Q.

No Question’s Title Section

A 65-year-old man presents with severe abdominal pain, with a
rigid abdomen. Erect abdominal X-Ray shows free air under
1 the diaphragm. What is the most likely cause? Surgery-I
Contrast medium used in gastrointestinal fluoroscopic
2 procedures is Surgery-I
3 Pulmonary embolism is best diagnosed by Surgery-I
Regarding iodinated contrast materials, all of the following
4 statements are true except Surgery-I
The differential diagnosis of a painful arc in upper limb includes
5 all of the following except Surgery-I
All of the following would be considered in the differential
6 diagnosis of locking of knee except Surgery-I
A 4-year-old girl presents with painful limp for three days.
According to her mother the child did not have any trauma,
however, she does mention that last week the child had high
grade fever with sore throat for which they took medication. In
three days, the fever subsided and child was ok for three days.
O/E, there is positive Trendlenberg test and hip movements
are restricted in all planes. Your differential diagnosis would
7 include all except Surgery-I
A young man of 23 is involved in a road traffic accident. He
presents to the emergency department with deformity of the
right arm. There is no evidence of head injury. Examination
reveals that he is unable to extend his wrist and fingers. He
8 can however, clench his fist. You will suspect an injury to Surgery-I
A young female of 32 is brought to the Emergency Department
after a road traffic accident. She has pain in her left leg and
she is unable to bear weight on that leg. During examine you
notice that the overlying skin is intact. There is firm swelling
over the middle of the shin border where crepitus is also
present. There is severe pain on flexion and extension of the
toes. Dorsalis pedis artery and posterior tibial artery are
palpable. The patient starts to complain of pain five minutes
after a brief period of pain relief by a pain killer. The most likely
9 explanation is Surgery-I
A 28-year old football player is brought to the Emergency
Department with deformity and bleeding of the right leg. He
had a very bad tackle injury. Pieces of bone are protruding
through the wound. There is extensive crushing of the
muscles. The wound is about 10cm in its longest diameter.
Posterior tibial and dorsalis pedis artery are palpable. You
have to call your senior for help and over the phone you say
10 that the injury is a Surgery-I
A 70-year-old male is admitted with transcervical fracture of the
neck of femur. He does not have any co-morbidities. An
11 appropriate treatment for this patient would be Surgery-I
Complications of fracture neck of femur include all of the
12 following except Surgery-I
13 A 20-year-old male presents to the clinic with a rapidly Surgery-I
progressive swelling of the knee joint. Clinical examination
reveals shiny skin with engorged veins over it. X-ray
examination shows an osteoblastic lesion of the distal femur
with Codman triangle and spicules of bone radiating away from
 the lesion. Your differential diagnosis would not include
14 Earliest sign of blood loss is: Surgery-I
Blood transfusion is indicated in a non-bleeding patient who
does not have to undergo major surgery when haemoglobin
15 level is: Surgery-I
Which one of the following trace element is required for wound
16 healing: Surgery-I
A30-year-old taxi driver is brought to the emergency
department following a high-speed car accident. He has
sustained neck injury when he was thrown out of the
windshield of the car. On examination, he is alert, awake,
oriented, and in no respiratory distress. He is unable to move
any of his four extremities; however, his extremities are warm
and pink. His vital signs on admission are HR 54 bpm and BP
17 70/40 mm Hg. What type of shock this patient is having? Surgery-I
During a laparoscopic appendectomy, a large bowel injury was
caused during trochar placement with spillage of bowel
contents into the abdomen. What class of surgical wound is
18 this? Surgery-I
The first step in the evaluation and treatment of a patient with
an infected insect bite on the leg with cellulitis, bullae, thin
grayish fluid draining from the wound, and pain out of
19 proportion to the physical findings is: Surgery-I
20 Most common cause of leg ulcer is: Surgery-I
21 Slipping sign is a feature of: Surgery-I
22 Commonest site of venous ulcer is: Surgery-I
In burn patients, which one of the following features is
23 indicative of inhalational injury? Surgery-I
24 Rolled edge is a feature of: Surgery-I
In a burn patient, what is the best indicator for volume
25 replacement: Surgery-I
Lucid interval in a patient after a head injury typically is present
26 in: Surgery-I
A 70-kg male patient presents to emergency department
following a stab wound to the abdomen. He is hypotensive,
markedly tachycardic, and appears confused. What percent of
27 blood volume has he lost? Surgery-I
Which constellation of clinical findings is suggestive of cardiac
28 tamponade? Surgery-I
A trauma patient arrives following a stab wound to the left
chest with systolic blood pressure (SBP) 85 mm Hg, which
improves slightly with intravenous (IV) fluid resuscitation. Chest
X-ray demonstrates clear lung fields. What is the most
29 appropriate next step? Surgery-I
A patient with spontaneous eye opening, who is confused and
30 localizes pain has a Glasgow Coma Score (GCS) of: Surgery-I
Which is the most common intra-abdominal organ injured with
31 blunt trauma? Surgery-I
The initial maneuver to establish a clear airway in a trauma
32 victim is: Surgery-I
A young man with automobile accident is having a tension
33 pneumothorax. Immediate treatment is: Surgery-I
Select the most appropriate initial step in the management of
34 a patient with multiple injuries: Surgery-I
 A 30yr old man had a road traffic accident and sustained
fracture of femur. Two days later he developed sudden
breathlessness. Which of the following can be the most
35 probable cause: Surgery-I
36 Main stay of treatment in lymphoedema is: Surgery-I
37 Commonest presentation of arterial disease is: Surgery-I
38 Commonest type of lymphedema is: Surgery-I
39 Lipodermatosclerosis is a feature of: Surgery-I
A 40-year-old chronic smoker presents with ulceration of the
tip of the right second, third, and fourth toes. He gives a history
of recurrent migratory superficial phlebitis of the feet occurring
a few years ago. Physical examination shows absent bilateral
posterior tibial and dorsalis pedis pulses with palpable popliteal
pulses. What is the single most important step in
40 management? Surgery-I
A 45-year-old woman undergoes cardiac catheterization
through a right femoral approach. Two months later, she
complains of right lower extremity swelling and notes the
appearance of multiple varicosities. On examination, a bruit is
41 heard over the right groin. What is the most likely diagnosis? Surgery-I
42 The commonest aneurysm is: Surgery-I
A positive Buerger’s test is most likely present in which of the
43 following condition: Surgery-I
44 Commonest variety of inguinal hernia in children is: Surgery-I
45 Surgical treatment of inguinal hernia in children is : Surgery-I
46 Investigation of choice in a child with testicular torsion is: Surgery-I
Following statement is true regarding Infantile hypertrophic
47 pyloric stenosis (IHPS): Surgery-I
48 Commonest type of intussusception in children is: Surgery-I
49 ‘Double bubble’ sign on plain X-ray abdomen is indicative of: Surgery-I
Polyhydramnios is frequently observed in which of the
50 following conditions? Surgery-I
Which of the following screening tests is most important for
51 preoperative evaluation of pulmonary function? Surgery-I
Primary spontaneous pneumothorax is characteristically seen
52 in: Surgery-I
53 Chest tube is typically passed in: Surgery-I
54 Commonest pleural malignancy is: Surgery-I
55 Empyema thoracic is caused most commonly as a result of: Surgery-I
56 Major risk factor for developing bronchial carcinoma is: Surgery-I
57 The most common benign tumor of lung is Surgery-I
58 The most common mediastinal tumour is: Surgery-I
59 Following is a radiosensitive tumour: Surgery-I
Tamoxifen is used for the treatment of which of the following
60 malignancy: Surgery-I
A baby boy was brought to yur clinic with the mother ocmplaing
of early closure of anterior fontanella. What is the normal time
61 of anterior fontanella closure: Surgery-I
A 48 years male is having a Space Occurpying Lesion of the
brain having generalized brain edema with the disturbance of
blood brain barrier. There is also accumulation of fluid in
62 extracellular space. Edema of this type is called Surgery-I
63 Hydrocephalus is accumulation of CSF in ventricular system of Surgery-I
 brain with inreased intracranial pressure. Normal volume of
CSF is
A 45 years old gentleman is having a scalp wound. After about
7 days he starts running temperature with the swelling of the
scalp and deterioration of conscious level. The most likely
64 diagnosis is Surgery-I
A 65 year male smoker is having H/O headache and fits. CT
Scan of brain reveals multiple ring enhancing lesions of the
brain with marked perifocal edema. The most prominent
65 primary organ tumor causing metastasis to brain is Surgery-I
A middle aged patient is having H/O fall from tree with severe
head injury. On examination he is unconscious with no eye
opening and no motor response. However, he utters sounds
66 during painful stimuli. The calculated GCS is Surgery-I
A 16 year old boy with RTA is having CSF rhinorrhoea. He has
bruise mark over right mastoid region. The bruise over the
mastoid region in association to a base of skull fracture is
67 called Surgery-I
A young motor cyclist has severe head injury in a road traffic
accident. He is also unconscious. The factors in favour of
68 maintaining cerebral blood flow to normal side are Surgery-I
A young boy with severe head injury is having right sided
weakness with left side pupillary dilatation. The dilated left
69 sided pupil is due to injury to Surgery-I
A young sportsman is brought to the emergency department
with deformity of the right shoulder joint while trying to make a
javelin throw. He is holding the elbow and is in severe pain.
Clinical examination shows abnormal shoulder contour with
bony prominence felt deep to pectoral muscles. An
70 appropriate treatment would be Surgery-I
In bulbous urethral rupture, which of the following statements is
71 not true? Surgery-I
The following statements about undescended inguinal testis
72 are true except: Surgery-I
73 Which of the following statements is not true? Surgery-I
A 10 year old girl has injured her wrist by fall on her
outstretched hand.Her X-ray reveals a displaced epiphysis of
distal radius with a small metaphyseal piece attached to it. You
74 would label this injury as Surgery-I
After doing a close reduction of a dislocated elbow, the patient
complains of impaired sensations on the inner aspect of the
forearm along with decreased power in the little finger. A likely
75 explanation is Surgery-I

1 The local anesthesia with the longest DOA is: Surgery-II

The local anesthetic that has high cardiotoxic and
2 arrhythmogenic potential is: Surgery-II
3 Fast pain is transmitted via: Surgery-II
What is one of the crucial reasons for lung compliance to fall
4 during GA? Surgery-II
5 Which of the following is known as laughing gas? Surgery-II
Following is an Obstructive (Voiding) symptom in Benign
6 Prostatic Hyperplasia: Surgery-II
7 Following is not associated with risk of developing cancer of Surgery-II
 urinary bladder:
In BPH most of testosterone binds to 5AR (type II) receptor, to
induce transcription of androgen dependant genes, in the form
8 of: Surgery-II
9 An indication of Elective TUR-P in case of BPH is: Surgery-II
10 Open prostatectomy is contraindicated in following condition: Surgery-II
In case of Bilateral Gross Hydronephrosis in a 60 years old
11 male the cause of obstruction is likely to be found in: Surgery-II
Suprapubic catheterization can be safely performed in
12 following condition: Surgery-II
Approximate incidence of Undescended (Incomplete descent
13 and Ectopic) testis in boys at birth is: Surgery-II
A 15-year-old boy was admitted to the emergency room for
having large bowel obstruction resulting from a left-sided
indirect inguinal hernia. The most likely intestinal segment
14 involved in this obstruction is the: Surgery-II
A 45-year-old man had developed a direct inguinal hernia
several months after having an emergency appendectomy.
The examining doctor linked the cause of hernia to accidental
nerve injury that happened during appendectomy and
15 weakened the falx inguinalis. Which nerve had been injured? Surgery-II
16 The superficial inguinal ring is an opening in which structure? Surgery-II
17 If a hernia enters into the scrotum, it is most likely a: Surgery-II
A neonate presents with abdominal distension and bilious
18 vomiting. Which of the following is LEAST likely diagnosis? Surgery-II
19 Which is NOT true about Meckel’s diverticulum? Surgery-II
A young male presents with a history of high grade fever for 2
weeks, for which he takes antipyretics but no antibiotics. He
develops sudden, severe abdominal pain with distension. On
examination, the surgeon finds abdominal tenderness,
guarding and rigidity. Which of the following is MOST likely
20 have caused this complication? Surgery-II
21 Richter’s Hernia contains Surgery-II
A 5 yrs old child is diagnosed to be having Rt inguinal hernia.
22 Which of the following statement is true Surgery-II
The gas most often used for insufflation during minimal access
23 surgery is. Surgery-II
Ascariasis may result in all of the following syndromes,
24 EXCEPT Surgery-II
The following lie within the substance of the normal parotid
25 gland, EXCEPT: Surgery-II
A 25 yrs old female presented in OPD with swelling on lateral
aspect of neck and discharging sinus. Patient also gives
history of night sweats, low grade fever and weight loss. Blood
picture shows ESR 45mm at 1st hour, Hb 9.8gm/dl and
26 lymphocytes70%. Most likely diagnosis is Surgery-II
A thyroglossal fistula occurs in front of neck is a complication
27 of Surgery-II
28 Minor salivary glands are present in Surgery-II
A 25 yrs old male presented with painful swelling below the left
submandibular region which appears when the patient takes
some food. The pain subsides when the patient stops eating.
29 The most likely diagnosis is Surgery-II
30 Stone formation in the salivary glands occurs mostly in Surgery-II
31 Frey’s syndrome is a post surgical complication of Surgery-II
32 Recurrent laryngeal nerve is most likely to be damaged in Surgery-II
A 50 yrs old male presented with jaundice, generalized itching
and palpable mass in the Rt Hypochondrium. O/E there is a
palpable mass in RT Hypochondrium which moves on
33 respiration. The most probable diagnosis should be Surgery-II
A 25 yrs old male admitted in surgical ward with H/O pain RT
Hypochondrium, mild jaundice, malaise and loss of appetite.
The patient has a history of dysentery 10 days back. O/E there
is mass in the RT Hypochondrium which moves with
34 respiration. Most likely diagnosis is Surgery-II
A 60 yrs male admitted in surgical ward with H/O anaemia,
constipation off and on, black coloured stools and lower
abdominal pain. His Hb is 8.5gm/dl, stool for occult blood is
positive. Rectal examination revealed no pathology. The most
35 likely diagnosis can be Surgery-II
A young male of age 20 yrs presented in ER with severe
abdominal pain, absolute constipation and abdominal
distension of 01 day duration. O/E the abdomen is distended,
percussion note is hyper-resonant and bowel sounds are
exaggerated. Rectal examination reveals empty rectum. Which
36 pathology would you suspect in this case. Surgery-II
A 35 yrs female presented with pain epigastrium, vomiting and
loss of appetite. She has marked weight loss. O/E a mass is
palpable in epigastrium and left supraclavicular lymph node is
also palpable. Her blood Hb is 6.5gm/dl and serum amylase is
37 within normal range. What can be the most likely disorder. Surgery-II
A 30 yrs female presented in OPD with severe pain and
swelling of her RT breast. She is lactating and is breast feeding
her 06 months old baby. O/E there is redness and tenderness
in the upper outer quadrant of her RT breast. Her body temp is
38 100 degree F. what can be the most likely cause. Surgery-II
39 All of the following are risk factors of peritonitis except Surgery-II
40 Diagnostic test for peritonitis is Surgery-II
41 Treatment of subphrenic abscess is Surgery-II
42 Bowel sounds may not be present in Surgery-II
In a Meckel’s diverticulum, a technetium99m
43 pertechnetate scan helps to localize Surgery-II
44 In intestinal obstruction all are true except Surgery-II
45 Risk factors for perforation of appendix are Surgery-II
46 Intussusception is seen commonly in Surgery-II
In intussusception with intestinal obstruction, shape of palpable
47 abdominal mass may be Surgery-II
48 Following statements regarding duodenal ulcer are true except Surgery-II
49 Board like rigidity is present in Surgery-II
A young man 3 weeks after appendectomy develops a mass
in the right iliac fossa, followed by development of multiple
sinuses with watery discharge. On examination, the pus
contains yellow granules. The patient has MOST likely
50 developed Surgery-II
51 The commonest site of obstruction in gallstone ileus is Surgery-II
52 Symptomatology of acute appendicitis does not include Surgery-II
53 The most frequent site of carcinoid tumor is Surgery-II
54 Causative agent of primary peritonitis is Surgery-II
 A 30 yrs old female with proptosis, palpitations, tachycardia
and mild swelling in front of neck presented in OPD and
55 suspected to be having Graves disease. It is caused by Surgery-II
During examination of neck swellings, Which of the following
encloses thyroid, responsible for its movement during
56 swallowing Surgery-II
A young female presented in OPD with swelling in front of neck
in the midline. The swelling moves with swallowing. The two
57 thyroid lobes are joined in the middle by Surgery-II
After sub-total thyroidectomy , the patient developed
heamatoma which was drained.The thyroid gland has the
58 following blood supply Surgery-II
A 25 yrs old young female presented with firm mobile2×2cm
lump in the upper outer quadrant of left breast. The following
59 investigation will be helpful in reaching a diagnosis Surgery-II
A middle aged female reported in OPD with lump in the breast.
In history taking which of the following condition is not
60 associated with increased risk of breast cancer Surgery-II
A 24-year-old woman developed a breast lump which had
been first noted four months before she sought a medical
opinion. The lump was well defined and seemed discrete.
61 What is the most likely clinical diagnosis Surgery-II
A female in her post menopausal phase reported in surgical
OPD with fixed growth in her upper outer quadrant of her Rt
breast. There is another mass palpable in her Rt axilla. Which
62 of the following in breast cancer is a good prognostic sign Surgery-II
A 30 yrs old female had a blow to her Lt breast by a child while
playing. A disease typically caused by a traumatic blow to the
63 breast is Surgery-II
A 50-years female presented with large lump in the Rt breast.
She has been taking treatment from local doctor for the last 06
months. Biopsy report revealed Invasive ductal carcinoma.
Stage IV of the breast carcinoma is labeled when the growth
64 has Surgery-II
Submandibular salivary gland surgery might be complicated by
65 injury to the following except Surgery-II
66 Inflammation of the submandibular salivary gland Surgery-II
The following are the complications of Parotid gland surgery
67 except Surgery-II
Which of the following statement is not true regarding Parotid
68 gland? Surgery-II
69 A collar stud abscess is Surgery-II
70 The most serious complication of Ludwig Angina is Surgery-II
Within hours after surgery for toxic goitre the patient develops
respiratory distress. Which of the following is most likely
71 cause? Surgery-II
72 Which of the following is not a feature of Thymoma? Surgery-II
73 A simple mastectomy does not include removal of Surgery-II
A young lady presents with swelling on the anterior aspect of
the neck. Which maneuvre will be done to differentiate the
74 swelling from the Thyroid swelling Surgery-II
75 A 65-year retired male manager presents with acute large Surgery-II
bowel obstruction, rectal bleeding and change in bowel
habit. CEMRI suggests focal thickened segment in
Sigmoid Colon. What is the most likely cause?