneous drainage
B.Clean uncontaminated wound C.Conservative management
C.Unclean uncontaminated wound D.Diet management
D.Unclean contaminated wound 88.Normal portal vein pressure is
81.Dumping syndrome occurs due to A.<3 mm Hg
A.Small stomach B.3-5 mm Hg
B.Hyperosmolar load in intestine C.5-10 mm Hg
C.Vagolytic action D.10-12 mm Hg
D.Excessive intake of food 89.Anemia is greater in which of the
82.H.Pylori causes following gastric resection
A.Type A Gastritis A.Billorth II
B.Type B gastritis B.Billorth I
C.Autoimmune C.Both of the above are equal
D.Allergic gastritis D.Neither of the above
83.Post-vagotomy diarrhoea can be 90.The operation of choice in
effectively managed by congenital pyloric stenosis is
A.Steroids A.Pyloroplasty
B.Thyroxin B.Pyloromyotomy
C.Somatostatin analogue C.Gastro-jejunostomy
D.Parathormone D.Gastro-duodenostomy
84.Histologic examination of the lesion 91.Investigation of choice in peptic
in stomach reveal fat-laiden cells ulcer perforation is
,likely cause is A.USG
A.Lymphoma B.X-ray abdomen
B.Psost gastrectomy C.Paracentasis
C.Signet-cell carcinoma stomach D.CT scan
D.Atrophic gastritis 92.About 6-8 hours after peptic
85.Minimum amount of GI bleed to perforation the disappearance of
cause melena is abdominal wall rigidity is due to
A.10 ml A.Cessation of acid secretion in the
B.40 ml stomach
C.60 ml B.Revival from initial shock
D.115 ml C.Dilution of acid in the peritoneal
86.The most sensitive test to detect GI cavity
bleeding is D.Fatigue of reflex arc
A.Selective angiography 93.What complication commonly
B.Radiolabelled ,Erythrocyte Scanning occurs in anterior duodenal ulcer
A.Bleeding D.Fistulas are common
B.Penetration 100.The area of the colon which is
C.Perforation used visualized by barium studies
D.Stricture formation A.Sigmoid
94.A person who had undergone B.Hepatic flexure
gastrojejunotomy suddenly develops C.Splenic flexure
severe diarrhoea.Which should be D.Caecum
suspected 101.Mass in right iliac fossa can be
A.Gastric carcinoma A.Intestinal obstruction.
B.Tb abdomen B.Large intestine neoplasm
C.Gastrojejunocolic fistula C.Amoeboma
D.Gastric amoebiasis D.Diverticulosis
95.The earliest symptom in primary 102.Skip transmural lesions with
biliary cirrhosis is tuberculoid granuloma seen in
A.Jaundice A.Ulcerative colitis
B.Pruritus B.Crohns
C.Melanosis C.Tuberculosis
D.Vomiting D.Amoebiasis
96.The operation wherein the stump 104.When gas filled cysts are found in
of the stomach is directly anastomosed sub-serosa or sub-mucosa of small
to the stump of the duodenum is called intestine or colon,it is called
A.Polya gastrectomy A.Pneumatosis cystoids intestinalis.
B.Hoffmeister gastrectomy B.Crohns disease
C.Billroth I C.Ulcerative colitis
D.Billroth II gastrectomy D.Mesenteric cyst
97.Sulfonamide useful in treating 105.Apart from Escherichia coli,the
ulcerative colitis is other most common organism
A.Sulfadiazine implicated in acute suppurative
B.Sulfasalazine bacterial peritonitis is
C.Sulfamethoxazole A.Bacteroids
D.Sulfadimidine B.Klebsiella
98.Which is true regarding C.Peptostreptococcus
Hirschsprungs disease D.Pseudomonas
A.More in females 106.Commonest sites of
B.Presentation within 7 days intraabdominal abscess
C.Regular dilatation is effective A.Subphrenic
D.Rectal biopsy diagnostic B.Paracolic
99.Which is true of Ulcerative colitis C.Pelvis
A.Sting sign of kantor positive D.Retroperitoneal
B.Skip lesions are seen 107.Direct inguinal hernia in relation
C.Rectum is always involved to Inf.epigastric vessels
A.Medial A.Non-absorbable in 2 layers
B.lateral B.Absorbable in 2 layers
C.Inferior C.Inner absorbable and outer non
D.superior absorbable
108.Most pathognomic in pelvic D.Inter non absorbable and outer
abscess is absorbable
A.Constipation 114.Tenesmus occurs in lesions of
B.Mucopurulent discharge A.Ileum
C.loose stool B.Right side of colon
D.Bleeding C.Descending colon
109.The commonest site of an D.Sigmoid colon
intraperitoneal abscess 115.For bleeding varices of the
A.Pelvis oesophagus the common operation is
B.Subphrenic Space A.Portocaval shunt
C.periappendicular B.Gastrectomy
D.Paracolic gutter C.Splenectomy
110.A patient with stab injury to D.Resection of esophagus
anterior abdomen presents with a tag 116.Multiple liver secondaries are
of omentum protruding through the most common in
abdominal wall near the umbilicus.On A.Head of pancreas
evaluation he is hemodynamically B.Stomach
stable and shows no signs of C.Gall bladder
peritonitis.Initial management of D.Periampullary
patient should involve 117.In acute pancreatitis,surgery is
A.FAST indicated in which one of the following
B.Exploratory Laparotomy conditions
C.Local wound exploration and suturing A.Acute fluid collection
D.CECT abdomen B.Acute pseudocyst
111.Ulcerative colitis almost always C.Sterile pancreatic necrosis
involves the D.Infected pancreatic necrosis
A.Caecum 118.Most common complication of
B.Sigmoid acute and chronic pancreatitis is
C.Right colon A.Portal vein thrombosis
D.Rectum B.Pancreatic abscess
112.Diagnostic of Hirschsprungs C.Pseudocyst
disease is D.Pancreatic head mass
A.Barium enema 119.Most common cause of chronic
B.Rectal examination pancreatitis
C.Manometry A.Gall stones
D.Rectal biopsy B.Tropical pancreatitis
113.Small intestine is sutured by C.Pancreas divisium
D.Alcohol
120.What is common in both acute
and chronic pancreatitis?
A.Pseudocyst
B.Abscess formation
C.DIC
D.Pancreatic head mass
121.Generalised diffuse peritonitis has
been compared to second and third
degree burns of
A.13%
B.30%
C.45%
D.60%
122.Early surgery is indicated in
A.Amoebiasis peritonitis
B.Biliary peritonitis
C.Peptic ulcer
D.Hepatitis
123.Most common cause of
generalized peritonitis is a 40 yrs old
adult male is
A.Enteric perforation
B.Ruptured liver abscess
C.Duodenal ulcer perforation
D.Perforated Ca stomach
124. Odourless peritoneal fluid is
noticed in
A.Perforated peptic ulcer
B.Perforated ileum
C.Perforated appendix
D.T.B. peritonitis
125.The commonest organism seen in
peritonitis is
A.Escherichia Coli
B.Clostridium welchii
C.Staphylococci
D.Klebsiella
126.Regarding primary peritonitis
which of the following is correct
A.Caused by pneumococcus
B.Often oxygen
C.Steroids
D.No trestment is necessary
127.Meconium peritonitis occurs
A.Just before birth
B.Just after birth
C.Before and after birth
D.Due to birth trauma
128.Which of the following types of
pancreatitis has the best prognosis
A.Alcoholic pancreatitis
B.Gall stone pancreatitis
C.Post operative pancreatitis
D.Idiopathic pancreatitis
129.Treatment of choice in peptic
ulcer grade III is
A.Vagotomy only
B.Vagotomy and antrectomy
C.Vagotomy and pyloroplasty
D.Highly selective vagotomy
130.What is the common surgical
complication following whipple
procedure?
A.Disruption of pancreatic anastomosis
B.Biliary peritonitis
C.Disruption of gastric anastomosis
D.GI bleeding
131.Posterior perforated ulcer on
pyloric antrum cause abscess
formation in
A.Greater sac
B.Lesser sac
C.Pouch of Morrison
D.Omental bursa
132.Most common complication after
ERCP is
A.Acute pancreatitis
B.Acute cholangitis
C.Acute cholecystitis
D.Duodenal perforation
133.Dumping syndrome can occur 139.Pain relief in chronic pancreatitis
after can be obtained by destruction of
A.Billroth-II operation A.Celiac ganglia
B.Hellers operation B.Vagus nerve
C.Whipples operation C.Anterolateral column of spinal cord
D.Nissen fundoplication D.Acessory nerve
134.Which of the following is the most 140.Which of the following about
common non-alcoholic cause of acute acute pancreatitis is true
pancreatitis A.Pain lasts for several hours
A.Thiazides B.Serum amylase levels correlates with
B.Hypercalcemia severity of attack
C.Hyperlipidemia C.Common in alcoholics
D.Gall stones D.Low serum calcium levels indicates
135.Which of the following organs is good prognosis
the most common site of origin of the 141.In Whipples operation all are
tumour associated with the Zollinger- removed except
Ellison syndrome A.CBD
A.Duodenum B.Portal vein
B.Lymph nodes C.Head of pancreas
C.Spleen D.Duodenum
D.Pancreas 142.Whipples triad is seen in
136.The commonest site of acute A.Islet cell tumour
pancreatitis is B.Ca head pancreas
A.Biliary calculi C.Argentaffinoma
B.Alcohol abuse D.Cholangiocarcinoma
C.Infective 143.Common causes of acute
D.idiopathic pancreatitis are
137.Grey Turners sign ( flank A.Alcohol
discoloration ) is seen in B.Gall stone
A.Acute pylonephritis C.Primary biliary cirrhosis
B.Acute cholecystitis D.L-asparginase
C.Acute pancreatitis 144.True about acute pancreatitis a/e
D.Acute peritonitis A.Gall stones and alcohol are common
B.Serum amylase levels increase after 72
138.Zollinger Ellison syndrome true hours of attack
about C.Can cause secondary pleural effusion
A.Surgery is to be done D.Can present with shock
B.Exocrine tumour 145.Pancreatitis caused by
C.Endocrine disorder A.Ascending cholangitis
D.Secretory diarrhoea seen B.Increased PTH
C.CBD stone
D.Alcohol
146.Acute pancreatitis is caused by
A.Gall stones
B.Obstruction
C.Starvation
D.Hyporcalcemia
E.Hypotriglyceridemia
147.Investigation done in Ca pancreas
are
A.Hypertonic duodenography
B.X-ray abdomen
C. Retrograde Endoscopy
D.CT scan
E.Ba-follow through
148.True about acute pancreatitis
A.Alcohol in the MC cause
B.20-25% needs surgical treatment
C.CECT is preffered over USG in
diagnosis
D.Serum Amylase is diagnostic
149.The following conditions are
indicative of surgery in acute
pancreatitis
A.Acute fluid collection
B.Persistent pseudocyst pancreas
C.Pancreatic abscess
D.Panceatic obstruction