Q1.

Regarding gangrene all are true except:

a. A medical term used to describe the death of an area of the body

b. It develops when the blood supply is cut off to the affected area.
c. Upper extremities are more commonly involved than lower
extremities. *
d. Often associated with diabetes and long term smoking

Q2. A 60 years old male who is a diabetic , comes to you with ischemia
in the distal part of lower limb. The affected part is shrunken, dark
reddish black and has sensation of coldness. The gangrene appeared
gradually and has progressed slowly. State which type of gangrene is it:

a. Wet gangrene
b. Dry gangrene *
c. Gas gangrene
d. None of above

Q3. Regarding gas gangrene all are true except:

a. The wound requires immediate debridement

b. It should be treated as a medical emergency
c. It is caused by the aerobic bacteria Clostridium perfringen
*
d. It spreads rapidly to surrounding tissues

Q4. A 40 years old female had an infection in her hands that occurred
during a surgery. The affected area is swollen and extremely painful.
You observe that the area has become black and produces foul-smelling
odor. Her blood results show increased White blood cells. Which
treatment is not suitable for this type of gangrene will be:
 a. Restoring the blood supply *
b. Surgical debridement of the wound
c. Intravenous antibiotics
d. Leave the wound open

Q5. The following conditions are the risk factors for the development of
gangrene:

a. Injuries or trauma such as crush injury/frostbite

b. Diseases that affect circulation i.e. diabetes, smoking etc.
c. Infection of wounds
d. All of the above *

Q6. The physical examination of a 5 years old malnurished child shows

inflamed areas of mucous membranes of the mouth and skin ulcers of
the lips and cheeks . Such gangrenous disease is called:

a. Wet gangrene
b. Noma *
c. Internal gangrene
d. None of the above

Q7. A 40 years old diabetic male comes to you with pain, tenderness
and swelling in his genital area. He has a recent history of urinary tract
infection. Which type of gangrene is it ?

a. Noma
b. Wet gangrene
c. Dry gangrene
d. Fournier gangrene *
 8.CPR stands for:

a.Cardiopulmonary rehabilitation
b.Cardiopulmonary resuscitation *
c.Cardiopulmonary re-modeling
d.Cardiopulmonary reconstruction

9. Indicate the only case in which CPR is indicated :

a.Conscious patient
b.Glassgo coma scale 13
c.Asthematic bronchitis
d,Glasgo coma scale 5 *

10. Complications of CPR include all of the below except:

a.Ribs fractures
b.Laceration of lungs
c.Laceration of liver
d.CPR does not cause any injury *

11.Glassgo which scale indicate clinical death ?

a. 1
b. 8
c. 3 *
d. 0

12 --A 65 years old patient is brought to emergency department with

severe blow on skull, after 8 hrs he fell unconscious . The doctor
observed contra lateral hemi paresis and hypotension. What would be
the diagnosis of this patient?
a. Extradural hematoma *
b. acute subdural hematoma
c. raised intracranial pressure
d. cerebral laceration

13.Correct management of above mentioned patient will be;

a. cranioplasty
b. craneactomy
c. Bur hole *
d. none of above

14. Which of the following is TRUE of head injury

a. Extradural haematomas commonly occur without skull fracture
b. Papilloedema is an early sign of raised intracranial pressure
C.CSF leak occurs in 20% of base of skull fractures
*
d. Adults are more likely than children to develop cerebral oedema in
head trauma.

19. Which of the following is NOT high risk according to the Canadian
CT HEAD
Rules?
a. Vomiting >= 2 episodes
b. Any sign of basal skull #
c. Age >=60yrs
d. Suspected open or depressed skull # *
20. Principles of Trauma Management include all of the below EXCEPT
a. Organized team approach
b. Transfer to Trauma Centre *
c. Assumption of most serious injury
d. Frequent reassessment

21. According to the Canadian CT Head rules, a CT head is indicated in

all of
the following situations EXCEPT
a.Retrograde amnesia of 15 minutes or less. *
b. Suspected open skull fracture
c. Vomiting 2 or more times
d. CSF otorrhoea or rhinorrhoea.

22.Abdominal injuries are common with:

a.chest trauma *
b) cardiopulmonary trauma
c) mandibular trauma
d) none of above

23. Indicate the correct answer Chest is surrounded by how

many Pair of ribs ?
a) 8
b) 10
c) 12 *
d) 14

24. Low energy thoracic penetrating trauma is due to:

a) Military, hunting rifles & high powered hand guns
b) Extensive injury due to high pressure cavitation
c) injury caused by direct contact and cavitation
*
d) All of above

25. Serious pathological causes in chest trauma are:

a) Hypoxia
b) Hypovolemia
c) Myocardial failure
d) All of above *

26.All of following are Immediate life threatening injuries

,mark correct answer:
a) Tension pneumothorax
b) open pneumothorax
c) flial chest
d.All of abve *

27. In which age the Pulmonary contusion is most

common ?
a) children *
b) adults over age 35
c) adults over age 45
d) old citizens

28. Complication of pulmonary contusion include all except:

a) Atelectasis
b) pneumonia
c) pneumothorax *
d) ARDS

29. Indicate the commonest site of Diaphragmatic rupture :

 a) right side
b) left side *
c) central part
d) near xiphisternum

30. urgent thoractomy indicated in all except:

a) cardiac temponade
b) massive air leak
c) esophageal injury
d) chest tube output <50 cc/hour *

31. anatomically the thorax is surrounded by all of following except:

a.sternum

b. 12 pairs of c-shaped ribs

c. dorsal spine

d.lumbar spine *

32.Diaphragm has following characteristics less:

a.Muscular dome like structure

b.Separates chest to abdomen

c.fixed to rib cage

d.None of above *

33.In Chest trauma serious pathological consequences are:

a.Hypoxia

b.hypovoleamia

c.myocardial contusion

d.all of the above *

34.The potential life thearts of chest trauma are:

a.Tension Pneuthorax

b.Haemothorax

c.Open pneuthorax

d.All of above *

35.All of the following management is correct in chest injury in except:

a.Analgesics for pain

b. improve chest excrusion

c.Nitrous oxideinhalation *

d.Oxygen inhalation

36.Most important step to treat Open pneumothorax is:

a.High flow oxygen

b.Covers and seal th site site with sterile dressing *

c.wait and see

d.No Managementis required.

37.Immediately life threatening injuries in chest injuries are

a.Airway obstruction

b.Tracheal bronchial injury

c.Aortic disruption

d.All of above *

38.Treatment of flail chest include:

a.Humidified nitrogen *

b.Adequate resuscitation

c.Pain management

d. Endotracheal entubation
39. A child of 2 years was diagnosed as Rupture spleen by
ultrasonologist,
The treatment you would not advise is:
a.Splenectomy *
b. Partial splenectomy
c. Splenorhaphy
d. splenoplasty

40. You will declare as silent abdomen after auscultating for:

a. 5 minutes
b. 10 minutes
c. 1-2 minutes *
d. 7 minutes
41. Focused Abdominal Sonar for Trauma (FAST) will reveal blood
in these spaces:
 a. Pericardial space
b. Pelvis
c.splenic space
d. All of above *

42. Diagnostic Peritoneal Lavage (DPL) is positive for trauma if:

a.RBC > 100000/cmm
b. WBc> 500/cmm.
c.presence of bile or bact

d.All of above *

43 , X- Rays to find out free gas in abdomen , indicate the correct

position required :

a.In standing or sitting position *

b. Lying position

c. in head down position

d. in prone position

44. In which condition , Operation for abdominal trauma is not

indicated ?

a. Evisceation

b. Silent abdomen

c. free gas under diaphragm

d.tension pneumothorax *
45.Contents of superior mediastinum includeall but:

a.Retrosternal goiter

b.Trachea

c. Oesophagus

d. Thymus *

46. Contents of middle mediastinum includ following, indicate the one

incorrect:

a.Pericardium

b. Heart

c.Trachea

d.Oesophagus *

46. Cardiac surgery is different from other surgery due

following,indicate the wrong one:

a. Cadiopulmonary bypass is needed

b.technique is easy *

c.Motionless heart is a requirement

d. Bloodless field is required

47. Following conditions are amenable to cardiac surgery:

a.Ischaemic heart disease

b. Mitral stenosis
c. Coarctation of aorta

d. All of above *

48.Condition when you will not advise bypass surgery:

a. Acute myocardial infarction *

b. Triple vessel disease

c. Failure of angioplasty

d.Failure stents

49. Vessels used for bypass cardiac surgery include all of following
less:

a.Long Saphenous vein

b.Radial artery

c.Internal mammary artery

d.Rt Pulmonary artery *

50.Etiology of faciomaxillary trauma consists of following, mark the

wrong statement:

a. Domestic violence is not common *

b. Road traffic accidents

c. Gun shot injuries

d. Stab injuries

51 . Mr sander 43 years of age got severe injuries of face including

loss of mandible.
 Your priorities of management will not include which one of
following?

a. Stop bleeding

b. Endotracheal intubation

c. Tracheotomy

d. Immediate plastic operation *

52. Procedures you will adopt if endotracheal intubation is not

possible:

a.Use laryngeal mask

b. Fibro optic entubation

c. Cricothyrodotomy

d. All of above *

53. Discard the statement incorrect:

a.There are 7 cervical vertebrae

b. 12 thoracic vertebrae

c. 7 lumbar vertebrae *

d. 5 sacral vertebrae

54. Number of intervertebral discs,indicate the right statement:

a.21

b. 22
 c. 23

d. 24 *

55 what is wrong about discs as they consist of:

a.Outer annulus fibrosis

b. Inner nucleus pulposis

c.Nucleaus pulposis consist of jelly like structure

d. Inner most facet joints *

56. Indicate the correct statement about the discs:

a. Richly supplied by nerves

b.Consist of water only

c. Richly supplied by blood vessels

d. In old age one becomes slightly shorter due to loss of disc water
*

57. Wrong statement about Back ache is:

a.60-90 % people suffer from it during life time

b. second commonest complaint presented to medical

professionals

c. Common cause of absence from work

d. Disability and cost is not related to pain,but disease process

*

58. Common causes are of lumbago are

 a. Rheumatic

b. Referred

c.Psycological

d. All of above *

59. State the wrong idea about Disc herniation leading to sciatica

a. L 3-4 prolapse

b. L 5-s1 prolapse

c. sacral 1-2 prolapse *

d. 90% patient improve without surgery in 6 weeks

60. Point out the wrong statement about indications of X-Rays in

Lumbago:

a. If serious cause is suspected

b. Disease Starts before 20 yrs or after 55 year

c. Associated with serious illness

d. For satisfaction of patient *

61. which of the following investigation is usually not needed in back

ache:

a. CT scan

b,MRI

c. Bone scan
d. Ultra sound *

62.Which treatment is appropriate in back ache?

a. Acu puncture

b. TENS

c. Epidural block

d. All of above *

63.As a specialist of rehabilitation,what will you advise patient of

lumago:

a. you are likely to improve

b. you will return to work soon

c. do not worry if you occasionally get this type of pain

d. All of above *

64. Management of sciatica with no neurological signs does require:

all of following less:

a. conservative management

b. Bed rest for few days

c. Activities as tolerated

d. Not to be referred for neurological consultation

*

65. Patient of sciatica with neurological deficit will need:

a. Analgesic and rest

b. MRI

c.Neurosurgical consultation

d. All of above *

66. Discuss with patient all of following less:

a. No need of discussion *

b. Addiction

c.Drug dependence

d. Side effects

67. Lumbago due to referred pain ,which statement is incorrect ?

a.Gynaecological problems

b. Renal causes

c. Other abdominal diseases

d. Degenerative diseases of knee and ankle joints

*

68. Gynecological causes causing referred pain include following:

a. Endometriosis

b.Premenstrural

c. Pelvic congestion syndrome

d. All of above *
 69. Asifa 36 years of age presents to you with pregnancy and low
back ache.The advice you will not give would be:

a. Never take pain killing drugs *

b. Take light exercises
c. Apply heat
d. wear a support gadget

70. Metabolic causes of lumbago include:

a. Osteoporosis
b. Osteomalacia
c. Paget diseases
d. All of above *
71. A patient with prolapsed disc will not present as:
a. Locking knee *
b. pain radiating down the leg
c. Aggravating by coughing
d. Shooting pain
72. You will not advise invasive treatment in which one of following
conditions?
a. Severe progressive symptoms
b.Retention urine
c. Fever and weight loss
d. Moribund case *
73, In L4-5 disc prolapsed indicate the sign which is incorrect:
a.Reduced straight leg raising
b. Negative ankle jerk *
c. Weakness of big to movement
d. Sensory loss of medial side of foot
74. L5-S 1 disc prolapse indicate the sign incorrect:
a. Reduced straight leg raising
b. Positive ankle jerk *
c. Sensory loss over lateral side of foot
d. Weakness of planter flexion
75. Mr Qadam got involved in traffic accident , investigations
revealed fracture of pelvis,
Name the viscera which is not likely to injured:
a. Uterus
b. Stomach *
c. Urinary bladder
d. Sigmoid colon
76. Splintage in fracture have following advantages .Indicate the
correct answer.
a.Minimises pain
b. Lessen shock
c. Facilitate transportation.
 d. All of above *
77. Following are the commonly used splints ,indicate the one not
correct:
a. Thomas splint
b. Crammer wire splint
c, Intramedullary nail *
d. Plaster of paris slab
78.Traction for treatment of fracture include :
a.Skeletal
b Skin
c. Gallow splint
d. All is correct *
79. All of following are complications of POP except:
a. Thermal injury
b. compartmental effects
c. Sores
d. displacement of fragments *
80. Indicate one not true about the edges of an ulcer:
a. Tuberculous ulcer characterized by sloping edges
*
b. Malignant ulcers have everted edges
c. Syphilitic ulcer by punched out edges
 d. Rodent ulcerby raised and beaded edges
81. classification of ulcers include:
a. Healing ulcer
b. Spreading ulcer
c, Callous ulcer
d.All of above *
82. Following all are the malignant ulcers .indicate the wrong
statement:
a. Marjolin ulcer
b. Melanotic ulcer
c. Maleney ulcer *
d. Rodent ulcer
83. Common sites of Pressure ulcer are;

a.Greater trochanter

b. Sacrum

c.Heel

d. All of above *

85. For rehabilitation and prevention of pressure ulcer change

posture is important.

Indicate correct answer;

a. Every 15 minutes
b. Every 45 minutes
 c. Every 2 hrs *
d. Every 5 hrs

86. Arterial diseases include all of following .which is incorrect

statement?

a.Thrombo angiitis oblitrans

b. Raynaud’s disease

c. Taka Yasu;s arteritis

d. None of above *

87. which is wrong statement about Buerger;s disease:

a. Exclusively seen in old people *

b. Smokers are affected

c.Lower limb are affected first

d. Recurrent superficial thrombo phelebitis is common

88. Indicate the correct statement when ischaemia affects the brain:

a. Hypertension

b. Anurea

c. Transient ischaemic attack *

d. Diplopia

89. Indicate the statement which is wrong about Rest Pain:

a. Pain in legs at rest

 b. Exaggerated by lying down

c. Pain worse at night

d. Elevation of feet relieve the pain *

90. Following is correct about critical limb ischaemia

a. Persistently recurring rest pain for 2 weeks

b. Ulceration or gangrene of foot

c. Systolic pressure of ankle < 50mmHg

d. All of above *

91. Heredity risk of Varicose veins is well known ,which of the following
statement is wrong?

a. There is no heredity risk *

b. Both parents heredity 80%

c. One parent risk is 50%

c. Neither parent risk is 20%

92. Indicate the wrong statement in Medical consequences of varicose

veins in lower limbs:

a. Deep venous thrombosis

b. Spider angioma

c. Bleeding per rectum *

d. Venous ulceration
93. Which of the following is the latest gold standard treatment in
varicose veins?

a. Ligation and stripping

b. Multiple ligations

c. Endovenous laser therapy *

d. Thrombectomy

94. Find out the correct year when first Tracheostomy was performed

a. 2000 BC

b. 1000 BC

c. 124 BC. *

d.1650AD

95.we are worried about the benign lesion for which one of the
following problems?

a. They are Usually single

b. Some time may be multiple

c. Mass effect may occur *

d. usually Encapsulated

96.Which one of Following tumours is not hereditary?

a. MEN syndrome
b. Heredity polyposis

c. Seminoma *

d. Neurofibromatosis

95. All of following are tumour markers less:

a.Prostate specific antigen

b. Bladder specific antigen *

c. Alfa fetoprotein

d. Carcino embryonic antigen

96.In Treatment of Neoplasia all is true except:

a. Operative treatment

b. psychological treatment *

c. Oncological treatmentll

d. Hormonal treatment
97. Spinal cord injury below 4th dorsal vertebrae would result in:

a. Quadriplegia
b. Paraplegia *
c. Tetraplegia
d. None of above

98.What is the correct surgical treatment of Ranula :

a. Removal of Ranula
 b. Excision of tongue
c. Removal of sublingual gland
d. Marsupilization *

99. Indications for tracheostomy are :

A. Upper airway obstruction

B. Pulmonary ventilation
C. Pulmonary toilet
D. All of above *

100 . Mr Wafa 70 yrs old under went Tracheostomy in a local

hospital.After 8 hours

Of operation he developed complications,which one of the following

you think can’t

Be the complication:

a.Bleeding

b.Tracheostomy tube obstruction

c. Tracheostomy tube displacement

d. Infection *
*