Sharad surgery all

  1. 1. Best method of diagnosiing acute appendicitis is:
    a. Barium meal b. History c. X-ray abdomen d. Physical examination
  2. 2. True regarding pott’s puffy “ tumor” is:
    • a. Frontal bone osteomyelitis with overlying soft tissue swelling
    • b. Swelling of ankle associated with pott’s fracture
    • c. Swelling associated with pott’s spine
    • d. Malignant tumor of scalp
  3. 3. Ramsdt’s operation is done for:
    • a. Annular pancreas b. Achalasia cardia
    • c.carcinma stomach d. Hypertrophic pyloric stenosis of infants
  4. 4. Projective vomiting and visible peristalsis in upper abdomen in the 1st month of life is most commonly due to:
    • a. Duodenal ileus b. Annular pancreas
    • c.Hypertrophic pyloric stenosis d. Malrotation of gut
  5. 5. In infancy pyloric stenosis should be treated with:
    a. Heller’s myotomy b. Medical treatment c. Ramstedt’s operation d. Gastrojejunostomy
  6. 6. Bilious vomiting is not seen in:
    • a. Pyloric stenosis b. Duodenal atresia
    • c.Volvulus of small intestine d. Jejunal atresia
  7. 7. A 26 year old infant presents with non-bilious projectile vomiting, constipation and rabbit like pellet stol. He has:
    a. Choledichal cyst b. Esophageal atresia c. Duodenal atresia d. Hypertrophic pyloric stenosis
  8. 8. False regarrding hypertrophic pyloric stenosis is:
    • a. X-ray abdomen shows gastric dilation and minimum air in small intestine
    • b. Usg is not helpful in diagnosis
    • c. Common in boys
    • d. Usually presents between 2-8 years
  9. 9. Hypertrophic Pyloric stenosis is ideally treated with:
    a. Ryle’s tube and fluids b. Wait and watch c. Pyloromyotomy d. Pyloroplasty
  10. 10. In which of the following conditions, triad of pain in abdomen , jaundice and melena is seen :
    a. Acute pancreatitis b. Hemobilia c. Gallbladdr carcinoma d. Acute cholecystitis
  11. 11. Not a feature of hemobilia :
    a. Jaundice b. Abdominal pain c. Gastrointestinal bleeding d. Fever
  12. 12. Hemobilia occurs most commonly due to:
    a. Cholengitis b. Gallstone c. Trauma d. Liver abscess
  13. 13. In 3rd degree piles, the treatment of choice is:
    a. Hemorrhoidectomy b. Cryosurgery c. Banding d. Injection treatment
  14. 14. Th etreatment of choice of 2nd degree piles is:
    a. Surgery b. Banding c. Cryosurgery d. Sclerotherapy
  15. 15. Most common cause of bleeding per rectum in men between 20-40 years of age is:
    a. Fissure in ano b. Internal heemorrhoids c. Rectal polyp d. Rectal carcinoma
  16. 16. Following hemorrhoidectomy th emost common complication is:
    a. Urinary retention b. Infection c. Hemorrhage d. Fecal impaction
  17. 17. False regarding hemorrhoids is:
    • a. They are arterriolar dilatations
    • b. They are common causes of painless bleeding
    • c. They cannot be palpated per rectally
    • d. Discharge, pain and anemia are other symptoms
  18. 18. A neonate presents with dribbling of saliva. The diagnosis is:
    • a. Choanal atresia b. Tracheoesophageal fistula
    • c.Duodenal atresia d. Esophageal atresia
  19. 19. A neonate regurgitates first and subsequent feeds. Diagnosis is:
    a. Presbyoesophagus b. Scleroderma c. hypertrophic pyloric stenosis d. Esophageal atresia
  20. 20. Which of the following is the most common type of congential atresia with tracheoesophageal fistula:
    • a. Both segment ends blindly
    • b. Both segment opening into trachea
    • c. Upper ssegment opening into trachea and lower end is blind
    • d. Lower segment opening into trachea and upper end is blind
  21. 21. In which of the following condition, nicoladoni’s of Branham’s sign is seen:
    • a. Arteriovenous fistula(AVF) b. Deep vein thrombosis
    • c.Raynaud’s diasease d. Buerger’s disease
  22. 22. Common cause of uniteral hypertrophy and local gigantism is:
    • a. Lipomatosis b. Bone tumor c. AV fistula d. Neurofibromatosis
    • 23. In which fo the following carcinoma of thyroid, lymphatic node metastasis is seen:
    • a. Anaplastic b. Follicular c. Medullar d. Papillary
  23. 24. In which of the following carcinoma of thyroid, lympatic involvement is common;
    a. Anaplastic b.Follicular c. Papillary d. Medullary
  24. 25. Most common carcinoma of thyroid is:
    a. Mdullary b. Anaplastic c. Follicular d. Papillary
  25. 26. In carcinoma of breast, a secondaries deposit is most common in:
    a. Bone b. Brain c. Liver d. Lung
  26. 27. In carcinoma breast , most common sit eof bony metastatis is:
    a. Sacral vertebra b. Lumber vertebra c. Thoratic vertebra d. Cervical vertebra
  27. 28. Not a feature of charcot’s triad:
    a. Vomiting b. Jaundice c. Fever d. Pain
  28. 29. In cholangitis the most common organism is:
    a. Streptococcus b. Clostridium c. Eschericha coli d. Entamoeba histolytica
  29. 30. Charcot’s triad is seen in :
    a. Gangrene of gallbladder b. Acute appendicitis c. Acute cholecystitis d. Cholangitis
  30. 31. Not seen in cholangitis:
    a. Septic shock b. Fever c. Jaundice d. Biliary colic
  31. 32. Potato tumor is a :
    a. Carotid body tumor b. Sternomastoid tumor c. cystic hygroma d. Brancial cyst
  32. 33. False regarding Meckel’s diverticulum is:
    • a. 60cm From the ileocecal valve b. Arise from mesenteric border
    • c.intussusception d. Bleeding
  33. 34. Most common somplication of Meckel’s diverticulum is:
    a. Intussusception b. Obstruction c. Bleeding d. Diverticulitis
  34. 35. Complication s of meckel’s diverticulum include:
    a. Intussusception b. Intestinal obstruction c. Hemorrhage d. All of the above
  35. 36. False regarding Meckel’s diverticulum is:
    • a. Always contains gastric tissue
    • b. True diverticulum
    • c. Antimesenteric border
    • d. Present in 2 % population
  36. 37. A 30 –year-old woman is accidentally found to have a wide mouthed Meckel’s diverticulum during laparotomy. Best method of treatment :
    • a. Diverticulectomy
    • b. Leave it alone
    • c. Resection of diverticulum with a short segment of ileum and anastomoses
    • d. Resection of diverticulum and stump is invaginated
  37. 38. In which of the following condition , theirsch operation is done:
    a. Incontinence b. Rectal prolapse c. hemorrhoids d. Fissure in ano
  38. 39. For which of the following condition, delorme’s operation is done;
    a. Rectal carcinoma b. Fissure in ano c. Fistula in ano d. Rectal prolapse
  39. 40. False about cystic hygroma is:
    • a. Aspiration contains cholesterol crystals b. Ruminant of 2nd brancial cleft
    • c.Brilliantly transucent d. Brilliantly transilluminant
  40. 41. cystic hygroma:
    • a. Manifests in 2nd -3rd decade b. Spontaneous regression
    • c. Excision of the cyst at an early age d. Should be left alone
  41. 42. Which of the following is brilliantly translucent:
    a. Seaceous cyst b. dErmoid cyst c. Cystic hygroma d. Branchial cyst
  42. 43. Cystic hygroma is a :
    a. Hemangioma b. Sebaceous gland tumor c. Meningioma d. Lymphangioma
  43. 44. After birth, th eearliest tumor to occur is:
    a. Lymphoma b. Branchial cyst c. Cystic hygroma d. Sternomastoid tumor
  44. 45. In mallory –weises syndrome where is the mucosal tear located;
    • a. Near gastric pylorus b. Gastroesophageal junction
    • c. upper end of esophagus d. Gastric antrum
  45. 46. False regarding mallory- weiss syndrome is:
    • a. Present with history of retching or vomiting
    • b. Alcohol is not a predisposing factor
    • c. Hematemesis is usually self limited
    • d. Nonpenetrating mucosal tear at gastroesophageal junction
  46. 47. Sengstaken tube must maintain a pressure of… mmHg above what was recrded before insertion, to stop bleeding from varices:
    a. 35 b. 45 c. 25 d. 20
  47. 48. In which of th efollowing conditon , sengstaken tube is used:
    a. Biliary cirrhosis b. Hepatic aneurysm c. Blunt trauma d. Bleeding varices
  48. 49. In blunt injury to abdomen, organ commonly involved is;
    a. Appendix b. Intestine c. Liver d. Spleen
  49. 50. Most common cause of a portal hypertension is situated at:
    a. Postthepatic b. Prehapatic c. Intrahepatic d. Equal in all of the above
  50. 51. Medical treatment of gallbladder stone is possible in;
    • a. nonfunctioning gallbladdr b. Radiopaque stones
    • c. Size of stone is <15 mm d. Calcium oxalate stones
  51. 52. Oral ursodeoxycholic acid therapy is ineffctive in dissolving which of the following type of stones:
    a. Radiopaque b.Sixe <15 mm c. Cholesterol or mixed d. Radiolucent gallstones
  52. 53. Medical treatment of gallstones is useful in all except:
    a. Functioning of gallbladder b. Size ,15 mm c. Pigmented stone d. Cholesterol stone
  53. 54. Pseudopolyposis is a feature of which of the following disease:
    a. Tuberculosis colitis b. Typhoid enteritis c. Chron’s disease d. ulcerative colitis
  54. 55. Sulphonamide is a feature of which of the following disease:
    a. Sulphacetamide b. Sulphasalazine c. Sulphamethizole d. Sulphadiazine
  55. 56. True regarding ulcerative colitis:
    • a. Rectum is almost always involved b. Fistulas are common
    • c. Skip lesions are seen d. String sign of kantor positive
  56. 57. Not a complication of ulceratve colitis:
    a. Sclerosing cholangitis b. Peptic ulcer c. Toxic megacolon d. Arthiritis
  57. 58. In which of the following condition, pyoderma gangrenosum is seen:
    a. Ischemic colitis b./ Ulcerative colitis c.Chron’s disease d. Amebic colitis
  58. 59. “signof emptying” is seen in:
    a. Salmon patch b. Port wine stain c. Plexiform angioma d. Strawberry angioma
  59. 60. Red discoloration on eyeld which disappears by one year is:
    • a. Venous hemangioma b. Strawberry hemangioma
    • c. Port wine stain d. Salmon patch
  60. 61. Tuft of hairs is seen in :
    a. Spina bifida b. Spina aperta c. Sacrococcygeal teratoma d. Meylomeningocele
  61. 62. Meningomyelocele most commonly occurs at:
    a. Skull b. Thoratic spine c. Lumbosacral spine d. Cervical spine
  62. 63. IN Hodgkin’s lymphoma, the malignant cell is:
    a. Recticulum cells b. Histocytes c. Lymphocytes d. Reed sternnerg cells
  63. 64. Most common site of enlargement of lymmph nodes in Hodkin’s lymphoma is:
    a. Abdominal b. Cevical c. Axillary d. Mediastinal
  64. 65. Most common presentation of Hodkin’s lymphoma is;
    a. Leukocytosis b. Fever c. Painless enlargement of lymph nodes d. Pruritus
  65. 66. Hodkin’s ;ymphoma with right sided neck nodes and left inguimal node without fever is of:
    a. Stage Ia b. Stage IIIa c. stage Iia d. Stage Iva
  66. 67. Not a type B symptom of Hodkin’s lymphoma:
    a. Pruritus b. Headache c. Weight loss d. Fever
  67. 68. In a patient with Hodkin’s lymphoma with unilateral lymph node involvement, treatment of choice is :
    a. Irradiation b. Single drug chemotherapy c. Neck dessection d. Radiotherapy plus chemotherapy
  68. 69. Worst prognosis Hodkin’s lymphoma is:
    • a. Lymphocyte depketed b. Mixed cellularity
    • c. Lymphocyte predominance d. Nodular sclerosis
  69. 70. In polycystic kidney cysts are seen in all of the following organs except:
    a. Pancreas b. Lungs c. Brain d. Liver
  70. 71. The treatment of choice in polycystic kidney;
    a. Nephrectomy b. Renal transplanation c. Dialysis d. Removal of cyst
  71. 72. Liver cyst in polycystic kidney occurs in:
    a. 10% b. 58% c. 18% d. 85%
  72. 73. In which of the following ‘spider leg’ appearance of calyces in intracenous urography is seen :
    a. Hydronephrosis b. Horse shoe kidney c. Congenital cystic kidneys d. Hypernephroma
  73. 74. Secondaries of which of the following does not cause osteolytic lesion:
    a. Thyroid b. prostate c. Breast d. Bronchus
  74. 75. In which of the following osteoblastic secondaries are seen:
    a. neuroblastoma b. Thyroid c. Breast d. Prostate
  75. 76. Heller’s operation is done in :
    a. carcinoma esophagus b. Peptic ulcer c. Achalasia cardia d. Pyloric stenosis
  76. 77. True regarding achalasia cardia is:
    a. Congenital dilatation b. Caused by scleroderma c. Sensory distrubance d. A motor distrubance
  77. 78. For achalasia cardia, the best investigation is:
    a. Esophagscopy b. Sccintigraphy c. Barium meal d. Manometry
  78. 79. False regarding achalasia cardia is:
    • a. X-ray finding of dilated wesophagus with a narrow end
    • b. Macholyl test is hyposensitive
    • c. Aspiration pneumonitis
    • d. dysphagia
  79. 80. Predisposing factor for testicular tumor is:
    a. Abdominal testis b. Chronic orchitis c. Torsion d. Trauma
  80. 81. In stage I seminoma, the treatment of choice is:
    a. Medical b. Surgical c. Chemotherapy d. Radiotherapy
  81. 82. From which of the following glomus tumor originates:
    a. Endoderm b. Mesoderm c. Neuroectoderm d. Ectoderm
  82. 83. False regarding glomus tumor is:
    • a. Regulation of temperature of skin b. Resection is curative
    • c. Distal extremity d. Mass
  83. 84. In renal cell carcinoma, which of the following endocrine manifestation may occur:
    • a. Peptic ulcer b. Renin related hypertension
    • c. Gynecomastia d. Cushing’s syndrome
  84. 85. Most common metastasis in renal cell carcinoma is to:
    a. Lung b. Bone c. Adrenal d. Liver
  85. 86. Solitary ‘Pulsatile’ bone secondaries are most likely from:
    • a.Carcinoma of breast b. Carcinom aof prostate
    • c. Carcinoma of kidney d. Carcinom aof adrenal
  86. 87. Not a feature of renal cell carcinoma:
    a. Renal vein thrombosis b. Hypertension c. Increased CEA d. Polythemia
  87. 88. Thyroglossal fistula develops due to which of the following :
    • a. Inflammatory disorder b. Incomplete removal of thyroglossla cyst
    • c. Injury d. Developmental anomaly
  88. 89. Sistrunk’s operation is done in:
    • a. Branchial fistula b. Thyroglossal cyst
    • c. Paratoid tumor d. Thyroiglossal fistula
  89. 90. Which of the following has close proximity to hyoid bone:
    • a. Enlarged sbmandibular lymph nodes b. Thyroglossal fistula
    • c. Aneurysm of carotid artery d. Brancial cyst
  90. 91. Medullary carcinoma of thyroid arises from:
    • a. Stroma of gland cell b. Capsule of thyroid
    • c. Parafollicular cells d. Cells lining the acini
  91. 92. Which of the following is the marker for medullary carcinoma of thyroid :
    a. Phosphorus b. Thyroxine c. Parathormone d. Calcitonin
  92. 93. False regarding varicocele:
    • a. Testicular veins involved b. More common on the right side
    • c. may be first feature of a renal tumor d. Feels like a bag of worms
  93. 94. Varococele is common in left tests. The reason of this is:
    • a. Compression of testicular vein by rectum
    • b. Left testis is lower situated
    • c. Left testicular veins drains into renal vein which has high pressure
    • d. Left testicuar vein drains int IVC which has high pressure
  94. 95. Most common malignant tumor of spleen is:
    a. Squamous cell carcinom a b. Adenocarcinoma c. Hemangioma d. Lymphoma
  95. 96. Which of the following is the most common tumor of spleen:
    a. Sarcoma b. secondaries from kidney c. Hemangioma d. Lymphoma
  96. 97. In which of the following condition Goodsall’s rule is used:
    a. Hernia b. Hemorrhoids c. Fistula in ano d. Rectal prolapse
  97. 98. All are false regarding diverticulitis of colon except:
    • a. Asymptomatic b. Treatment is only consarvative
    • c. Seen in >40 years of age d. Precancerous lesion
  98. 99.. Dumping syndrome is because of:
    • a. Reduced gastric capacity b. Vagotomy
    • c. Hypertonic content in small intestine d. Diarrhea
  99. 100. Strcture not excised in radicla neck dissection ;
    • a. Submandibular salivary gland b. Internal jugular vein
    • c. Vagus nerve d. Sternomastoid muscle
  100. 101. Structure not removed in classi radical neck dissextion:
    • a. Internal jugular vein b. Submandibular gland
    • c. Phrenic nerve d. Accessory nerve
  101. 102. Structure not saved in radical neck dissection is:
    a. Lower brachial plexus b. Vagus nerve c. Spinal accessory nerve d. Hypoglossal nerve
  102. 103. False regarding vertebral hemangioma is:
    • a. Usually found in 2-5% of population
    • b. Hyper-intense in T image in MRI
    • c. Usually associated with liver hemangioma and carcinoma
    • d. Usually asymptomatic
  103. 104. Toxic megacolon is seen in which of the following disease:
    a. Ulcerative colitis b. Carcinoma colon c. Carcinoid d. Gastrocolic fistula
  104. 105. Not a feature of esophageal rupture:
    a. Low blood pressure b. Bradycardia c. Fever d. Pain
  105. 106. In which of the following hydradenitis suppurativa occurs:
    a. Eccrine gland b. Sebaceous gland c. Apocrine gland d. Hair follicles
  106. 107. Not a feature of deep vein thrombosis in lower limb:
    a. Discoloration b. Claudication c. Tender calf muscle d. Swelling
  107. 108. In which of the following condition , malignant changes in testis occurs:
    a. Pyocele b. Hydrocele c. Trauma d. Crytorchidism
  108. 109. In which of the following condition, meconium ileus is seen ;
    • a. Hirschsprung’s disease b. Pyloric stenosis
    • c. Fibrocystic disease of pancreas d. Duodenal atresia
  109. 110. Most common site of lymphoma in GI tract is:
    a. Ileum b. Colon c. Duodenum d. Stomach
  110. 111. A parient with pituitary tumor, pheochromocytoma, and hyperthyroidism is most likely to have;
    • a. Follicular carcinoma thyroid
    • b. Papillary carcinoma thyroid
    • c. Medullary carcinoma thyroid
    • d. Anplastic carcinoma thyroid
  111. 112. MEN II is seen with which of the following thyroid carcinoma:
    a. Follicular b. Anaplastic c. Medullary d. Papillary
  112. 113. Not an indication for splenectomy:
    • a. primary splenic tumor b. Hereditary spherocytosis
    • c. Splenic abscess d. Autoimmune hemolytic anemia
  113. 114. not included in basic life support:
    • a. Intracardiac adrenaline b. Expiratory air ventilation
    • c. Cardiac massage d. Airway
  114. 115. Most common primary brain tumor is:
    • a. Pituitary adenoma b. Craniopharyngioma
    • c. Abdominoperineal resection d. Meningioma
  115. 116. A 70 year old male presented with carcinoma rectum 3cm From anal verge. Treatment of choice is :
    • a. Distal sigmoid colostomy b. Dysfunctional surgery
    • c. Abdominoperineal resection d. None of the above
  116. 117. In carcinoma of rectum 12cm from anal verge, the treatment of choice is:
    • a. Anterior resection b. Dysfunctional resection
    • c. Hartmann’s operation d. None of the above
  117. 118. Prognosis of carcinoma rectum is best assessed by:
    a. Site of tumor b. histological grading c. Size of tumor d. Duration of symptoms
  118. 119. Earliest symptom of carcinoma rectum:
    a. Pain b. Alteration of bowel habits c. Bleeding per rectum d. Tenesmus
  119. 120. Duhamel operation is done for which of the following condition;
    • a. Congenital pyloric stenosis b. Hiatus hernia
    • c. Achalasia cardia d. Hirschsprung’s disease
  120. 121. In Hischsprung’s disease, common aganglionic part is:
    a. Rectum b. Jejunum c. Ileum d. Duodenum
  121. 122. All are false ragarding Hischsprung’s disease except:
    • a. Regular ddilation effective b. Rectal biopsy is diagnostic
    • c. Presentation is within 3 days d. More common in females
  122. 123. Which of the following is the most common cause of parotid swelling :
    • a. Tuberculosis of aparatoid lymph nodes b. Warthin’s tumor
    • c. Muco epidemoid tumor d. Pleomorphic adenoma
  123. 124. Pleomorphic adenoma of parotid is treated with:
    • a. Total removal b. Deep lobe removal
    • c. Redical removal d. Hemi superficial parotidectomy
  124. 125. Parotid tumor which is most commonly seen :
    • a. Sarcoma b. Adenocystic carcinoma
    • c. Pleomorphic adenoma d. Adenocarcinoma
  125. 126. Pleomorphic ladenoma most commonly occurs at:
    • a. Minor salivary gland b. Sublingual gland
    • c. Submandibular gland d. Parotid gland
  126. 127. True regarding pleomorphic tumor is:
    • a. 80% of benign tumors are of pleomorphic origin
    • b. Treatment is enucleation
    • c. They are commonly associated with nerve involvement
    • d. Pleomorphic tumors over period of time give rise to warthin’s adenoma
  127. 128. A patient has swelling in parotid which pushes the tonsil medially. Histologically it is pleomorphic adenoma. This should be treated with:
    • a. Parotidectomy with leaving behind facial nerve and radical neck dissection
    • b. Total parotidectomy
    • c. Conservative parotidectomy
    • d. Superficial parotidectomy
  128. 129. False regarding pseudopancreatic cyst is:
    • a. Mostly present in head of pancreas b. Incresed serum amylase
    • c. Presents as abdominal mass d. Common after acute pancreatitis
  129. 130. In pdeudopancreatic cyst the treatment of choice is:
    a. Cystojejunostomy b. External drainage c. excision of cyst d. None of the above
  130. 131. False regarding pseudopancreatic cyst is:
    • a. Epigastric mass b. Increase amylase
    • c. Cystojejunostomy is the treatment of choice
    • d. Percutaneous aspiration is the treatment of choice
  131. 132. In pseudopancreatic cyst , collection of fluid occurs in :
    a. Hepato-renal pouch b. Greater sac c. Lesser sac d. Between intestinal loops
  132. 133. Pseudocyst of pancreas most commonly occurs after:
    • a. Pancreatic malignancy b. Pancreatic surgery
    • c. Acute pancreatitis d. Trauma
  133. 134. 5 cm umcomplicated pancreatic pseudocyst of 6 weeks duration should be managed by:
    a. Serial USG b. Internal drainage c. External drainage d. Removal with limited pancreatic resection and duct closure
  134. 135. A 65 year old man has recurrent thrombophlebitis in upper arm for the last 6 months. Most likely diagnosis is:
    a. Osteosarcoma b. Oral carcinoma c. Pancreatic carcinoma d. Prostatic carcinoma
  135. 136. IN which of the following carcinoma, migratory thrombophlebitis is seen:
    • a. Carcinoma of kidney b. Carcinoma of lung
    • c. Carcinoma of nasopharynx d. Carcinoma of liver
  136. 137. Cleft lip is due to nonfusion of:
    • a. Maxillary process with lateral nasal process
    • b. Maxillary process with medial nasal process
    • c. Maxillary process with mandibular process
    • d. All of the above
  137. 138. Cleft lip is due to nonfusion of:
    a. 2 years b. 12-18 months c. 6-8 months d. 3-6 months
  138. 139. Most common type of cleft lip is:
    • a. Unilateral (right sided) b. Unilateral ( left sided)
    • c. Bilateral d. Midline
  139. 140.Carcinoid tumor most commonly occurs at:
    a. Adrenal b. Bronchus c. Small intestine d. Appendix
  140. 141. Hamman’s sign is typically seen in:
    • a. Pneumomediastinum b. Pneumopericardium
    • c. Pneumothorax d. Subcutaneous emphysema
  141. 142.Most common site of carcinoma stomach is:
    a. GAstroesophageal junction b. CARdia c.Body d. Antrum
  142. 143. Carcinoma stomach is associated with which of the following blood group:
    a. A b. B c. AB d. O
  143. 144. False regarding carcinoma of stomach is:
    • a. Most common site for neoplasm is pre-pyloric region
    • b. Troisier’s sign present
    • c. Gastric carcinoma is common in people of blood Group O
    • d. Superficial spreading type has best prognosis
  144. 145.In which of the following condition, hyperbaric oxygen is used:
    a. Gangrene b. Anaerobic infection c. CO poisoning d. Ventilation failure
  145. 146. In subclavian steal syndrome, blood flow in vertebral artery is:
    a. Reversed b. Increased c. Decreased d. Not seen
  146. 147. Cutaneous malignancy which does not metastasize to lymphatics is:
    a. Kaposi sarcoma b. Melanoma c. basal cell carcinoma d. Squamous cell carcinoma
  147. 148. In basal cell carcinoma at inner canthus of eye, the treatment of choice is:
    • a. Surgery +Radiotherapy b. Chemotherapy
    • c. Radiotherapy d. Wide excision and reconstruction
  148. 149.Most common site of rodent ulcer is;
    a. Trunk b. abdomen c. Face d. Limbs
  149. 150.FNAC is not useful in which of the following thyroid carcinoma:
    a. Medullary b. Follicular c. Papillary d. Anasplastic
  150. 151. Ideal treatment of Hashimoto’s thyroiditis is:
    a. Subtotal thyroidectomy b. Steroids c. Thyroxine d. TSH
  151. 152. False regarding hashimoto’s thyroiditis is:
    • a. Autoimmune thyroiditis b. papillary carcinoma of thyroid
    • c. Hashimoto’s thyroiditis d. Agranulomaous thyroiditis
  152. 153. In which of the following condition, hurthle cells are seen:
    • a. Thyroimmune cyst b. papillary carcinoma of thyroid
    • c. Hashimoto’s thyroiditis d. Agranulomatous thyroiditis
  153. 154. Symptom most frequently seen in patients of primary biliary cirrhosis is:
    a. Gastrointestinal bleeding b. Jaundice c. Splenomegaly d. Pruritus
  154. 155. A chronic alcoholic has liver cirrhosis, presented with mass in liver, and raised AFP . most likely diagnosis is:
    • a. Secondary from carcinoma colon b. Hepatic adenoma
    • c. Hepatocellular carcinoma d. hepatocellular carcinoma
  155. 156. in which of the following condition, α fetoprotein is increased:
    • a. Cervix carcinoma b. Urinary bladder carcinoma
    • c. Lung carcinoma d. Hepatocellular carcinoma
  156. 157. Gallstone which is most commonly found is:
    a. Calcium oxalate b. Pure cholesterol c. Mixed stone d. Pigment stone
  157. 158. not a component of “saint’s” triad;
    a. Gallstones b. Renal stones c. Hiatus hernia d. Diverticulosis
  158. 159. Percentage of gallstones which are radiopaque:
    a. 10% b. 20% c. 30 % d. 50%
  159. 160. Fistula in ano is most commonly caused by:
    a. Anal gland infection b. Crohn’s disease c. Ulcerative colitis d. Tuberculosis
  160. 161. In fistula in ano, treatment of choice is:
    a. Fistulotomy b. fistulectomy c. Anal dilatation d. Fissurectomy
  161. 162. A patient presents with regurgitation of food which he ingested 3 days ago, foul smelling breath and intermittent dysphagia for solid foods. Most likely diagnosis is:
    • a. Pyloric stenosis b. Diabetic gastroparesis
    • c. Zenker’s diverticulum d. Achalasia cardia
  162. 163. All are false regarding Zenker’s diverticulum except;
    • a. It occurs in children b. Treatment is cricopharyngeal myotomy
    • c. Occurs in mid esophagus d. Asymptomatic
  163. 164. Which of the following is the best source of split skin graft:
    a. Xenograft b. Isograft c. Homograft d. Autograft
  164. 165. isograft is:
    • a. Transfer of tissue between monozygotic twins
    • b. Transfer of tissue between different species
    • c. Transfer of tissue between two individuals
    • d. Transfer of tissue between brothers
  165. 166.All are false regarding renal trauma except:
    • a. Renal artery aneurysm is common
    • b. Lumbar approach to kidney
    • c. Exploration of kidney to be done in all cases
    • d. Urgent IVP is indicated
  166. 167.True ragarding thiersch’s graft is:
    a. Pedcle graft b. Muscle flap c. Full thickness d. Partial thickness
  167. 168.In gastrojejunocolic fistula, diarrhea is due to:
    • a. Decreased absorption b. Blind loop syndrome
    • c. Peptic digestion of colonic mucosa d. Acid digestion of colonic mucosa
  168. 169. Treatment of paget’s disease of nipple is;
    • a. Chemotherapy b. Biopsy and simple mastectomy
    • c. Radical mastectomy d. Radiotheray
  169. 170. Not a mid line swelling in neck:
    a. Branchial cyst b. Ludwwig’s angina c. Sub hyoid bursitis d. Thyroglossal cyst
  170. 171.False about mannitol:
    • a. Sugar with high molecular weight b. Prevents ARF in shock
    • c. Used in crush syndrome d. Used in Obstructive jaundice surgeries
  171. 172. Not a feature of crush syndrome:
    • a. Dialysis may be life saving in uremia b. oligemic shock
    • c. Myoglobinemia d. Cardiac tamponade
  172. 173. Not a cause of choledochal cyst:
    • a. Due to both intrinsic defect and obstruction
    • b. Congenital anomaly of bite duct
    • c. Iinspissated bile
    • d. Pancreased- biliary anatomical anomaly
  173. 174.Choledochal cyst should be treated with:
    • a.Transplantation b. Excision of cyst of choledochocystojejunostomy
    • c. Cystojejunostomy d. Gastrojejunostomy
  174. 175.All are false regarding choledochal cyst except:
    • a. Best treatment is choledochocystojejunostomy
    • b. Jaundice is present
    • c. Usually asymptomatic
    • d. Usually suoraduodenal
  175. 176.Klatskin tumor is located at:
    • a. The junction of bile duct bb. Vater’s ampulla
    • c. Bile duct d. Junction of cystic duct and bile duct
  176. 177.In which of the following conditin, cullen’s sign is seen:
    • a. Blunt injury to abdomen b. Acute hemorrhagic pancreatitis
    • c. Acute appndicitis d. Acute cholecystitis
  177. 178.In multiple myeloma, hyponatremia is:
    a. Relative b. Pseudo c. True d. Absolute
  178. 179.Not a feature of vanBuchem’s disease:
    • a. Increased acid phosphate b. Facial palsy
    • c. Overgrowth d. Distortion of mandible
  179. 180.Thyroid carcinoma which has best prognosis is:
    a. Follicular b. Anaplastic c. Medullary d. Papillary
  180. 181.Characteristic feature of peyronie’s disease is:
    a. Unpredictable history b. Pain on erection c. Bend on erection d. All are true
  181. 182.Peyronie’s disease affects the:
    a. Breast b. Vagina c.Scrotum d. Penis
  182. 183. In bilateral adrenal hyerplasia, the treatmetn of choice is:
    a. Follow up b. Pitutary irradiation c. Bilateral adrenalectomy d. Unilateral adrenalectomy
  183. 184.McBurney’s point is siteuated at:
    • a. Umbilicus liver junction
    • b. Junction of lateral 1/3rd and medial 2/3rd line
    • c. Junction of lateral 2/3rd and medial 1/3rd line
    • d. Middle of right spino-umbilical line
  184. 185.True regarding cancrum oris is:
    • a. Pus accumulates in the floor of mouth b. Cheek carcinoma
    • c. Localized Gngrene of check d. Multiple oral ulceration
  185. 186.Content of Richter’s hernia is;
    a. Sigmoid colon b. Meckel’s diverticulum c. Bladder d.. Portion of intestine
  186. 187.In which of the following condition, very high level of alkaine phosphatase is seen;
    • a. Tuberculous liver b. Metastatic liver carcinoma
    • c. primary biliary cirrhosis d. All of the above
  187. 188.Most common site of anorectal abscess is:
    a. Perianal b. Pelvirectal c. Submucous d. Ischiorectal
  188. 189.True regarding decubitus ulcer is:
    a. Arterial ischemia b. Venous congestion c. Pressuree sores d. All of the above
  189. 190.Not seen in subacute thyroiditis:
    a. Fever b. Increased radioiodine uptake c. Increased ESR d. Pain
  190. 191.Not seen in de Quervain’s thyroiditis:
    a. Fever b. Increased radioiodine uptake c. Increased ESR d. Pain
  191. 192.Strangulation is most common with which hernia:
    a. Inguinal b. Epigastric c. Obturator d. Femoral
  192. 193.In hernia en-glissade , the most common content is:
    a. Omentum b.Urinary bladder c.Caecum d. Sigmoid colon
  193. 194.Most common hernia of abdominal wall is;
    a. Femoral b. Umbilical c. Inguinal d. Ventral
  194. 195.Not an indication for liver transplantation;
    a. Biliary atresia b. Alcoholic hepatitis c. Hepatocellular carcinoma d. Cirrhosis
  195. 196.In rectum most malignant polyp is;
    a. Pseudopolyps b. Juvenile polyp c. Tubular polyp d. Vilous adenoma
  196. 197.Carcinoma seen in anal canal is:
    • a. Basal cell carcinoma b. Transitional cell carcinoma
    • c. Squamous cell carcinoma d. Adenocarcinoma
  197. 198.Primary vesical calculus is seen with which of the following :
    a. Infected urine b. Sterile urine c. Alkain urine d. Acidic urine
  198. 199.Ranula is:
    • a. Retention cyst of sublingual gland
    • b. Retention cyst of submandibular gland
    • c. Extravasation cyst of sublingual glands
    • d. Extravasation cyst of submandibular glands
  199. 200.In which of the following, ranula lies:
    • a. Digastric triangle b. Supraclavicular region
    • c. Tip of tongue d. Floor of mouth
  200. 201.Charateristic feature of wound healing by secondary intention is:
    a. Soft line scar b. Hypertrophic scar c. Thick collagenous scar d. Wound gap
  201. 202.Lung abscess is most commonly caused by:
    • a.Trauma b. Direct spread of liver
    • c. Aspiration of infected material d. Hematogenous spread
  202. 203.Most common cause of surgical obstructive jaundice among the following is:
    • a. Chronic cholecystitis b. Liver carcinoma
    • c. Sclerosing cholangitis d. Common bile duct stone
  203. 204.Buccal mucosa carcinoma commonly drains to ehich of the following lymph node:
    a. Cervical b. Jugulodigastric c. Submandibular d. Supraclavicular
  204. 205.Secondaries first go to which of the following organ in carcinoma of buccal mucosa;
    a. Regional lymph nodes b. Lung c. Liver d. Brain
  205. 206.Cause of ureterocele is:
    • a. Congeital atresia of ureteric orifice
    • b. Ureters crossing behind the artery
    • c. Renal calculus
    • d. Congenital intramural malformation
  206. 207.False regarding horse shoe kidney is:
    • a. Horseshoe kidney isnot a contraindication to pregnancy
    • b. Urogram shows lower pole calyces on both sides being directed towards the midline
    • c. Associated with nephrolithiasis
    • d. Asymptomatic
  207. 208.Correct incidence of renal ectopia is:
    a. 1 in 800 b. 1 in 1000 c. 1 in 10,000 d. 1 in 1,00,000
  208. 209.Most common congenital anomaly seen in upper renal tract is:
    • a. Post-caval ureter b. Agencies of one of the kidneys
    • c. Duplication of renal kidney d. Ectopic kidney
  209. 210.’Flower vase’ appearance in IVP is seen in;
    a. Polycystic kidney disease b. Hydronephrosis c. Horseshoe kidney d. Ectopic kidney
  210. 211.Diverticulitis most commonly occurs at:
    a. Sigmoid colon b. Splenic flexure c. Ascending colon d. Descending colon
  211. 212.A 75 year old male presented with massive bleeding per rectum. Most likely diagnosis is:
    a. Rectal polyposis b. Hemorrhoids c. Diverticulosis d. Colon carcinoma
  212. 213.Most common site of branchia cyst is:
    • a. Lower 2/3rd of sternocleidomastoid b. Upper 2/3rd of sternocleidomastoid
    • c. lower 1/3rd of sternocleidomastoid d. Upper 1/3rd of sternocleidomastoid
  213. 214. In branchial cyst, the external opening is situated at;
    • a. Lateral pharyngeal wall b. Behind the tonsil
    • c. lower 2/3rd of neck d. upper 1/3rd of neck
  214. 215.False regarding esophageal carcinoma is;
    • a. Barrett’s esophagus predisposes to it
    • b. Tobacco abuse is a predisposing factor
    • c. Adenocarcinoma is the most common form worldwide
    • d. Commonly involves middle third
  215. 216. Esophageal carcinoma most commonly occurs at:
    a. Postcricoid region b. Lower third c. Middle third d. upper third
  216. 217. Gastrin levels are raised in:
    • a. Zollinger-Ellison syndrome b. Pernicious anemia
    • c. Gastric ulcer d. All of the above
  217. 218. Medical treatment of ZOllinger-Ellison syndrome is:
    a. Cimetidine b. Renitidine c. Famotidine d. Omeprazole
  218. 219. Zollinger-Ellison sundrome is caused by tumor of;
    • a. Non-beta islet cell tumors cells b. Beta cells
    • c. Alpha Cells d.. PP cells
  219. 220. Treatment of Zollinger-Ellison syndrome type II is:
    • a. Total gastroctomy with removal of tumor
    • b. Partial gastrectomy
    • c. Excision of tumor alone
    • d. H2 receptor antagonists
  220. 221.Diarrhea in Zollinger-Ellison syndrome is due to:
    • a. Secretion of large amounts of HCI b. Secretin
    • c. Pentagastrin d. Enterokinase
  221. 222. Not a charccteristic feature of Zollinger-Ellison syndrome :
    • a. Massive increase in HCI in response to histamine injection
    • b. Severe diarrhea
    • c. Recurrent duodenal ulcer
    • d. Multiple ulcers
  222. 223. In which of the following condition mustarde operation is done:
    a. Blepharoplasty b. Mentoplasty c. Otoplasty d. Rhinoplasty
  223. 224.In surgery of hand the “ No man’s land” is :
    • a. Wrist b. Between distal palmer crease and proximal interphalangeal joint
    • c. Distal phalanx d. Proximal phalanx
  224. 225.In which of the following anchovy sauce pus is seen ;
    • a. Pancreatic abscess b. Splenic abscess
    • c. Amebic liver abscess d. Splenic abscess
  225. 226. Amebic abscess ruptures most commonly into:
    a. Pleural cavity b. Peritoneal cavity c. Lumen of intestine d. Right lung
  226. 227. Not a feature of hypovolemic shock:
    a. Oliguria b. Bradycardia c. Hypotension d. Acidosis
  227. 228. Feature which is most specific for shock is;
    a. Serum LDH b. Oliguria c. Decreased blood pressure d. Tachycardia
  228. 229. Warthin’s tumor is:
    • a. Malignant neoplasm b. Rapidly growing
    • c. Gives a hot pertechnetate scan d. Cold pertechnetate scan
  229. 230. For warthin’s tumor is;
    a. chemotherapy b. Radiotherapy c. Excision d. Partial parotidectomy
  230. 231. In which of the following condition, Heller’s operation is done:
    a. Esophagus carcinoma b. Peptic ulcer c. Achalasia cardia d. Pyloric stenosis
  231. 232. Ainhum is construction ring appearing at;
    a. Base of the toe b. Base of the finger c. Base of thumb d. Ankle joint
  232. 233. A 65 year old man presents with bleeing on initiation of micturition . most likely diagnosis is:
    a. Bladder tumor b. Ureteric stone c. Urethral stone d. Benign prostone hypertrophy
  233. 234. Most common presenting symptom of carcinoma bladder is;
    a. Frequency of micturition b. Hesitancy c. Hematuria d. Dysuria
  234. 235. X-ray should be taken in which of the following position, to know the position of opening in a congenital anorectal malformation:
    a. Supine b. Upside down c. Anti-trendelenburg d. Trendelenburg
  235. 236. Invertogram should be done …. Hours after birth:
    a. 6 b.4 c. 5 d. 1
  236. 237. prognosis depends upon which of the following, in soft tissue sarcoma:
    • a. Therapeutic embolization b. Chemotherapy
    • c. Radiotherapy d. Wide excision
  237. 238.Soft tissue sarcoma is ideally treated with:
    a. Therapeutic embolization b. Chemotherapy c. Radiotherapy d. Wide excision
  238. 239. For gallstone, the investigation of choice is:
    a. Cholecystography b. Plain X-ray c. CT scan d. Ultrasonography
  239. 240.Most common cause of amebic lung abscess is;
    • a. Hematologic spread b. Aspiration of infected material
    • c. Rupture of pericardial abscess d. Extension from liver abscess
  240. 241.Gallbladder fistula is seen with:
    a. Stomach b. Colon c. Jejunum d. Duodenum
  241. 242.Not a tumor marker :
    • a. Alpha fetoprotein b. Carcinoembryonic antigen
    • c. HPL d. Human chorinic gonadotropin
  242. 243.most common cause of blood discharge from nipple is:
    • a. Fibroadenoma b. Fibro-adenoma c. Ductal papiloma d. Ductul carcinoma
    • 244.In which of the following condition, bleeding dischage of nipple is seen;
    • a. Cystosarcoma phylloides b.chronic cystic mastitis
    • c. Duct carcinoma d. Intraductal papilloma
  243. 245.Greenish discharge from nipple indicate;
    a. Carcinoma b. Duct papilloma c. Duct carcinoma d. Fibroadenosis
  244. 246.Carcinoma of breast which has best prognosis is:
    • a. Mastitis carcinomatosa b. Medullary carcinoma
    • c. Infiltrating lobular d. Adenoid cyst
  245. 247.In flail chest with altered results of blood gas analysis, the treatment of choice is:
    • a. Trendelenburg’s position b. Towel clip operation
    • c. Tracheostomy d. IPPR
  246. 248.Which of the Following is the most direct complication of splenectomy:
    a. Anemia b. Agranulocytosis c. Lymphoma d. Hemorrhage
  247. 249.Characteristic feature of tuberculosis pyelonephritis is;
    • a. Alkaline pyuria with organism
    • b. Alkaline sterile pyuria
    • c. Acidic pyuria with organisms
    • d. Acid sterile pyuria
  248. 250.Staghorn calculate is made up of:
    a. Oxalate b. Phosphate c. Uric acid d. Cysteine
  249. 251.In which of the following condition, Rovsing’s sign is positive:
    a. Acute cholecystitis b. Pancreatitis c. Acute appendicitis d. None of the above
  250. 252.Nevus with malignant potential is:
    a. Intradermal nevus b. Junctional nevus c. Dermal nevus d. Compound nevus
  251. 253.In which of the following carcinoma of thyroid ‘psammoma bodies’ are seen:
    a. Follicular b. Medullary c. Papillary d. Hashimoto’s thyroiditis
  252. 254.Splenectomy is not done in :
    • a. Thalassemia major b. Hereditary spherocytosis
    • c. Sickle cell anemia d. Chronic ITP
  253. 255.Treatment of nonremitting acute cholecystitis is :
    • a. Antibiotics b. IV vancomycin
    • c. Cholecystectomy with common bile duct exploration d. Observation
  254. 256.Not a complication of total thyroidectomy :
    • a. Hypercalcemia b. Hoarseness of voice
    • c. Hemorrhage d. Hypocalcemia
  255. 257.Most common route of infection in kidney tuberculosis is:
    a. Direct invasion b. Lymphatic spread c. Hematogenous spread d. Ascending spread
  256. 258.In renal tuberculosis, earliest manifestation is:
    a. Mass b. Pyuria c. Painless hematuria d. Frequency
  257. 259.Solitary nodule in thyroid is most commonly caused by:
    a. Hashimoto’s thyroiditis b. adenoma c. Carcinoma d. Adenomatous goiter
  258. 260.Solitary nodule in thyroid is most commonly seen in:
    • a. Hurthle cell tumor b. Follicular carcinoma
    • c. Follicular adenoma d. Papillary carcinoma
  259. 261.A young woman with solitary toxic thyroid nodule should be treated with:
    a. Iodine salt b. Surgery c. Radioiodine d. Anti-thyroid drug
  260. 262.In acute cholescystitis diagnostic method of choice is:
    • a. Operative Cholangiography b. Radionuclide scan
    • c. ERCP d. Oral cholescystography
  261. 263.Cause of pyogenic liver abscess is:
    a. Septicemia b. Trauma c. Hematogenous d. Ascending infection
  262. 264.Pyogenic liver abscess is most commonly cause by:
    a. hematogenous b. Latrogenic c. Ascending cholengitis d. Crytogenic
  263. 265.In villious adenoma of rectum which of the following is seen :
    a. Hyperkalemia b. Hypokalemia c. Hypochloremic alkalosis d. Hyponatremia
  264. 266.Not seen in villous adenoma:
    a. Bleeding b. Profuse watery diarrhea c. Hypoproteinemia d. Hyperkalemia
  265. 267.Which of the following is true regarding branchial fistula;
    • a. It opens near tonsil b. Excision by single transverse incision
    • c. Midline in position d. Third cleft defect
  266. 268.A neonate presented with scaphoid abdomen and respiratory distress. The diagnosis is:
    • a. Wilms; tumor b. Volvulus neonatorum
    • c. Diaphragmatic hernia d. Congenitaal pyloric stenosis
  267. 269.All are false regarding diaphragmatic hernia except:
    • a. Early vomiting b. Chest X-ray is not diagnostic
    • c. Pulmonary hypoplasia is seen d. More common in right side
    • 270.A 9 year old infant presented with features of intestinal obstruction. On barium enema, the diagnosis was confirmed to be intussusceptions. Most likely cause is:
    • a. Lipoma b. Mucosal polyp c. Hypertrophic peyer’s patch d. Meckel’s diverticulum
  268. 271. Intussusception is most commonly of… type:
    a. Ileo- ileo- colic b. Colocolic c. Ileoileal d. Ileocolic
  269. 272.Most common cause of nonhealing ulcer over medial malleolus is:
    a. Buerger’s disease b. Venous stasis c. Tropical ulcer d. Diabetes
  270. 273.Most common site of venous ulcer is:
    a. Toes b. Instep of foot b. lower 2/3rd of leg d. lower 1/3rd of leg and ankle
  271. 274. Burns involving head, face, and trunk constitutes how much percentage:
    a. 45% b. 55% c. 60% d. 65%
  272. 275.Calculate the burn involving front of chest and abdomen :
    a. 36.5% b. 18% c. 27% d.50%
  273. 276.Burn of head and neck accounts for… in adult;
    a. 11% b. 18% c. 09% d. 13.5%
  274. 277. Rule of nine to estimate surface area of a burnt patient was introduced by:
    a. Mortiz Kaposi b. Alexander Wallace c. Joseph Lister d. Thomas Barclay
  275. 278.Most common primary liver tumor among the following is:
    a. Neurofibroma b. Hemangioma c. Lipoma d. Hamrtoma
  276. 279.Spread through blood does not occur in:
    • a. Renal cell carcinoma b. Hepatocellular carcinoma
    • c. Osteosarcoma d. Medullary carcinoma of thyroid
  277. 280.Metastasis to bone is not seen in:
    • a. Cystosarcoma phylloides b. Bronchogenic carcinoma
    • c. Thyroid carcinoma d. Breast carcinoma
  278. 281.In which of the following carcinoma bone metastasis is not common:
    a. Prostate b. Testis c. Breast d. Lung
  279. 282.Covering over an omphalocele is:
    a. Skin b. Amniotic membrane c. Chorionic membrane d. None
  280. 283. All are false regarding umbilical hernia (omphalocele major) except:
    • a. Incidence is 1:4000 b. Occurs due to failure of part of midgut to return to the coelom
    • c. Spontaneous closure is seen d. Common in premature births
  281. 284.Most common pancreatic malignancy is:
    • a. Squamous cell carcinoma b. Adenosquamous carcinoma
    • c. Insulinoma d. Ductal adenocarcinoma
  282. 285.Tmoxifen is used in treatment of carcinoma of:
    a. Breast b. Lung c. Prostate d. Testis
  283. 286.CAsoni’s intradermal test is positive in … % of cases of hydatid disease:
    a. 75 b. 25 c. 50 d. 85
  284. 287.In children most common bladder tumor is:
    a. Rhabdomyosarcoma b. Hemangioma c. Adenoma d. Papilloma
  285. 288.Most common malignancy of oral cavity is:
    • a. Columnar cell carcinoma b. Transitional cell carcinoma
    • c. Squamous cell carcinoma d.Adenocarcinoma
  286. 289.Malignant transformation is most common in;
    a. postbulbar ulcer b. Stromal ulcer c. Gastric ulcer d. Chronic duodenal ulcer
  287. 290.In hemolytic anemia, gallstones are;
    a. Oxalate stone b. Mixed stone c. Cholesterol stone d. Pigment stone
  288. 291.In keloid, best treatment is;
    • a. Wide excision b. Wide excision and radiotherapy
    • c. Intralesional steroid d. Intralesional excision
  289. 292.True regarding keloid is;
    • a. Common in old people b. Continues to get worse even after 1 year
    • c. Appears few days after surgery d. Appears immediately after surgery
  290. 293. What percent of patients with perforated peptic ulcer will show free gas under the diaphragm;
    a. 100 b. 70 c. 50 d. 90
  291. 294.In peptic ulcer perforation the investigation of choice is;
    a. Ct scan b. Ultrasonography c. X-ray abdomen d. Paracentesis
  292. 295. not a treatment modality of carcinoma prostate:
    a. Flutamide b. Leuprolide c. Bicalutamide d. Somatostain analogue
  293. 296.patients with neurofibromatosis are not prone to;
    a. Meningioma b. Schwannoma c. Retinoblastoma d. Gliomas
  294. 297.Sigmoidoscope finding in acute diverticulitis of colon is:
    • a. Sigmoidoscope cannot pass beyond 15cm b. Saw-tooth appearance
    • c. Minute diverticula are seen d. Mucosa is inflamed
  295. 298.Thyroglossal cyst is most common at:
    • a. Floor of mouth b. Beneath the foramen caecum
    • c. Suphyoid d. Suprahyoid
  296. 299.Swelling which moves the movement of tongue is…. Cyst;
    • a. Branchial cyst b. Thyroglossal cyst
    • c. Dermoid cyst d. Thyroid cyst
  297. 300. In which of the following disease, rhagades is seen ;
    • a. Congenital syphilis b. Toxoplasmosis
    • c. Herpes simplex d. Secondary syphilis
  298. 301. In which of the following condition, infant has dome shaped skull with high forehead and “Olympian brow”:
    a. Arnoid-chiari syndrome b. Rickets c. Congenital syphilis d. Marasmus
  299. 302.Moon’s molar is seen in:
    a. Syphilis b. Leprosy c. Amyloidosis d. Actinomycosis
  300. 303. Secondaries in neck with no obvious primary malignancy are most often due to carcinoma of:
    a. Thyroid b. Nasopharynx c. Larynx d. Stomach
  301. 304.Gasless abdomen in X-ray is a sign of:
    a. Gastroentritis b. Normal finding c. Pancreatitis d. All of the above
  302. 305. Association of carcinom agallbladder with gallstones is about:
    a. 50% b. 70% c. 90% d. 20%
  303. 306. Earliest manifestation of upper limb ischemia is:
    a. Rest pain b. Gangrene of fingers c. Caludication d. Pain in the passive hyperextension of finger
  304. 307.Furnier’s gangrene occurs in the :
    a. Toes b. Scrotum c. Fingers d. Muscles
  305. 308. Paget’s disease of nipple should be treated with:
    a. Irradiation b. Mastectomy c. 5 FU d. Antibiotic cream
  306. 309.Definitive operation for transposition of great vessels was:
    • a. Rashkind procedure b. Mustard’s procedure
    • c. Aortic pulmonary window d. Tausig blalock procedure
  307. 310.Not a feature of bulbar urethra injury :
    a. Fracture of pelvic b. Retention of urine c. Urethral hemorrhage d. Perineal hemantoma
  308. 311. Deficiency of which of the following element is not seen with hyperalimentation :
    a. Magnesium b. Potassium c. Calcium d. Phosphate
  309. 312.Tietze’s syndrome usually develops at which of the following costal cartilage:
    a. 2nd b. 6th c. 8th d. 4th
  310. 313.Virchow’s ;ymph nodes are:
    a. mediastinal b. Axillary c. right supraclavicular d. Left supraclavicular
  311. 314. In which of the following condition, “ strawberry gallbladdr” is seen:
    a. Cholesterolosis b. Adenomyomatosis c. Porcelain gallbladder d. Gangrene of gallbladdr
  312. 315. Brust abdomen most commonly occurs on the:
    a. 2nd day b. 5th day c. 7th day d. 9th day
  313. 316. Milroy’s disease is:
    • a. Edema due to filariasis b. Postcellulitis lymphedema
    • c. Congenital lymphedema d. Lymphedema following surgery
  314. 317.Nerve commonly affected by plexiform neurofibromatosis is:
    a. Glossopharyngeal b. Peripheral c. Trigeminal d. Facial
  315. 318. False regarding plummer-vinson syndrome is:
    • a. Webs are common in lower esophagus
    • b. Common in iron deficiency anemia
    • c. Esophagus is involved
    • d. Increased tendency to postcricoid cancer
  316. 319.Most common site of tongue carcinoma is:
    • a. Posterior 1/3rd b. Tip
    • c. Lateral border of anterior 2/3rrd d. Dorsal border of anterior 2/3rd
  317. 320.In sarcoidosis th edrug of choice is:
    a. Cyclosporine b. Presnisolone c. Methotrexate d. Cyclophosphamide
  318. 321. In silent gallbladder stones the treatment of choice is:
    a. Lithotripsy b. Observation c. Chenodeoxycholic acid d. Cholecystectomy
  319. 322.A 25- year old man nandu presented with a mass in right iliac fossa. Laparotomy revealed a carcinoid of 2.5 cm diameterr. Next step in management should be:
    a. Appebdectomy b. Segmental resection c. Right hamicolectomy d. Yearly 5 HIAA
  320. 323.Surgery for carcinoid of appendix less than 2 cm not involving the lymph nodes or cecal wall:
    • a. Right hemicolectomy b. Appendicetomy
    • c. Limited resection of right colon d. Right hemicolectomy with 6 inches of the nodes or ileum also
  321. 324. Treatment of choice for a patient with appendicular carcinoid of 2.5 cm is:
    • a. a. Right hemicolectomy b. Appendectomy with yearly CT scan
    • c. Appendectomy with 24 hours urinary HIAA d. Appendectomy
  322. 325. Most common site of calculus formation in salivary gland is:
    a. Palatal gland b. Sublingual gland c. Submandibular gland d. parotid gland
  323. 326. Submandibular salivary gland duct calculi should be treated with:
    • a. Excision of gland and duct b. Opening the duct and removal of calculus
    • c. Opening the duct at frenulum d. Excision of submandibular gland
  324. 327. Splenectomy should be done in:
    • a. Hereditary spherocytosis b. Megaloblastic anemia
    • c. Sickle cell anemia d. Typhoid
  325. 328. Most common site for splenunculi is:
    a. Greater omentum b. Lesser omentum c.Hilum d. Tail of pancreas
  326. 329. In a patient fracture of 10-12th ribs, the cause of hypotension is:
    a.Intercostal artery damage b. Aortic damage c. pulmonary contusion d. Abdominal viscera injury
  327. 330. Not a radiological sign of splenic rupture :
    • a. Elecated left dome of diaphragm b. Obliterration of splenic shadow
    • c. Obliteration of psoas shadow d. Upper rib fracture
  328. 331. False regarding malignant melanoma is:
    • a. Most common type is superficial spreading melanoma
    • b. Stage IIB has satellite deposits
    • c. Acral –lentiginous melanoma has good prognosis
    • d. Lentigo maliga melanoma is least common
  329. 332. Which of the following is the most severe from of malignant melanoma:
    • a. Those in choroid b. Those arising in lower limb
    • c. Nodular infiltrating type d. Superficially spreading
  330. 333. Not used in graduation of coma in Glasgow coma scale:
    a. Bladder function b. Verbal response c. Motor response d. Eye opening
  331. 334. Which of the following is not removed in radical neck dissection:
    • a. Inferior phrenic nerve b. Submandibular gland
    • c. Internal jugular d. Sternocleiddomastoid muscle
  332. 335. A 20 year old man has pain in eopigastrium radiating to the back for 7 hours with nausea and vomiting . he has been to a party on the previous night with similar episodes previously . most likely diagnosis is:
    • a. Acute diverticulitis b. Acute pancreatitis
    • c. Acute appendicitis d. Acute cholecystitis
  333. 336. postsplenectomy infection is most commonly caused by:
    • a. Staphylococcus aureus b. Pseudimonas
    • c. Streptococcus pyogenes d. Streptococcus pneumonia
  334. 337. A 30 year old farmer who is a chronic smoker develops gangrene of foot. Most common cause of this is:
    • a. MI b. Thromboangitis obliterans
    • c. Atherosclerosis d. Raynaud’s disease
  335. 338.Which of the following is spared in radical mastectomy:
    • a. Supraclavicular lymph node b. Axillary lymph nodes
    • c. Pectoralis major d. Pectoralis minor
  336. 339. False regarding cholelithiasis is:
    • a. USG is useful in diagnosis
    • b. Mixed stones account for 90% of all gallstones
    • c. Common in male aged between 30-50 years
    • d. Cause carcinoma gallbladder
  337. 340. Not a cause of cholanglocarcinoma ;
    • a. Primary sclerosing cholangitis b. Ulcerative colitis
    • c. Clonorchis sinesis d. Common bile duct stone
  338. 341. Most common type of gallstone is;
    a. Combined b. Mixed c. Pure cholesterol d. Pigment
  339. 342.ureterosignoidostomy leads to which of the following condition:
    • a. Hyperchloremic alkalosis b. Metabolic acidosis
    • c. Hypochloremic acidosis d. Hyperchloremic acidosis
  340. 343. Biochemicla change not associated with urinary diversion:
    a. Hypochloremia b. Acidosis c. Uremia d. Hypokalemia
  341. 344. Varicose veins are most commonly seen in:
    • a. Obturator vein b. Innominate vein
    • c. Long saphenous veins d. .Facial vein
  342. 345.Epulis arises from:
    a. Mucous membrane b. Gums c. Enamel d. Root of teeth
  343. 346. kaposi’s sarcoma is seen in:
    a. Leukemia b. Lymphoma c. AIDS d. Cytomegalovirus infections
  344. 347. Budd-chiari syndrome can be caused by:
    a. Thrombosis of hepatic veins b. Polycythemia c. Drinking herbal tea d. All of the above
  345. 348. Budd-chiari syndrome the occlusion is at the:
    a. IVC b. Renal vein c. Hepatic vein d. Splenic vein
  346. 349. In neonates, most common cause of acute intestinal obstruction is:
    a. Volvulus of midgut b. Acute intussuscception c. Jejunal atresia d. Duodenal atresia
  347. 350.Most common site of metastasis of Wilm’s tumor is:
    a. Brain b. Lung c. Bones d. Liver
  348. 351. All are false regarding Wilm’s tumor except:
    • a. Unilateral is common b. Very commonly metastasis to liver
    • c. Bone metastasis d. Worst prognosis among infants
  349. 352.Good prognosis in wilms’ tumor is seen in:
    a. 2-5 years b. <1 year c. Male child d. Female child
  350. 353.Triad of Wilms’ tumor does not include:
    a. Gematuria b. Mass abdomen c. Pain d. Fever
  351. 354.False regarding Wilm’s tumor:
    • a. Preoperative use of actinomycin D b. postoperative radiotherapy
    • c. Good prognosis in infants d. Neuroblastoma is the most common differential diagnosis
  352. 355. Which among the following is the most common tumor of posterior cranial fossa:
    a. Oligodebdroglioma b. Meningioma c. Medulloblastoma d. Glioma
  353. 356.Which of the following should be done in a patient of pelvis fracture with perineal hematoma and inability to pass urine:
    • a. Rectal examination b. Intraurethral catheterization
    • c. IVP d. IV fluid
  354. 357. Hemangioma which resolves spontaneously is:
    a. Plexiform angioma b. Cavernous angioma c. port wine stain d. Strawberry angioma
  355. 358. Most common site of primary of Krukenberg’s tumor is:
    a. Breast b. Colon c. Stomach d. Small intestine
  356. 359. Acanthosis nigricans is commonly seen in:
    a. Carcinoma breast b. Carcinoma thyroid c. Carcinoma stomach d. Carcinoma cervix
  357. 360.Ischemic colitis most commonly occurs at:
    a. Anterior flexure b. Transverse flexure c. Splenic flexure d. Hepatic flexure
  358. 361. “Thumb printing” sign is seen in:
    a.ulcerative colitis b. Ischemic colitis c. Crohn’s disease d. Toxic megacolon
  359. 362. Which is a non- absorbable a suture:
    a. polypropylene b. Catgut c. Vicryl d. Collagen
  360. 363. In vascular surgery the suture used is:
    a./ Dexon b. Polypropylene c. Catgut d. Vicryl
  361. 364. “skip lesion” is seen in which of the following condition;
    a. Crohn’s disease b. Ulcerative colitis c. Hodgkin’s disease d. Sarcoidosis
  362. 365. In which of the following condition, “string” sign of kantor is seen:
    • a. Carcinoid syndrome b. Regional ileitis(enteritis)
    • c. Ulcerative colitis d. Ileocecal tuberculosis
  363. 366. “Thimble bladder” is seen in :
    a. Acute tuberculosis b. Schistosomiasis c. Neurogenic bladder d. Chronic tuberculosis
  364. 367.In which of the following condition, calcificatin of prostate is seen :
    a. Alkatonuria b. Osteogenesis imperfecta c. Maple syrup urine disease d. Phenylketonuria
  365. 368.In which of the following condition,”motheaten alopecia” is seen:
    a. Cylindroma b. Fungal infection c. Syphilis d. Leprosy
  366. 369.EBV infection is usually associated with all of the following diseases except:
    • a. Burkitt’s lmphoma b. Nasopharyngeal carcinoma
    • c. T-cell lymphoma d. infectious mononucleosis
  367. 370.Not a cause of hypophosphatemic syndrome :
    a. Metabolic alkalosis b. Respiratory insufficiency c. Cardiomyopathy d. Rhabdomyolysis
  368. 371. Dentigerous cyst arises from:
    • a. An unerupted tooth b. Apex of an infected tooth
    • c. Nasopalatine cysts d. Solitary bone cyst
  369. 372. Most common form of actinomycosis is:
    a. Faciocervical b. Thoracic c. Right iliac fossa d. Liver
  370. 373. The period duct is also known as:
    a. Wharton’s duct b. Stensen’s duct c. Duct of Santorini d. Duct of Wirsung
  371. 374. Not a feature of emphysematous cholecystitis:
    • a. Clostridium welchii is the infecting organism
    • b. Elderly male patients
    • c. Diabetic patients
    • d. Good prognosis
  372. 375. Rectal polyps most commonly presents as:
    a. Changes into malignancy b. Infection c. Bleeding d. Obstruction
  373. 376. In children most common cause of fresh blood in stools is:
    a. Carcinoma colon b. Intussusception c. Rectal polyp d. Ulcerative colitis
  374. 377. Extradural hemorrhage is managed with:
    a. Observation b. Antibiotics c. Evacuation after 24 hours d. Immediate evacuation
  375. 378.In which of the following condition, immediate surgery is indicated:
    a. Brain laceration b. Intracerebral c. Extradural d. Subdural
  376. 379.After head injury a patient becomes temporarily unconscious, regains consciousness and then passes into deep coma. Most probable diagnosis is:
    a. Fracture of skill base b. intracerebral hemorrhage c. Extradural hemorrhage d. Subdural hemorrhage
  377. 380. Tamoxifen is used for which of the following breast cancer:
    • a. Presence of bone metastasis b. Presence of lymph node
    • c. Estrogen receptor positive tumor d. Premenopausal women
  378. 381. Most common intraabdominal tumor in children under 2 years of age is:
    a. Lymphoma b. Hepatoblastoma c. Neuroblastoma d. Wilms’ tumor
  379. 382. In which of the following condition, Blalock-Tausing shunt is used:
    a. VSD b. PDA c. TOF d. TAPVC
  380. 383. Uncinate epilepsy is seen in tumors of…lobe:
    a. Occipital b. Temporal c. Parietal d. Frontal
  381. 384. In which of the following condition, rectal examination should not be done:
    a. Anal stenosis b. Prolapsed piles with bleeding c. Fistula in ano d. Anal fissure
  382. 385. In which of the following condition,intractable peptic ulceration wit renal stones is seen :
    • a. MEN I syndrome b. Milk alkali syndrome
    • c. Parathyroid adenoma d. Zollinger-Ellison syndrome
  383. 386.False regarding pyonephrosis is;
    • a. It is bilateral b. It may follow renal calculi
    • c. It follows acute pyelonephritis d. It is a complication of hydronephrosis
  384. 387.In which of the following condition, subcapsular nephrectomy is indicated:
    • a. Solitary adenocarcinoma b. pyonephrosis
    • c. Hydronephrosis d. Perinephric abscess
  385. 388.not a predisposing factor for carcinoma bladder;
    • a. Tuberculosis cystitis b. Schistosoma hemantobium
    • c. Aniline dyes d. Cyclophosphamide
  386. 389.Intra peritoneal abscess most commonly occurs at:
    a. Pelvic b. Paracolic c. Subphrenic d. Subhepatic
  387. 390.In acute lymphangitis , treatment of choice is:
    a. Penicillin b. Cephalexin c. Septran d. Erythromycin
  388. 391. False regarding aberrant renal artery is:
    • a. More common on left side b. Cannot be divided with impunity
    • c. Bilateral d. They are functional end arteries
  389. 392. In which of the following condition hour glass deformity of stomach is seen:
    a. Corrosive stricture b. Gastric lymphoma c. Gastric ulcer d. Gastric carcinoma
  390. 393.Foley’s catheter is numbered:
    • a. According to radius b. According to circumference
    • c. According to inner diameter d. According to outer diameter
  391. 394. Which of the following is the most common cause of cervical lymph node enlargement:
    a. Carcinoma thyroid b. Glottic carcinoma c. Carcinoma tongue d. Subglottic carcinoma
  392. 395. Not a criterion for determining the prognosis of acute pancreatitis:
    a. Increased LDH>400IU b. Hypercalcemia c. Leukocytosis .16,000 d. Hypoxemia
  393. 396.Most common site of appendix is:
    a. postileal b. Paracecal c. Preileal d. Retrocecal
  394. 397.Not included in the triad of sign of ruptured bulbar urethra:
    a. pelvic fracture b. Retention of urine c. Perineal hemantoma d. Urethral hemorrhage
  395. 398.Rhytidectomy operation involves;
    • a. Correction of nasal defect b. Removal of wrinkles in forehead
    • c. Straightening of curved penis d. Correction of protruding lips
  396. 399.Stippled calcification of the adrenals is seen in:
    a. Tay-Sach’s disease b. Gaucher’s disease c. Fabry’s disease d. Wolman’s disease
  397. 400. Enthesopathy is characteristic of ;
    • a. Rheumatoid arthritis b. Ankylosing apondylitis
    • c. Tuberculous arthritis d. Osteoarthritis
  398. which of the following metastasis to bone generally does not occur:
    • a. Carcinoma breast b. Carcinoma thyroid
    • c. carcinoma rectum d. Renal cell carcinoma
  399. 402. Early step in treatment of gas gangrene is:
    a. Corticosteroid b. Hypobaric oxygen c. Debridement d. Prophylactic immunization
  400. 403. open treatment is useful in burns of:
    a. Hands b. Chest c. Face and neck d. Legs
  401. 404.In which of the following carcinoma of thyroid metastasis to bone occurs;
    a. Medullary b. Hurthle cell tumor c. Papillary d. Follicular
  402. 405. Benign stricture in common bile duct is most commonly caused by:
    a. Stones b. Malignancy c. Postoperative d.Cholangitis
  403. 406.Femoral hernia is differentiated from inguinal hernia by which of the following :
    • a. Mid inguinal ligament b. Inferior epigastric artery
    • c. Femoral artery d. Pubic tubercle
  404. 407.Femoral hernia is comparison to pubic tubercle is;
    a. Inferolateral b.inferomedial c. Superomedial d. Superolateral
  405. 408.False regarding denete line in anal canal is:
    • a. Haustral folds one cm below b. Anal mucous glands open
    • c. 2cm from anal verge d. Transitional epithelium above line
  406. 409.Most common site of lymphoma of GI tract is:
    a. Ileum b. Colon c. Stomach d. Duodenum
  407. 410.premalignant lesion of gallbladder is;
    • a. Minamata disease b. Cholecystitis glandular proliferation
    • c. Acalculus cholecystitis d. Porcelain gallbladder
  408. 411. Courvoisier’s law is related to:
    • a. Portal hypertension b. Length of skin flap in skin grafting
    • c. Ureteric calculi d. Jaundice
  409. 412.Carcinoma of which of the following has best prognosis:
    a. Cheek b. Tongue c. Lip d. Esophagus
  410. 413.Reactionary hemorrhage occurs after… hours;
    a. 24 hours b. 48 hours c. within 24 hours d. after 7 days
  411. 414.injury to which of the following nerve during parotid swelling results in Frey’s syndrome:
    a. Buccal nerve b. MAndibular nerve c. Great auricular nerve d. Aurilotemporal nerve
  412. 415. Frey’s syndrome constitutes;
    • a. pain over distributin of auriculotemporal region during meal
    • b. Redness and sweating over the auriculotemporal region during meal
    • c. Hyperhidrosis, enophthalmos and miosis
    • d. Anhidrosis, enophthalmos and miosis
  413. 416.A 65 year old man has low back pain and retention of urine. Best investigation modality for this condition is;
    a. USG b. Alkaline phosphatase c. Serum calcium d. Acid phosphatase
  414. 417.Secretomotor fiber to parotid gland is via which of the following nerve:
    a. Maxillary b. Trigeminal c. Auriculotemporal d. Facial
  415. pyriform sinus, a malignant tumor;
    • a. Causes pain in hand b. causes pain in hip
    • c. Often presents first as an enlarged lymph node behind the angle of jaw
    • d. Commonly presents with pain in area concerned
  416. 419.Whipple’s triad is seen in which of the following condition;
    a. Carcinoma pancreas b. Somatostatinoma c. Insulinoma d. Glucagonoma
  417. 420.Whipple’s triad in insulinoma includes;
    • a. Hypoglycemia below 45mg%
    • b. An attack of hypoglycemia in fasting stage
    • c. Symptoms relieved by glucose
    • d. all of the above
  418. 421.Most common quadrant site breast carcinoma is:
    a. Lower inner b. Lower outer c. upper inner d. Upper outer
  419. 422. Which of the following is not a premalignant ulcer;
    • a. Radiodermatitis b. Marjolin’s ulcer c. Bazin’s disease d. Paget’s disease of nipple
    • 423.Correct daily replacement dose of thyroxine in an adult is;
    • a. 1-2 mg b. 0.1-0.2 mg c. 4-5 mg d. 6-7mg
  420. 424.Witzelsucht syndrome(pathological joking) is seen in:
    a. Frontal lobe tumors b. Parietal lobe tumors c. Temporal lobe tumors d. IV ventricular tumor
  421. 425.Treatment of choice of umbilical adenoma in a newborn is:
    a. Occlusion with a coin b. Ligature c. Surgery d. Cyst of epididyml
  422. 426. Posterior urethral valves are most commonly situated:
    • a. Above verumontanum b. At verumontanum
    • c. Below verumontanum d. Bladder neck
  423. 427. Most common benign tumor of stomach is;
    a. Adenoma b. Lipoma c. Hamartoma d. Leiomyoma
  424. 428. Idiopathic retroperitoneal fibrosis involves first:
    a. Ureter b. Kidney c. Stomach d. Duodenum
  425. 429.Ormond’s disease is;
    • a. Idiopathic lymphadenopathy b. Retractile testis
    • c. Retroperitoneal fibrosis d. Idiopathic mediastinitis
  426. 430.Lateral aberrant thyroid is;
    • a. Metastatic carcinoma b. Anatomic abnormality
    • c. Lingual thyroid d. Developmental abnormality
  427. 431.In which of the following condition, widening of duodenal C loop is seen ;
    • a. Carcinoma head of pancreas b. Peri-ampullary carcinoma
    • c. Chronic pancreatitis d. All of the above
  428. 432.At which of the following site, the wound healing is worst :
    a. Sternum b. Lips c. Eyelid d. Anterior neck
  429. 433. Which of the following salivary gland tumors shows perineural spread ;
    • a. Warthin’s tumor b. Adenocystic carcinoma
    • c. Carcinoma in pleomorphic adenoma d. Mucoepidermoid carcinoma
  430. 434.Most common route of spread of follicular carcinoma of thyroid is:
    • a. Perineural invasion b. hematogenous spread
    • c. Lymphatic spread d. Local invasion
  431. 435.Morhahni hernia is;
    • a. Hernia through inguinal canal
    • b. Hernia through the lumbar triangle
    • c. Hernia between the costal and sterna part of diaphragm
    • d. Hernia through the foramen of morgagni
  432. 436. marlon’s disease occurs due to;
    • a. Obstruction to the neck of bladder
    • b. Fibrosis of the neck of bladder
    • c. Vesicular diverticula
    • d. Vesicular calculi
  433. 437.Bile is concentrated in Gallbladder to;
    a. 52 times b. 10 times c. 20 times d. 50 times
  434. 438.Felon is:
    • a. Mid palmar space infection b. Terminal pulp space infection
    • c. Infection of ulnar bursa d. Ulnar bursa infection
  435. 439.Most common infection of the hand is:
    • a. Acute paronychia b. Web space infection
    • c. Palmar abscess d. Felon
  436. 440.Workers of dye industry are prone to:
    a. Carcinoma liver b. Carcinoma urinary bladder c. Carcinoma lung d. Carcinoma kidney
  437. 441. Oliguria is defined as…ml urine/2 hours;
    a. 600 b. 500 c. 300 d. 200
  438. 442. Dercum’s disease is most common in;
    a. Face b. Arm c. Back d. Knee
  439. 443. Most common form of anthrax is;
    a. Wool sorter’s disease b. Alimentary type c. Cutaneous type d. None
  440. 444. Nerve lying close to Wharton’s duct is;
    a. Hypoglossal b. Alveolar c. Facial d. Lingual
  441. 445. True regarding von Graefe’s sign:
    • a. Lagging behind of the upper eyelid
    • b. Retraction of the upper eyelid with infrequent wrinking
    • c. Absence of wrinking of the fore head
    • d. Convergence of the eyes is difficult
  442. 446. Carotid sheath does not contain:
    • a. Carotid artery b. Internal jugular vein
    • c. Vagus nerve d. Phrenic nerve
  443. 447. Musculoskeletal abnormality in neurofibromatosis is:
    a. pseodoarthrosis b. Scoliosis c. Café au lait spots d. All of the above
  444. 448. Term ‘universal tumor’ refers to:
    a. Adenoma b. Papilloma c. Fibroma d. Lipoma
  445. 449. Percentage of renal stones which are radiopaque is;
    a. 10 b. 90 c. 37 d. 25
  446. 450.Delhi boil is caused by;
    a. Bilharzias b. Schistosoma mansoni c. Leishmania tropica d. Leishmania donovani
  447. 451.Vincent’s angina affects;
    a. Pharynx b. Heart c. Gums d. Larynx
  448. 452. Hepatocellular carcinoma is a complication of:
    a. Hemochromatosis b. Aflatoxina c. Hepatitis A d. Hepatitis B
  449. 453. Ulceration of peyer’s patches is seen in;
    a. Amebiasis b. Crohn’s disease c. Calmonella infection d. Clostridium difficile
  450. 454. Sjogren’s syndrome is associated with:
    • a. Rheumatoid arthritis b. Systemic lupus erythematosus
    • c. Scleroderma d. All of the above
  451. 455. Raised serum alkaline phosphatase indicates:
    a. Hyperthyroidism b. Paget’s disease c. Hypoparathyroidism d. Hemolytic jaundice
  452. 456. Paraneoplastic syndrome associated with bladder cancer is;
    a. peripheral neuritis b. Sclerosing cholamgitis c. Hypercalcemia d. Cushing’s disease
  453. 457. Pseudolymphoma is seen in:
    a. PSS b. Sjogren syndrome c. MCTD d. Behcet’s syndrome
  454. 458. Which of the following has got malignant potential :
    • a. Which of the following has got malignant potential :
    • a. Turcot’s syndrome b. Gardner’s syndrome c. Familial polyposis d. All of the above
  455. 459.Leukoencephalopathy is seen with use of:
    a. 5-FU b. Methotrexate c. Vincristine d. Cyclophosphamide
  456. 460.Ochsner-sherren regimen is used in management of;
    a. Appendicular abscess b. Chronic appendicitis c. Appendicular mass d. Acute appendicitis
  457. 461. Bisgaard regimen is used for treatment of:
    a. Venous ulcer b. Arterial ulcer c. Both d. None
  458. 462. Triad of renal colic, swelling in loin which disappears after micturition is;
    a. Dietl’s crisis b. Saint’s triad c. Kohler’s triad d. Charcot’s triad
  459. 463.Dietl’s crisis is seen in:
    a. Renal cell carcinoma b. Hydronephrosis c. Pyonephrosis d. Liver abscess
  460. 464. In pediatric age group, jejuna biopsy is diagnostic for:
    a. Giardiasis . Abetalipoproteinemia c.Tropical sprue d. Celiac disease
  461. 465. True regarding Milroy’s disease is:
    a. Congenital b. Follows filariasis c. Follows erysipelas d. Sequel to white leg
  462. 466.Troisle’s sign is;
    • a. Right supraclavicular lymph node enlargement
    • b. Left supraclavicular lymph node enlargement
    • c. Carpopedal spasm
    • d. Migrating thrombophlebitis
  463. 467.In which of the following brain tumor, metastasis outside the brain occurs:
    a. Hemangioblastoma b. Medulloblastoma c. Craniopharyngioma d. Glioblastoma
  464. 468.Troisier’s sign is not seen in:
    a. Liposarcoma b. Stomach carcinoma c. Bronchus carcinoma d. Pancreatic carcinoma
  465. 469.Cushing syndrome may occur in:
    a. Wilms’ tumor b. Bronchogenic carcinoma c. Breast carcinoma d. Thyroid carcinoma
  466. 470.In which of the following condition “ lemon on match sticks” like contour is seen:
    a. Wilms’ tumor b. Ganglinoneuroma c. pheochromocytoma d. Cushing syndrome
  467. 471. Most common site of obstruction in gallstone is:
    a. Transverse colon b. Ileocecal valve c. proximal ileum d. Distal ileum
  468. 472.Which of the following is the most common site of gallstone impaction:
    • a. Colon b. Distal to ileocecal junction
    • c. Proximal to ileocecal junction d. Duodeno-jejunal junction
  469. 473.Cause of acute mesenteric lymphadenitis is:
    a. Escherichia coli b. Virus c. Yersinia pseudotuberculosis d. alpha hemolytic streptococci
  470. 474.For acute cholecystitis, the chemical mediator is:
    • a. Cholic acid b. Cholesterol c. Bilirubin d. Lysolecithin
    • 475.Bilious vomiting in an infant may be due to:
    • a. Malrotation gut b. Atresia of 3rd part of duodenum
    • c. Esophageal atresia d. Pyloric stenosis
  471. 476.True regarding mondor’s disease is;
    • a. Filariasis of breast b. Premalignant condition of breast
    • c. Breast carcinoma d. Thrombosis of breast vein
  472. 477.A child presents with proptosis, multiple skeletal limb secondaries and sutural separation. Most likely diagnosis is:
    a. Retinoblastoma b. Neuroblastoma c. Medulloblastoma d. None of the above
  473. 478.Medullary carcinoma of thyroid may manifest as;
    a. Flushing b. Diarrhea c. Dysphagia d. Hoarseness of voice
  474. 479.Most common tumor of urinary bladder is:
    • a. Squamous cell carcinoma b. Transitional cell carcinoma
    • c. Adenocarcinoma d. Papilloma
  475. 480.Wound healing is not impaired by;
    a. Hypoproteinemia b. Jaundice c. Deficiency of vitamin B complex d. Malignancy
  476. 481. Which of the following is common in intradural extramedullary location;
    a. Neurofibroma b. Astrocytoma c. Metastasis d. Ependymoma
  477. 482. Which of the following metastatic tumor does not cause compression of spinal cord:
    a. Meningioma b. lymphoma c. Breast carcinoma d. lung carcinoma
  478. 483. Lithogenic bile has:
    • a. Decreased cholesterol and bile salt ratio
    • b. Decreased cholesterol ratio only
    • c. Decreased bile salt and cholesterol ratio
    • d. Equal bile salt and cholesterol ratio
  479. 484.Battle’s sign indicates:
    • a. Subarachnoid hemorrhage b. Posterior cranial fossa hemorrhage
    • c. Middle cranial fossa hemorrhage d. Anterior cranial fossa hemorrhage
  480. 485. Spigelian hernia is seen in which of the following region:
    a. Supraumbilical b. Subumbilical c. Paraumbilical d. Lumbar triangle
  481. 486.True regarding spigelian hernia is:
    • a. Through femoral ring b. Through obturator triangle
    • c. Lateral border of obturator internus d. lateral border of rectus abdominis
  482. which of the following condition, splenectomy ismost successful:
    • a. Aplastic anemia b. Idiopathic thrombocytopenic purpura
    • c. Chronic myeloid leukemia d. Hereditary spherocytosis
  483. 488.After severe trauma, response to intravenous fluid is best monitored by:
    a. Hemoglobin estimation b. CVP c. pulse d. Packed cell volume
  484. 489.In treatment of shock which of the following parameter is used:
    a. Reflex b. Eye opening c. CVP d. Urine out put
  485. 490.Treatment of choice for carcinoma peritonei is:
    • a. Radioactive gold b. Radioactive silver
    • c. Radioactive uranium d. Radioactive phosphorus
  486. 491.Ideal treatment for large carcinoma of anal canal is:
    • a.Chemotheraphy alone b. Chemotheraphy and radiotherapy
    • c. Abdominoperineal resection d. pelvic exenteration
  487. 492.Treatment of annular pancreas is:
    a. Gastrjejunostomy b. External drainage c. Duodenojejunostomy d. Gastroduodenostomy
  488. 493.DIC is not seen with:
    • a. kasabach-merritt syndrome b. Kala-azar
    • c. Amniotic fluid embolism d. Over dosage with vitamin K
  489. 494.Lemght of CBD is…
    a. 5 b. 8 c. 7.5 d. 9.5
  490. 495.Half-life of factor VIII is …. Hours:
    a. 7 b. 8 c. 34 d. 48
  491. 496.False regarding paralytic ileus is:
    • a. Due to pperitonitis b. Always required surgical intervention
    • c. Fractures of spine or ribs d. Seen in abdominal surgery
  492. 497.Raised level of carcinoembryonic antigen is seen in all except:
    a. Carcinoma colon b. Carcinoma stomach c. Carcinoma lung d. Carcinoma ovary
  493. 498.Majority of primary infections of urinary tract are caused by:
    • a. Streptococcus faecalis b. Escherichia coli
    • c. Proteus d. Pseudomonas
  494. 499.Drug of choice for carries of diphtheria is:
    a. Penicillin b. Septran c. Tetracycline d. Erythromycin
  495. 500.Cracked nipple may be;
    • a. Due to syphilitic chancre b. Cause of retention cyst
    • c. Paget’s disease of nipple d. Foreunner of acute infective mastitis
  496. 501.Post-traumatic epilepsy should be treated with;
    • a. Mannitol infusion b. Immediate corticosteroids
    • c. Long-term anticonvulsants d. Long-term corticosteroids
  497. 502. Fordyce spots are;
    • a. Ectopic sebaceous glands b. Ectopic eccrine
    • c. Ectopic apocrine d. Ectopic mucosal glands
  498. 503.Deficiency of which of the following seen in pendred’s syndrome:
    a. Iodinase b. Peroxidase c. thyroglobulin d. Iodine
  499. 504.Most common histological variety of bronchogenic carcinoma is;
    • a. Adenocarcinoma b. Small cell carcinoma
    • c. Oat cell carcinoma d. Adenosquamous carcinoma
  500. 505.Hyoid bone is closely associated with;
    a. Custic hygroma b. Branchial cyst c. Bronchogenic cyst d. Thyroglossal cyst
  501. 506.Which of the following is an abslute contraindication of IVP :
    • a. Renal tumor b. Blood urea more than 200 mg
    • c. Multiple myeloma d. Allergy to drug
  502. 507.A 45 year old senior manager develops hematemesis at home. He was brought to hospital where he again had a bout of hemantemesis. Total blood loss is around 2 liters. Diagnosis is;
    a. Carcinoma stomach b. GAstrics c. Esophageal varices d. Peptic ulcer bleeding
  503. 508.Following modes of treatment are used in Esophageal varices except:
    • a. Balloon tamponade c. Percutaneous resection of varices
    • c. Injection sclerotherapy on endoscopy d. Banding on endoscopy
  504. 509.Gynecomazia is not seen in:
    a. Teratoma of testis b. Cryptorchidism c. Liver cirrhosis d. Klinefelter’s syndrome
  505. 510.False regarding Paterson-Brown –Kelly syndrome is;
    • a. Premalignant b. Common in adult females
    • c. lower esophageal web d. iron deficiency anemia
  506. 511.Gleason’s staging is done in carcinoma of:
    a. Kidney b. Pancreas c. Cervix d. Prostate
  507. 512.In intestinal obstruction , the main cause of distended abdomen is;
    a. Swallowed air b. Bacterial action c. Fermentation of residua food d. Diffusion of gas form blood
  508. 513.A 6 year old patient has diffuse toxic goiter.the treatment of choice is:
    • a. Antithyroid drugs first followed by surgery b. Radioiodine
    • c. Antithyroid drugs d. Surgery
  509. 514.Presenting feature of endemic goiter is:
    a. Hyperthyroidism b. Hypothyroidism c. large diffuse swelling d. Multinodular swelling
  510. 515.Endemic goiter most commonly prsents with;
    a. Solitary nodule b. Hyperthyroid c. Diffuse goiter d. Hypothyroid
  511. 516.For the diagnosis of which of the followinng condition, thyroid scan is most useful;
    a. Goiter b. Toxic adenoma of thyroid c. Cysts of thyroi d. Thyroid malignancies
  512. 517.A 9 year old boy has abdominal pain with recurrent UTI.IVP showed duplication of left ureter. The most likely site of opening is;
    a. Vas deference b. Prostatic urethra c. Ejaculatory duct d. Seminal vesicle
  513. 518.Carcinoma which is femilial ;
    a. Vaginal b. Cervix c. Breast d. prostate
  514. 519.False regarding congenital lymphedema:
    • a. May be associated with pierre robin syndrome
    • b. Always presents around puberty
    • c. Mainly involves lower limbs
    • d. Usually bilateral
  515. skin graft transfer the word ‘take’ of graft referrs to:
    • a. Healing of graft b. Vascularisation of graft
    • c. Dense attachment of graft to surrounding tissue
    • d. Epithelial ingrowth in the margins
  516. 521.Most specific tumor marker for prostate is;
    a. Acid phosphatase b.. Alkaline phosphatase c. Prostate-specific antigen d. HCG
  517. 522.In a smoker a tumor with central cavitation is found. This is most likely to be;
    • a. Adenocarcinoma b. Alveolar carcinoma
    • c. Small cell carcinoma d. Squamous cell carcinoma
  518. 523.Renal stone which is radiolucent;
    a. Calcium oxalate b. Uric acid c. Cysteine d. Calcium phosphate
  519. 524.True regarding collar stud abscess;
    a. Spontaneous regression b.Aspiration c. Pyogenic d. Tuberculous
  520. 525.Most common type of mesentric cyst is;
    a. Enterogenous b. Chylolymphatic c. Dermoid d. Urogenital remnant
  521. 526.A patient with hyperparathroidism with pheochromocytoma develops a thyroid swelling. Most likely the cause is:
    • a. Follicular carcinoma b. Medullary carcinoma
    • c. Papillary carcinoma d. Anaplastic carcinoma
  522. 527.Boil is:
    • a. Staphulococcal infection of epidermis
    • b. Staphylococcal infection of sweat gland
    • c. Staphylococcal infection of hair follicle
    • d. Staphylococcal infection of subcutaneous tissue
  523. 528.Stone impaction near the ampulla of vater is ideally treated by:
    • a. Choledochojejunostomy
    • b. Endoscopic choledochojejunostomy
    • c. Endoscope sphincterotomy
    • d. Transduodenal sphincterotomy
  524. 529.Tnel’s sign indicates:
    a. Rgeneration of nerves b. Neuroma c. Injury to nerves d. Atrophy of nerve:
  525. 530.In which of the following condition, corkscrew esophagus is:
    a. Esophageal carcinoma b. Barrett’s esophagus c. Esophageal spasm d. Achalasia cardia
  526. 531.For diagnosing Hodgkin’s disease the investigation of choice is:
    a.X-ray cervical region b. Splenic pulp biopsy c. Bone marrow examination d. Lymph node biopsy
  527. 532.True regarding nephrocalcinosis is:
    • a. Congenital disease of renal medulla
    • b. Secondary to tuberculosis of lung or bone
    • c. Deposition of calcium within renal substance
    • d. Tumors of childhood
  528. 533.False regarding Raynaud’s disease is:
    • a. Radial pulse is absent b. Vasospastic condition
    • c. Upper limb is most commonly affected d. seen in young females
  529. 534.False regarding Raynaud’s disease is:
    • a. Atherosclerosis of vessels b. More common in females
    • c. Spasm of vessels d. Exposure to cold aggravate
    • 535.Raynaud’s phenomenon is not seen in:
    • a. Juvenile arthritis b. Burger’s disease c. Scleroderma d. Atherosclerosis
  530. 536.False regarding Raynaud’s phenomenon is:
    • a. Treat the main cause b. Seen in scleroderma
    • c. Sjogren’s syndrome d. Radial pulse always absent
  531. 537.In which of the following procedures, nerve of Kuntz is an important landmark:
    • a. Splanchnicectomy b. Obturator neurectomy c. Cervicodorsal sympathectomy
    • d. Lumbar sympathectomy
  532. 538.Most common site of peptic ulcer is:
    • a. Pylorus of stomach b. Distal 1/3rd of stomach
    • c. 1st part of duodenum d. 2nd part of duodenum
  533. 539.Formation of gallbladder stone is not influenced by:
    a. Truncal vagotomy b. Primary biliary cirrhosis c. Ileal resection d. Clofibrate therapy
  534. 540.Not a common site for Cushing’s tumor ulcer is:
    a. Distal duodenum b. Fundus c. Esophagus d. Stomach
  535. 541.Curling’s ulcer is seen in:
    • a. Burn patients b. Patients with head injury
    • c. Zollinger-Ellison syndrome d. Analgesic drug abuse
  536. 542.Most common tumor occurring in undescended testis is;
    a. Seminoma b. Teratoma c. Embryonal cell carcinoma d. Interstitial cell tumor
  537. 543.A 6-week infant has undescended testes in right side and normal testes on left side.he should be treated;
    a. Immediately b. Orchiopexy at 2 years c. Puberty d. 5 years age before going to school
  538. 544.Epitheloid granuloma are characteristic of:
    a. Tuberculosis b. Mycosis fungoides c. Sarcoidosis d. Eosinophilic granuloma
  539. 545.Clicking jaw occurs due to:
    • a. Lax temporomandibular joint b. Fracture of maxilla
    • c. Fracture of mandible d. Dislocation of symphysis
  540. 546.Keratoacanthoma is;
    • a. A type of basal cell carcinoma b. Infected sebaceous cyst
    • c. Self healing nodular lesion with central ulceration d. Premalignant disease
  541. 547.Dupuytren’s contracture of hand commonly starts in:
    • a. Thumb b. index finger c. Middle finger d. Ring finger
    • 548.In carcinoid syndrome metabolite increased in urine is:
    • a. VMA b. 5-HIAA c. MEtanephrines d. Serotonin
  542. 549.Arachnodactyly is:
    • a. Over development of bones or an extremity
    • b. Concerned with infective condition of brain
    • c. Maldevelopment of an anatomic part
    • d. Disease of bone related to a defect
  543. 550.Not seen in Meigs’ syndrome:
    a. Ascites b. Hydrothorax c. Benign ovarian tumor d. Malignant ovarian tumor
  544. 551.False regarding carbuncle is:
    • a. Infective gangrene of subcutaneous tissue
    • b. Caused by staphulococcus
    • c. Diabetics are more prone
    • d. Caused by streptococcus
  545. 552.Metabolic disturbances seen in hypertrophic pyloric stenosis is:
    • a. Metabolic alkalosis with alkaline urine
    • b. Metabolic alkalosis with paradoxical aciduria
    • c. Metabolic acidosis d. Respiratory alkalosis
  546. 553.In vertebralcanal most common site of chondroma is;
    a. Sacrococcygeal b. Lumber c. Thoracic d. Cervical
  547. 554.Epithelium of Barrett’s mucosa is:
    a. Squamous b. Stratified squamous c. Columnar d. Ciliated columnar
  548. 555.True adenocarcinoma of esophagus is most likely to be due to:
    • a. Achalasia b.Barrett’s esophagus c. Patterson Brown-Kelly –Syndrome
    • d. Scleroderma
  549. 556.Which of the following is a syndrome of medullary sponge kidney:
    a. UTI b. Anemia c. Nocturia d. Azotemia
  550. 557.Treatment modality of achalasia which has maximum probability of causing a recurrence is:
    a. Open surgical myotomy b. Botulinum toxin c. Laparoscopic myotomy d. Pneumtic dilation
  551. 558.In gastric obstruction in a patient of duodenal ulcer, the site of obstruction is most likely to be:
    a. Pyloric canal b. Pylorus c. Duodenum d. Antrum
  552. 559.A patient with external hemorrhoids develops pain while passing stools.Nerve mediating this pain is:
    • a. Sympathetic plexus b. Splanchnic visceral nerve
    • c. Pudendal nerve d. Hypogastric nerve
  553. 560.True about Maffucci’s syndrome is:
    • a. Multiple lipomatosis b. Skeletal enchondromatosis , Soft tissue hemangioma, phleboliths
    • c. Soft tissue hemangioma d. Multipe enchondromatosis
  554. 561.Dysphagia lusoria is due to obstruction of which of the following :
    a. Foreign body b. Vascular rings c. Psychogenic d. None
  555. 562.Fascia of Denovilliers is:
    • a. Posterior layer of perirenal fascia
    • b. Fascia between he rectal ampulla and prostate and seminal vesicle
    • c. Membranous layer of fascia of thigh
    • d. Perirenal fascia
  556. 563.Inussuscipiens is made up of;
    a. Entering tube b. Returning tube c. Outer wall of obstruction d. All of the above
  557. prune-belly syndrome there is:
    • a. Cryptorchidism, urinary dilatation, absent abdominal musculature
    • b. Urinary dilatation,absent abdominal musculature
    • d. Crytorchidism
  558. 565.MArjolin’s ulcer is seen in:
    a. Tuberculosis b. Head injury c. Fracture d. Scars
  559. 566.Which of the following is the most common tumor of liver:
    • a. Lymphangioma b. Hepatocellural carcinoma
    • c. Metastatic spread d. Hemangioma
  560. 567.Froment’s sign tests:
    • a. Abductor digiti minimi b. Abductor digiti minimi
    • c. Abductor pollicis d. Abductor pollicis
  561. 568.Which of the following is the most common type of diaphragmatic hernia:
    a. Hiatus hernia b. Hernia through dome c. Morgagni hernia d. Bochdalek hernia
  562. 569.Not seen in solitary rectal ulcer syndrome;
    • a. Most common site is posterior wall b. 20% multiple sites
    • c. Associated with rectal prolapse d. Most common cause is digital reposition
  563. 570.Stone in lower third of ureter should be treated with:
    a. ureteroscopic method b. Ureterolithotomy c. Push bang d. Diuretics
  564. 571.Full thickness graft means:
    • a. Only epidermis b. Epidermis and superficial dermis
    • c. Epidermis+ whole dermis d. Epidermis, dermis and subcutaneous tissue
  565. 572.Wolfe graft is;
    a. Epidermal graft b. Slit thickness graft c. Partial thickness graft d. Full thickness graft
  566. 573.Not seen in Wilm’s tumor:
    • a. Hemihypertrophy of body b. Arthrogryposis multiplex congenital(AMC)
    • c. Male pseudohermaphroditism d. Aniridia
  567. 574. Benign prostatic hyperplasia occurs in the:
    • a. Periurethral transitional zone b. Cortix
    • c. Posterior lobe d. Prostate gland proper
  568. 575.Prostatic carcinoma commonly arises from;
    a. Anterior zone b. Transitional zone c. Central zone d. Peripheral zone
  569. 576.Transplantation of a kidney from mother to son is an example of:
    a. Autograft b. Allograft c. Isograft d. Xenograft
  570. 577.β2 microglobulin is a marker for the prognosis of which of the following disease:
    a. AIDS b. Systemic lupus erythematosus c. Multiple myeloma d. Chronic pancreatitis
  571. 578.All are true regarding ureteric stone except:
    • a. Should be removed immediately b. Pain is referred to tip of penis in intramural stone
    • c. Source is always kidney d. Urine is infected
  572. 579.Smoking is related to following carcinoma except:
    a. Kidney b. Pancreas c. Liver d. Urinary bladder
  573. 580.False refgarding papillary thyroid carcinoma:
    • a. Metastasis to bone on early stage b. Multicentric
    • c. Slow growing d. Metastasis to lymph nodes is common
  574. 581. Carcinoma of prostate , most commonly metastasize to:
    a. Brain b. Lung c. Liver d. Pelvis
  575. 582.A patient of benign prostate hypertrophy underwent TURP after which he developed cerebral symptoms. Most likely electrolyte imbalance is:
    a. Hypernatremia b. Hyponatremia c. Hypokalemia d. Hyperkalemia
  576. 583.A 48 year old woman underwent subtotal thyrodectomy. She has a vague family history of malignant hyperthermia. She develops agitation, restlessness, fever, tremor, shivering, and tachypnea. Thyrotoxic crises can be best distinguished from malignant hyperthermia by estimating:
    a. Temperature variation b. Increased CPKK levels c.LDH d. Muscular rigidity
  577. 584.On USG an stone is seen in CBD dilated >1cm . Next investigation in this case should be:
    • a. Percutaneous transhepatic cholangiography
    • b. Endoscopic retrograde cholanpancreatography (ERCP)
    • c. HIDA scan d. Repeated USG
  578. 585.In which of the following condition there is maximum risk of colon malignancy;
    a. Gardner’s syndrome b. Familial polyposis c. Crohn’s disease d. Ulcerative colitis
  579. 586.False regarding familial adenomatous polyposis :
    • a. Total colectomy earlyin childhood is the treatment of choice
    • b. Equal incidence in males and females
    • c. Adenomatous polyps occur in colon
    • d. 100% chances of malignancy over a period of time
  580. 587.Organ which contains appendices epiplocae is;
    a. Colon b. Appendix c. Jejunum d. Small intestine
  581. 588.A 75 year old man underwent TURP operation.Biopsy revealed foci of adenocarcinoma . Next step of management is:
    • a. Surgery followed by radiotherapy b. No treatment is required
    • c. Hormonal replacement therapy d. Radiotherapy
  582. 589.A 30 year old female of rural are of assam has been taking betel nut for last 11 years .later she developed difficulty in opening of mouth.examination revealed a pale mucosa on the side of the tongue and diffuse thickening. Most likely diagnosis is:
    • a. Chronic aphthous ulcer b. Infiltrating carcinoma of oral cavity
    • c. Submucous fibrosis d. Keratosis pharyngitis
  583. 590.Actinic keratosis leads to:
    a. Basal cell carcinoma b. Freckles c. Melanoma d. Squamous cell carcinoma
  584. 591.Most common complication following hemorrhoidectomy is:
    a. Hemorrhage b. Infection c. Fecal impaction d. Urinary retention
  585. 592.Peroneus brevis is inserted to:
    a. Base of 5th metatarsal b. Base of 1st metatarsal c. Head of 3rd metatarsal d. Head of 2nd metatarsal
  586. 593.Not a feature of Horner’s syndrome ;
    a. Ptosis b. Miosis c. Mydriasis d. Anhidrosis
  587. 594.Human bite spreads which of the following infection:
    a. Virus b. Gram-ve cocci c. Anaerobic species d. Gram-ve-bacilli
  588. 595.False regarding erysipelas is;
    • a. Streptococcal infection b. contagious and infections
    • c. Margins are raised d. Flaccid bullae may develop
  589. 596.False regarding carbuncle is:
    • a. Staphylococcus infection b. Painful condition
    • c. Males more commonly affected d. Common before age of 40
  590. 597.Pentagastrin fast achlorhydria in patient with gastric ulcer indicates:
    a. Antral ulcer b. Malignant ulcer c. Zollinger-Ellison syndrome d. Gastric lymphoma
  591. 598.Treatment of acute embolus is;
    • a. Warfarin b. Heparin and immediate embolectomy
    • c. Conservative management d. embolectomy after 5 days bedrest
  592. 599.Most common stomach tumor which bleeds:
    a. Adenocarcinoma b. Squamous carcinoma c. Fibrosarcoma d. Leiomyossarcoma
  593. 600.True regarding glomous jugulare is:
    • a. Males predominantly b. Highly vascular
    • c.Arises from para-gangliomic cells d. Chemotherapy is the treatment of choice
  594. 601.Cause of Barrett’s ulcer is;
    a. Reflux esophagitis b. Bile reflux c. Ectopic gastric mucosa d. Ischemia
  595. 602.In gallstone ileus, the impaction occurs at:
    a. Colon b. Terminal ileum c. 1st part of duodenum d. 2nd part of duodenum
  596. 603.Gallstone causes intestinal obstruction when it gets impacted in which part of the intestine commonly :
    a. Jejunum b. duodenum c. Distal ileum d. Proximal ileum
  597. 604.In which of the following condition, strangulated intestinal obstruction is not seen:
    a. Intussusception b. volvulus c. Gallstone ileus d. Mesenteric vascular occlusion
  598. 605.In lumbar sympathectomy which of the following ganglia is spread;
    a. L4 b. L3 c. L1 d. L2
  599. 606.Most common tumor of retroperitoneal region among the following is:
    a. Rhabdomyosarcoma b. Lipoma c. Liposarcoma d. Neurofibroma
  600. 607.Extralobar pulmonary sequestration is usually discovered by:
    a. Angiography b. MRI c. CT d. X-ray
  601. 608.Most common site of duplication of GI tract is;
    a. Duodenum b. Jejunum c. Ileum d. Colon
  602. 609.True regarding rupture of urinary bladder is:
    • a. Rupture of bulbous urethra is more common
    • b. More common extraperitoneal
    • c. More common intraperitoneal
    • d. Not commonly seen
  603. 610.Not a cause of pancreatitis:
    a. CBD stone b. Hypocalcemia c. Chronic alcoholism d. Cystic fibrosis
  604. 611.An 8 year old boy presented with lump in epigastrium and non-bilious vomiting.most likely diagnosis is:
    • a. Ileal atresia b. Jejuno jejuna intussusceptions
    • c. Choledochal cyst d. Hypertrophic pyloric stenosis
  605. 612.Not a clinical feature of gastric ulcer:
    • a. Epigastric pain b. Decreaded appetite c. Hematemesis and melena
    • d. Periodicity
  606. 613.A newborn presenting with intestinal obstruction showed. On abdominal X-ray, multiple air fluid levels . most likely diagnosis is:
    a. Ladd’s bands b. Ileal atresia c. Duodenal atresia d. Pyloric obstruction
  607. 614.False regarding short bowel syndrome:
    • a. Steatorrhea is seen b. Nutritional deficiency present
    • c. Up to 70% of resection is tolerated d. None of the above
  608. 615.False regarding short bowel syndrome :
    a. Steatorrhea is seen b. Diarrhea c. Weight loss d. Hypogastrinemia
  609. 616.not a biochemical abnormality in pyloric obstruction :
    a. Metabolic alkalosis b. Hypernatremia c. Hypochloremia d. Hypokalemia
  610. 617.Metabolic change likely to be seen in a 1 year old child with gastric outlet (pyloric)obstruction:
    • a. Hyperkalemia, hypiochloremic metabolic alkalosis with aciduria
    • b. Hyperkalemia, hypochloremic metabolic alkalosis with alkaliuria
    • c. Hypokalemia, hypochloremic metabolic alkalosis and paradoxical aciduria
    • d. Hypokalemia, hypochloremic metabolic acidosis
  611. 618. In infants not a clinical feature of pyloric stenosis;
    a. Metabolic acidosis b. Retarded growth c. abdominal lump d. Constipation
  612. 619.False regarding hypospadias is;
    • a. Circumcisison should not be done in infancy
    • b. Chordee is reversed after 5 years
    • c. Glandular type needs no treatment
    • d. Surgical correction is good treatment
  613. 620.False regarding hypospadias is:
    • a. Cryptorchidism b. No treatment is required for glandular variety
    • c. Hooded prepuce d. Chordee
  614. 621.False regarding hypospadias is:
    • a. Hooded prepuce b. Circumcision should be done during operation
    • c. Surgery done to improve sexual function and for cosmetic region
    • d. Most severe type is perineal hypospadias
  615. 622.False regarding hypospadias is:
    • a. Penis is curve in a downward direction b. Glandular variety needs no treatment
    • c. 1st stage of surgery at 2 years of age d. Chordee treated at puberty
  616. 623.Most common type of hypospadias is:
    a. Glandular b. Penile c. Coronal d. Scrotal
  617. 624.Meckel’s diverticulum is a derivative of which of the following:
    a. Ductus arteriousus b. Ventral mesogastrrium c. Vitelline duct d. Allantoic diverticulum
  618. 625.In meckel’s diverticulum, ectopic gastric tissue is diagnosed by:
    a. Radiocuclide scan b. Endoscopy c. Ultrasound d. RBC tagged scanning
  619. 626.Not a constituent of Virchow’s triad:
    a. Abnormal vessel wall b. Trauma c. Hypercoagulability d. Statis
  620. 627.Least common complication in pseudocyst of pancreas is:
    a. Carcinomatous change b. Infection c. Rupture d. Hemorrhage
  621. 628.False regarding skin graft is;
    • a. Full thickness has good cosmetic value and superior to partial thickness graft
    • b. Full thickness graft covers large area
    • c. full thickness includes epidermis with dermis
    • d. Partial thickness includes epidermis with dermis
  622. 629.Best method for diagnosing gastro-oesphageal reflux disease is;
    a. 24 hour PH recording b. Barium meal c..Endoscopy d. USG
  623. 630.Whihc of the following is not a content of the pudendal canal;
    a. Pudendal nerve b. Internal pudendal artery c. Internal pudenda vein d. Nerve to obturator internus
  624. 631.Angle formed by the shaft and neck of the femur is:
    a. 115 b. 125 c. 135 d. 145
  625. 632.Condyloma acuminatum is produced by which type of human papiloma virus;
    a. HPV 6,16 b. HPV 6. 11 c. HPV 16, 18 d. HPV 11, 18
  626. 633.False regarding blind loop syndrome is:
    • a. Due to proliferation of abnormal bacterial flora
    • b. Anemia in high and steatorrhea in low loop
    • c. Antibiotics relives temporarily
    • d. Surgery is the treatment of choice
  627. 634.Which of the following is not seen in meniere’s disease;
    a. Vertigo b. Tinnitus c. Conductive deafness d. Sensorineural deafness
  628. 635.In duodenal ulcer most common site of perforation is;
    a. Middle b. Posterolateral c. Anterior d. Posterior
  629. 636.Sphenoid dysplasia is seen in :
    • a. Von Hippel-Landau’s disease b. Sturge- Weber syndrome
    • c. Neurofibromatosis d. Bourneville’s disease
  630. 637.Investigation of choice for posterior urethral valve is:
    a. Vlding cystourethrography b. MCU c. IVP d. USG
  631. 638.iliac “Hornia” are seen in:
    • a. Nail patella syndrome b. Ankylosing spondylitis
    • c. Eagle Barrett syndrome d. Ivemask syndrome
  632. 639.In …. Pneumothorax , immediate surgical intervention is required:
    a. Spontaneous b. Closed c. Tension d. open
  633. 640.Which of the following is the most premalignant lesion;
    a. Dysplasia b. Metaplasia c. Erythroplakia d. Leukoplakia
  634. 641.Most common complication of tracheostomy is:
    a. Pneumotharax b. surgical emphysema c. injury to the large vessels d. Injury to esophagus
  635. 642.klumpke’s paralysis is;
    a. C5, C8 b. C6, C7 c. C8, T1 d.T1 , T2
  636. 643.Not a content of Ringer’s lactase;
    a. CI b. Na c. Hco3 d. K+
  637. 644.Most common carcinoma of paranasal sinuses is;
    • a. Squamous cell carcinoma b. Adenocarcinoma
    • c. Transtional cell carcinoma d. Basal cell carcinoma
  638. 645.Brawny swelling below the angle of mandible likely diagnosis is:
    a. Vincent’s angina b. Ludwig’s angina c. Ranula d. Hydrocele of neck
  639. 646.Backwash ileitis is seen in;
    a. Crohn’s diseases b. Ulcerative colitis c. Excessive use of enemas d. Preoperative washing of gut
  640. 647.Hypertensive bleed mostly occurs in:
    a. Putamen b. pons c. Cotex d. Thalamus
  641. 648.Most common organism causing spontaneous bacterial peritonitis is;
    • a. Staphylococcus aureus b. Salmonella typhi
    • c. Streptococcus pneumonia d. Moraxella catarrhalis
  642. 649.Oral hairy leukoplakia and whitish plaque in the tongue and palate gives clue to most likely diagnosis of:
    a. HIV infection b. HTLV-1 c. Infectious mononucleous d. Submucous fibrosis
  643. 650.Which of the following is not a phakomatoses;
    • a. Von Hipple-Lindau disease b. Neurofibromatosis
    • c. Tuberous sclerosis d. Prune-belly syndrome
  644. 651.In a patient with solitary of thyroid , investigation of choice is ;
    a. FNAC b. USG c. CT d. Radioisotope scan
  645. 652.Best investigation to diagnose subphrenic abscess is;
    • a. USG b. Gallium labeled radioisotope study
    • c. MRI d. Laparoscopy
  646. 653.Meconium plug syndrome occurs in:
    • a. Meconium ileus b. Hirchsprung’s disease
    • c. Ileocolic pouch d. Intussuception
  647. 654.Testicular seminoma secretes;
    a. AFP b. CEA c. HCG d. CA 125
  648. 655.Most common site of thyroiglossal cyst is;
    • a. Midline b. Above the hyoid bone c. In the region of thyroid cartilage d. Beneath the hyoid
    • 656.Following are true of hormone leptin except:
    • a. It is found in increased levels in obese persons
    • b. Its site of action is hypothalamus
    • c. It is produced by adipose tissue
    • d. It increase appetite
  649. 657.Alexithymia is:
    • a. Inability to identify and articulate feelings
    • b. Inability to interpret the written words
    • c. Inability to interpret the speech
    • d. Inability to recognize people
  650. 658.Mucormycosis is seen in;
    • a. Renal tubular acidosis b. uncontrolled diabetics
    • c. Pregnancy d. Use of broad spectrum antibiotics
  651. 659.Treatment of carcinoma thyroid using radioactive iodine is:
    a. I123 b. I125 c. I 133 d. I 420
  652. 660. In fracture shaft of femur, which nail is commonly used for ORIF:
    • a. Kuntscher nail b. Austin moore prosthesis
    • c. Kirscher wire d. Smith Peterson nail
  653. 661.Cells are most susceptible to radiation in which phase:
    a. M phase b. G2 Phase c. G1 phase d. S phase
  654. down syndrome most common cause of intestinal obstruction:
    a. Intestinal atresia b. Rectal atresia c. Duodenal atresia d. Esophageal atresia
  655. 663.Function of brown fat is;
    a. Glycogenosis b. Gluconeogenesis c. Thermoregulation d. Storage of energy
  656. 664.A chronic smoker presents with dry, non productive cough and hemoptysis with mormal CXR. CT scan shows mass near distal trachea. Diagnosis is;
    • a. Small cell carcinoma b. Mucoepidermoid ca
    • c. Squamous cell carcinoma d. Adenocarcinoma
  657. 665.most common cause of upper limb lymphadema is:
    a. Postmastectomy b. Hypoproteinemia c. Filariasis d. Tuberculosis
  658. 666.True regarding cock’s “peculiear” tumor is:
    a. It is a dermoid cyst b. It is a sebaceous cyst c. It is scalp hemantuma d. Seen in osteomyelitis
  659. 667.Tetany after thyroidectomy should be immediately treated by:
    • a. Calcitonin b. Vitamin D c. Oral calcium d. IV calcium gluconate
    • 668.While bathing a six months old child, his mother noticed that there is a swelling in the abdomen towards the left side . examination revealed andominal mass which showed calcification near left kidney. Most probable diagnosis is:
    • a. Renal cell carcinoma b. Neuroblastoma c. Leukemia d. Lymphoma
  660. 669.von Willebrands disease; most common pattern of inheritance;
    • a. Autosomal dominant b. Autosomal recessive
    • c. Sex linked d. Idiopahtic
  661. 670.For amebic ulcer, the most common site is;
    a. Cecum b. Sugmoid colon c. Descending colon d. Ascending colon
  662. 671.Hospices refer to:
    • a. Professionals who help terminally ill patients b. Euthanasia given to cancer patients
    • c. Pain relief d. Colostomy patients association in America
  663. 672.False regarding strawberry hemangioma is:
    • a. Grows between 3-12 months b. Complete resolution occurs by the age of 9 years
    • c. Most common tumor of infancy d. Present at birth
  664. 673.Malignant cells in urine indicate;
    • a. Hypernephroma b. Wilms’ tumor
    • c. Transitional cell tumors d. Prostatic carcinoma
  665. 674.Not a treatment of fat embolism:
    a. heparin b. Oxygen c. IV dexxtran d. Streptokinase
  666. 675.In which of the following condition, acetyl cholinesterase enzymes is increased:
    • a. Esophageal atresia b. Diaphragmatic hernia
    • c. Neural tube defect d. Cardiac defect
  667. 676.Whihc figures are very important to the endoscopists;
    a. 10, 20, 30 b. 15, 25, 40 c. 20, 30, 40 d. 25, 35, 45
  668. 677.LInitis plastic is most commonly seen in which of the following condition;
    a. Lymphoma b. Chronic atrophic gastritis c. Peptic ulcer d. Carcinoma stomach
  669. 678.Most common neoplasm of appendix is;
    a. Argentaffinoma b. Leiomyosarcoma c. Adenocarcinoma d. Lymphoma
  670. 679.Most common site of postgonorrheal stricture is:
    a. Bulbar urethra b. Postmeatal c. Peno-scrotal junction d. Membranous urethra
  671. 680.Whihc of the following is measured by swan Ganz catheter:
    a. Right ventricular pressure b. Central venous pressure c. Right arterial flow d. Pulmonary wedge pressure
  672. 681.Strangulation is most common in;
    a. Richter hernia b. Epigastric hernia c. Femoral hernia d. Inguinal hernia
  673. 682.In which of the following condition, melphalan is useful:
    a. Schwannoma b. Neuroblastoma c. Retinoblastoma d. Multiple myeloma
  674. 683.Whihc of the following nerve is involved in trasal tunnel syndrome;
    a. Lateral planter b. Medial planter c. Posterior tibial d. Anterior tibial
  675. 684.In Wegner’s granulomatosis , the treatment of choice is:
    a. Radiotherapy b. Steroids c. Cycllophosphamide d. Cyclosporine
  676. 685.False regarding intestinal tuberculosis is:
    • a. ATT is the treatment of choice b. Surgery is the treatment of choice
    • c. Present with mass in right iliac fossa d. Most common site is ileocecal region
  677. 686.Organism most commonly associated with epidural abscess is;
    a. Meningococcus b. Pneumococcus c. Streptococcus d. Staphylococcus
  678. 687.Bleeding in duodenal ulcer commonly occurs from:
    a. Superior pancreaticoduodenal artery b. Gastric artery c. Gastrodudenal artery d. Gastroepiplic artery
  679. 688.False regarding exstropsy of bladder is:
    • a. Bilataeral inguinal hernia b. Posterior bladder wall protrudes through the defect
    • c. Cloacal membrane is present d. Epispadias
  680. 689.All are false regarding axial flap except;
    a. Nerve in it b. Transverse flap c. Vessels within it d. Kept in limb
  681. 690.In India most common cancer is of:
    a. Lung b. Cervix c. Oral cavity d. Breast
  682. 691.Fasle regarding typhoid choleycystitis:
    • a. Acute cholecystitis is seen b. Gallstone always present
    • c. Cholecystectom is done d. Patient becomes chronic carrier
  683. 692.Which of the following is raised if there is stone in bile duct:
    a. SGPT b. Amylase c. Bilirubin d. Bile salts
  684. 693.Transpyloric plain passes through which of the following region:
    a. T10 b. L1 c. L5 d. T2
  685. 694.First successful human heart transplant was performed by:
    • a. Barnard b. Shumway c. Lower d. Kussmaul
    • 695.Trotter’s triad consists of all except:
    • a. Conductive deafness b. Cortical blindness
    • c. Pain in same side of head d. Elevation and immobility of ipsilateral soft palate
  686. 696.Bernstein test is useful in the diagnosis of cause of;
    a. pyrosis b. Odynophagia c. Dysphagia d. Dyspepsia
  687. 697.False regarding hernia is:
    • a. Femoral hernia is lateral to and below the pubic tubercle
    • b. indirect hernia is medial to inferior epigastric blood vessels
    • c. Contents of the sac are anterolateral to the cord
    • d. Ovary and fallopian tubes may prolapsed into inguinal canal as hernia
  688. 698.Not a feature of hepatocellular carcinoma:
    a. Jaundice b. Raised alkaline phosphate c. Raised α fetoprotein d. Hepatomagaly
  689. 699.Not seen in sudden onset peripheral arterial occlusion:
    a. pain b. Ruber c. Pallor d. Anesthesia
  690. 700.Not seen in sudden onset peripheral arterial occlusion:
    a. Pain b. Ruber c. Pallor d. Anesthesia
  691. 701.Organism causing breast abscess is:
    a. Bacillus b. Neisseria gonorrhea c. proteus d. Staphylococcus
  692. 702.In breast abscess, the treatment of choice is:
    a. Hot fomentation b. Stop breastfeeding c. Incision and drainage d. Antibiotics
  693. 703.In breast , the carcinomatous change is seen is:
    a. Cyst b. Stroma c. Duct d. Lobule
  694. 704. Prognosis of which of the following carcinoma of breast is good:
    a. Ductal b. Lobular c. Colloid d. Intraductal
  695. 705.Breast carcinoma which is most often bilateral;
    a. Paget’s disease b. Ductal adenocarcinoma c. Lobular carcinoma d. Medullary carcinoma
  696. 706.Prognosis depends on which of the following, breast carcinoma metastasis:
    a. Site of tumor b. Size of tumor c. Estrogen receptor d. Axillary lymph node
  697. 707.Adverse side effect of which of the following drug is focal toxic myopathy:
    a. Penicillin b. Insulin c. Narcotice d. Aminoglycosides
  698. 708.Gastric malignancy is predisposed with:
    • a. Blood group O b. Intestinal metaplasia c. Gastric hyperplasia d. Duodenal ulcer
    • 709.kehr’s sign in splenic rupture over:
    • a. Left shoulder b. Right shoulder c. Renal angle d. Periumbilical region
  699. 710.Peritoneal seedlings into the abdominal cavity in a patient with peritoneal carcinoma is due to:
    a. Microvascular angiogenesis b. Chemotaxis c. Gravity d. Capillary action
  700. 711.Hydradenitis supprativa is due to infection of:
    • a. Apocrine sweat glands of axilla b. Subcutaneous tissues
    • c. Sebaceous glands d. Stomach
  701. 712.Emergency procedure for esophageal variceal bleeding is:
    a. Esophageal transaction b. Portosystemic shunt c. Both d. None
  702. 713.All of the following are true about sliding hernia except:
    • a. The bladder may be the part of the hernia
    • b. Can be a large inguinal hernia extending up to the scrotum
    • c. Requires meticulous dissection from the posterior wall before repair
    • d. Usually seen in elderly patients
  703. 714.MArjolin’s ulcer is a:
    • a. Malignant ulcer found on the scar of burn
    • b. Malignant ulcer found on infected foot
    • c. Tropic ulcer d. Meleney’s gangrene
  704. 715.Marjolin’s ulcer is charcacterized by all except:
    a. Development in a scar b. Slow growth c. Painless nature d. Spreads to lymph nodes
  705. 716.Froment’s sign is seen in:
    • a. Axillary nerve injury b. Ulnar nerve injury
    • c. Redial nerve injury d. Median nerve injury
  706. 717.The most common type of lung cancer is:
    a. Adenocarcinoma b. squamous cell carcinoma c. Small cell carcinoma d. Alveolar cell carcinoma
  707. 718.Pancoast’s tumor involves:
    • a. Pseodotumor cerebri b. Apical part of upper lobe of lung
    • c. Lower part of lung d. Hilum
  708. 719.The following is not in the differential diagnosis of an ‘anterior’ mediastinal mass:
    a. Teratoma b. Neurogenic tumor c. Thymoma d. Lymphoma
  709. 720.Anterior mediastinal tumor are all except:
    a. Thymoma b. Neurogenic tumors c. Thyroid tumor d. Lymphomas
  710. 721.Thymoma is associate with which of the following diseases:
    a. Ulcerative colitis b. Addison’s disease c. Pheumatoid arthiritis d. Myasthenia gravis
  711. 722.The Tumor more commonly found in the ‘posterior’ mediastinum is:
    a. lymphoma b. Thymoma c. Germ cell tumor d. Neurofibroma
  712. 723.The term rodent ulcer is used for:
    a. Squamous cell carcinoma b. Basal cell carcinoma c. Syphilitic ulcer d. Ulcerr due to burns
  713. 724.Most common type of basal cell carcinoma is:
    a. Non-ulcerated b. Cystic c. Morphic d. Pigmented
  714. 725.Chronic parocychia is caused by:
    • a. Mycobacterium tuberculosis b. Improper treatment of acute paronychia
    • c. Fungal infection d. Repeated trauma
  715. 726.Kanavel sign is seen in;
    a. Acute tenosynovitis b. Pancreatitis c. Appendicitis d. Ectopic pregnancy
  716. 727.Kanavel sign is seen in:
    • a. Flexor tendon sheath infection b. Pulp space infection
    • c. Mid palmar space infection d. Web space infection
  717. 728.CAusalgia in a limb sequel to :
    a. Arterial spasm b. Venous insufficiency c. Nerve injury d. All of the above
  718. 729.The most common malignant tumor of adult males in India is:
    a. Lung cancer b. Oroparyngeal carcinoma c. Colorectal carcinoma d. Gastric carcinoma
  719. 730. Which of the following is content of Littre’s hernia:
    a. Sigmoid colon b. Urinary bladder c. Meckel’s diverticulum d. Ileus
  720. 731.Most common tumor of the appendix is:
    a. Adenocarcinoma b. CArcinoid c. Squamous d. Metastasis
  721. 732.Acute pancreatitis is most commonly caused by:
    a. Gallstones b. Alcohol c. Trauma d. Drugs
  722. 733.Most common parotid tumor is:
    a. Plemorphich adenoma b. ADenocarcinoma c. Warthin’s tumor d. Squamous cell carcinoma
  723. 734.Alpha waves are of which of the following frequencies:
    • a. 8-13 Hz b. 10-20Hz c. 15-25 Hz d. 4-5 Hz
    • 735.All of the following are seen in Horner’s syndrome except:
    • a. Ptosis b. Miosis c. Proptosis d. Anhydrosis
  724. 736.The management of fat embolism includes all of the following except:
    a. Heparinization b. Oxygen c. Pulmonary embolectomy d. Low molecular weight dextran
  725. 737.Fecal fistula at the umbilicus is due to:
    • a. Patent urachus b. Patent vitelointestinal duct
    • c. Omphalocele d. Infection
  726. 738.The gold standard for definitive diagnosis of extrahepatic biliary atresia is:
    • a. Per operative cholangography b. Hepatobiliary scintigraphy
    • c. Alkaline phosphates level d. Liver biopsy
  727. 739.Corkscrew esophagus is seen in:
    • a. Achalasia cardia b. Diffuse esophageal spasm
    • c. Corrosive stricture of esophagus d. Carcinoma esophagus
  728. 740.Which of the following lasers is used for treatment of benign prostatic hyperplasia as well as urinary calculi?
    a. CO2 laser b. Excimer laser c. Ho:YAG laser d. nd:YAG laser
  729. 741.Hamman’s sign is seen in:
    • a. Achalasia cardia b. Diffuse esophageal spasm
    • c. Esophageal perforation d. Carcinoma esophagus
  730. 742.Most common cause of infection in surgical wounds is;
    • a. Staphylococcus epidermidis b. Staphylococcus aureus
    • c. Pseudomonas d. Streptococci
  731. 743.Whihc of the following is an absolute indication for surgery in cases of benign prostatic hyperplasia :
    • a. Bilateral hydroureteronephrosis b. Nocturnal frequency
    • c. Recurrent urinary tract infection d. Voiding bladder pressure >50 cm of water
  732. 744.A 70 year old patient with benign prostatic hyperplasia underwent transurethral resection of prostate(TURP) under spinal anesthesia.One hour later, he developed vomiting and altered sensorium.the most probable cause is:
    • a. Over dosage of spinal anesthetic agent b. Rupture of bladder
    • c. Hyperkalemia d. Water intoxication
  733. 745.The best treatment for cystic hygroma is:
    a. Surgical excision b. Radiotherapy c. Sclerotherapy d. Chemotherapy
  734. 746.Premalignant all except:
    a. Ulcerative colitis b. Villous adenoma c. Peutz-jeghers syndrome d. FAP
  735. 747.Chromosome 5 has gene for:
    • a. Familial adenomatous polyposis (FAP)
    • b. Reatinoblastoma
    • c. Neurofibromatosis
    • d. MArfan’s syndrome
  736. 748.The differential diagnosis of rectal prolapse in a child is:
    a. Intussusception b. Rectull polyp c. Hemorrhoids d. Tumor
  737. 749.Most common site of urethral rupture is;
    a. Prostatic b. Penile c. Bulbar d. Membranous
  738. 750.Most common surgical complication of typhoid is:
    a. Myocarditis b. Cholecystitis c. Hemorrhage d. Ileal perforation
  739. 751.The most common cause of multiple stricture in the small intestine is:
    a. Tuberculosis b. Ischemic enteritis c. Crohn’s disease d. Ulcerative colitis
  740. 752.What is most characteristic of congenital hypertrophic pyloric stenosis?
    • a. Affects the first-born female child b. The pyloric tumor is best felt during feeding
    • c. The patient is commonly marasmic d. Loss of appetite occurs early
  741. 753.The metabolic derangement in congenital pyloric stenosis is;
    • a. Hypochloremic alkalosis b. Hyperchloremic alkalosis
    • c. Hyperchloremic acidosis d. Hypochloremic acidosis
  742. 754.Hypochloremia, hypokalemia alkalosis are seen in:
    • a. Congenital hypertrophic pyloric stenosis b. Hirschsprung’s disease
    • c. Esophageal atresia d. Jejunal atresia
  743. 755.A 65 year old male smoker presents with gross total painless hematuria. The most likely diagnosis is:
    • a. Carcinoma urinary bladder b. Benign prostatic hyperplasia
    • c. Carcinoma prostate d. Cystolithiasis
  744. 756.Renal common cause of painless hematuria is:
    a. Renal cell carcinoma b. Cystitis c. Renal calculi d. Bladder polyps
  745. 757.Radiation exposures during infancy has been linked to which 1 of the following carcinoma:
    a. Breast b. Melanoma c. Thyroid d. Lung
  746. 758.Treatmetn of squamous cell carcinoma of anal canal is;
    • a. Cisplatin based chemotherapy followed by radical radiotherapy
    • b. Abdoominoperineal resection
    • c. Radical radiotherapy
    • d. Radical radiotherapy followed by mitomycin C based chemotherapy
  747. 759.Treatment of anal carcinoma is;
    a. Radiotherapy b. Surgery c. Chemotherapy d. Chemo radiation
  748. 760.Tumor, which is relatively more benign as compared to the rest, is:
    a. Seminoma b .Teratoma c. Leydig cell tumor d. Endodermal sinus tumor
  749. 761.Most radiosensitive tumor:
    a. Seminoma b. Teratoma c. Seri cell tumor d. Choricarcinoma
  750. 762.True regarding seminoma is:
    • a. Tumor marker is alpha-fetoprotein b. Can spread by hematogenous route
    • c. It is not radiosensitive d. Cut section is homogenous in appearance
  751. 763.Regarding testicular tumors, the following are false except:
    • a. They are the commonest malignancy in older men
    • b. Seminoma is radiosensitive
    • c. Only 25% of stage 1 teratomas are cured by surgery alone
    • d. Chemotherapy rarely produces a cure in those with metastatic disease
  752. 764.A 40 year old male had undergone splenectomy 20 years ago. Peripheral blood smear examination would show the presence of:
    • a. Dohle bodies b. Hyper-segmented neutrophils
    • c. Spherocytes d. Howell-jolly bodies
  753. 765.An increased incidence of cholangiocarcinoma is seen in all of the following except:
    • a. Hydatid cyst of liver b. polycystic disease of liver
    • c. Sclerosing cholangitis d. Liver flukes
  754. 766. Strong correlation with colorectal cancer is seen in;
    • a. Peutz-jeghers polyp b. Familial polyposis coli
    • c. Juveline polyposis d. Hyperplastic polyp
  755. 767.Pancreatitis, pulmonary tumor and pheochromocytoma may be associated with:
    • a. Madullary carcinoma of the thyroid
    • b. Papillary carcinoma of the thyroid
    • c. Anaplastic carcinoma of the thyroid
    • d. Follicular carcinoma of the thyroid
  756. 768.A 60 year old man with diabetes mellitus presents with ‘painless’ swollen right ankle joint. Radiographs of the ankle show ‘destroyed’ joint with large number of loose bodies. The most probable diagnosis is:
    a. Charcot’s joint b. Clutton’s joint c. Osteoarthritis d. Rheumatoid arthritis
  757. 769.The drug of choice for thoratic actinomycosis is:
    a. Amphoterricin B b. Penicillin c. Cotrimoxazole d. Itraconazole
  758. 770.Which of the following is not a component of crush syndrome?
    • a. Myoglobinuria b. massive crushing of muscles
    • c. Acute tubular necrosis d. Bleeding diasthesis
  759. 771.The most common organism causing cellulitis is:
    • a. Streptococcus pyogenes b. Streptococcus faecalis
    • c. Streeptococcus viridians d. Microaerophilic streptococci
  760. 772.The most likely diagnosis in a newborn that has radio opaque shadow with an air fluid level in the chest along in the chest along with hemi-vertebra of the 6th thoratic vertebra on plain X-ray is:
    • a. Congenital diaphragmatic hernia b. Esophageal duplication cyst
    • c. Bronchogenic cyst d. Staphylococcal pneumonia
  761. 773.Infant with blood in stools & mass in abdomen, diagnosis is:
    a. Intussusception b. Volvulus c. Idiopathic abdominal epilepsy d. Hirschsprung’s diasease
  762. 774.The best time for surgery of hypospadias is:
    • a. 1-4 months of age b. 6-10 months of age
    • c. 12-18 months of age d. 2-4 years of age
  763. 775.Swan-Ganz catheter is mainly used to measure:
    • a. The right ventricular pressure b. The right heart pressure
    • c. Left ventricular pressure d. The pulmonary capillary pressure
  764. 776.Pott’s puffy tumor is:
    • a. Frontal osteomyelitis with soft tissue swelling
    • b. Malignant disease of the odontoids
    • c. Calcifying epithelioma
    • d. Infected sebaceous cyst over the scalp
  765. 777.Following entrapment of a nerve rise to pronator syndrome. The nerve involved is:
    a. Radial nerve b. Median nerve c. posterior interosses nerve d. Ulnar nerve
  766. 778.Which among the following is true about the meckel’s diverticulum:
    • a. it is a remnant of the urachus
    • b. It has all the layers of the gut
    • c. It is supplied by the inferior mesenteric artery
    • d. It is present at the junction of the mid-hut and the hind-gut
  767. 779.True regarding achalasia cardia are all of the following except:
    a. Dysphagia b. Odynophagia c. Regurgitation d. Pre-malignant
  768. 780.The transformation of squamous cells to columnar cells in Barrett’s esophagus is an example of:
    a. Atrophy b. Dysplasia c. Metaplasia d. Hamartoma
  769. 781.Peau d’ orange skin over breast is due to:
    • a.Subcutaneous lumphatic obstruction b. Direct skin invasion
    • c. Angiogenesis d. All
  770. 782.Sutre material most commonly used for intestine repair is:
    a. Catgut b. PDS c. Vicryl d. Silk
  771. 783.Bleeding in subdural hemantoma (SDH) is from:
    a. Bridging veins b. Emissary veins c. Middle meningeal artery d. Dual sinuses
  772. 784.A 45 year old hypertensive male presented with sudden onset severe headache , vomiting and neck stiffness. On examination he didn’t have any focal neurologic deficit. His CT scan showed blood in the sylvian fissure. The probable diagnosis is:
    a. Meningitis b. Ruptured aneurysm c. Hypertensive bleed d. Stroke
  773. 785.The most commoncause of subrachnoid hemorrhage is:
    • a. Berry aneurysms around the circle of willis
    • b.Hypertensive intracerebral bleeds
    • c. infection
    • d. Basilar artery ectasia
  774. 786.Which of the following is the causative agent of nasopharyngeal carcinoma?
    a. HBV b.CMV c.EPV d.HPV
  775. 787.True about carcinoma nasopharynx is:
    • a. It commonly arises in association with HPV
    • b. It can be easily treated by surgery
    • c. It has a high rate of spread to neck nodes
    • d. It is a adenocarcinoma of the nasopharynx
  776. 788.All of the following are true about the stomach cancer except:
    • a. The incidence of stomach cancer is decreasing in recent years
    • b. Linitis plastic type is most common type
    • c. Primary lymphoma is more common in the stomach as compared to the rest of the GIT
    • d. Helicobacter pylori increases susceptibility
  777. 789.All of the following are true about hemorrhoids except:
    • a. Are a common cause of lower GI bleeding
    • b.External hemorrhoids are not associated with anal sphincter spasm
    • c. For internal hemorrhoids the treatment is surgical excision of the clot
    • d. Internal hemorrhoids are painless
  778. 790.ulcerative colitis is known to cause all of the following except:
    • a. Hepatocellular carcinoma b. Erythema nodosum
    • c. Iritis d. Sclerosing cholangitis
  779. 791.True regarding the ulcers seen in typhoid is:
    • a. The complication are most common in the 1st week
    • b. They are commonly penetrating and cause sesvere local granuloma formation
    • c. the ulcers are longitudinally oriented
    • d. The disease is more common in the elderly
  780. 792.The aorta opens in the diaphragm at the level of:
    a.T-8 b. T-10 c. T-12 d. L-1
  781. 793.The most common site of intestinal obstruction in gallstone ileus is:
    a. Jejunum b. Transverse colon c. Sigmoid colon d. Ileum
  782. 794.One unit of fresh blood raises the HB% concentration by:
    a. 0.1 gm% b. 1gm% c. 2 gm% d. 2.2gm%
  783. 795.Pseudoclaudication is due to the compression of:
    a. Femoral artery b. Femoral nerve c. Cauda equine d. Popliteal arteryz
  784. 796.Polydioxanone is absorbed in how many days:
    a. 7 b. 21 c. 100 d. 250
  785. 797.Karyotype in testicular feminization syndrome is:
    a. 46XY b. 46XX c. 47XXY d. 45XY
  786. 798.Treatmetn of acute variceal bleeding include all except:
    a. Somatostatin b. Vasopressin c. Nitroglycerin d. Propranolol
  787. 799.all of the following form radio-lucent stones except:
    a. Xanthine b. cysteine c. Allopurinol d. Orotic acid
  788. 800.A ‘malignant pustule’ is a term used for;
    • a. An infected malignant melanoma b. A rapidly spreading rodent ulcer
    • c. A carbuncle d. Anthrax of the skin
  789. 801.A warthin’s tumor is;
    • a. An adenolympoma of parotid gland b. A pleomorphic adenoma of parotid gland
    • c. A carcinoma of the parotid d. A carcinoma of the submandibular salivary Gland
  790. 802.A newborn baby had normal APGAR score at birth and development excessive frothing and choking on attempted feeds. The investigation of choice is:
    • a. Esophagoscopy b. Bronchoscopy
    • c. X-ray chest and abdomen with the red rubber catheter passed per orally into esophagus
    • d. MRI chest
  791. 803. A newborn baby has been referred to the casualty as a café of congenital diaphragmatic hernia. The first clinical intervention is of:
    • a. Insert a central venous pressure line b. Bag and mask ventilation
    • c. Insert a nasogastric tube d. Ventilate with high frequency ventrilator
  792. 804.Cells from the neural crest are involved in all except:
    • a. Hirschsprung’s disease b. .Neuroblastoma
    • c. Primitive neurroctodermal tumor d. Wilms’ tumor
  793. 805.Which of the following imaging modality is most sensitive to defect early renal tuberculosis:
    a. Intravenous urography b. Ultrasound c. Computed tomography d. Magnetic resonance imaging
  794. 806.Which of the following is not true of gas gangrene:
    • a. it is caused by clostridium perfringens
    • b. Clostridium perfringens is a gram- negative spore bearing bacillus
    • c. Gas gangrene is characterized by severe local pain, crepitus and signs of toxemia
    • d. High dose penicillin and aggressive debridement of affected tissue is the treatment of establishment infection
  795. 807.In a blast injury, which of the following organ is the least vulnerable to the blast wave:
    a. GI tract b. Lungs c. Liver d. Ear-Drum
  796. 808.The term post-traumatic epilepsy refers to seizures occurring:
    • a. Within moments of head injury
    • b. Within 7 days of head injury
    • c. Several weeks to months after head injury
    • d. Many years after head injury
  797. 809.Most common cause of bladder rupture is?
    a. Full bladder b. pelvic trauma c. Surgery d. Idiopathic
  798. 810.The random flap derives its blood supply from;
    • a. From the nearby named arteries b. From the passing deeper vessels
    • c. Subcutaneous vascular plexus d. Directly from the bed of the wound
  799. 811.Parotid tumor, which is characterized by perineural spread is:
    • a. Mucoepidermoid carcinoma b. Epidermoid carcinoma
    • c. Carcinoma of pleomorphic adenoma d. Adenoid cystic carcinoma
  800. 812.Pancreaticoduodenectomy is the treatment of choice for:
    • a. Duodenal carcinoma b. Pancreatic carcinoma
    • c. Gallbladder carcinoma d. Gastric carcinoma
  801. 813.Most common ‘artery’ used for coronary artery bypass graft is:
    • a. Internal mammary artery b. Intercostal artery
    • c. Radial artery d. Dorsalis pedis artery
  802. 814. pes cavus is caused by:
    • a. Weakness of intrinsic muscles of the foot
    • b. Excessive tone of intrinsic muscles
    • c. Collapse of the arch
    • d. Fracture of calcaneum
  803. 815.Deficiency of adenosine deaminase is a marker of:
    • a. Combined immunodeficiency b. Ataxia telangiectasia
    • c. Wiskott-aldrich syndrome d. IgA deficiency
  804. 816.ACTH production by a pituitary tumor can be differentiated fro ectopic ACTH production :
    • a. Dexamethasone suppression test b. Petrosal sinus sampling of blood
    • c. Serum ACTH levels d. CT-scan
  805. 817.A patient with thyroid nodule has enlarged neck lymph node on same side. On needle aspiration amyloid is found. Diagnosis is:
    • a. Meduallary carcinoma b. Follicular carcinoma
    • c. Lymphoma d. Toxic goiter
  806. 818.A patient with thyroid nodule has enlarged neck lymph node on same side.on needle aspiration , amyloid is found. Treatment of choice is:
    • a. Total thyroidectomy +radical neck dissection
    • b. Lubular thyroidectomy with removal of isthmus
    • c. Lobular thyroidectomy + removal of isthmus and radical neck dissection
    • d. Lobectomy + removal of involved lymph node
  807. 819.Degloving injury is:
    • a. Surgeon made wound b. Lacerated wound
    • c. Blunt injury d. Avulsion injury
  808. 820.Chronically lymphoedematous limb is predisposed to all of the following except:
    • a. Sarcoma b. Marjolin’s ulcer
    • c. Recurrent soft tissue infections d. Thickening of the skin
  809. 821.In Budd-Chiari syndrome, the site of venous thrombosis is:
    • a. Infrahepatic inferior vena cava b. Infrarenal inferior vena cava
    • c. Hepatic veins d. Portal vein
    • 822.Polycystic disease of the kidney may have cysts in all of the following organs except:
    • a. Lung b. Spleen c. Pancreas d. Liver
  810. 823.Injection sclerotherapy is ideal for the following :
    • a. Strangulated hemorrhoids b. Prolapsed hemorrhoids
    • c. Internal hemorrhoids d. External hemorrhoids
  811. 824.Which of the following types of pancreatitis has the best prognosis?
    • a. Alcoholic pancreatitis b. Gallstone pancreatitis
    • c. postoperative pancreatitis d. Idiopathic pancreatitis
  812. 825.Which of the following is not an important cause of hyponatremia?
    • a. Gastric fistula b. Excessive vomiting
    • c. Excessive sweating d. Prolonged Ryle’s tube aspiration
  813. 826.Unilateral undescended testis is ideally operated around:
    a. 24 months of age b. 12 months of age c. 6 months of age d. 2 months of age
  814. 827.A 69 year old male patient having coronary artery disease was found to have gallbladder stones while undergoing a routine ultrasound of the abdomen. There was no history of biliary colic or jaundice at any time. What is the best treatment advice for such a patient for his gallbladder stones?
    • a. ERCP and bile duct stone extraction b. Laparoscopic cholecystectomy
    • c. No surgery for gallbladder stones d. ERCP and removal of gallbladder stones
  815. 828.A 50 year old woman presented with recurrent episodes of right upper abdominal pain for the last one year. She presented to casualty with history of jaundice and fever for 4 days. On examination, the patient appeared toxic and had a blood pressure of 90/60 mmHg. She was started on intravenous antibiotics. Ultrasound of the abdomen showed presence of stones in the common bile duct. What would be the best treatment option for her?
    • a. ERCP and bile duct stone extraction b. Laparoscopic cholecystectomy
    • c. Open surgery and bile duct stone extraction d. Lithotrispy
  816. 829.A blood stained discharge from the nipple indicates:
    a. Breast abscess b. Fibroadenoma c. Duct papilloma d. Fat necrosis of breast
  817. 830.Dysphagia lusoria is due to:
    • a. Esophageal diverticulum b. Aneurysm of aorta
    • c. Esophageal web d. Compression by aberrant blood vessel
  818. 831.Hypoparathyroidism following thyroid surgery commonly occurs within:
    a. 24 hours b. 2-5days c. 7-10 days d. 2-3 days
  819. 832.Investigation of choice to diagnose HIrschsprung’s disease is:
    a. Rectal manometry b. Barium enema c. Rectal biopsy d. Laparotomy
  820. 833.Which of the following malignant diseases of children has the best prognosis?
    a. wilm’s tumor b. Neuroblastoma c. Rhabdomyosarcoma d. primitive neuroectodermal tumor
  821. 834.Which of the following substances is not used as an irrigant during transurethral resection of the prostate?
    a. Normal saline b. 1.5% glycine c. 5% dextrose d. Distilled water
  822. 835.The treatment of choice for a mucocele of gallbladder is:
    a. Aspiration of mucous b. Cholecystectomy c. Observation d. Antibotics
  823. 836.Carcinoid tumor is most common in :
    a. Esophagus b. Stomach c. Jejunum d. Appendix
  824. 837.A 13 year old boy presents with acute right scrotal pain. The pain is not relieved on elevation of the scrotum and he has no fever or dysuria. The testis is enlarged and tender. His routine urinary examination is normal. There is no history of trauma. Which of the following is the most appropriate management?
    • a. Immediate exploration b. Antibiotics
    • c. psychiatric evaluation d. Antibiotics and scrotal elevation
  825. 838.During bilateral adrenalectomy, intraoperative dose of hydrocortisons should be given after:
    • a. opening the abdomen b. Ligation of left adrenal vein
    • c. Ligation of right adrenal vein d. Excision of both adrenal glands
  826. 839.A newborn presented with bloated abdomen shortly after birth with passing of less meconium. A full thickness biopsy of the rectum was carried out. Which of the following is most likely to be present ?
    • a. Fibrosis of submucosa b. Hyalinization of the muscular coat
    • c. Thickened muscularis propria d. Lac of ganglion cells
  827. 840.Lumbar sympathectomy is of value in the management of:
    • a. Intermittent claudication b. distal ischemia affecting the skin of the toes
    • c. Arteriovenous fistula d. Back pain
  828. 841.A blood stained discharge from the nipple indicates one of the following:
    a. breast b. Fibroadenoma c. Duct ectasia d. Fat necrosis of breast
  829. 842.In which of the following conditions splenctomy is not useful?
    a. Hereditary spherocytosis b. Porphyria c. Thalassemia d. Sickle cell disease with large spleen
  830. 843.The following is ideal for the treatment with injection of sclerosing agents:
    • a. External hemorrhoids b. Internal hemorrhoids
    • c. Prolapsed hemorrhoids d. Strangulated hemorrhoids
  831. 844. In which of the following locations, carcinoid tumor is most common ?
    a. Esophagus b. Stomach c. Small bowel d. Appendix
  832. 845.Parathyroid hyperplasia and pheochromocytoma may be associated with:
    • a. Medullary carcinoma of thyroid b. papillary carcinoma of thyroid
    • c. Anaplastic carcinoma of thyroid d. Follicular carcinoma of thyroid
  833. 846.Whihc of the following usually produces osteoblastic secondaries?
    a. Carcinoma lung b. Carcinoma breast c. Carcinoma urinary bladder d. Carcinoma prostate
  834. 847.Gardener’s syndrome is a rare hereditary disorder involving the colon. It is characterized by:
    • a. Polyposis colon, cancer thyroid, skin tumors
    • b. Polyposis in jejunum, pituitary adenoma and skin tumors
    • c. Polyposis colon, osteomas, epidermal inclusion cysts and fibrous tumors in the skin
    • d. Polyposis of gastrointestinal tract, cholangiocarcinoma and skin tumors
  835. 848.All of the following are true for patients of ulcerative colitis associated with primary sclerosing cholangitis (PSC) except:
    • a. They may develop biliary cirrhosis
    • b. May have raised alkaline phosphatase
    • c. Increased risk of hilar cholangiocarcinoma
    • d. PSC reverts after a total colectomy
  836. 849.Which one of the following is not used as a tumor marker in testicular tumors?
    a. AFP b. LDH c. hCG d. CEA
  837. 850.According to the Glasgow coma scale (GCS), a verbal score of 1 indicates;
    • a. No response b. inappropriate words
    • c. Incomprehensible sounds d. Disoriented response
  838. 851.Which one of the following is not a feature of liver histology in noncirrhotic portal fibrosis(NCPF)
    • a. Fibrosis in and around the portal tracts
    • b. Thrombosis of the medium and small portal vein branches
    • c. Nonspecific inflammatory cell infiltrates in the portal tracts
    • d. Bridging fibrosis
  839. 852.The most common complication seen in hiatus hernia is:
    a.. Esophagitis b. Aspiration pneumonia c. Volvulus d. Esophageal stricture
  840. 853.A young woman met with an accident and had mild quadriparesis. Her lateral X-ray cervical spine revealed C5-C6 fracture –dislocation. Which of the following is the best line of management:
    • a. Immediate anterior decompression
    • b. Cervical traction by instruction fixation
    • c. Hard cervical collar and bed rest
    • d. Cervical laminectomy
  841. 854.The most common cancer affecting Indian urban women in Delhi, Mumbai and Chennai is:
    a. Cervical cancer b. Ovarian cancer c. Breast cancer d. Uterine cancer
  842. which of the following diseases, screening procedure increases the overall survival?
    a. prostate cancer b. Lung cancer c. Colon cancer d. Ovarian cancer
  843. 856. Hypoparathyroidism following thyroid surgery occurs within:
    a. 24 hours b. 2-5 days c. 7-14 days d. 2-3 weeks
  844. 857.The tissue of origin of the kaposi’s sarcoma is:
    a. Lymphoid b. Vascular c. Neural d. Muscular
  845. 858.All of the following hereditary conditions, predispose to CNS tumors, except:
    • a. Neurofibromatosis b. Tuberous sclerosis
    • c. von Hippel-Lindau syndrome d. Xeroderma pigmentosum
  846. 859.All of the following clinicopathologic features are seen more often in seminomas ascompared to non seminomatous germ cell tumors of the testis except:
    • a. Tumors remain localized t testis for a long time
    • b. They are radiosensitive
    • c. They metastasize predominantly by Lymphatics
    • d. They are often associatd with raised levels of serum APF and hCG
  847. 860.Which of the following is the most common type of pituitary adenoma?
    a. Thyrotrophinoma b. Gonadotrophinoma c. Prolactinoma d. Corticotroponoma
  848. 861.Nelson’s sundrome is most likely seen after:
    a. Hypophysectomy b. Adrenalectomy c. THyroidectomy d. Orchidectomy
  849. 862.The most common site of intestinal obstruction in gallstone ileus is:
    a. Duodenum b. Jejunum c. Sigmoid colon d. Ileum
  850. 863.Treatment of choice for medullary carcinoma of thyroid is:
    • thyroidectomy b. partial thyroidectomy
    • c. 131I ablation d. Hemithyroidectomy
  851. 864.Complications of total thyroidectomy include all, except:
    a. Hoarseness b. Airway obstruction c. Hemorrhage d. Hypercalcemia
  852. 865.Which of the following is the most radiosensitive tumor?
    a. Ewing’s tumor b. Hodgkin’s disease c. Carcinoma cervix d. Malignant fibrous histiocytoma
  853. 866.Congenital hypertrophic pyloric stenosis usually presents:
    • a. within 2 days after birth b. Around 1 week after birth
    • c. Around 2 weeks after birth d. Around 2 months after birth
  854. 867.Whihc is the most common site of metastatic disease?
    a. Lung b. Bone c. Liver d. Brain
  855. 868.Treatment of choice in renal cell carcinoma with tumor of les than 4 cm in size is:
    • a. Partial nephrectomy b. Radical nephrectomy
    • c. Radical nephrectomy + postoperative radiotherapy
    • d. Radical nephrectomy + chemotherapy
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Sharad surgery all
sharad surgery all