2 AUG 2022

1) STUDY conducted to see the development of pseuomyxoma peritoni with appendicular

carcinoma

a) case control

b) cohort

2) wound infection is more common in diabetics than non diabetics, u want to confirm this
observation what type of study is this

a) cross sectional

b) RCT

c) observational

3) question regarding radiotherapy which statement is true

Max effect in G2/M phase

4) question on gompertzian growth of cancer which statement is true

5) limb pain while walking and not relieved with rest

a) spinal stenosis

b) claudication

6) ielets cells are transplanted in which of the following organs

a) liver

b) pancrease

c) rectus abdominis

7) ileostomy daily output

a) 0.5-1L

b) 1-1.5L

c) 1.5-2L
8) Penile urethera rupture blood will collect in

a) perineum

b) abdominal wall

c) scrotum

9) another scenario with pelvic fracture and asked which one of following is suspected of
uretheral injury…..blood at meatus was not in options

a) high riding prostate on DRE

10) BILIARY ATRESIA diagnostic test

a) USG

b) CT SCAN

c) MRI

10) female upper abdominal pain along with dyspepsia, USG, endoscopy normal which test will
be performed now

a) hida scan

b) MRCP

11) pagets disease of nipple treatemant

a) radiotherapy

b) nipple excision

c) quarantectomy

12) female having lytic expansil lessions in right scapula site of primary

a) breast

b) RCC

13) contaiminated wound…appendectomy

14) clean contaiminated wound…open choly

15) child with right sided abdominal mass….neuroblastoma

16) gangrene foot along with skip lessions on leg

a) BKA

b) AKA

17) DYE used in breast surgery which remains in breast tissue for months and guide during
surgery

a) blue dye

b) methylene blue

18) biological agent used in ca breast……trastazumab

19) patient operated for benign lesion of stomach now presented with recurrent mass

a) metastatic GIST

b) reccurent benign tumour

20) patient with multiple hyperplastic polyps on endoscopy

a) endoscopic survellience

b) interval endoscopic resection

21) eyelid injury involving less than 50%

a) primary repair

b) advancement falap

c) cross lid flap

22) gas gangrene main aim in management….excise all necrotic tissue

23) which of the following is non endocrine cell of stomach….parietal

24) treatment for recurrent duodenal ulcer…..antrectomy with vagotomy

25) scenario on APUDOMA

26) epiphyseal bone growth scenario….chondroblastoma

27) scenario on osteochondroma

28) ivor levis esophagectomy done post op leak scenario what next to be done
29) dysphagia due to ca esophagus, stent placed few months back now stent blocked what next

a) RFA

b) gastrostomy

c) PEG

30) Addison’s disease……low sodium, high potassium

31) chest wall tumor primary unknown what next

a) rib resection and chemo

b) rib resection and radio

32) while doing endoscopy abnormal opening seen in esophagus while withdrawing the scope
approx. 5 cm from GE junction, contrast studies done which shows no leak of contrast but post
procedure xray shows air under diaphragm, next step

a) NG tube via endoscope

b) high dose antibiotics

c) laparotomy

33) scenario on cushing disease

34) another scenario on ectopic ACTH production

35) pleural effusion scenario aspiration reveals cloudy fluid RE shows wbc 500, RBC 100000

a) empyema

b) chylothorax

c) hemothorax

36) scenario on esophageal perforation

37) head injury with dilated pupil how to reduce ICP….intubate and hyperventilate

38) patient with head injury admitted now improving with current GCS of 9 mode of feeding

a) oral b) parenteral c) fine bore tube feeding

39) scenario on carotid body tumor….mass neck mobile in transverse axis but immobile on
vertical axis

40) young female family history of medullary thyroid cancer, gene positive on screening
management…..thyroidectomy

41) follicular cells on cytology management….lobectomy

42) patient with recurrent goiter currently hyperthyroid what to do now

a) RFA

b) ant thyroid drugs

c) thyroidectomy

43) infection with CMV after transplant what to do next…..reduce immunosuppressive and start
antiviral

44) scenario on CMV infection after transplant

45) which gene is responsible for neuroblastoma

46) case of femoral hernia sac behind femoral vessels…naraths hernia

47) scenario on obturators hernia

48) thigh mass large…incisional biopsy

49) scenario on acid base disorder

50) another scenario on acid base disorder…co2 was given in units of KPa..in the scenario it was
3.6 kpa ( normal is 5.5 kpa)

51) case of crohns disease operated biliary fluid in drain post op…..small bowel fistula

52) patient with ileostomy what should be given

a) R/L

b) N/S

c) bicarbonate

53) case of recurrent melanoma…hyper thermic limb perfusion

54) case of median nerve injury

55) security guard history of trauma shoulder having pain around regimental badge area which
nerve damage….axillary

56) case of infected pancreatic pseudo cyst management

57) duodenal hematoma management…..NG,NPO

58) CASE of ulcerative colitis, which extra intestinal manifestation does not improve after
colectomy…..sclerosing cholangitis

59) patient with abd pain and generalized tenderness with board like rigidity, investigation…..x-
ray erect abdomen

60) another scenario with pain abdomen usg normal what next…..CT scan with contrast

61) bleeding per rectum with no melena or hematemesis…….colonoscopy

62) patient operated for choly post op sodium 121 no symptoms what
next…..N.Saline/hypertonic saline

63) another scenario patient f/u in opd with sodium 121 and no symptoms…..free water
restriction/hypertonic saline

64) max length gained by which angle of z-plasty…….90-90

65) supracondylar fracture scenario was asked which factor will guide management…..colour of
limb/absent pulse

66) scenario of camptodactyly

67) most common position of thyroglossal cyst…..juxta hyoid/infra hyoid

68) nerve repair suture…..prolene

69) CA tongue on lateral aspect…….

a) hemi glossectomy with ipsilateral neck dissection

b) hemi glossectomy with b/l neck dissection

70) CA base of tongue management

71) nose defect….composite flap

72) BCC on arm….surgical excision

73) temporal area lesion rolled over margins…..BCC

74) Affinity of CO…….240 times of oxygen

75) enlarged cervical lymph nodes…..FNAC

76) Another scenario of matted lymph nodes and cold abscess…..montox test/INF alpha
assay/aspiration

77) patient with heart disease, swelling and pain leg, blocked popliteal artery with good distal
run off……embolectomy/amputation/femoropopliteal by pass

78) patient with respiratory distress x-ray b/l lung infiltrates….ARDS

79) deep burn second degree….debridement and dressings/excision and early grafting

80) patient with CA colon liver Mets single 3 cm….RFA

81) Another scenario with liver mats in seg 1-4……..left segmentectomy

82) case of pilonidal abscess

83) case of ischio rectal abscess

84) thrombosed prolapsed hemorrhoids…..lords maneuver

85) fistula in ano with internal opening at dentate line…..seton/fistulotomy

86) case of hyperparathyroidism recurrent stone formation bony lesion in finger…..brown

tumor

87) ankle pain x-ray normal…..MRI

88) Localization of pheochromocytoma….MRI

89) Diabetic with gangrene big toe….ray amputation

90) another scenario of diabetic foot with ulcer on sole….debridement

91) case of felon…..admit, incision and drainage under digital block

92) extra peritoneal rectal injury…..colostomy/colostomy with rectal drainage

93) manipulation angle in laparoscopy definition

94) azimuth and manipulation angle in laparoscopy…..45-75 angle

95) thin lean patient going lap choly bp falls to 60/40 after insertion of port….aortic injury

96) scalp injury defect greater than 9cm………free tissue transfer/advancement flap

97) patient operated stiches removed on 10th day resulting in wound dehiscence…..local
tension/ wound infection

98) most common factor for delayed wound healing….DM/infection

99) submandibular stone management

100) scenario of frost bite….rewarming at 40 c

101) tetanus toxin mechanism…..inhibit GABA and glycine secreting neurons

102) child with dirty wound vaccination complete….TT only

103) will roger phenomena of cancer

104) cells having no malignant potential….stem cells

105) Steris used for…..sterilization of endoscopes

106) splenic injury patient vitally stable….splenectomy/frequent clinical exam…CT scan was not
in options

107) case of maleneys gangrene….inguinal hernia surgery post op wound with crepitus and pus
discharge

108) female trauma leg tibia fracture, managed now presented with pain medial aspect of leg
chronic regional pain syndrome what to do…..paravertebral block

109) case of RTA trauma thigh presented after 12 hours absent femoral pulse…amputation

110) RTA with exsanguinating pelvic injury…..Ext fixator/pelvic packing

111) calculation of corrected calcium levels

112) testicular mass irregular imp step in management….USG/orchiectomy via inguinal incision

113) patient with abd pain previously admitted in CCU for uncomplicated MI 2 weeks back, x-
ray abd thumb print sign….mesenteric ischemia

114) abdominal condition improved with oxygen…..pneumo cystitis intestinal

115) child with recurrent UTI presented with abd pain and generalized tenderness….primary
bacterial peritonitis

116) mucinous cystic adenoma of appendix…..appendectomy only/ right hemi/ radical right
hemi

117) burn center admission criteria…..deep burn greater than 5% in any age group

118) patient with fever, malaise and thyroid swelling firm….granulomatous thyroiditis/ riddles
thyroiditis

119) breast surgery done develop lymphedema after 3 months, 10 years latter presented with
pain, bluish discoloration…..lymphangiosarcoma

120) patient presented with lymphoma stomach no lymph node present else where in
body…..surgery/chemo/radio

121) case of pseudo membranous colitis….oral vancomicin

122) case of recurrent laryngeal nerve injury

123) gas which can be used as local anesthesia for laparoscopy……helium/ oxygen/ nitrous
oxide/ nitrogen

124) scenario on hematuria next step….cystoscopy

125) scenario of posterior urethral valve invest……MCUG

126) female in hilly area, muscle spasm, chovsteck sign positive….case of hypomagnesaemia

127) pregnant lady with fever and HDN…….PCN

128) old age patient sigmoid volvulus, no signs of peritonitis…..endoscopic decompression

129) another scenario of sigmoid volvulus with peritonitis…..Hartman’s

130) child with bluish lesion on cheek…..hemangioma

131) breast abscess…needle aspiration

132) stretched scar scenario

133) smoker with no heart disease with signs and symptoms of arterial disease….burgers
disease

134) scenario of glucagonoma

135) diagnostic for esophageal perforation….CXR/ CT SCAN/ ENDOSCOPY……esophagogram not
in options

136) stent placed for metastatic esophalgeal cancer now presented with stent blockage…what
to do….RFA/Gastrostomy/PEG