PAST PAPERS SURGERY

HITEC-IMS, TAXILA

Question Option A Option B Option C Option D

Question No

Answer
Correct
Statement

1 Total amount 100ml 150ml 250ml 500ml Ans B

of CSF in adult
individual is
2 Diagnostic test Leukocytosis X-ray chest USG Abdomen Peritoneal Ans D
for peritonitis is fluid analysis
3 Bowel sounds Appendicitis Pancreatitis Peritonitis Paralytic Ans D
may be absent ileus
in
4 Complication of cubitus valgus cubitus varus ischemic wrist drop Ans A
lateral condyle deformity deformity contracture of
of humerus the forearm
fracture
include
5 Tardy nerve radial nerve ulnar nerve musculocutaneo median Ans B
palsy in elbow us nerve nerve
is due to the
involvement of
which
structure?
6 A 22-year boy 3 out of 15 5 out of 15 7 out of 15 6 out of 15 Ans C
has a history of
fall. During
clinical
examination he
is having
localization of
pain with no
verbal
response and
there is no eye
opening. His
GCS would be
7 Most common Direct impact Traction injury Twisting injury Fall on the Ans D
mechanism of outstretched
injury in hand
supracondylar
humerus
fracture in
children is
8 In a Meckel’s The presence of The The diverticulum The Ans D
diverticulum, a diverticulum diverticulum if if it contains diverticulum
technetium99 it is inflamed ectopic gastric if it is
m tissue bleeding
pertechnetate
scan helps to
localize
9 A 20 years boy Broca's area Wernicke's Area of Parasagittal Ans A
 has a history of area distribution by area
hit by cricket anterior cerebral
bat to the left artery
side of head.
Patient is
having inability
to articulate
post injury. The
most likely area
to be damaged
is
10 Most common Compartment Arterial injury Nerve injury Malunion Ans A
complication of syndrome
supracondylar
fracture of
humerus in
children is
11 18-year boy is Right sided Right sided Right sided Right Ans B
unconscious extradural acute subdural chronic subdural thalamic
following a hematoma hematoma hematoma bleed
road traffic
accident. He is
having a GCS of
09/15 with
dilated right
sided pupil and
no history of
lucid interval.
Most likely
diagnosis is
12 The Para-cecal Retro-cecal Pelvic Pre-ileal Ans B
commonest
anatomical
position of
appendix is
13 The adhesions hernia malignancy Tuberculosis Ans A
commonest
cause of acute
intestinal
obstruction is
14 Risk factors for Old age Young age Previous Fecolith Ans A
perforation of abdominal
appendix are surgery
15 Treatment of conservative surgical observation only deworming Ans B
choice in acute treatment
appendicitis
16 The earlier constipation vomiting fever epigastric Ans A
symtom of pain
large gut
obstruction is
17 Investigation of USG Abdomen CT Scan MRI abdomen X-ray Ans B
choice for abdomen abdomen
staging of
Renal Cell
Carcinoma is
18 CT density is Tesla Hounsfield KVs Pascals Ans B
 measured in Units
19 Which is NOT It represents the It carries its It is typically 2 It is present Ans C
true about patent own blood inches long and in about 2%
Meckel’s vitellointestinal supply 2 inches from of the
diverticulum? duct the ileocecal population
junction
20 A young man 3 Appendicular Actinomycosis Fecal fistula Tuberculosis Ans B
weeks after abscess infection
appendectomy
develops a
mass in the
right iliac fossa,
followed by
development
of multiple
sinuses with
watery
discharge. On
examination,
the pus
contains yellow
sulfur granules.
The patient has
MOST likely
developed
21 The acceptable 30 degree 45 degree 10 degree 60 degree Ans A
angulation in a
femur shaft
fracture
sustained
during delivery
is
22 Injury to the Germinal zone Proliferative Hypertrophic Calcification Ans C
growth plate zone zone zone
occurs through
the
23 Symptomatolo Right sided Periumbilical Shifting pain to Nausea and Ans A
gy of acute radiating colicky pain the iliac fossa vomiting
appendicitis pain
does not
include
24 All of the Humeral head Olecranon Distal femur Proximal Ans B
following tibia
secondary
centers of
ossification are
present at birth
except
25 Most frequent Angular Rotational Shortening Over growth Ans D
complication of deformity deformity
fracture shaft
of femur in
children is
26 A 9-year boy Hip Spica cast External ORIF with DCP Nancy Nails Ans D
sustained fixator (elastic nails)
injury to the
 lower limb
while playing
football. On
examination he
has visible
deformity of
the right thigh.
Distal pulses
are palpable. X-
ray shows
displaced
fracture of the
shaft of femur.
The preferred
treatment of
this fracture is
27 Regarding Most common Due to Gut proximal to Child has no Ans D
Hirschsprung cause of lower absence of aganglionic difficulty in
disease most intestinal ganglion cells segment passing stool
inappropriate obstruction in in the becomes
statement is neonates submucosa distended and
and thick walled
intermuscular
plexus
28 All are true Due to non- Dysphagia for Patient never A Ans C
except the relaxing lower both solids has chest pain premalignant
following esophageal and liquids condition
regarding sphincter and Barium
Achalasia absent peristalsis swallow
in the esophagus shows
dilated loer
esophagus
and beak like
narrowing at
the loer
esophageal
sphincter
29 Following Duodenal ulcer is Men are more Pyloric stricture H.pylori is Ans C
statements more common often involved in adults is due the main
regarding than gastric ulcer than women to hypertrophy cause of
duodenal ulcer of the muscles duodenal
are true except ulcer
30 Which of the Hyponatremia Hypokalemia Hypenatremia Hyperkalemi Ans B
following is a
most likely to
cause ileus?
31 The increased young age immature decreased thick Ans B
incidence of immunity metaphyseal periosteum
osteomyelitis in blood supply
children
younger than
10 years of age
is due to
32 The following Hemoglobinopat Atrial septal Patent ductus Pneumococc Ans A
condition hy defect arteriosus al infection
increasess the
 risk of
osteomyelitis in
children:
33 Chronic 1 week 2 weeks 4 weeks 6 weeks Ans D
osteomyelitis is
a bone
infection that
has been
present for
more than
34 The lab acute chronic Ewing Sarcoma septic Ans B
investigations osteomyelitis osteomyelitis arthritis
of a 6 year old
boy with high
grade fever for
one week and
inabitlity to
bear weight on
right leg
without any
history of
trauma shows
neutrophilia,
raised ESR and
elevated CRP.
The differential
diagnosis does
not include
35 Maximum 0-18 months of 18-30 months 3-4 years of age 8-10 years of Ans A
physiologic age of age age
bowing is
present at
36 A boy of 6 Reassure the Reassure the X-rays of the Prescribe DB Ans B
months of age parents parents with child of lower (Dennis
is brought to advice for limbs Brown)
the clinic with follow up shoes to the
complain of child
bowing of the
legs. This is
their first born
child and the
mother is very
concerned.
Clinical
examination
reveals gentle
bowing of both
legs with
maximum
deformity at
the knee. Hip,
knee and ankle
foot
examination is
within normal
limits. The
appropriate
 step now
would be
37 A 25-year male Tension Multiple Rib Clavicle Fracture Subcutaneou Ans A
had a road Pneumothorax Fractures and Pulmonary s
traffic accident and Pericardial contusion Emphysema
resulting in tamponade
injury to the
chest wall and
rib fractures.
The patient is
dyspnoeic, his
pulse is
100/minute
and BP is
120/80 mmHg.
Which injuries
are considered
life-threatening
requiring
immediate
intervention?
38 A young male Muffled heart Respiratory Increased Epistaxis Ans B
had road traffic sounds distress cardiac output
accident with
multiple rib
fractures. What
is an early sign
of tension
pneumothorax
?
39 A 45-year Diaphragmatic Chylothorax Pleural effusion Tension Ans A
female was rupture Pneumothor
brought to the ax
emergency
with road
traffic accident.
Bruises over
the chest wall
and upper
abdomen were
present.
Nasogastric
tube was
inserted and
follow up chest
radiograph was
done which
showed
abdominal
contents in the
chest cavity.
There is
suspicion of
40 A young, Antibiotics Orchiectomy Surgical Observation Ans C
otherwise detorsion +/- for next 24
healthy, 18- orchiopexy hours
year male
 presents with
sudden onset
testicular pain
in the middle of
the night. He
says that it
started 2 hours
ago. On
examination,
left testis was
drawn up and
tender. The
patient is in
severe pain,
and vomits
once in the ER.
What is the
next best step
in the
management
of this patient?
41 A 7-year female Acute Vesicoureteral Renal cell Pelvicoureter Ans B
child is brought pyelonephritis reflux carcinoma ic junction
to the OPD obstruction
with history of
recurring renal
infections. On
further
evaluation, she
is found to
have a
unilaterally
atrophic kidney
with scar tissue
present on the
superior and
inferior poles
of the kidney.
The
contralateral
kidney appears
hypertrophic.
What is the
diagnosis?
42 An 11-year Reassurance and Surgical repair Antibiotic Pediatrician Ans A
male is brought follow-up therapy referral
to the OPD by
his father with
complaints of
swelling in the
scrotum. On
examination,
the swelling is
located just
above the
testis, and feels
like a bag of
 worms. Further
evaluation is
unremarkable.
Which of the
following is the
next best step
in the
management
of this patient?
43 The emergency Needle Chest tube Endotracheal Tracheostom Ans A
treatment for thoracostomy in insertion in intubation y
Tension 2nd intercostal Right 5th
Pneumothorax space in mid- intercostal
is clavicular line space
44 A 25 year old Primary Secondary Reactionary Concealed Ans A
male presented hemorrhage hemorrhage hemorrhage hemorrhage
with three
bouts of
hemetemesis.
He is a known
case of peptic
ulcer disease.
What type of
hemorrhage is
it?
45 A young man Appendicular Distension of Peritoneal Referred Ans C
has presented colic appendix irritation pain
with pain in
right lower
quadrant. Pain
initially started
in peri-
umbilical
region. The
reason for
localization of
pain in right
lower quadrant
is
46 A middle aged Direct inguinal Femoral Indirect Umbilical Ans C
female is hernia hernia inguinnal hernia hernia
having a
reducible
swelling over
left groin for
the past four
months. The
most common
hernia in
females is
47 Following Bird's beak Double bubble Ogilvie sign Rat tail Ans B
radiological appearance sign appearancne
finding is
present in
Duodenal
atresia
48 Following is Appendicular adenocarcino pelvic abscess pylephlebitis Ans B
NOT a abscess ma appendix
complication of
acute
appendicitis
49 Alvarado score appendicitis cholecystitis hepatitis pancreatitis Ans A
is used to
diagnose
50 In case of appendix Meckel's Testis Ovary Ans B
Litter’s hernia, diverticulum
the hernia sac
contains