Surgery
TRAUMA
 First fluid of choice in hypovolemic shock – Nor-
mal Saline.
 Parameter used to assess renal perfusion during
shock is – Urinary output.
 Red – Immediate attention.
 Yellow – Serious injury but not immediately life
threatening.
 Green – Walking patient.
 Black – Pulseless patient.
 GCS (Glasgow Coma Scale) – Eye, Verbal, Motor.
 Eye Opening – Spontaneous (E4), To Voice (E3), To
Pain (E2) and None (El).
 Verbal - Oriented (V5), Confused (V4), Inappro-
priate words (V3), Incomprehensible sounds (V2),
None (vi).
 Motor – Obeys (M6), Localises (M5), Withdraws
(M4), Abnormal Flexion(M3), Extension (M2), and
None (Ml).
 Total Maximum GCS – E4 + V5 + M6 = 15.
 Total Minimum GCS – E1 + V1 + M1 = 3.
 Mild: 13-15; Moderate: 9-12; Severe = 8 or less than
8.
 GCS in an intubated patient where verbal cannot
be calculated – E4, Vnt, M6.
 MC part injured in anterior cranial fossa – Cribri-
form plate (Ethmoid Bone).
 Cranial nerve most often compressed in a patient
with raised intracranial pressure – Abducent nerve.
 MC vessel injured in Extradural hematoma –
Middle Meningeal Artery.
 Lucid interval is commonly seen in – EDH.
 CT Scan shows Hyperdense Convex hematoma in
– EDH.
 CT Scan shows Hyperdense Concave hematoma in
– SDH.
 MCC of Subdural haematoma – Bridging Veins or
Cortical vessels.
 Bender grading is used for – SDH.
 Raised intracranial pressure is associated with –
Hypertension and bradycardia.
 Newborn baby with lumbosacral meningocoele,
waiting for surgery-sac is protected by sterile
gauze soaked in Normal saline.
 Most common mental disorder seen in a Post sur-
gical patient admitted in the hospital is – Delirium.
 Hoffman’s sign (Tinel’s sign) is seen in – Nerve
regeneration.
 Immediate treatment for Tension pneumothorax
– Wide bore needle
 MC Abdominal Part injured in Seat Belt Injury
(Whiplash Injury) – Mesentery.
 Approach in a hemodynamically stable patient –
Admission for Observation, FAST, followed by
CECT.
12.1
 MIST ALL IN ONE FOR FMGE
 Approach in a hemodynamically unstable patient
– Basic resuscitation, FAST followed by urgent Ex-
ploratory Laparotomy.
 Pringle maneuver is compression of
Hepatoduodenal ligament to compress – Hepatic
artery and Portal Vein.
 Opportunistic Post Splenectomy infections – Pneu-
mococcus and H. influenzae.
 MC Complication of Splenectomy – Atelectasis
(Left lower lobe of lung).
 Most common immediate complication of sple-
nectomy is – Haemorrhage due to slipping of a
ligature
 Fluid which should be avoided initially in hemor-
rhagic shock – Dextrose 5%.
 Septic shock may present with – Normal cardiac
output.
 Neurogenic shock is caused by – Anesthesia.
 In 1 ml of 0.9%, normal saline content of Na is – 0.1
mEq.
 Reactionary hemorrhage is bleeding with in – 4-24
Surg
hours of operation.
 Secondary hemorrhage is bleeding after 24 hours
 MCC of Secondary hemorrhage is – infection
(Sloughing or Erosion Off the Wall of the Vessel).
 Best method to control bleeding – Direct Pressure.
 Class I Blood Loss – <15%.
 Class II Blood Loss – 15-30%.
 Class III Blood Loss – 30-40%.
 Class IV Blood Loss – >40%.
 Storage temperature of Blood – 4 +/–2 degree cen-
tigrade.
 Half life of factor VIII – 8 hours.
 Rich source of clotting factors is in – Fresh frozen
plasma.
 Storage temperature of Fresh Frozen Plasma is –
Minus 40°C.
 MC Infection in a burn patient – Pseudomonas
12.2
 Perineum Burns is – 1%
 PALM RULE – 1%
 Initial fluid of choice for resuscitation in a burn
patient – Ringer Lactate (Crystalloid).
 Best method to monitor the amount of fluid re-
suscitation – Urine Output.
 Autograft – Same Person.
 Isograft – Identical Twins
 Allograft – Same Species
 Xenograft – Different Species.
 Graft Survival Upto 48 hours by Plasma imbibition.
SURGICAL WOUNDS
 Rx OC of compartment syndrome – Urgent
Fasciotomy.
 1st post-operative day fever – Atelectasis and Tis-
sue breakdown products.
 2nd to 3rd post-operative day fever – Catheter (IV
canula)/Pneumonia
 4th to 5th post-operativeday fever – Surgical site
infection.
 6th post-operativeday in abdominal operation fe-
ver – Burst abdomen (Serosanguinous discharge
from the Laparotomy wound).
 7th post-operativeday onwards fever – Internal
sepsis.
 Impending sign of burst abdomen – Serosan-
guinous discharge (6th or 7th postoperative day)
 Wound healing by secondary intention due to for-
mation of – Granulation Tissue.
 Ulcer with undermined edges – Tubercular.
VASCULAR SURGERY
 Intermittent Claudication pain is felt in – Calf, on
Walking.
 Rest Pain is felt in – Foot.
 Most difficult pulse to feel – Popliteal Pulse.
 SURGERY
 IOC for peripheral vascular disease – Colour Dop-
pler.
 Catheter used in Vascular Surgery – Fogarty cath-
eter.
 Lumbar sympathectomy is used in the treatment
of – Rest Pain, Hyperhydrosis, causalgia.
 Lumbar sympathectomy ls Contra Indicated in –
Intermittent Claudication.
 Buerger’s Disease does not involve – Lymphatics.
 Death in Buerger’s disease is due to – Myocardial
infarction.
 Raynaud’s phenomenon sequence of colour
changes – White, Blue, Red. Rx- CCB’s
 Adson’s test is positive in – Cervical Rib.
 5 P’s of Embolism – Pain, Pallor, Pulselessness,
Paresthesias and Poikilothermia.
 NOT correct about Acute arterial embolization –
Collateral formation is seen
 Standard thrombolytic agent – Tissue Plasmino-
gen Activator.
 Nicoladoni’s/Branham’s Sign is seen in – AV Fis-
tula.
 MC site of aortic dissection is – Ascending aorta.
 MC Site valvular incompetence in Varicose Veins –
Sapheno-femoral.
 MC Site of Venous Ulcer – Medial malleolus
(Gaiter’s area).
 Marjolin’s Ulcer can lead to – Squamous Cell Carci-
noma.
 IOC for Varicose Veins – Duplex Scan.
 Most serious complication after stripping the vari-
cose vein below the level of knee joint is – Nerve
injury (GSV-Saphenous nerve/SSV-Sural nerve).
 SEPS (Subfascial Endoscopic Perforator Surgery) is
done for – Perforators in Varicose Veins.
 MC Site of DVT – Calf Veins (Lower limb).
 Homan’s and Moses signs are seen in – DVT.
ENDOCRINE SURGERY
 MCC of Goiter – Iodine deficiency.
 Monder’s Disease – Thrombophlebitis of superfi-
cial veins of the skin of the breast.
 MCC of Breast abscess – Staphylococcus aureus.
 Breast mouse – Fibroadenoma.
 Giant fibroadenoma is – >5 cm.
 Popcorn Calcification on Mammography – Fibroad-
enoma.
SALIVARY GLANDS
 Ranula is – Mucous extravasation cyst (Sub Lin-
gual Gland).
 MC Structure damaged during Ranula surgery –
Submandibular duct. (Nerve-Lingual).
 Most common tumor of Salivary Glands – Pleo-
morphic adenoma.
 MC benign salivary gland tumour – Pleomorphic
adenoma.
 MC malignant salivary gland tumour infilterating
Surg
the nerve sheath – Adenoid cystic carcinoma.
 Frey’s syndrome (Gustatory Sweating/Auriculo
Temporal Syndrome) – Inappropriate regeneration
of parasympathetic autonomic nerve fibres of
Auriculo temporal nerve after Superficial Pa-
rotidectomy.
 Bezold Abscess is associated with – Sternomas-
toid muscle.
 MCC of Cellulitis and Erysipelas – Group A Strep-
tococcus.
 MC Site of Basal Cell Carcinoma (Rodent UIcer)/
Tear Cancer – Face-Inner Canthus of Eye.
 Most common type of basal cell carcinoma is –
Nodulo ulcerative type.
 Dermoid cyst are commonly seen in – Skull.
 Sebaceous cysts are not seen in – Palm and Soles.
12.3
 MIST ALL IN ONE FOR FMGE

PAEDIATRIC SURGERY  Sign of Dance – Empty Right Iliac Fossa.

 Red currant jelly stools/Doughnut or Target sign
 Maxillary process does not unite with median na-
on USG.
sal process – Cleft lip on one side.
 Claw sign and coiled spring sign on Barium enema.
 MC Site of Thyroglossal Cyst – Beneath the hyoid
 Rx OC for Intussusception – Air enema.
(Subhyoid), in Midline.
 Flower vase appearance on IVP – Horse shoe kid-
 Characteristic of Thyroglossal Cyst is – Moves with
ney.
Protrusion of Tongue.
 Spider leg appearance on IVP – Polycystic kidney
 Branchial Cyst – Upper Neck, 2nd Branchial Cleft.
disease.
 Branchial Fistula – Lower Neck, 2nd Branchial Cleft.
 Kidney is placed in which place after transplanta-
 MC Site of Cystic Hygroma – Posterior Triangle of tion – Iliac fossa.
Neck.
 Bosniak classificationis is for – Renal cysts.
 Dysphagia Lusoria is due to – Aberrant Right Sub-
 Drooping Lily sign – Duplication of Renal Pelvis
clavian artery.
and Ureter.
 MCC of intestinal obstruction in newborn – Duode-
 MC Site of opening of ectopic ureter in males –
nal atresia.
Apex of Trigone.
 Vomiting in Duodenal Atresia – Bilious.
 Adder Head (Cobra head) appearance is seen in –
 Single bubble sign – Pyloric obstruction. Ureterocele.
 Double bubble sign – Duodenal obstruction  lOC for Vesico Ureteric Reflux and Posterior Ure-
(Duodenal atresia/Annular Pancreas). thral Valves – Micturating Cysto Urethrogram
 Triple bubble sign – Jejunal obstruction. (Voiding Cystogram).
 Multiple Air bubble sign – Intestinal obstruction  Rim sign in – Hydronephrosis.
Surg

(Central- lleal/Peripheral- Colonic).  Whitaker Test in – Hydronephrosis.

 Rx OC for Duodenal atresia –
Duodenoduodenostomy. Meckel’s Diverticulum
 Congenital/infantile hypertrophic pyloric steno-  Antimesenteric border.
sis- common in – Males, presents during 3rd week,  Width – 2 cm.
Vomiting is non-bilious. Metabolic alkalosis, hy-
 Length – 2 inches.
pochloremia and hypokalemia
 Location – 2 feet proximal to ICJ.
 Kasai operation is done for – Biliary Atresia.
 Presents – 2 years.
 Klatskin’s tumour is – Hilar cholangiocarcinoma.
 MC ectopic epithelium – Gastric.
 Charcot s Triad – Pain/Fever/Jaundice seen in Cho-
langitis.  Meckel’s scan – Technetium Pertechnate scan.
 MC congenital anomaly of pancreas is – Pancreatic  IOC Hirschsprung’s – Rectal Biopsy.
Divisum.  MC Site of Undescended testis – Inguinal canal.
 Undescended testis common in – Preterm babies.
Intussusception  MC Complication of undescended testis – Inguinal
 MCC – Hypertrophy of Peyer’s patches: MC Age – 6 Hernia.
months.  RxOC for Undescended Testis – Orchidopexy (6
 Saucage lump in Right hypochondrium. months of age).

12.4
 SURGERY
ADULT SURGICAL PROBLEMS
 Zenker’s Diverticulum- Acquired, False, Pulsion,
Posterior, Elderly. Inferior constrictor –
Thyropharyngeus and Cricopharyngeus muscles –
Killian’s dehiscence.
 IOC Zenker’s – Barium swallow. Dohlman’s opera-
tion.
 Pathognomic of Achalasia Cardia – Absent peri-
stalsis.
 Pseudo Achalasia is due to – Tumours around the
esophagus
 Dysphagia initially for – Liquids.
 Barium Swallow – Bird Beak/PencilTip/RatTail,
Absence of Gastric Air Bubble.
 Standard investigation – Manometry.
 RxOC – Heller’s myotomy/POEM.
 Cork Screw Esophagus on Barium Swallow – Dif-
fuse Esophageal Spasm (Nut Cracker Esophagus).
 IOC GERD – UGIE: Best Investigation – 24 Hour
Esophageal pH Monitoring.
 Barrett’s Esophagus – Columnar intestinal meta-
plasia lower third of esophagus.
 Hallmark of Barrett’s – Goblet cells.
 Risk in Barrett’s – Adenocarcinoma.
 Giant Hiatus Hernia – Paraesophageal/Rolling.
 Saint s Triad – Gall stone + Diverticulosis of colon +
Hiatus hernia.
 MCC of Hemetemesis is – Duodenal ulcer.
 Longitudinal Mucosal Tear at GE junction after
binge drinking – Mallory Weiss Tear (Cardia of
Stomach).
 MCC of Hypergastrinemia – Autoimmune Gastri-
tis (Type A/Atrophic Gastritis).
 MC Site of Gastric cancer in Pernicious Anemia –
Fundus of stomach.
 CLO Test is done for – H. Pylori.
 Cushing’s ulcer – Head injury.
 Curling’sulcer – Burns.
 Bleeding in duodenal ulcer – Gastroduodenal ar-
tery.
 Trichobezoar- Hairs (Psychiatric females)/Phyto-
bezoar – Vegetable matter.
 Gold standard investigation for Gall Bladder stones
– Ultrasound.
 Rx OC for symptomatic Gall stones – Laparoscopic
Cholecystectomy.
 Gas used in Laparoscopy – Carbon Dioxide.
 Boundaries of Calot’s triangle – Superiorly: Infe-
rior surface of Liver, Laterally: Body of GB and Cys-
tic duct, Medially: Common hepatic duct.
 Murphy’s sign is seen in – Acute cholecystitis.
 IOC in Acute cholecystitis – USG (2nd-HiDAScan).
 Mirizzi ‘s Syndrome – Jaundice due to compres-
sion of common hepatic duct by a Gall bladder
stone.
 Radiolucent stones – PG LUX (Parotid, Gallbladder,
Lysine, uric acid and cysteine).
 Rx OC for CBD stones – ERCP, Dormia Basket.
Surg
 MCC of Acute Pancreatitis – Gallstone.
 Grey Turner Sign (Bluish discolouration around the
flanks) is seen in – Acute hemorrhagic Pancreati-
tis.
 Cullen Sign (Bluish discolouration around the um-
bilicus) is seen in – Acute hemorrhagic Pancreati-
tis.
 Pseudocyst occurs after 4 weeks of attack of pan-
creatitis.
 Which is not a complication of Pseudocyst of Pan-
creas – Malignancy.
 Chain of Lakes Appearance on ERCP in – Chronic
Pancreatitis.
 MC site of amoebic liver abscess is right lobe of
liver posterosuperiorly segment VII.
 Chocolate or Anchovy Sauce pus in Liver is seen in
– Amoebic Liver Abscess.
12.5
 MIST ALL IN ONE FOR FMGE
 Investigation of choice to rule out Hydatid cyst is
– ELISA.
 MC cause of nephrolithiasis – Idiopathic
hypercalciuria.
 MC Urinary stone – Calcium oxalate dihydrate.
 Commonest Urinary Bladder stones – Triple phos-
phate (Boys), Uric acid (Adults).
 Hardest Urinary stone – Cystine.
 IOC for urinary stones is – Non-Contrast CT Scan.
 RxOC for urinar ystones – ESWL.
 More than 3 cm stone at the renal papilla without
any hydronephrosis, should betreated with –
PCNL.
 Dormia basket is used for – Lower 1/3 ureteric
stones.
 Moth eaten indistinct calyces on IVP – Renal Tu-
berculosis.
 Golf hole ureteric orifice and Thimble bladder on
IVP – Urinary Bladder TB.
 MC Position of appendix – Retrocaecal/2nd MC –
Pelvic.
Surg
 LC position of Appendix – Post ileal/2nd LC – Pre
ileal.
 MCC of Acute appendicitis – Faecolith.
 MANTRELS or ALVARADO Score is used for – Acute
appendicitis.
 MANTRELS score 2 is assigned for – Tenderness
and Leucocytosis.
 Lanz Incision is – Muscle splitting incision.
 To locate appendix during surgery – Locate ante-
rior Taenia of the caecum.
 Treatment for Appendicular abscess –
Extraperitoneal drainage.
 Rx of appendicular mass – Ochsner-Sherren Re-
gime.
 MC Vitamin deficiency after massive resection
bowel (Short bowel syndrome) – vitamin B12.
12.6
 Most common part affected in intestinal TB is –
lleocaecal region.
 MC Site of intestinal tuberculosis – Ileum having
transverse ulcers.
 MC Site of enteritis in enteric fever – Ileum having
longitudinal ulcers.
 Flask shaped ulcers seen in – Amoebiasis.
 Pseudo obstruction of intestine – Ogilvie’s syn-
drome.
 Saw tooth appearance on Barium enema – Diver-
ticulosis of colon.
 MC intestinal volvulus – Sigmoid volvulus.
 Bent inner tube sign/Coffee bean sign/bird of prey
on X-Ray – Sigmoid Volvulus.
 ROME II criteria is for – IBS.
 MCC of intestinal obstruction – Postoperative Ad-
hesions.
 Teardrop bladder is seen in – Membranous (Pos-
terior) urethra rupture.
 High lying prostate on DRE is seen in – Membra-
nous (Posterior) urethra rupture.
 Rupture of urethra above the Deep Perineal pouch
causes urine retention in – True pelvis.
 MC Urethral injury – Rupture of Bulbar (Perineal)
urethra.
 RxOC for retention of urine after urethral injury –
Suprapubic Cystostomy.
 BPH occurs in – Transitional zone (Median lobe).
 Normal value of Serum PSA – 0-4 ng/ml.
 Medical RxOC for BPH – Selective alpha la blocker
Tamsulosin.
 Rx OC for BPH – TURP (Trans urethral resection of
Prostate).
 Laser used for BPH Surgery – Holmium and Green
Light Laser.
 TUR Syndrome (Water Intoxication Syndrome) –
Dilutional hyponatremia.
 SURGERY
 MC Hernia – Inguinal (Indirect).
 MC Hernia to strangulate – Femoral Hernia.
 Lateral to inferior epigastric vessels – Indirect In-
guinal Hernia.
 Type IIIA Nyhus – Direct Inguinal Hernia.
 RxOC for Congenital Hernia and Congenital Hydro-
cele – Herniotomy (after 3 years).
 Bochdalek Hernia – Posterolateral Diaphragmatic
Hernia.
 Morgagni Hernia – Anteromedial Diaphragmatic
Hernia.
 Priapism means – Pathological erection of penis
for more than 4 hours.
 MCC of Testicular Torsion – Bell clapper deformity.
 Phren’s test (Elevation of scrotum relieves pain),
Positive in – Epididymoorchitis.
 Varicocele – Left.
 Bag of worm feel in – Varicocele.
 Alternative route of venous drainage after Varico-
celectomy – Cremasteric vein.
 Most Brilliantly Transilluminant Swelling – Cystic
Hygroma. Others (Ranula, Hydrocele and Menin-
gocele).
 RxOC for Hydrocele – Eversion of sac (Jaboulay’s
operation).
 Fournier’sGangrene is – Gangrene of the scrotum.
 RxOC for rectal prolapse in Children – Digital re-
positioning.
 Operations for rectal prolapse – Resection
Rectopexy, Thiersch’s, Delorme’s, Altemier’s.
 Internal hemorrhoids located at 3,7 and 11 o’clock
position is in relation to – Superior rectal artery
and vein.
 MCC of bleeding Per Rectum is – Hemorrhoids.
 MC Anorectal abscess is – Perianal abscess.
 Incision for drainage of Perianal abscess – Cruci-
ate (Diamond).
 Goodsail’s rule is used for – Fistula in Ano.
 MC Site of anal fissure – Midline, posteriorly, at 6
O’clock.
 Jeep Driver Bottom’s disease is – Pilonidal sinus.
ONCOSURGERY
 MC Site of Oral cancer – Bucco Alveolar Complex.
 MC Site of Tongue Cancer – Lateral margin in the
middle one third.
 Not a premalignant lesion in the oral cavity – Aph-
thous ulcer.
 MC Esophageal Cancer – Squamous (Upper 2/3-
Middle 1/3).
 MC in Western – Adenocarcinoma (Lower 1/3).
 Plummer vinson syndrome (Paterson brown Kelly
syndrome) – Iron deficiency, Glossitis and Esoph-
ageal webs.
 Invasion of trachea in esophageal carcinoma is
stage – T4.
 IOC Esophageal cancer – Upper Gl Endoscopy and
Biopsy.
 Staging IOC Esophageal cancer – CECT.
 IOC for distant metastasis – PET Scan.
 Isotope used in PET Scan – 18-FDG
(Fluourodeoxyglucose).
 Leather bottle stomach/Linitis plastica – Gastric
cancer.
Surg
 Enlarged Left supraclavicular lymph node –
Virchow’s node – Troisier’s sign
 Enlarged Axillary lymph node – Irish node.
 Periumbilical Tumour Deposits – Sister Mary Jo-
seph Nodule.
 Familial adenomatous polyposis – Multiple
adenomatous polyps in the colon, more than 100.
 MC Site of Colon Cancer – Recto sigmoid.
 Apple core appearance on Barium enema is seen
in – Colon Cancer
 Tumor marker for colon cancer is – CEA.
 Chemotherapy drug used in Rectal Cancer –
Oxaliplatin.
 MC site of distant metastasis in Colon cancer is –
Liver.
 Rx OC for Anal canal Cancer is – Combined
Chemoradiation (NIGRO Regime).
 MC Benign Liver tumor is – Hemangioma.
12.7
 MIST ALL IN ONE FOR FMGE
 MC malignant Liver tumor is – Secondaries in Liver.
 MC primary liver cancer is Hepatocellular carci-
noma (Hepatoma).
 Tumor marker for hepatocellular carcinoma is –
Alpha fetoprotein.
 Trousseau’s Sign (Migratory thrombophlebitis) is
MC Seen in – Carcinoma of pancreas,
 Whipple’s operation is done for – Carcinoma of
Pancreas.
 MC Adult renal cell carcinoma – Adenocarcinoma.
 MC site of origin of Adenocarcinoma of Kidney –
Proximal convoluted tubule.
 Syndrome associated with Adult kidney cancer is
– VHL (Von Hippel Lindau Syndrome).
 MC Clinical presentation of urinary malignancy –
Painless hematuria.
 Varicocele in adult kidney cancer is associated with
which side cancer – Left.
 MC Malignancy of Urinary bladder – Transitional
cell carcinoma.
 MC Site of Urinary Bladder Cancer – Lateral wall of
bladder and Trigone.
 MCC of Urinary bladder cancer – Smoking.
Surg
 IOC for Urinary bladder cancer – Cystoscopy and
Biopsy.
 Cancer Prostate occurs in – Peripheral zone (Pos-
terior lobe).
 Prostate cancer metastasis to – Lumbar vertebra
through – Bateson’s or vertebral plexus of veins.
 Prostate bony metastasis are – Osteoblastic.
 Death in Penile Cancer due to – Torrential hemor-
rhage (erosion of Femoral or External iliac ves-
sels).
 MC cancer in a young male – Testicular cancer.
 MC Testicular cancer – Seminoma.
 Route of spread of seminoma – Lymphatics.
 MC Lymphatic spread in Testicular Cancer to – Para
aortic lymph nodes.
 MC Cancer developing in Long standing endemic
Goiter – Follicular thyroid cancer.
12.8
 MC malignancy of endocrine system – Thyroid
malignancy.
 FNAC cannot distinguish between – Follicular ad-
enoma and Follicular carcinoma.
 MC Malignant thyroid tumor – Papillary carcinoma.
 Medullary Thyroid Cancer – Derived from Para fol-
licular C cells, not TSH dependent.
 Characteristic Amyloid stroma is seen in Medul-
lary Thyroid cancer.
 Tumour rmarker for Medullary thyroid cancer –
Serum Calcitonin.
 MC Cancer in females – Breast Cancer.
 MC Type of Breast cancer – Invasive ductal cancer
(Adenocarcinoma).
 2nd MC Type of Breast cancer – Lobular carcinoma.
 Bilateral and multifocal Breast cancer – Lobular
carcinoma.
 MC Site of Breast Cancer – Upper, Outer Quadrant.
 Circumferential retraction of nipple is seen in –
Breast Cancer.
 Peau d orange – due to subdermal blockade of
lymphatics.
 MC Blood Spread of Breast Cancer – Lumbar verte-
bra.
 Triple Assessment – Clinical examination, Radio-
logical evaluation (Mammography/USG) and
Pathological (Biopsy) diagnosis.
 Breast cancer involving the skin is stage – T4B.
 Margin of resection in Breast conservative surgery
– 1 mm.
 Dye injected in Sentinel lymph node biopsy for
breast cancer – Areola.
 MC Complication of MRM – Seroma > Lymphoe-
dema of arm.
 Hormonal therapy 1st line – Tamoxifen (Premeno-
pausal), Aromatase inhibitors (Postmenopausal).
 In patients with positive c-erbB2 gene –
Trastuzumab (Monoclonal antibodies).
 Best prognosis in Breast cancer with – Luminal A
(ER, PR positive and Her 2 neu Negative).
 SURGERY
RECENT YEAR QUESTIONS–1
Q. 1. 2 year old paediatric patient presented in an
unconscious state. He was having profound
diarrhea and mild pneumonia. In the manage-
ment of this baby when we are doing ABCDE,
what does D stand for?
(a) Diarrhea (a) Dehydration
(a) Disability
(a) Developmental delay
Q. 2. What severity of head injury does Glasgow
coma scale of 10 denote?
(a) Mild (b) Moderate
(c) Severe (d) Moribund
Q. 3. Mr. X, had undergone surgical procedure for a
pathology where in preoperatively the left
lung was collapsed as shown in the image, and
after the operation lung has expanded. What
can be the likely diagnosis in this patient?
(a) Right Pneumothorax
(a) Left Pneumothorax
(a) Cardiac tamponade
(a) Pneumonia
Q. 4. What should be the treatment in a patient who
presented in the emergency with respiratory
distress. He was having dilated neck veins.
Large amount if air was seen on the left side
along with mediastinal shift as shown in the
image?
(a) W ide bore needle insertion in the
intercostal space
(b) Endotracheal intubation
(a) Tracheostomy
(a) Pericardiocentesis
Q. 5. Split skin graft is composed of?
(a) Only Epidermis
(b) Epidermis and Partial Dermis
(c) Epidermis and Deep dermis
(d) Epidermis, dermis and subcutaneous fat
Q. 6. A lady presented with burns from the neck to
the lower back. Preferred sequence of treat-
ment in this lady?
(a) First debridement, then resuscitation,
then autograft
(b) First debridement, then reconstruction
and then resuscitation
(c) First resuscitation, then reconstruction
and then debridement
(d) First resuscitation, then debridement and
then autograft + Allograft
Q. 7. Which of the following is the best method for
hair removal to avoid surgical site infection?
(a) Shaving with Razor the night before
operation
(b) Shaving with Razor the morning before
Surg
operation
(c) Depilatory creams before the operation
(d) Hair clippers inside the operation theatre
8. A patient suffered from injury 3 days ago fol-
lowing which he was brought to the hospital
as shown in the given image. What would be
the likely treatment in this patient?
(a) Debridement and rotational advance-
ment flap closure
(b) Debridement and primary closure
(c) Debridement and hyperbaric oxygen
(d) Amputation
Q. 9. Mr. X, a chronic smoker starts having pain in the
calf on walking a distance of 400 meters ini-
tially, gradually he starts developing pain on
walking a distance of 200 meters only. Gradu-
ally he starts having pain even during sleeping,
thereby he prefers sleeping in a sitting posi-
tion which makes him feel better. What is the
most likely pathology in this patient?
12.9
 MIST ALL IN ONE FOR FMGE

(a) Venous claudication

(b) Neurological claudication
(c) Sciatica (d) Rest pain
Q. 10. Long lasting results in CABG (Coronary artery
bypass graft) are obtained by?
(a) Long saphenous vein
(b) Internal mammary artery
(c) Poly Tetra Fluoro Ethylene (PTFE) (a) Meningocele
(d) Gastroepiploic artery (b) Congenital megacolon
Q. 11. Which of the following is used in the treat- (c) Imperforate anus
ment for a female who is having Raynaud's (d) Pyloric stenosis
disease with characteristic sequence of colour Q. 16. One and a half year old child is having prob-
changes in fingers as white, blue and red on lem in urination for the last 3 months. You
cold exposure? have introduced a contrast dye from the ure-
(a) CCB’s (Calcium channel blockers) thra to visualize and understand the problem
(b) Beta blockers as shown in the image below. What is this in-
(c) Alpha blockers (d) NSAIDs vestigation most likely?
Q. 12. 30 year old lady presenting with mobile breast
lump like a mouse feel. Most likely diagno-
sis?
(a) Phylloides tumour
(b) Fibroadenoma
(c) Invasive ductal carcinoma
(d) Breast abscess
Surg

Q. 13. A female presented with pain and redness of

the left breast. She is lactating for the last 3
months. On examination the local (a) Micturating cystourethrogram
temperature is raised and cracked nipple is
(b) Retrograde urethrogram
noted. Ultrasound of breast was suggestive of
(c) Antegrade pyelography
significant liquid collection. What will be the
treatment in this lady? (d) Retrograde pyelography
(a) Antibiotics Q. 17. 14-year-old boy presented to the OPD. His scro-
(b) Multiple needle aspirations tum was empty on the left side. On clinical
(c) Incision and Drainage examination the left testis was found in the
(d) Breast support Superficial Inguinal pouch. What is the most
Q. 14. A child is presenting with bilious vomiting. likely diagnosis?
What will be the most appropriate test to di- (a) Cryptorchidism
agnose the condition in this baby? (b) Left undescended testis
(a) Barium swallow (c) Left Ectopic testis
(b) Barium meal (d) Retractile testis
(c) Barium meal follow through Q. 18. Best investigation for GERD?
(d) CECT of abdomen (a) 24-hour Ambulatory pH monitoring
Q. 15. Identify the pathology in the newborn baby (b) Upper GI Endoscopy
as shown in the image: (c) CECT (d) MRI

12.10
 SURGERY

Q. 19. Which of the following fluids will you prefer (d) Peptic ulcer disease
in a patient for resuscitation initially who is Q. 23. Identify the pathology in the image given?
presenting with profuse vomiting leading to
metabolic alkalosis?
(a) Ringer lactate (b) Normal saline
(c) 5% Dextrose
(d) Dextrose with water
Q. 20. A patient has undergone surgery as shown in
the image. After the operation, after 30
minutes of taking the meal, patient develops
pallor, dizziness and sweating. What is this
classified as? (a) Acute pancreatitis
(b) Liver abscess
(c) Acute cholecystitis
(d) Hollow viscus perforation
Q. 24. This patient after surgical removal of the pa-
thology will be referred to whom?

Surg
(a) Reflux gastritis
(b) Dumping syndrome
(c) Post vagotomy diarrhoea (a) Paediatrician (b) Psychiatrist
(d) Frey’s syndrome (c) Cardiologist (d) Dermatologist
Q. 21. Which of the following is seen after Bariatric Q. 25. Patient has undergone cholecystectomy few
Gastric bypass surgery? days back and now the patient has presented
(a) Deficiency of Vitamin D with upper abdominal pain. MRCP was done
(b) Deficiency of Calcium which showed dripping of bile from the cystic
(c) Protein calorie malnutrition duct stump. Patient is hemodynamically
(d) Deficiency of Copper stable. Which of the following should be done
Q. 22. A chronic alcoholic patient who was suffering in the management of this patient?
from Chronic alcoholic liver disease, presented (a) CECT
with hematemesis. What can be the most ap- (b) ERCP and stenting
propriate cause of hematemesis? (c) Exploratory Laparotomy
(a) Esophageal varices (d) Conservative treatment with antibiotics
(b) Mallory Weiss tear Q. 26. Which of the following is a type III choledochal
(c) Boerhave syndrome cyst?

12.11
 MIST ALL IN ONE FOR FMGE

(a) Q. 28. In a patient which of the following pathology

will have irregular margins of the narrow uri-
nary bladder with the organism found around
the ureteric orifice?
(a) Tuberculosis (b) Schistosomiasis
(c) Transitional cell bladder carcinoma
(d) Papilloma of urinary bladder
(b) Q. 29. A young male presented with vague dragging
sensation in the scrotum. On clinical exami-
nation, a bag of worm feel was noted in the
scrotum on the left side. However the left tes-
tis was normal. What can be the likely diagno-
sis?

(c)

(d) (a) Left hydrocele (b) Inguinal hernia

Surg

(c) Epididymoorchitis
(d) Left varicocele
Q. 30. Which of the following cancer is most likely in
the neck part in a patient presenting with dif-
ficulty in swallowing?
(a) Adenocarcinoma
Q. 27. Which of the following incisions is preferred
(b) Small cell carcinoma
for Appendicectomy?
(c) Transitional cell carcinoma
(d) Squamous cell carcinoma
Q. 31. What is the pathological grading used for Pros-
tate cancer?
(a) Bloom Richardson
(b) Gleason’s
(c) Fuhrman nuclear grading
(d) Leibovich score
Q. 32. Which of the following isotope is used in the
treatment of Prostate cancer?
(a) A (b) B (a) I131 (b) I125
(c) C (d) D (c) I123 (d) I121

12.12
 SURGERY
Q. 33. Which of the following is considered as hav-
ing better prognosis in a lady presenting with
breast lump in the lower outer quadrant of
the breast with axillary lymph node involve-
ment diagnosed as invasive breast cancer?
(a) Overexpression of Her-2-neu gene
(b) High mitotic index
(c) Axillary lymph node involvement
(d) Mucinous or colloid breast cancer
RECENT YEAR QUESTIONS–2
Q. 1. A patient suffered from Blunt trauma to the
abdomen and was brought to the Emergency
room. He is unstable having a blood pressure
of 90/60 mm of Hg. You are the doctor, basic
resuscitation is done with intravenous fluids,
FAST is positive. He is not improving despite
Intravenous fluids. The next step in the man-
agement is?
(a) CECT
(b) Exploratory Laparotomy
(c) Laparoscopy (d) MRI
Q. 2. An alcoholic patient who is diagnosed with
chronic hepatitis has been admitted to the
emergency room for vomiting of blood for the
last 2 days due to variceal bleeding. The pa-
tient is in shock. You are the doctor and you
have started the first-line treatment, but the
patient died. What is the underlying cause of
death in this patient?
(a) Hepatic failure
(b) Variceal bleeding
(c) Chronic Hepatitis
(d) Hypovolemic Shock
Q. 3. A patient was brought to the emergency in
hypotension with cold extremities. Blood
pressure was 90/60 mm of Hg. The most likely
cause of shock in this patient is?
(a) Cardiogenic (b) Neurogenic
(c) Hypovolemic (d) Septic
Q. 4. Lucid Interval is seen in?
(a) Extradural hematoma
(b) Subdural hematoma
(c) Subarachnoid hemorrhage
(d) Scalp hematoma
Q. 5. A patient was brought to the emergency fol-
lowing a car accident. His Blood Pressure is
90/60 mm of Hg, His Glasgow coma scale is 9.
He is having visceral injuries. The least likely
cause of hypovolemia in this patient is?
(a) Splenic injury
(b) Subdural hematoma
(c) Retroperitoneal hematoma
(d) Hemothorax
Q. 6. Battle’s sign is seen in
(a) Bruise over mastoid
(b) Bitemporal bruises
(c) Bruises around the eye
(d) Bruises in the neck
Q. 7. A patient was brought to the emergency with
hypotension, raised JVP, heart sound was not
properly audible, neck veins were engorged.
He died in the hospital and an autopsy was
done which showed the following image. The
most likely cause of death in this patient would
be?
Surg
(a) Fat necrosis
(b) Cardiac tamponade
(c) Perforation of the intestine
(d) Pneumonia
Q. 8. A Soldier was participating in a marathon in
hot temperatures of 40°Celsius, suddenly col-
lapsed. What first aid should have been pro-
vided to him by the local people?
(a) Immediately ice-cold water should be
put on this soldier
12.13
 MIST ALL IN ONE FOR FMGE

(b) Put the foot of the soldier in ice (b) Surgical Excision
immediately (c) Biopsy (d) Give Danazol
(c) Injection of Benzodiazepine Q. 13. In a type 3 Branchial fistula, the internal open-
(d) Wrap a cool water-soaked blanket over ing is located in which part of the pharynx?
the person at around 25°Celsius (a) Tonsil (b) Pyriform Sinus
temperature and switch on the fan. (c) Cricopharyngeus
Q. 9. Chronic smoker male presents with pain in the (d) External auditory canal
finger with changes as shown in the image. Q. 14. What should be the treatment for the pathol-
Most likely pathology in this patient would be? ogy as shown in the given image.

(a) Burger’s disease (b) Raynaud’s disease

(c) Acrocyanosis (d) Ainhum
Q. 10. A patient suffered from a Femur neck fracture (a) Incision and drainage
for which he was immobilized for a period of 3 (b) Sclerotherapy
months. Suddenly he developed breathless- (c) Radiotherapy (d) Surgical excision
ness, cyanosis and was brought to the emer-
gency. What can be the likely cause of this con- Q. 15. The following image is:
dition?
(a) Fat Embolism
Surg

(b) Venous thromboembolism

(c) Systemic thomboembolism
(d) Air Embolism
Q. 11. A lactating woman comes in the hospital with
3 days history of pain, red, fluctuant, 2 cm mass
in the breast. USG shows fluid collection. What
will you do in the management of this patient?
(a) IVP of polycystic kidney disease
(a) Antibiotics and Followup after 3 days
(b) CT of polycystic kidney disease
(b) Incision and Drainage
(c) MRI of polycystic kidney disease
(c) Hot fomentation
(d) MRI of Horse shoe kidney
(d) Empty the breasts every 3 hours
Q. 16. 3 day old baby is passing greenish-
Q. 12. 32-year-old lady, 2 cm single, mobile, asymp-
yellowfaecaldischarge from the umbilicus.
tomatic breast lump with well-defined mar-
What shall be the Embryological cause of this
gin, noticed by the patient herself on self-
condition?
breast examination, presented to the OPD.
She was diagnosed as having a benign lesion. (a) Patent Allantois
You are the doctor and what would you rec- (b) Patent Vitellointestinal duct
ommend to this patient? (c) Meckel’s diverticulum
(a) Reassure, continue to follow-up the (d) Patient umbilical end of the
patient omphalomesenteric duct

12.14
 SURGERY

Q. 17. 5 year old baby having constipation. We are (c) Nutcracker esophagus
giving stool softeners also but are still able to (d) Diffuse esophageal spasm
pass only one stool in one week. There is a Q. 21. The patient is having retching, Vomiting, and
history of the passage of meconium after 48 retrosternal burning, Most likely cause?
hrs. of birth, what investigation would you do
(a) Esophagitis
initially in this baby?
(b) Intestinal obstruction
(a) Ask the mother to give high fiber diet
(c) Pyloric Stenosis
(b) Plain X-ray of the abdomen
(d) Peptic ulcer disease
(c) Barium enema and Anorectal manometry
(d) Surgical treatment Q. 22. A child had difficulty in gobbling and he was
Q. 18. A 5 year old boy is having continuous dribbling able to speak. Identify the site of a foreign
of urine and also normal micturition most body as shown in the image?
likely cause?
(a) Posterior urethral valves
(b) Ureteric opening distal to the external
sphincter
(c) Urinary tract infection
(d) Vesicoureteric reflux
Q. 19. Mother while giving a bath to her 7-day old
baby noticed that the scrotum of the baby is
empty, you are the doctor, what treatment you
will offer this baby? (a) Trachea (b) Esophagus
(a) Wait and watch for spontaneous (c) Mediastinum (d) Pleural cavity
resolution Q. 23. A patient underwent Total Gastrectomy.

Surg
(b) Give GnRH for 1 month, if testis does not Which of the following deficiencies would be
descend down on its own, then do seen in this patient?
surgery before 2 years
(a) Vitamin B12 (b) Vitamin A
(c) Give GnRH for 1 month, if testis does not
(c) Vitamin B1 (d) Vitamin C
descend down on its own, then do
surgery before 5 years Q. 24. A known case of Rheumatic arthritis was tak-
(d) Do immediate Surgery ing NSAIDs for a long period of time. He pre-
sented to the emergency with severe pain.
Q. 20. Identify the pathology in the given image:
His X-Ray was done which showed the follow-
ing. The most likely cause of his presentation
would be?

(a) Achalasia cardia

(b) Cancer esophagus
12.15
 MIST ALL IN ONE FOR FMGE

(a) Pericardial effusion (c) Uric acid (d) Cystine

(b) Pneumothorax Q. 31. Whitaker test is done in?
(c) Pleural effusion (a) Posterior urethral valves
(d) Peptic ulcer disease (b) Hydronephrosis to compare abdominal
Q. 25. 3 days after cholecystectomy, the patient de- and urinary bladder pressures
veloped severe abdominal pain. Her LFT was (c) Ureterocele
Normal, S. Amylase was also normal. What is (d) Benign prostatic hyperplasia
the most likely cause of her condition? Q. 32. Lady is in the first trimester of pregnancy, pre-
(a) Bile leak (b) CBD stone sents to ER, with acute abdominal pain. She is
(c) Acute pancreatitis diagnosed with acute appendicitis. The next
(d) Liver abscess. step in the management will be?
Q. 26. A lady was incidentally diagnosed with a 0.5cm (a) Terminate the pregnancy
solid mass in her Gall bladder on USG which (b) Give Antibiotics and wait till 2nd trimester
was nonmobile, diagnosed as GB polyp. She is (c) Do appendicectomy
asymptomatic. Next step in the management? (d) Ochsner sherren regime
(a) Reassure the patient and follow up Q. 33. A patient suffering from Inflammatory bowel
(b) Laparoscopic Cholecystectomy disease presented with Peritonitis following
(c) Open Cholecystectomy ileal perforation. Exploration is done. You as a
(d) CECT abdomen doctor would prefer to do which of the fol-
Q. 27. What do you expect in a lady after GB removal lowing
most commonly? (a) Ileostomy and definite surgery later
(a) Weight loss (b) Steatorrhea (b) Ileal pouch anal anastomosis
(c) High cholesterol (c) Resection of the diseased segment and
(d) Hypoglycemia anastomosis of the normal segment
Surg

Q. 28. Ms. X, 35 years old presented to the emer- (d) Right hemicolectomy and ileo transverse
gency with upper abdominal pain radiating to anastomosis
the back, On X-Ray Colon cut-off sign is seen. Q. 34. A patient has presented with herniation of
Likely diagnosis? intestinal loop which passes along the sper-
(a) Acute Cholecystitis matic cord & reaches till scrotum/ cremaster
(b) Acute appendicitis muscle?
(c) Acute Pancreatitis (a) Femoral hernia
(d) Chronic Pancreatitis (b) Direct inguinal hernia
Q. 29. A patient presented with malabsortion and (c) Indirect inguinal hernia
was found to have architectural changes in the (d) Paraumbilical hernia
villi and the crypts in the intestine. Tissue Q. 35. 3 Testicle appearance is seen in?
transglutaminase IgA antibodies (TTG) were (a) Vaginal hydrocele
positive. Most likely diagnosis? (b) Spermatocele
(a) Celiac Sprue (c) Epididymo orchitis
(b) Whipple's disease (d) Torsion Testis
(c) Chronic pancreatitis Q. 36. An old age patient felt heaviness in the left
(d) Short bowel syndrome scrotum, he was suspecting cancer, came to
Q. 30. The most common type of kidney stone? ER. There was no pain or tenderness and
(a) Calcium oxalate transillumation was negative, most likely di-
(b) Triple Phosphate agnosis in this patient would be

12.16
 SURGERY

(a) Varicocele (b) Hydrocele (a) Teratoma of testis

(c) Testicular Torsion (b) Seminoma of testis
(d) Epididymo orchitis (c) Choriocarcinoma
Q. 37. The internal opening in Anal fistula usually (d) Yolk sac tumour
begins at? Q. 42. A young male presented with enlargement of
(a) Crypt at dentate line the scrotum along with lump in the paraum-
(b) Perineal body bilical region and swelling in the supraclav-
(c) Anal verge icular fossa. Most likely diagnosis?
(d) Anorectal junction (a) Testicular tumour
Q. 38. Pressure to cause the pressure sore is (b) Hydrocele
(a) 10 mm of Hg (b) 20 mm of Hg (c) Testicular Torsion
(c) 25 mm of Hg (d) 30 mm of Hg (d) Epididymo orchitis
Q. 39. 65 year male presented with a mass in the left Q. 43. Opacities as shown in the Chest X-Ray image
lumbar region which was ballotable. He was indicate:
having abdominal discomfort and on investi-
gations he was found to have a 7 × 5 × 3 cm
which was confined with in the kidney and
diagnosed as Renal cell carcinoma. What
would be the treatment in this patient?
(a) Partial nephrectomy
(b) Radical nephrectomy
(c) Radiotherapy
(d) Chemotherapy
(a) Bronchiectasis
Q. 40. A patient was operated for Benign prostatic (b) Cotton wool deposits

Surg
hyperplasia. On evaluation, incidentally can- (c) Snow storm appearance
cer of prostate was detected and on further (d) Pulmonary metastasis
work up was found to have metastasis . Which
of the following drug is used? Q. 44. Best prognosis is of which of the following
Breast cancer
(a) Goserelin (b) Adriamycin
(c) Cisplatin (d) BCG (a) LuminalA (b) Luminal B
(c) Triple Negative Breastcancer
Q. 41. Young male presented with scrotal enlarge- (d) Her 2 neu enriched
ment. On investigations, LDH was significantly
high but the HCG and Alpha fetoprotein were
with in normal limits. Histopathology as RECENT YEAR QUESTIONS–3
shown. Most likely diagnosis in this patient.
Q. 1. A patient met with road traffic accident was
brought to the emergency with high heart rate,
very low blood pressure and Respiratory rate
of 32/min. What should be the next step in
this patient?
(a) FAST (b) CECT abdomen
(c) X-Ray (d) Airway intubation
Q. 2. A patient presented to the emergency after
blunt trauma abdomen with very low blood
pressure. What should be the initial step?

12.17
 MIST ALL IN ONE FOR FMGE

(a) Start resuscitation with intravenous Q. 5. What is the diagnosis in the given image?
crystalloids
(b) Immediate Exploration with Laparotomy
(c) Get a CECT abdomen done and then start
resuscitation
(d) Start resuscitation with blood products
Q. 3. A patient suffered from road traffic accident 6
hours back before he was brought to the emer-
gency with altered sensorium. His Glasgow
coma score was 12. CT Scan of head done which (a) Keratocanthoma
showed the following. He is most likely suf- (b) Rodent ulcer (Basal cell carcinoma)
fering from (c) Squamous cell carcinoma
(d) Sebaceous horn
Q. 6. In the given image which of the following is
true EXCEPT?

(a) Less chances of recurrence

(a) Subdural hematoma (b) Transillumination positive
(b) Extradural hematoma (c) Most often on the dorsal and volar surface
Surg

(c) Subarachnoid hemorrhage of wrist

(d) Intracerebral hematoma (d) Treatment is surgical excision
Q. 4. A chronic smoker presented to the emer- Q. 7. A lady presented with sudden arterial occlu-
gency. His X-Ray chest was done which showed sive disease. Which of the following is having
the following. Possible diagnosis in this pa- the poorest prognosis
tient
(a) Pain (b) Pallor
(c) Pulselessness (d) Paralysis
Q. 8. A guy had third degree burn one year ago and
then he developed an ulcer. Which of the fol-
lowing is NOT TRUE?
(a) Slow growing
(b) Lymphatic spread is uncommon
(c) Can progress to Squamous cell carcinoma
(d) Preferred treatment is Radiotherapy
(a) Hemopneumothorax Q. 9. A patient underwent surgery for which she was
(b) Tension pneumothorax immobilised for a prolonged duration. The
(c) Hemothorax doctor examined and found Homan's sign to
(d) Hydropneumothorax be positive. This is seen in

12.18
 SURGERY

(a) Deep vein thrombosis Q. 14. 10 months old male baby presented with
(b) Peripheral vascular disease empty scrotum. On examination the right tes-
(c) Lymphangitis tis was found in the right inguinal canal, while
(d) Aneurysm of abdominal aorta the left testis was found in the perineum. Cor-
rect about the diagnosis in this baby is:
Q. 10. Postpartum lactating female presented with
(a) Bilateral undescended testis
redness, swelling of the breast. Identify the
(b) Bilateral ectopic testis
pathology in the given image:
(c) Right side undescended testis and left
side ectopic testis
(d) Right side ectopic testis and left side
undescended testis
Q. 15. A newborn baby with empty scrotum. Testis
was found to be lying close to the peritoneum.
Which of the following may help in the testis
reaching into the scrotum?
(a) Breast abscess (b) Monder’s disease (a) GnRH analogues
(c) Fibroadenoma (d) Phylloides tumour (b) Testosterone
Q. 11. Following image is suggestive of: (c) Cold compresses
(d) Manually bring the testis down to the
bottom of the scrotum
Q. 16. Killian’s dehiscence is found in between
which muscles:
(a) Thyropharyngeus and Cricopharyngeus
(b) Thyropharyngeus and Stylopharyngeus

Surg
(c) Cricopharyngeus and Stylopharyngeus
(a) Congenital diaphragmatic hernia (d) Inferior and middle constrictor
(b) Pneumothorax Q. 17. Patient presented with dysphagia. Barium
(c) Cardiac tamponade swallow image demonstrates
(d) Tracheo esophageal fistula
Q. 12. Cleft lip results from:
(a) Failure of fusion of maxillary and median
nasal process
(b) Failure of fusion of 2 palatine shelves
(c) Separation of the nasal septum and vomer
from the palatine processes
(d) Anteroposterior orientation of muscles
responsible for closure of velopharynx
Q. 13. A patient presented with persistent vomiting.
Most common findings in acid balance analy-
sis in this patient
(a) Metabolic acidosis (a) Cancer esophagus
(b) Metabolic alkalosis (b) Achalasia cardia
(c) Respiratory acidosis (c) Nut cracker esophagus
(d) Respiratory alkalosis (d) Lye stricture

12.19
 MIST ALL IN ONE FOR FMGE

Q. 18. Barium swallow image demonstrates (c) Sigmoid volvulus

(d) Intestinal obstruction
Q. 22. An elderly woman who did not eat food for
the last 2 days. She presented with bilious
vomiting. Her X-Ray showed the following

(a) Achalasia cardia

(b) Zenker’s diverticulum
(c) Corkscrew esophagus
(a) Distal obstruction in the small intestine
(d) Cancer esophagus
(b) Proximal obstruction in the small
Q. 19. 9 years old boy was having dinner with his par- intestine
ents in the hotel. Suddenly after gulping the (c) Pseudo obstruction
food bolus, he started feeling the choking sen- (d) Distal colonic obstruction
sation. Next step to be done is: Q. 23. A female presenting with epigastric and right
(a) Hyperextension of the neck and look for hypochondrium pain radiating to the back with
the airway guarding and rigidity in the right hypochon-
(b) Large sips of water or fizzy drinks to push drium. She had similar episodes of pain in the
the food bolus down right hypochondrium off and on for last one
(c) 5 upper abdominal thrusts to force the year. Most likely diagnosis
vomiting (a) Acute cholecystitis
Surg

(d) Endotracheal intubation (b) Acute pancreatitis

Q. 20. After binge drinking of alcohol a young male (c) Hydatid cyst
presented with vomiting and upper GI bleed. (d) Amoebic liver abscess
Most likely cause is Q. 24. A patient presented with pain in the right hy-
(a) Boerhave syndrome pochondrium. Blood investigations showed
(b) Mallory Weiss Tear AST- 22 IU/L and ALT- 27 IU/L. Serum bilirubin
(c) Duodenal Ulcer Perforation levels- 5 mg%, also ALP- 200 mg%. What should
(d) Tension pneumothorax be the initial investigation in this patient?
(a) USG abdomen (b) CECT abdomen
Q. 21. What is the probable cause of the condition
(c) Hepatitis A and Hepatitis E markers
shown in the given X-Ray (d) HIDA Scan
Q. 25. 30 year old female presented with sudden
onset of severe central upper abdominal pain
radiating to the back which is relieved on sit-
ting and bending forwards. What is the likely
diagnosis?
(a) Acute appendicitis
(b) Acute Cholecystitis
(a) Pleural effusion
(c) Acute Pancreatitis
(b) Perforation peritonitis
(d) Rupture ectopic pregnancy

12.20
 SURGERY

Q. 26. Alcoholic male presented with pain in epigas- would be the most likely pathology in this pa-
trium radiating to the back. What is the likely tient?
diagnosis in the given CT image? (a) Perinephric abscess
(b) Appendicular abscess
(c) Ruptured ectopic pregnancy
(d) Acute cholecystitis
Q. 30. 35 years old patient presented with a one year
history of low grade fever, anorexia and weight
loss. During investigations with a contrast
evaluation of the bowel, following image was
seen. Possible diagnosis

(a) Amoebic Liver abscess

(b) Pancreatic pseudocyst
(c) Acute cholecystitis
(d) Hydatid cyst
Q. 27. Identify the operation in the image shown:

(a) Ileocaecal tuberculosis

(b) Volvulus

Surg
(c) Cancer colon
(d) Diverticulosis of colon
Q. 31. Barium enema image demonstrates
(a) Pancreaticojejunostomy
(b) Gastroduodenostomy
(c) Duodenoduodenostomy
(d) Duodenojejunostomy
Q. 28. What is the site of maximum pain in Acute
appendicitis?
(a) Mcburney’s point
(b) Flank region
(c) Right upper abdomen (a) Meckel’s diverticulum
(d) Umbilicus (b) Diverticulosis of colon
Q. 29. A patient presented in the emergency with (c) Sigmoid volvulus
pain in the right iliac fossa. The patient was (d) Colon cancer
clinically stable for 2 days, but then his symp- Q. 32. A boy fell vertically from height and injured
toms started worsening. He was offered the his urethra. At which of the following sites the
treatment of extraperitoneal drainage. What urine is most likely to get collected?

12.21
 MIST ALL IN ONE FOR FMGE
(a) Deep to the Scarpa's fascia
(b) Superficial inguinal pouch
(c) Deep inguinal pouch
(d) Pelvis
Q. 33. 34 years old female presented with a mass in
the inguinal region which produced gurgling
sound on reduction. The mass reduced com-
pletely on pressing it through the deep in-
guinal ring. Possible diagnosis in this lady?
(a) Indirect inguinal hernia
(b) Direct inguinal hernia
(c) Femoral hernia
(d) Strangulated hernia
Q. 34. 18 years old boy presented in agony with sud-
den onset of severe pain in the groin region,
associated with redness and swelling of the
scrotum. On examination the right testis has
gone up. Possible diagnosis in this boy is:
(a) Right sided epididymo orchitis
(b) Right sided testicular torsion
(c) Strangulated inguinal hernia
(d) Right sided hydrocele
Q. 35. Most common radioisotope used in PET Scan:
(a) 18 F (b) 13 C
Surg
(c) 14 C (d) All of the above
Q. 36. Following staging is done for which of the fol-
lowing malignancies?
(a) Oral cancer – AJCC
(b) Bladder cancer – WHO
(c) Gastric cancer – Bormann
(d) Colon cancer – Duke’s
Q. 37. Identify the pathology in the given image:
12.22
(a) Familial hamartomatous polyposis
(b) Familial adenomatous polyposis
(c) Colon cancer
(d) Juvenile polyp
Q. 38. An elderly male on digital rectal examination
was found to have a rectal mass raising the
suspicion of rectal carcinoma. His bowel hab-
its are otherwise normal and he visited the
hospital for a routine check up. Which of the
following should be recommended as the
next step in this patient?
(a) CT Scan of abdomen
(b) Flexible sigmoidoscopy and biopsy
(c) Full Colonoscopy and biopsy
(d) Barium enema
Q. 39. Identify the operation In the image shown:
(a) Whipple’s operation
(b) Frey’s operation
(c) Ramstedt’s operation
(d) Heller’s operation
Q. 40. Very old male presented with a ballotable
mass in the left flank region. On examination
painless hematuria, RBC’s were found in urine,
while there were no WBC’s in urine. Most
likely cause in this patient?
(a) Hydronephrosis
(b) Pyelonephritis
(c) Renal cell carcinoma
(d) Polycystic kidney disease
Q. 41. An old male having metastasis in the lumbar
vertebra and pelvic bone. What is the most
likely diagnosis in this patient?
(a) Testicular cancer (b) Lung cancer
(c) Colon cancer (d) Prostate cancer
 SURGERY

Q. 42. Young male presented with scrotal enlarge-
ment. On investigations, LDH was significantly
high but the HCG and Alpha fetoprotein were
with in normal limits. Histopathology as
shown. Most likely diagnosis in this patient.
(a) T4a (b) T4b
(c) T4c (d) T4d
Q. 47. 60 years old lady presented with a hard breast
mass of 6 × 4 cm in size as shown in the image,
Single lymph node underneath this mass.
There was no evidence of metastasis. What
should be the ideal treatment?

(a) Radical mastectomy

(a) Teratoma of testis (b) Modified radical mastectomy followed
(b) Seminoma of testis by adjuvant chemotherapy
(c) Choriocarcinoma (c) Neoadjuvant chemotherapy with Modi-
(d) Yolk sac tumour fied radical mastectomy with adjuvant
chemotherapy
Q. 43. Pale, Orphan annie eyed nuclei is seen in
(d) Palliative mastectomy
(a) Follicular thyroid cancer
(b) Papillary thyroid cancer
(c) Medullary thyroid cancer RECENT YEAR QUESTIONS–4
(d) Anaplastic thyroid cancer
Q. 1. Which of the following canula will you use for
Q. 44. Radioisotope used in thyroid cancer treat-
the initial resuscitation in a patient who pre-
ment:

Surg
sented to the emergency with hypovolemic
(a) I131 (b) 99 Tc
shock?
(c) 89 St (d) 133 Cs
Q. 45. In the pathological examination of breast can-
cer, signet ring were found. What can be the
likely diagnosis?
(a) Ductal carcinoma in situ
(b) Lobular carcinoma NOS
(c) Medullary cancer
(d) Phylloides tumour
(a) 1 (b) 2
Q. 46. Following image is suggestive of which stage
(c) 3 (d) 4
of breast cancer?
Q. 2. To check the correct placement of central
venous catheter through the Internal jugular
vein, in a patient of hypovolemic shock after
trauma, which investigation is required ini-
tially?
(a) Echocardiography
(b) Angiography
(c) PaCO2 (d) Chest X-Ray

12.23
 MIST ALL IN ONE FOR FMGE

Q. 3. In the given CT Scan image, which of the fol- cold peripheries. His JVP was quite high with
lowing vessel is most likely injured? muffled heart sounds. Which of the following
shock best describe the condition of this pa-
tient?
(a) Hypovolemic shock
(b) Cardiogenic shock
(c) Neurogenic shock
(d) Septic shock
Q. 8. A patient suffered a road traffic accident fol-
lowing which he has pelvic bone fracture and
(a) Anterior communicating artery urethral injury is suspected. Which initial in-
(b) Anterior cerebral artery vestigation would be most helpful in this pa-
(c) Middle cerebral artery tient?
(d) Posterior cerebral artery (a) Micturating cystourethrogram
Q. 4. During a cricket match a fast Bowler bowl hit (b) Cystogram
the Batsman on the side of his head. Immedi- (c) Retrograde urethrogram
ately after the injury the batsman was com- (d) Intravenous pyelography
fortable but he suffered from some loss of
Q. 9. 35 year old male after road traffic accident
consciousness after few hours. What can be
having fracture pelvis is suspected of having
the most likely cause for this presentation?
injured his posterior urethra. He is having su-
(a) Neck hematoma
prapubic discomfort. Which of the following
(b) Sub dural hemorrhage
procedure would be more appropriate in this
(c) Extradural hemorrhage
patient?
Surg

(d) Sub arachnoid hemorrhage

(a) Ureteral catheterization
Q. 5. In a patient of head Trauma, which of the fol-
(b) Exploratory Laparotomy
lowing fluid should be avoided?
(c) Percutaneous suprapubic cystostomy
(a) Normal saline (b) Hypertonic saline
(d) Waiting for injury to stabilize and then
(c) Ringer Lactate (d) Dextrose 5%
urethral catheterization
Q. 6. A patient suffered an accident and presented
Q. 10. 8 year old girl admitted overnight following
with mild discomfort in the chest on the right
an emergency open reduction and internal
side with breathing difficulty. On X-Ray, there
fixation of her right supracondylar fracture.
was blunting of costophrenic angle on the right
She is complaining of severe pain and tingling
side with missing lucency of the lung in the
right lower base. Which of the following will in her left hand. On examination, there is pain
be helpful in the management of this patient? on passive extension of the fingers. What is
(a) US guided drainage of pleural effusion the likely diagnosis?
(b) Endotracheal intubation
(c) Tracheostomy
(d) Intermittent positive pressure ventilation
Q. 7. A person met with road traffic accident fol-
lowing which he was brought to the emer-
(a) Arteriovenous malformation
gency wherein he was having hypotension and

12.24
 SURGERY

(b) Axillaryvein thrombosis

(c) Axillary artery aneurysm
(d) Compartment syndrome
Q. 11. Identify the pathology shown in the image

(a) Branchial sinus

(b) Tubercular lymphadenitis
(c) Thyroglossal fistula
(d) Pharyngeal pouch
(a) Carbuncle (b) Sebaceous cyst Q. 15. Identify the surgical instrument
(c) Lipoma
(d) Squamous cell carcinoma
Q. 12. Identify the pathology in the image where the
scar is extending beyond the wound limits

(a) Cheatle forceps

(b) Non toothed Thumb forceps
(c) Babcock’s forceps
(d) Allis forceps
Q. 16. A patient presented to the hospital in winter
(a) Keloid (b) Hypertrophic Scar with blackish discolouration of his fingers as

Surg
(c) Sinus (d) Fistula shown. Probable diagnosis?
Q. 13. What should be the best treatment for the
pathology shown

(a) Raynaud’s disease

(b) Burger’s disease
(c) Post Cryotherapy
(d) Cervical rib
Q. 17. Identify
(a) Complete excision
(b) Incision and drainage
(c) Cryotherapy (d) Sclerotherapy
Q. 14. A 32 year old lady presented with history of
anorexia for last 6 months. She is having swell-
ing with seropurulent discharge in the neck.
Which out of the following can be the most
likely pathology?

12.25
 MIST ALL IN ONE FOR FMGE

(a) Burger’s disease (b) Raynaud’s disease Q. 22. Identify

(c) Venous ulcer
(d) Lipodermatosclerosis
Q. 18. Elderly person who is bed ridden and
hospitalised for a long period of time has de-
veloped swelling in both the legs associated
with fever. What can be the most probable
cause in this situation?
(a) Cellulitis (a) Branchial cyst
(b) Deep vein thrombosis (b) Tubercular lymphadenitis
(c) Lymphoedema (d) Atherosclerosis (c) Chemodectoma
Q. 19. Identify the pathology in this lady (d) Cystic hygroma
Q. 23. Identify

(a) Deep Vein thrombosis

(b) Diabetic foot
(c) Cellulitis (d) Elephantiasis
Q. 20. 23-year-old woman who has given birth to a
child presents with a growing mobile lump in
her right breast. It is painless with no dis-
Surg

(a) Annular pancreas

charge. Which one of the following is the most (b) Hypertrophic pyloric stenosis
likely diagnosis? (c) Duodenal atresia
(a) Breast cyst (b) Duct carcinoma (d) Biliary atresia
(c) Paget’s disease (d) Fibroadenoma Q. 24. Identify the pathology in the image
Q. 21. Which of the following can be the likely pa-
thology in the image shown where there is a
large, irregular hard mass in the breast which
is mobile over the chest wall?

(a) Hypertrophic pyloric stenosis

(b) Biliary atresia
(c) Doudenal atresia
(a) Breast abscess (d) Perforation peritonitis
(b) Fibroadenoma of breast Q. 25. 4 week old baby presenting with non bilious
(c) Phylloides tumour vomiting in emergency. Probable cause
(d) Monder’s disease (a) Hypertrophic pyloric stenosis

12.26
 SURGERY

(b) Biliary atresia (b) Thyroid

(c) Doudenal atresia (c) Diaphragm (d) Aorta
(d) Perforation peritonitis Q. 30. Dohlman’s operation is done for
Q. 26. Identify the pathology in the given image (a) Branchial cyst
(b) Thyroglossal fistula
(c) Diverticulosis of colon
(d) Pharyngeal pouch
Q. 31. In the following image, the arrow is demon-
strating which of the following?

(a) Intussusception
(b) Congenital aganglionosis
(c) Meckel’s diverticulum
(d) Acute Appendicitis
Q. 27. Identify the pathology in the given image

(a) Duodenal ulcer (b) Gastric ulcer

(c) Pyloric stenosis (d) Gastric cancer
Q. 32. Identify the pathology in the given Ultrasonog-
raphy image

Surg
(a) Pseudocyst of Pancreas
(b) Ectopic Kidney
(c) Malrotation of gut
(d) Horse shoe kidney
Q. 28. Identify the pathology in the given image

(a) Choledocholithiasis
(b) Multiple Gall bladder stones
(c) Carcinoma Gall bladder
(d) Pancreatic malignancy
Q. 33. Compression of the hepatic duct by a large
(a) Ureterocele stone in the Gall bladder leading to jaundice
(b) Carcinoma urinary bladder is
(c) Cystitis (d) Vesical calculus (a) Cholesterosis
Q. 29. All of the following causes constriction of the (b) Cholangitis
esophagus EXCEPT (c) Porcelain Gall bladder
(a) Cricopharyngeal sphincter (d) Mirrizzi’s syndrome

12.27
 MIST ALL IN ONE FOR FMGE
Q. 34. 45 year old male presented to the emergency
with history of chronic alcoholic intake and
sudden onset of severe upper abdominal pain
radiating to back. Most probable diagnosis in
this patient
(a) Acute Gastritis
(b) Chronic pancreatitis
(c) Acute Pancreatitis
(d) Acute cholecystitis
Q. 35. Identify the image
(a) Colostomy (b) Loop Ileostomy
(c) End Ileostomy
(d) Diversion temporary colostomy
Q. 36. Patient presented with a large mass in the
abdomen which can be easily moved from
Right to Left in the abdomen. What can be the
Surg
likely pathology?
(a) Retroperitoneal tumour
(b) Renal mass
(c) Chylolymphatic cyst
(d) Colon carcinoma
Q. 37. A Postoperative patient on 5th postoperative
day developed distension of the abdomen
along with discomfort. He is not able to pass
out flatus and stools. CT Scan done shows the
following as shown. What can be the likely
cause of this condition?
(a) Hyperkalemia (b) Hypochloremia
12.28
(c) Hypokalemia
(d) Hypermagnesemia
Q. 38. A patient presented in the emergency with
sudden onset of right loin pain radiating to
the right iliac fossa associated with nausea.
Probable cause of this condition is
(a) Acute appendicitis
(b) Acute pancreatitis
(c) Right renal calculus
(d) Right middle ureteric calculus
Q. 39. 30 year old male presented in the emergency
with sudden onset of severe pain in the right
lumbar region radiating to the groin along with
nausea. Which of the following investigation
is preferred over Plain X-Ray of KUB?
(a) Contrast CT Scan of KUB
(b) Contrast MRI of abdomen
(c) Intravenous pyelography
(d) Plain CT Scan of KUB
Q. 40. Identify the pathology in X-Ray image
(a) Bladder calculus (b) Phlebolith
(c) Foreign body (d) Prostate calculi
Q. 41. Which of the following is associated in a pa-
tient who presented in the emergency with
sudden onset of migratory right iliac fossa pain
along with nausea and anorexia?
(a) Rise in basophils
(b) Rise in eosinophils
(c) Rise in neutrophils
(d) Rise in monocytes
Q. 42. 70 year old gentleman is hypertensive and is
diagnosed with Benign prostatic hyperplasia.
He is on treatment with Prazosin but he is de-
veloping frequent side effects of Prazosin.
 SURGERY
Which of the following drug would be pre-
ferred in the treatment of this patient?
(a) Tamsulosin (b) ACE inhibitors
(c) Flutamide (d) Goserelin
Q. 43. 65 year old obese male presented with ab-
dominal discomfort on physical exercise and
mild dyspoea on exertion. A bulge is noted in
his left inguinal region on straining. As per the
Nyhus classification of hernia, it belongs to
which of the following category?
(a) I (b) II
(c) III (d) IV
Q. 44. Identify the pathology in the adult male as
shown in the image
(a) Umbilical hernia
(b) Paraumbilical hernia
(c) Epigastric hernia
(d) Inguinal hernia
Q. 45. A young male presented to the OPD with Erec-
tile dysfunction for the last one year. What
can be the probable cause out of the follow-
ing?
(a) Chordee
(b) Peyronie’s disease
(c) Cryptorchidism (d) Priapism
Q. 46. Identify the pathology in X-Ray Pelvis
(a) Foreign body in the rectum
(b) Foreign body in the bladder
(c) Foreign body in the urethra
(d) Bladder calculus
Q. 47. 40 year old male presenting with pus and
blood discharge from the external skin open-
ing near the anal canal. Which of the follow-
ing would you like to do as the next step?
(a) Look for internal hemorrhoids
(b) Examination for internal opening in the
anal canal
(c) Look for prolapse of the uterine wall
(d) Look for presenc of rectal prolapse
Q. 48. Which of the following is true for Pilonidal
Sinus EXCEPT?
(a) Common in Jeep driver
(b) Common in individuals with hairy skin in
gluteal region
(c) Preferred treatment is Surgery
Surg
(d) Complete Excision with primary closure
is the treatment of choice
Q. 49. 55 year old male presented in the OPD with
progressively increasing jaundice for the last
one month and is passing clay coloured stools.
He is not having the feeling to eat much and
also has lost significant weight in this period.
On investigations it is found that Gall bladder
is distended and there is gross dilatation of
the common bile duct (22 mm) and also the
pancreatic duct is dilated. Out of the follow-
ing which can be the most likely pathology in
this patient?
(a) Carcinoma of Gall bladder
(b) Hilar cholangiocarcinoma
(c) Periampullary carcinoma
(d) Choledocholithiasis
Q. 50. Skeletal osteoblastic metastasis are seen on
X-Ray in a 75 year old male. He is most likely
suffering from which of the following malig-
nancy?
12.29
 MIST ALL IN ONE FOR FMGE

(a) Thrombosis
(b) Extradural hematoma
(c) Subdural hematoma
(d) Intracranial bleed
Q. 3. Patient met with an accident and suffered
chest trauma. He was brought to the emer-
gency where chest X-Ray was done as shown.
This is suggestive of
(a) Testis (b) Pancreas
(c) Colon (d) Prostate

RECENT YEAR QUESTIONS–5

Q. 1. A female met with an accident and presented
to the emergency. She is unconscious and her
blood pressure is 160/120 mm of Hg. CT Scan
shows diffuse punctate hemorrhages. Prob-
able diagnosis in this patient is

(a) Pneumothorax
(b) Hydrothorax
(c) Hemopneumothorax
(d) Pericardial effusion
Q. 4. Multiple rib fractures as seen in the image on
Surg

both sides. Which of the following immedi-

ate treatment should be done
(a) Diffuse axonal head injury
(b) Cerebral concussion
(c) Cerebral concussion with laceration
(d) Sub arachnoid hemorrhage
Q. 2. 70 years old gentleman suddenly fell in the
bathroom and sustained head injury. He was
brought to the emergency where CT Scan was
done as shown

(a) Immediate surgery

(b) Rib fixation
(c) Analgesics and positive pressure
ventilation
(d) Needle thoracostomy
Q. 5. Which of the following zone trauma as shown
in the image will require immediate explora-
tion

12.30
 SURGERY

Q. 9. How to palpate the posterior tibial artery?

(a) Between the medial malleolus and
lateral border of tendo achilles on
inversion of foot
(b) Between the medial malleolus and
lateral border of tendo achilles on
eversion of foot
(c) Between the medial malleolus and
medial border of tendo achilles on
inversion of foot
(a) Zone I (b) Zone I and II
(d) Between the medial malleolus and
(c) Zone I and III (d) Zone II and III
medial border of tendo achilles on
Q. 6. A patient after road traffic accident presented eversion of foot
to the emergency department. Distal pulses
Q. 10. A 20 year old female who was having dysph-
were palpable but the sensations were absent.
agia for last few months presented in the OPD
Most likely cause
with the following. She is likely to be suffer-
(a) Compartment syndrome
ing from?
(b) Necrotising fascitis
(c) Cellulitis (d) Dry Gangrene
Q. 7. A tourist guide after coming down from moun-
tain climbing develop pain in the foot along
with numbness in the foot. What should be
given?
(a) Nifedipine

Surg
(b) Hyperbaric oxygen
(c) Aspirin (d) Warfarin
Q. 8. A patient presented in the hospital with the (a) Secondary Raynaud’s syndrome
following as shown in the image. Which of the (b) Primary Raynaud’s syndrome
following is false (c) Acrocyanosis
(d) Gangrene
Q. 11. A female patient presented with a thyroid
nodule. Her Serum TSH is normal and Serum
T3 and T4 are also normal. Her mother had thy-
rotoxicosis. How will you prepare this patient
before thyroidectomy
(a) Carbimazole (b) Propylthiouracil
(a) Can infect the bone (c) Thyroxine
(b) Infection of the nail bed (d) No active drug medication
(c) Chances of recurrence Q. 12. 3 mm painless, mobile lump with regular and
(d) Partial or complete nail excision has to smooth margins in the upper outer quadrant
be done of right breast in a 25 year old female present-

12.31
 MIST ALL IN ONE FOR FMGE

ing in the OPD. On histopathological exami-

nation the following is seen. Probable diag-
nosis is:

(a) Prostatic urethra

(a) Invasive ductal carcinoma (b) Apex of Trigone of the bladder
(b) Fibroadenoma (c) Dome of urinary bladder
(c) Invasive lobular carcinoma (d) Seminal vesicle
(d) Ductal carcinoma in situ Q. 16. Image of IVP as shown is suggestive of
Q. 13. Image of Barium enema as shown is sugges-
tive of
Surg

(a) Bilateral hydronephrosis

(b) Duplication of ureter
(c) Posterior urethral valves
(d) Bilateral ureterocele
(a) Carcinoma caecum
Q. 17. 6 months old boy presenting with bilateral
(b) Ulcerative colitis
hydronephrosis. Most likely diagnosis
(c) Tuberculosis of ileocaecal region
(d) Intussusception
Q. 14. 2 months old baby presenting with dribbling
of watery discharge from the umbilicus. This
baby is suffering from
(a) Failure of involution of Omphalo-
mesenteric duct (vitellointestinal duct)
(b) Failure of rotation of midgut
(c) Failure of involution of Allantoic duct
(d) Umbilical Sinus
(a) Ureterocele
Q. 15. What would be the site of opening of upper
(b) Vesicoureteric reflux
ureter in a male presenting with recurrent UTI
(c) Posterior urethral valves
wherein on investigations he is found to have
(d) Duplication of ureter
double ureter as shown in the image
12.32
 SURGERY

Q. 18. Mother was giving shower to her two year old (c) Schistosomiasis
son and she noticed that the scrotum of the (d) Hydatid cyst
son was empty. She brought her son to the Q. 23. Which of the following is not true about uri-
OPD where on examination right testis was nary bladder stone in a boy
found in the inguinal canal and left testis was (a) Most common is triple phosphate stone
found in the perineum. What is the diagnosis (b) Bleeding is the most common symptom
(a) Right ectopic testis and left undescended (c) Mostly radiopaque
testis (d) Can lead to urinary retention
(b) Bilateral ectopic testis
Q. 24. Which of the following incision is not used for
(c) Bilateral undescended testis
appendicectomy
(d) Right undescended and left ectopic testis
(a) Grid iron (b) Lanz
Q. 19. Location of pharyngeal pouch is (c) Rutherford Morrison
(a) Between middle and Inferior constrictor (d) Kocher’s
muscle
Q. 25. Image is suggestive of
(b) Inferior constrictor muscle
(c) Between thyroid and cricoid
(d) Between thyroid and hyoid
Q. 20. 35 year old female presented in the OPD .
Barium swallow was done for her complaints
as shown. This is suggestive of-

Surg
(a) Gall bladder stone
(b) Carcinoid tumour of appendix
(c) Choledochal cyst
(d) Ascariasis
(a) Achalasia cardia Q. 26. Which of the following extra intestinal mani-
(b) Cancer esophagus festation is seen in a patient of ulcerative coli-
(c) Diffuse esophageal spasm tis as shown in the image
(d) Nut cracker esophagus
Q. 21. Barrets esophagus is
(a) Intestinal columnar metaplasia
(b) Columnar metaplasia
(c) Squamous metaplasia
(d) Dysplasia
Q. 22. 30 year old male presented with pain in the
right hypochondrium. Ultrasonography
showed Water lily sign. What is the probable
diagnosis (a) Pyoderma gangrenosum
(a) Amoebic liver abscess (b) Erythema nodosum
(b) Ascariasis (c) Venous ulcer (d) Chancroid

12.33
 MIST ALL IN ONE FOR FMGE

Q. 27. An alcoholic patient fell in the bathroom last Q. 31. Image is demonstrating which of the follow-
night. He was brought to the emergency with ing clinical method
retention of urine. Which of the following part
is most commonly injured in this patient
(a) Intraperitoneal bladder rupture
(b) Extraperitoneal bladder rupture
(c) Anterior urethra rupture
(d) Perineal urethra rupture
Q. 28. 35 year old male presented to the OPD with (a) Fluid thrill
history of severe pain while passing stools as- (b) Shifting dullness
sociated with occasional blood on the surface (c) Guarding
of the stool. Which of the following will not (d) Ballotability
be advised in this patient Q. 32. 60 year old female with mass in the epigas-
(a) Sitz bath trium and vomiting. On ultrasonography thick-
(b) Nitroglycerine and Diltiazem creams ening of prepyloric region is noted. Which of
(c) Proctoscopy the following metabolic abnormality is seen
(d) Stool softners (a) Metabolic acidosis
Q. 29. Image is suggestive of (b) Metabolic alkalosis
(c) Respiratory acidosis
(d) Respiratory alkalosis
Q. 33. Image is suggestive of
Surg

(a) Haemorrhoids
(b) Squamous cell carcinoma
(c) Basal cell carcinoma
(d) Condyloma accuminata (a) Carcinoma Gall bladder
Q. 30. 68 year old male with previously operated for (b) Gall bladder stone
inguinal hernia presents in the emergency (c) Cholesterosis
with painful swelling. He is hemodynamically (d) Porcelain Gall bladder
unstable. What should be the appropriate Q. 34. Tumour marker for pancreatic cancer is
management in this patient (a) CEA (b) Alpha fetoprotein
(c) CA 19-9 (d) CA 15-3
Q. 35. 68 year old male presented to the OPD, with
low backache. He was diagnosed with highly
invasive prostate cancer. He should be treated
by
(a) Testosterone
(a) Hernioplasty (b) Herniotomy (b) Radical prostatectomy
(c) Eversion of sac (c) Hormonal therapy with Goserelin
(d) Immediate Laparotomy (d) Radiotherapy

12.34
 SURGERY

Q. 36. 45 year old female presented in the OPD with
a swelling in the neck . Thyroidectomy has been
done and on histopathology Orphan Annie
eyed nuclei as shown is seen. What should
have been the malignancy in this patient?
Q. 37. A 50 year old female underwent surgery for
breast cancer. Chest X-Ray done later as shown
is suggestive of

(a) Papillary thyroid cancer (a) Pectoralis major removed

(b) Follicular thyroid cancer (b) Hilar lymphadenopathy
(c) Medullary thyroid cancer (c) Subcutaneous emphysema
(d) Lymphoma of thyroid (d) Post mastectomy

ANSWER KEYS
Recent Year Questions–1
1. (c) 2. (b) 3. (b) 4. (a) 5. (b) 6. (d) 7. (d) 8. (c) 9. (d) 10. (b)
11. (a) 12. (b) 13. (c) 14. (d) 15. (c) 16. (b) 17. (c) 18. (a) 19. (b) 20. (b)
21. (c) 22. (a) 23. (d) 24. (b) 25. (b) 26. (c) 27. (a) 28. (a) 29. (d) 30. (d)
31. (b) 32. (b) 33. (d)

Surg
Recent Year Questions–2
1. (b) 2. (d) 3. (c) 4. (a) 5. (b) 6. (a) 7. (b) 8. (d) 9. (a) 10. (b)
11. (b) 12. (a) 13. (b) 14. (d) 15. (c) 16. (b) 17. (c) 18. (b) 19. (a) 20. (d)
21. (a) 22. (b) 23. (a) 24. (d) 25. (a) 26. (a) 27. (b) 28. (c) 29. (a) 30. (a)
31. (b) 32. (c) 33. (a) 34. (c) 35. (b) 36. (a) 37. (a) 38. (d) 39. (b) 40. (a)
41. (b) 42. (a) 43. (d) 44. (a)
Recent Year Questions–3
1. (d) 2. (a) 3. (b) 4. (b) 5. (b) 6. (a) 7. (d) 8. (d) 9. (a) 10. (a)
11. (a) 12. (a) 13. (b) 14. (c) 15. (a) 16. (a) 17. (b) 18. (c) 19. (b) 20. (b)
21. (b) 22. (a) 23. (a) 24. (a) 25. (c) 26. (b) 27. (a) 28. (a) 29. (b) 30. (a)
31. (b) 32. (a) 33. (a) 34. (b) 35. (a) 36. (c) 37. (b) 38. (c) 39. (a) 40. (c)
41. (d) 42. (b) 43. (b) 44. (a) 45. (b) 46. (b) 47. (c)
Recent Year Questions–4
1. (a) 2. (d) 3. (c) 4. (c) 5. (d) 6. (a) 7. (b) 8. (c) 9. (c) 10. (d)
11. (a) 12. (a) 13. (a) 14. (b) 15. (c) 16. (b) 17. (c) 18. (b) 19. (d) 20. (d)
21. (c) 22. (d) 23. (a) 24. (c) 25. (a) 26. (c) 27. (d) 28. (a) 29. (b) 30. (d)

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31. (c) 32. (b) 33. (d) 34. (c) 35. (b) 36. (c) 37. (c) 38. (d) 39. (d) 40. (a)
41. (c) 42. (a) 43. (c) 44. (b) 45. (b) 46. (a) 47. (b) 48. (d) 49. (c) 50. (d)
Recent Year Questions–5
1. (a) 2. (b) 3. (c) 4. (c) 5. (a) 6. (a) 7. (c) 8. (a) 9. (c) 10. (a)
11. (d) 12. (b) 13. (d) 14. (c) 15. (b) 16. (d) 17. (c) 18. (d) 19. (b) 20. (a)
21. (a) 22. (d) 23. (b) 24. (d) 25. (b) 26. (a) 27. (b) 28. (c) 29. (d) 30. (d)
31. (a) 32. (b) 33. (a) 34. (c) 35. (c) 36. (a) 37. (d)
Surg

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VISUALS – SURGERY

Surg

12.37
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Surg

12.38
SURGERY

Surg

12.39
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Surg

12.40
SURGERY

Surg

12.41
 MIST ALL IN ONE FOR FMGE
Surg

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