STEM OF THE OPTION OPTION OPTION OPTION

S.NO. TOPIC KEY

QUESTION 1 2 3 4

Current robotic Commonly used Operative time is longer

surgical platforms robotic surgical platforms for
MINIMALLY Which of the following is true
1 do not perform any projects a a three- robotic surgery, and All of the above 4
INVASIVE SURGERY about robotic surgery
autonomous dimensional display to there is no difference in
functions. the operating surgeon. ultimate outcome

Volvulus of the Borchardt triad of

Cameron's ulcer may be
GI surgery (excluding Which of the following is true stomach is most likely symptoms are seen in
2 seen on upper GI All of the above 4
HPB surgery) about hiatus hernia in Type II Hiatus patients with organo-
endoscopy
hernia axial volvulus

Which of the following is true Avoid bupivacaine Plan for discharge

Preoperative Always use prophylactic
3 about ERAS protocol following epidural infusion around 6th 1
GI surgery carbohydrate loading naso-gastric tube
Colonic resection anaesthesia postoperative day
(excluding HPB
surgery)

Which Strasberg's type of bile

4 Type A Type B Type C Type D 3
duct injury is this :

Hepato -
Pancreatic and
Biliary surgery

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 STEM OF THE OPTION OPTION OPTION OPTION
S.NO. TOPIC KEY
QUESTION 1 2 3 4

Which of the following is true Non-cholestatic cirrhosis

Hepato - Pancreatic Primary sclerosing
5 about indications of liver Biliary atresia due to chronic HCV All of the above 4
and Biliary surgery cholangitis
transplant infection

Sequential organ failure

Moderate acute
Serum amylase/ assessment ( SOFA) CRP >100mg% after
Hepato - Pancreatic Which of the following is true pancreatitis is defined as
6 lipase must be raised score>4 at 48 hours 72 hours is associated 2
and Biliary surgery about acute pancreatitis transient organ failure
for diagnosis prdicts severe acute with severe disease
lasting for < 24 hours
pancreatitis

A 68 years manwith atrial

7 VASCULAR
resected. Which of the following is
fibrillation admitted in a CCU
develops acute onset abdominal
pain and distension with features Intra-arterial Revascularization of
Systemic
of diffuse peritonitis. Laparotomy thrombolytic therapy Cardioversion the SMA and coeliac 1
heparinization
reveals > 2 feet of gangrenous with streptokinase arteries.
small gut segment which is
the most appropriate next step:

Principal intracellular
Regarding fluid and electolytes Insensible loss increases
anion is Potassium Total body water in males
8 GENERAL balance in surgical patients which by 200ml/day/degree All of the above 4
and extra cellular is body weight x 0.6
of the following is true rise of temperature
anion is Sodium

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 STEM OF THE OPTION OPTION OPTION OPTION
S.NO. TOPIC KEY
QUESTION 1 2 3 4

Classic triad of symptoms

ESWL may be rarely Staphylococcus aureus is
Which of the following is true for are antalgic gait, painful Even small abscesses
9 GENERAL be a cause of primary the causative organism 3
psoas abscess lump at the groin and needs to be drained
psoas abscess of primary psoas abscess
fever

Those on a
The most common
Administration of mechanical ventilator
A reduction in cause is
with fixed minute
In postoperative respiratory effective minute exogenous HCO3- may central respiratory
10 GENERAL volume a decrease in 3
acidosis ventilation leads to an lead to a decrease in depression due to
PaCo2 suggests the
an decrease in PaCo2 PaCo2 excessive postoperative
possibility of
sedatives or narcotics
pulmonary embolism

In malignant hyperthermia in There is no genetic Core temperature rarely Abnormal magnesium Sodium bicarbonate
11 GENERAL response to inhaled anaesthetics predisposition for this metabolism in skeletal and dantrolene are 4
or muscle relaxants rare disorder rises above 400C muscle produces heat used in the treatment

CTangiography is
Violation of the Asymptomatic and
performed in
In penetrating Anterior Neck investing layer of hemodynamically stable
Right side of the neck is symptomatic,
12 TRAUMA Trauma which of the following is deep cervical fascia patients may be sent 4
commonly injured hemodynamically
true defines a penetrating home from the
stable patients with
neck wound emergency after first aid
Zone I or III injuries

Page 3 of 12
 STEM OF THE OPTION OPTION OPTION OPTION
S.NO. TOPIC KEY
QUESTION 1 2 3 4

A positive FAST Angioembolization is

Physical exam is often Acidosis, coagulopathy,
is an indication for not an effective
reliable in the and hypoxia comprise
13 TRAUMA In blunt abdominal trauma abdominal exploration in means of 2
diagnosis of blunt the lethal triad in cases
hemodynamically intraabdominal
abdominal injuries of trauma
unstable patients hemorrhage control

Parathyroidectomy for
Tertiary primary
hyperparathyroidism Calcitonin inhibits bone
14 ENDOCRINE Which of the following is true? most commonly occurs resorptionby osteoclasts
hyperparathyroidism in All of the above. 4
pregnancy should be done
after renal transplant in the 2nd trimester

A 60-year-old woman undergoes

breast-conserving surgery (a
lumpectomy) for
Radiation therapy to No further therapy and Combination
15 BREAST a 0.3-cm tumor. The axillary lymph A radical mastectomy 1
the affected breast observation chemotherapy
nodes are negative. Which of the
following
is the next step in therapy?

A 50-year-old farmer presents

with a small
nodule over the upper lip for four
Molluscum
16 PLASTIC SURGERY months. The nodule is Basal cell carcinoma Amelanotic melanoma Kapsi's sarcoma 2
contagiosum
pearly white with central necrosis,
telangiectasia. The most
likely diagnosis would be:

Page 4 of 12
 STEM OF THE OPTION OPTION OPTION OPTION
S.NO. TOPIC KEY
QUESTION 1 2 3 4

Fifty percent of
patients will
experience
Plain radiograph may
PAEDIATRIC Which of the following is true More common in Majority occurs after the improvement and
17 show gas in superior 4
SURGERY regarding necrotising enterocolitis postdated pregnancy first 2 months of life resolution of
mesenteric artery
signs of NEC with
nonoperative
management

An ordinary Prophylactic radiation to

Venous spread can occur
pregnancy test is the retroperitoneal
Which of the following is true for early if trophoblastic
18 UROLOGY positive in lymph nodes can given All of the above 4
testicular tumors elements
trophoblastic tumors 100% cure with stage I
are present.
of testis. seminoma.

Which of the following is true HPV-16 seropositivity Ipsilateral ‘Triple’ endoscopy is

SURGICAL
19 regarding oropharyngeal may adversely affect otalgia may be an early performed in selected All of the above 2
ONCOLOGY
malignancy prognosis symtom case

Page 5 of 12
 STEM OF THE OPTION OPTION OPTION OPTION
S.NO. TOPIC KEY
QUESTION 1 2 3 4

A 45-year-old female
presented with a newly
diagnosed pancreatic
cancer.She had
a breast cancer surgery at the
SURGICAL Familial adenomatous Juvenile polyposis
20
ONCOLOGY age of 38years, A staging Lynch syndrome
polyposis
Peutz-Jeghers syndrome
syndrome
3
CTshows
multiple colonic polyps, which
on biopsy were hamartomas.
What is the likely underlying
diagnosis?

Page 6 of 12
 CORRECT
REFERENCE DIFFICULTY LEVEL
OPTION

Schwartz’s
Principles of Surgery
All of the above MODERATE
Eleventh Edition, Pg-
467.

Recent advances in
All of the above surgery (Vo;-40, HIGH
Pages: 169-175

Schwartz’s
Preoperative Principles of Surgery
HIGH
carbohydrate loading Eleventh Edition, Pg-
2113-2122

Sabiston's Textbook
Type C of Surgery 20th ed MODERATE
Chapter 54,Pg:1502

Page 7 of 12
 CORRECT
REFERENCE DIFFICULTY LEVEL
OPTION

Sabiston's Textbook
All of the above of Surgery 20th MODERATE
Ed,Page:638

Sequential organ failure

Schwartz’s
assessment ( SOFA)
Principles of Surgery
score>4 at 48 hours HIGH
Eleventh Edition, Pg-
prdicts severe acute
1444-1445
pancreatitis

Schwartz’s
Principles of Surgery
Systemic heparinization HIGH
Eleventh Edition, Pg-
932

Surgery
Basic Science and
All of the above Clinical Evidence MODERATE
Second Edition,
Page:139-140

Page 8 of 12
 CORRECT
REFERENCE DIFFICULTY LEVEL
OPTION

Ileopsoas
abscesses:a
Staphylococcus aureus is
review:BMJ
the causative organism of HIGH
Postgraduate
primary psoas abscess
Medical Journal,
2004, 459-462

The most common cause

Surgery
is
Basic Science and
central respiratory
Clinical Evidence HIGH
depression due to
Second Edition,
excessive postoperative
Page:147
sedatives or narcotics

Schwartz’s
Sodium bicarbonate and
Principles of Surgery
dantrolene are used in the HIGH
Eleventh Edition, Pg-
treatment
2040

CTangiography is
performed in Schwartz’s
symptomatic, Principles of Surgery
MODERATE
hemodynamically stable Eleventh Edition, Pg-
patients with Zone I or III 198-199
injuries

Page 9 of 12
 CORRECT
REFERENCE DIFFICULTY LEVEL
OPTION

A positive FAST
Schwartz’s
is an indication for
Principles of Surgery
abdominal exploration in MODERATE
Eleventh Edition, Pg-
hemodynamically
202-207
unstable patients

Sabiston's Textbook
All of the above.
of Surgery 20th ed MODERATE
Chapter 37,Pg:
928,925,

Sabiston's Textbook
Radiation therapy to the
of Surgery 20th ed MODERATE
affected breast
Chapter 34,Pg: 853

Sabiston's Textbook
of Surgery
Basal cell carcinoma MODERATE
20th,Chapter 30
Pg:748

Page 10 of 12
 CORRECT
REFERENCE DIFFICULTY LEVEL
OPTION

Fifty percent of patients

will experience
Schwartz’s
improvement and
Principles of Surgery
resolution of HIGH
Eleventh Edition, Pg-
signs of NEC with
1727-1730
nonoperative
management

Lecture notes
All of the above Urology, Chapter 22, MODERATE
page246-249

Ipsilateral Textbook of Surgical

otalgia may be an early Oncology. Chapter 8, MODERATE
symtom Page 66-67

Page 11 of 12
 CORRECT
REFERENCE DIFFICULTY LEVEL
OPTION

Surgery, Cancer
Treatment.Volume
Peutz-Jeghers syndrome HIGH
39:4 April 2021,
Page-231

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