GENERAL SURGERY

(1st TERM MCQs)

1. major cause of death following road traffic injury?

a. Brain injury
b. Chest injury
c. Facial injury
d. Abdominal injury
2. Sinus disease is best seen in?
a. MRI
b. X ray
c. CT scan
d. Ultrasound
3. Primary hemorrhage is?
a. Bleeding on surgery table
b. Within 24 hours of surgery
c. With in 7 days of surgery
d. All hemorrhage is primary
4. Colle’s fracture is fracture of?
a. Ulna
b. Radius
c. Femur
d. Humerous
5. Drug given to reduce intracranial pressure – Mannitol
6. What is not true about keloids?
a. Extends from the injury
b. In dark colored people
c. Occurs in trunk and face
d. Is affected by broad spectrum antibiotics
7. Not a characteristic feature of septic shock?
a. Hypotension
b. Oliguria
c. Tachycardia
d. Alkalosis
8. Lucid interval is seen in?
a. Subarachnoid hemorrhage
b. Subdural hematoma
c. Extradural hematoma
d. Pontine hematoma
9. Fracture of which of the rib indicates severe fracture?
a. 1st
b. 4th
c. 4th
 d. 11th
10. After blood transfusion which of the following is not a complication?
a. Hypercalcemia
b. Hyperkalemia
c. Hypokalemia
d. Coagulopathy
11. Fresh frozen plasma is given in?
a. Volume replacement
b. Supplement
c. Vit K deficiency
d. Coagulation factor deficiency
12. Urgent reason for catheter?
a. Acute urinary retention
b. UTI
c. Urinary incontinence
d. Because they asked
13. 72-year-old male fell downstairs, arrives in hospital with GSC 10, blood in external auditory
meatus. 1st step of management will be?
a. Airway management and cervical spine stabilization
b. Document GCS to allow serial neuro…
c. Urgent brain CT
d. Portable radiographs to explore cervical spine injury
14. A child got a hot iron burn, very tender to touch with weeping blister. Degree of burn?
a. 1st
b. 2nd
c. 3rd
d. 4th
15. Composition of normal saline?
a. 135 mEq
b. 145 mEq
c. 148 mEq
d. 154 mEq
16. Increased administration of normal saline causes?
a. Met. Alkalosis
b. Met. Acidosis
c. Resp. alkalosis
d. Resp. acidosis
17. Increased risk factor of the conversion of nevus to malignant melanoma?
18. Common cause of decreased host resistance to infections?
a. Malnutrition
b. Heart failure
c. Cancer
d. All
19. World population affected with ascaris(roundworm)?
 a. 2%
b. 10%
c. 25%
d. 50%
20. After swelling most common diagnostic test?
a. X ray
b. CT scan
c. FNAC
d. Ultrasound
21. HBV vaccine most affective in which region
a. Deltoid
b. Quadriceps
c. Gluteal
d. All same
22. Punched out edge in whole ulcer?
a. TB
b. Rodent
c. Syphilitic
d. Malignant
23. Fluid/ka/%age of burn in 1st 24 hours?
a. 2-4 ml
b. 5-8 ml
c. 9-10 ml
d. >10 ml
24. Indication for hospital administration after head injury EXCEPT?
a. Fracture skull
b. Scalp bleed
c. CSF Rhinorrhea
d. Unconscious
25. Diagnostic of emphysema?
a. Infiltrate X ray
b. Consolidation
c. Palpable crepitus
d. Emphysematous lung
26. Bubble of thorax after abdominal injury?
a. Splenic rupture
b. Pancreatic injury
c. Liver
d. Diaphragmatic injury
27. Leading cause of death?
a. Thoracic trauma
b. Head injury
c. Brain injury
d. Abdominal injury
28. Which is not a sign of pneumothorax?
a. Trachea deviated
b. Bradycardia
c. ?
d. ?
29. LA causing Methemoglobinemia?
a. Cocaine
b. Procaine
c. Lidocaine
d. Prilocaine
30. Complication of posterior superior alveolar nerve block?
a. Facial palsy
b. Hematoma
c. Infections
31. LA with good surface activity and is non-toxic?
a. Lidocaine
b. Bupivacaine
c. Benzocaine
d. Procaine
32. Which of these in a tidy wound?
33. A person has non-progressive dysphagia towards liquid and not solid food, what is the
condition?
a. Ca esophagus
b. Achalasia cardia
34. A person has an ulcer on the tip of her nose for a year, it has rolled border?
a. SCC
b. BCC
c. MM
35. A child has swelling above the sternocleidomastoid on the lateral side of the neck?
a. Brachial cyst
36. Which carcinoma is most likely to metastasize early?
a. Rhabdomyosarcoma
b. Fibrosarcoma
c. Osteosarcoma