SHAHEED MOHATARMA BENAZIR BHUTTO MEDICAL UNIVERSITY

CHANDKA MEDICAL COLLEGE

FINAL PROFESSIONAL MBBS,PRE PROF TEST 2021

SURGERY
Dated: 13-12-2021 Seat No…………..
Time Allowed: 1:10 hours Maximum Marks. 50

01: The most common site of peripheral artery 05: Most important factor inhibiting the wound
aneurysm is? healing is:
A. Brachial A. Diabetes Mellitus
B. Radial B. Infection
C. Popliteal C. Ischemia
D. Tibial D. Vitamin C deficiency
E. Ulnar E. Zinc deficiency

02: which one of the following compartment is
most commonly affected in lowerleg compartment
syndrome?
A. Anterior compartment
B. Lateral compartment
C. Deep posterior compartment
D. Superficial posterior compartment
E. Medial compartment
03: In patients who have developed documented
episode of deep venous thrombosis (DVT), the
most significant long-term sequel will be?
A. Claudication.
B. Recurrent foot infections.
C. Development of stasis ulcer.
D. Pulmonary embolization.
E. Diminished arterial perfusion.
06: Regarding abnormal wound healing:
A. Hypertrophied scar and keloids are synonyms
B. Keloids are abnormal scars confined to the
borders of original scar.
C. Hypertrophied scars always extend beyond the
original wound margins.
D. Hypertrophied scar can be stopped or reversed
once the stimulatory phenomenon is over.
E. Keloid scars are reversible once the stimulatory
stimulus is over.
07: Neurogenic shock is characterized by?
A. Cool and moist peripheries.
B. Hot and moist peripheries.
C. Decreased resting tone of peripheral vessels.
D. Decreased cardiac output.
E. Decreased blood volume.

04: The fluid that passes through the lymphatic 08: A young male was driving his car when he
vessels? sustained head on collision with a truck: when
A. Flows toward the lungs received in the ER, he was in a state of shock &
B. Passes from the lymphatic vessels into the having difficulty in breathing but his airway was
arteries intact. His neck veins were distended. The most
C. Enters the left ventricle of the heart through the probable diagnosis is?
right thoracic duct A. Tension pneumothorax.
D. Moves in a single direction towards root of the B. Open pneumothorax.
neck C. Pericardial tamponade
E. Flows toward the kidneys D. Extradural bleeding.
E. Subdural hemorrhage
09: In a diagnosed case of gastric outlet E. Myopathy and eye signs
obstruction, the expected metabolic abnormality
15: Regarding papillary carcinoma of thyroid:
can be corrected by administration of?
A. Primary root of metastasis is haematogenous
A. Hypertonic saline or Glucose
B. Primary root of metastasis is local invasion
B. Normal saline with added potassium
C. Primary root of metastasis is through lymphatics
C. Plasma expanders
D. It has bad prognosis if compared with follicular
D. Ringers lactate/ Hartman solution
carcinoma
E. Total parenteral nutrition
E. Rate of recurrence is high if compared with
10: Which one of the following is metabolic follicular carcinoma
feature of starvation?
A. High plasma insulin concentration 16: Regarding medullary carcinoma of thyroid:
B. Low plasma glucagon concentration A. Tumor takes up radio-active iodine
C. Hepatic glycogenolysis B. No association with the other endocrine
D. Adaptive ketoacidosis abnormalities.
E. Increase in energy requirement C. No screening test is available.
D. Prophylactic surgery is recommended in RET
11: Which one of the following is indication of gene positive children.
parenteral nutrition? E. It is associated with low calcitonin level in
A. Proximal intestinal fistula blood.
B. Vesico-vaginal fistula
C. Recto vaginal fistula 17: Triple assessment of breast lump includes all
D. Fistula in ano except :
E. Thyroglossal fistula A. Clinical examination.
B. Fine needle aspiration cytology.
12: About the management of major trauma? C. Mammogram.
A. The peripheral circulation should be evaluated D. Trucut biopsy.
before the airway is assessed E. Chest X-ray.
B. The airway should always be assessed with the
cervical spine 18: Specific post parotidectomy complication
C. CT scanning is a useful investigation for the includes:
assessment of unexplained shock A. Wound infection.
D. A jaw thrust to maintain the airway is indicated B. Frey’s syndrome.
in the presence of a suspected cervical spine C. Hypertrophied scar.
injury D. Reactionary bleeding.
E. Venous access should usually be by two large E. Altered sensation in front of tragus.
cannulas in the antecubital fossae
19: Which of the following investigation does not
Q. No. 13: which of the following metabolic
has radiation hazard:
response occur in response to trauma?
A. CT scan
A. Increased growth hormone
B. X-ray
B. Decreased anti-diuretic hormone
C. IVP
C. Decreased ACTH
D. Thyroid scan
D. Decreased urine osmolality
E. MRI
E. Decreased glucagon
14: Thyrotoxicosis differs from hyperthyroidism 20: Advantage of full thickness over spilt thickness
due to presence of: skin graft is:
A. Tachycardia A. Less wound contraction
B. Palpitation B. better take
C. Weight loss despite good appetite C. more resistance to infection
D. Thyroid swelling D. Better sensory function
E. Can be done under general anesthesia E. Para umbilical

21: The most common cause of increased serum 27:20 years old woman has reducible hernia below
calcium level in hospitalized patient is: inguinal ligament. Which of the following is
A. Primary hyperparathyrodism appropriate management?
B. Immobilization A. Observation & follow-up in surgical clinic for 6
C. Malignancy months
D. Vitamin D excess B. Observation & follow-up in surgical clinic of she
E. Myeloma develop symptoms
C. Elective surgical repair
22: which one of the following problem can be D. Emergent surgical repair
encountered in obese patients undergoing surgery. E. Emergent surgical repair with exploration of
A. Deep venous thrombosis small bowel.
B. Obstruction & sepsis
C. poor wound healing 28:60 years old male with 02 years history of
D. Hypothermia passage of urine from umbilicus best signifies?
E. Risk of renal failure A. Acute umbilical infection
B. Chronic umbilical infection
23: The most common complication of single C. Patent urachus
blood transfusion is: D. Umbilical malignancy
A. Hemolytic reaction E. Vitelo intestinal fistula
B. Human immunodeficiency virus transmission
C. Allergic reaction 29:70 years old female with past history of open
D. Volume overloaded cholecystectomy followed by postoperative wound
E. Coagulopathy infection has developed expansile swelling near
operative site; Name most probable diagnosis?
24: The commonest complication of chronic A. Recurrent hernia
osteomyelitis is: B. Incisional hernia
A. Amyloidosis C. Abdominal hernia
B. Sinuses discharging pus or piece of bone D. Dorsal hernia
C. Acute exacerbation E. Spigellion hernia
D. Pathological fracture
E. Deformity 30:Identify the single operative choise suitable for
congenital hernia and hydrocele?
25: The breast cancer is more commonly found in A. Herniotomy
the region of: B. Hernioplasty
A. Axillary C. Lord’s operation
B. Central D. Jaboulay’s procedure
C. Lower inner quadrant E. Truss
D. Upper outer quadrant
E. Upper inner quadrant 31:35 years male presents with midline pea size
painful swelling with absent cough impulse; most
26:22 years college student notices buldge in right likely the diagnosis is?
groin, which is accentuated by coughing, but is A. Lipoma
easily reducible; which of the following hernia B. Abdominal wall haematoma
follows the path of spermatic cord with in C. Epigastric hernia
cremastric muscle? D. Deuodenal ulcer
A. Femoral E. Fibroma
B. Direct inguinal
C. Indirect inguinal
D. Spigellion
32:40 years female with strangulated femoral 37.Chylous ascites is condition in which ascitic
hernia needs to be operated in emergency. Best fluid appears white, which of the following
management approach option is? pathogenesis is associated with this condition?
A. Laparoscopic repair A. Fibroma
B. Inguinal / lotheissen B. Lymphoma
C. Low / lockwood C. Leukemia
D. High / Mcevedy D. Mesothelioma
E. Mesh repair E. Sarcoma

33:investigation of choice for oral cancers? 38: Which of the following investigations for
A. Radiography abdominal tuberculosis have accuracy of around
B. FNAC 100%.
C. Redioneucleotide studies A. Bowel wall thickness on U/S
D. CT B. Enteroclysis (Small bowel enema)
E. MRI C. C.T Scan Abdomen
D. Raised ESR more than 50 mm /1st hour
34: 25 years female C/O Abdominal pain, E. Polymerase chain reaction
vomiting, distention & absolute constipation since
5 days, O/E she has tachycardia, whole abdomen 39: The commonest underlying cause of acute
is rigid & tender,bowel sounds are absent. intestinal obstruction in Pakistan is:
What is probable diagnosis? A. Obstructed external hernia
A. Cholecystitis B. Intersscuception
B. Intestinal obstruction C. Volvulus
C. Pancreatitis D. Adhesions
D. Peritonitis E. Meckel `s diverticulum
E. Pyelonephritis
40: The commonest cause of acute upper
35: A 30 years old male presented with gradual gastrointestinal hemorrhage is :
distension of abdomen and weight loss. O/E A. Vascular malformation
abdomen is distended and fluid thrill is B. Mallory- Weiss tear
present ,peritoneal tape reveales exudative fluid. C. peptic ulcer
What is the most probable diagnosis. D. Oesophagealvarices
A. Cirrhosis E. Gastro duodenal erosion
B. Malnutrition
C. Nephrotic syndrome 41: Strawberry gall bladder is gross description
D. Congestive cardiac failure given to :
E. TB peritonitis A. Cholesterosis
B. Adenomyomatosis
36: Pseudomyxoma peritonei is a rare condition C. Porcelain gall bladder
in which abdomen Is filled with a yellow D. Acalculus cholecystitis
jelly like material. E. Gangrenous cholecystitis
The condition is mostly associated with mucinous
cystic tumors of which organ: 42: The commonest clinical feature of carcinoma
A. Ovary head of pancreas is:
B. Intestine A. Epigastric pain
C. Kidney B. Anorexia and malaise
D. Uterus C. Thrombophlebitis
E. Stomach D. Obstructive jaundice
E. Mass in the abdomen
43: A 30 year old woman comes with hypovolumic 48: Treatment of transitional cell carcinoma of the
shock after blunt trauma of abdomen .An renal pelvis is:
emergency USG of abdomen shows splenic tear. A. Excision of tumour
Which one of the following will be next step in B. Nephrectomy
management: C. Nephrouretectomy
A. CT scan of the abdomen D. Radiotherapy alone
B. Diagnostic lavage of peritoneum before E. Chemotherapy
proceeding
C. Monitor patient to assess for progression 49: The most common complication of hydatid
D. Immediate surgery cyst liver is:
E. Chest X ray A. Jaundice
B. Rupture into peritoneal cavity
44: A 70 years old man presents with 6 years C. Suppuration
history of pruritus ani,the itching and discomfort D. Rupture into billiary channels
has increased during last few months.There is E. Rupture into chest
neither rectal bleeding nor pain.Physical signs
suggest chronic dermatitis, and an irregular ulcer 50: Indication for permanent urinary diversion
on the left anal margin.what is the best next step includes all except:
in management : A. Carcinoma prostate
A. Wide local excision B. Loss of neurological control over bladder
B. steroid ointment C. Incurable vesico-vaginal fistula
C. Nitroglycerine ointment D. Extensive advanced pelvic malignancy
D. Internal sphinctrotomy E. After total cystectomy
E. Biopsy

45: Which of the following is most commonly is

associated with scelerosing cholangitis :
A. Crohn `s disease
B. Ulcerative colitis
C. Riedel thyroiditis
D. Sarcoidosis
E. Retroperitoneal fibrosis

46: Laparoscopic surgery :

A. Has very limited role in general surgery
B. Is unsafe because surgeon cannot touch the
structures being operated
C. Is associated with greater postoperative pain and
immobility
D. can only be used as part of an operation
E. Enables cholycystectomy to be performed as day
care procedure

47: The commonest cause of bladder stone is :

A. Upper urinary tract obstruction
B. Acute urethritis
C. Vesico ureteric reflux
D. urethral stricture
E. BPH