Sharad surgery all

1. Best method of diagnosiing acute appendicitis is:

2. True regarding pott’s puffy “ tumor” is:

3. Ramsdt’s operation is done for:

4. Projective vomiting and visible peristalsis in upper abdomen in the 1st month of life is most commonly due to:

5. In infancy pyloric stenosis should be treated with:

6. Bilious vomiting is not seen in:

7. A 26 year old infant presents with non-bilious projectile vomiting, constipation and rabbit like pellet stol. He has:

8. False regarrding hypertrophic pyloric stenosis is:

9. Hypertrophic Pyloric stenosis is ideally treated with:

10. In which of the following conditions, triad of pain in abdomen , jaundice and melena is seen :

11. Not a feature of hemobilia :

12. Hemobilia occurs most commonly due to:

13. In 3rd degree piles, the treatment of choice is:

14. Th etreatment of choice of 2nd degree piles is:

15. Most common cause of bleeding per rectum in men between 20-40 years of age is:

16. Following hemorrhoidectomy th emost common complication is:

17. False regarding hemorrhoids is:

18. A neonate presents with dribbling of saliva. The diagnosis is:

19. A neonate regurgitates first and subsequent feeds. Diagnosis is:

20. Which of the following is the most common type of congential atresia with tracheoesophageal fistula:

21. In which of the following condition, nicoladoni’s of Branham’s sign is seen:

22. Common cause of uniteral hypertrophy and local gigantism is:

24. In which of the following carcinoma of thyroid, lympatic involvement is common;

25. Most common carcinoma of thyroid is:

26. In carcinoma of breast, a secondaries deposit is most common in:

27. In carcinoma breast , most common sit eof bony metastatis is:

28. Not a feature of charcot’s triad:

29. In cholangitis the most common organism is:

30. Charcot’s triad is seen in :

31. Not seen in cholangitis:

32. Potato tumor is a :

33. False regarding Meckel’s diverticulum is:

34. Most common somplication of Meckel’s diverticulum is:

35. Complication s of meckel’s diverticulum include:

36. False regarding Meckel’s diverticulum is:

37. A 30 –year-old woman is accidentally found to have a wide mouthed Meckel’s diverticulum during laparotomy. Best method of treatment :

38. In which of the following condition , theirsch operation is done:

39. For which of the following condition, delorme’s operation is done;

40. False about cystic hygroma is:

41. cystic hygroma:

42. Which of the following is brilliantly translucent:

43. Cystic hygroma is a :

44. After birth, th eearliest tumor to occur is:

45. In mallory –weises syndrome where is the mucosal tear located;

46. False regarding mallory- weiss syndrome is:

47. Sengstaken tube must maintain a pressure of… mmHg above what was recrded before insertion, to stop bleeding from varices:

48. In which of th efollowing conditon , sengstaken tube is used:

49. In blunt injury to abdomen, organ commonly involved is;

50. Most common cause of a portal hypertension is situated at:

51. Medical treatment of gallbladder stone is possible in;

52. Oral ursodeoxycholic acid therapy is ineffctive in dissolving which of the following type of stones:

53. Medical treatment of gallstones is useful in all except:

54. Pseudopolyposis is a feature of which of the following disease:

55. Sulphonamide is a feature of which of the following disease:

56. True regarding ulcerative colitis:

57. Not a complication of ulceratve colitis:

58. In which of the following condition, pyoderma gangrenosum is seen:

59. “signof emptying” is seen in:

60. Red discoloration on eyeld which disappears by one year is:

61. Tuft of hairs is seen in :

62. Meningomyelocele most commonly occurs at:

63. IN Hodgkin’s lymphoma, the malignant cell is:

64. Most common site of enlargement of lymmph nodes in Hodkin’s lymphoma is:

65. Most common presentation of Hodkin’s lymphoma is;

66. Hodkin’s ;ymphoma with right sided neck nodes and left inguimal node without fever is of:

67. Not a type B symptom of Hodkin’s lymphoma:

68. In a patient with Hodkin’s lymphoma with unilateral lymph node involvement, treatment of choice is :

69. Worst prognosis Hodkin’s lymphoma is:

70. In polycystic kidney cysts are seen in all of the following organs except:

71. The treatment of choice in polycystic kidney;

72. Liver cyst in polycystic kidney occurs in:

73. In which of the following ‘spider leg’ appearance of calyces in intracenous urography is seen :

74. Secondaries of which of the following does not cause osteolytic lesion:

75. In which of the following osteoblastic secondaries are seen:

76. Heller’s operation is done in :

77. True regarding achalasia cardia is:

78. For achalasia cardia, the best investigation is:

79. False regarding achalasia cardia is:

80. Predisposing factor for testicular tumor is:

81. In stage I seminoma, the treatment of choice is:

82. From which of the following glomus tumor originates:

83. False regarding glomus tumor is:

84. In renal cell carcinoma, which of the following endocrine manifestation may occur:

85. Most common metastasis in renal cell carcinoma is to:

86. Solitary ‘Pulsatile’ bone secondaries are most likely from:

87. Not a feature of renal cell carcinoma:

88. Thyroglossal fistula develops due to which of the following :

89. Sistrunk’s operation is done in:

90. Which of the following has close proximity to hyoid bone:

91. Medullary carcinoma of thyroid arises from:

92. Which of the following is the marker for medullary carcinoma of thyroid :

93. False regarding varicocele:

94. Varococele is common in left tests. The reason of this is:

95. Most common malignant tumor of spleen is:

96. Which of the following is the most common tumor of spleen:

97. In which of the following condition Goodsall’s rule is used:

98. All are false regarding diverticulitis of colon except:

99.. Dumping syndrome is because of:

100. Strcture not excised in radicla neck dissection ;

101. Structure not removed in classi radical neck dissextion:

102. Structure not saved in radical neck dissection is:

103. False regarding vertebral hemangioma is:

104. Toxic megacolon is seen in which of the following disease:

105. Not a feature of esophageal rupture:

106. In which of the following hydradenitis suppurativa occurs:

107. Not a feature of deep vein thrombosis in lower limb:

108. In which of the following condition , malignant changes in testis occurs:

109. In which of the following condition, meconium ileus is seen ;

110. Most common site of lymphoma in GI tract is:

111. A parient with pituitary tumor, pheochromocytoma, and hyperthyroidism is most likely to have;

112. MEN II is seen with which of the following thyroid carcinoma:

113. Not an indication for splenectomy:

114. not included in basic life support:

115. Most common primary brain tumor is:

116. A 70 year old male presented with carcinoma rectum 3cm From anal verge. Treatment of choice is :

117. In carcinoma of rectum 12cm from anal verge, the treatment of choice is:

118. Prognosis of carcinoma rectum is best assessed by:

119. Earliest symptom of carcinoma rectum:

120. Duhamel operation is done for which of the following condition;

121. In Hischsprung’s disease, common aganglionic part is:

122. All are false ragarding Hischsprung’s disease except:

123. Which of the following is the most common cause of parotid swelling :

124. Pleomorphic adenoma of parotid is treated with:

125. Parotid tumor which is most commonly seen :

126. Pleomorphic ladenoma most commonly occurs at:

127. True regarding pleomorphic tumor is:

128. A patient has swelling in parotid which pushes the tonsil medially. Histologically it is pleomorphic adenoma. This should be treated with:

129. False regarding pseudopancreatic cyst is:

130. In pdeudopancreatic cyst the treatment of choice is:

131. False regarding pseudopancreatic cyst is:

132. In pseudopancreatic cyst , collection of fluid occurs in :

133. Pseudocyst of pancreas most commonly occurs after:

134. 5 cm umcomplicated pancreatic pseudocyst of 6 weeks duration should be managed by:

135. A 65 year old man has recurrent thrombophlebitis in upper arm for the last 6 months. Most likely diagnosis is:

136. IN which of the following carcinoma, migratory thrombophlebitis is seen:

137. Cleft lip is due to nonfusion of:

138. Cleft lip is due to nonfusion of:

139. Most common type of cleft lip is:

140.Carcinoid tumor most commonly occurs at:

141. Hamman’s sign is typically seen in:

142.Most common site of carcinoma stomach is:

143. Carcinoma stomach is associated with which of the following blood group:

144. False regarding carcinoma of stomach is:

145.In which of the following condition, hyperbaric oxygen is used:

146. In subclavian steal syndrome, blood flow in vertebral artery is:

147. Cutaneous malignancy which does not metastasize to lymphatics is:

148. In basal cell carcinoma at inner canthus of eye, the treatment of choice is:

149.Most common site of rodent ulcer is;

150.FNAC is not useful in which of the following thyroid carcinoma:

151. Ideal treatment of Hashimoto’s thyroiditis is:

152. False regarding hashimoto’s thyroiditis is:

153. In which of the following condition, hurthle cells are seen:

154. Symptom most frequently seen in patients of primary biliary cirrhosis is:

155. A chronic alcoholic has liver cirrhosis, presented with mass in liver, and raised AFP . most likely diagnosis is:

156. in which of the following condition, α fetoprotein is increased:

157. Gallstone which is most commonly found is:

158. not a component of “saint’s” triad;

159. Percentage of gallstones which are radiopaque:

160. Fistula in ano is most commonly caused by:

161. In fistula in ano, treatment of choice is:

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:

163. All are false regarding Zenker’s diverticulum except;

164. Which of the following is the best source of split skin graft:

165. isograft is:

166.All are false regarding renal trauma except:

167.True ragarding thiersch’s graft is:

168.In gastrojejunocolic fistula, diarrhea is due to:

169. Treatment of paget’s disease of nipple is;

170. Not a mid line swelling in neck:

171.False about mannitol:

172. Not a feature of crush syndrome:

173. Not a cause of choledochal cyst:

174.Choledochal cyst should be treated with:

175.All are false regarding choledochal cyst except:

176.Klatskin tumor is located at:

177.In which of the following conditin, cullen’s sign is seen:

178.In multiple myeloma, hyponatremia is:

179.Not a feature of vanBuchem’s disease:

180.Thyroid carcinoma which has best prognosis is:

181.Characteristic feature of peyronie’s disease is:

182.Peyronie’s disease affects the:

183. In bilateral adrenal hyerplasia, the treatmetn of choice is:

184.McBurney’s point is siteuated at:

185.True regarding cancrum oris is:

186.Content of Richter’s hernia is;

187.In which of the following condition, very high level of alkaine phosphatase is seen;

188.Most common site of anorectal abscess is:

189.True regarding decubitus ulcer is:

190.Not seen in subacute thyroiditis:

191.Not seen in de Quervain’s thyroiditis:

192.Strangulation is most common with which hernia:

193.In hernia en-glissade , the most common content is:

194.Most common hernia of abdominal wall is;

195.Not an indication for liver transplantation;

196.In rectum most malignant polyp is;

197.Carcinoma seen in anal canal is:

198.Primary vesical calculus is seen with which of the following :

199.Ranula is:

200.In which of the following, ranula lies:

201.Charateristic feature of wound healing by secondary intention is:

202.Lung abscess is most commonly caused by:

203.Most common cause of surgical obstructive jaundice among the following is:

204.Buccal mucosa carcinoma commonly drains to ehich of the following lymph node:

205.Secondaries first go to which of the following organ in carcinoma of buccal mucosa;

206.Cause of ureterocele is:

207.False regarding horse shoe kidney is:

208.Correct incidence of renal ectopia is:

209.Most common congenital anomaly seen in upper renal tract is:

210.’Flower vase’ appearance in IVP is seen in;

211.Diverticulitis most commonly occurs at:

212.A 75 year old male presented with massive bleeding per rectum. Most likely diagnosis is:

213.Most common site of branchia cyst is:

214. In branchial cyst, the external opening is situated at;

215.False regarding esophageal carcinoma is;

216. Esophageal carcinoma most commonly occurs at:

217. Gastrin levels are raised in:

218. Medical treatment of ZOllinger-Ellison syndrome is:

219. Zollinger-Ellison sundrome is caused by tumor of;

220. Treatment of Zollinger-Ellison syndrome type II is:

221.Diarrhea in Zollinger-Ellison syndrome is due to:

222. Not a charccteristic feature of Zollinger-Ellison syndrome :

223. In which of the following condition mustarde operation is done:

224.In surgery of hand the “ No man’s land” is :

225.In which of the following anchovy sauce pus is seen ;

226. Amebic abscess ruptures most commonly into:

227. Not a feature of hypovolemic shock:

228. Feature which is most specific for shock is;

229. Warthin’s tumor is:

230. For warthin’s tumor is;

231. In which of the following condition, Heller’s operation is done:

232. Ainhum is construction ring appearing at;

233. A 65 year old man presents with bleeing on initiation of micturition . most likely diagnosis is:

234. Most common presenting symptom of carcinoma bladder is;

235. X-ray should be taken in which of the following position, to know the position of opening in a congenital anorectal malformation:

236. Invertogram should be done …. Hours after birth:

237. prognosis depends upon which of the following, in soft tissue sarcoma:

238.Soft tissue sarcoma is ideally treated with:

239. For gallstone, the investigation of choice is:

240.Most common cause of amebic lung abscess is;

241.Gallbladder fistula is seen with:

242.Not a tumor marker :

243.most common cause of blood discharge from nipple is:

245.Greenish discharge from nipple indicate;

246.Carcinoma of breast which has best prognosis is:

247.In flail chest with altered results of blood gas analysis, the treatment of choice is:

248.Which of the Following is the most direct complication of splenectomy:

249.Characteristic feature of tuberculosis pyelonephritis is;

250.Staghorn calculate is made up of:

251.In which of the following condition, Rovsing’s sign is positive:

252.Nevus with malignant potential is:

253.In which of the following carcinoma of thyroid ‘psammoma bodies’ are seen:

254.Splenectomy is not done in :

255.Treatment of nonremitting acute cholecystitis is :

256.Not a complication of total thyroidectomy :

257.Most common route of infection in kidney tuberculosis is:

258.In renal tuberculosis, earliest manifestation is:

259.Solitary nodule in thyroid is most commonly caused by:

260.Solitary nodule in thyroid is most commonly seen in:

261.A young woman with solitary toxic thyroid nodule should be treated with:

262.In acute cholescystitis diagnostic method of choice is:

263.Cause of pyogenic liver abscess is:

264.Pyogenic liver abscess is most commonly cause by:

265.In villious adenoma of rectum which of the following is seen :

266.Not seen in villous adenoma:

267.Which of the following is true regarding branchial fistula;

268.A neonate presented with scaphoid abdomen and respiratory distress. The diagnosis is:

269.All are false regarding diaphragmatic hernia except:

271. Intussusception is most commonly of… type:

272.Most common cause of nonhealing ulcer over medial malleolus is:

273.Most common site of venous ulcer is:

274. Burns involving head, face, and trunk constitutes how much percentage:

275.Calculate the burn involving front of chest and abdomen :

276.Burn of head and neck accounts for… in adult;

277. Rule of nine to estimate surface area of a burnt patient was introduced by:

278.Most common primary liver tumor among the following is:

279.Spread through blood does not occur in:

280.Metastasis to bone is not seen in:

281.In which of the following carcinoma bone metastasis is not common:

282.Covering over an omphalocele is:

283. All are false regarding umbilical hernia (omphalocele major) except:

284.Most common pancreatic malignancy is:

285.Tmoxifen is used in treatment of carcinoma of:

286.CAsoni’s intradermal test is positive in … % of cases of hydatid disease:

287.In children most common bladder tumor is:

288.Most common malignancy of oral cavity is:

289.Malignant transformation is most common in;

290.In hemolytic anemia, gallstones are;

291.In keloid, best treatment is;

292.True regarding keloid is;

293. What percent of patients with perforated peptic ulcer will show free gas under the diaphragm;

294.In peptic ulcer perforation the investigation of choice is;

295. not a treatment modality of carcinoma prostate:

296.patients with neurofibromatosis are not prone to;

297.Sigmoidoscope finding in acute diverticulitis of colon is:

298.Thyroglossal cyst is most common at:

299.Swelling which moves the movement of tongue is…. Cyst;

300. In which of the following disease, rhagades is seen ;

301. In which of the following condition, infant has dome shaped skull with high forehead and “Olympian brow”:

302.Moon’s molar is seen in:

303. Secondaries in neck with no obvious primary malignancy are most often due to carcinoma of:

304.Gasless abdomen in X-ray is a sign of:

305. Association of carcinom agallbladder with gallstones is about:

306. Earliest manifestation of upper limb ischemia is:

307.Furnier’s gangrene occurs in the :

308. Paget’s disease of nipple should be treated with:

309.Definitive operation for transposition of great vessels was:

310.Not a feature of bulbar urethra injury :

311. Deficiency of which of the following element is not seen with hyperalimentation :

312.Tietze’s syndrome usually develops at which of the following costal cartilage:

313.Virchow’s ;ymph nodes are:

314. In which of the following condition, “ strawberry gallbladdr” is seen:

315. Brust abdomen most commonly occurs on the:

316. Milroy’s disease is:

317.Nerve commonly affected by plexiform neurofibromatosis is:

318. False regarding plummer-vinson syndrome is:

319.Most common site of tongue carcinoma is:

320.In sarcoidosis th edrug of choice is:

321. In silent gallbladder stones the treatment of choice is:

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:

323.Surgery for carcinoid of appendix less than 2 cm not involving the lymph nodes or cecal wall:

324. Treatment of choice for a patient with appendicular carcinoid of 2.5 cm is:

325. Most common site of calculus formation in salivary gland is:

326. Submandibular salivary gland duct calculi should be treated with:

327. Splenectomy should be done in:

328. Most common site for splenunculi is:

329. In a patient fracture of 10-12th ribs, the cause of hypotension is:

330. Not a radiological sign of splenic rupture :

331. False regarding malignant melanoma is:

332. Which of the following is the most severe from of malignant melanoma:

333. Not used in graduation of coma in Glasgow coma scale:

334. Which of the following is not removed in radical neck dissection:

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:

336. postsplenectomy infection is most commonly caused by:

337. A 30 year old farmer who is a chronic smoker develops gangrene of foot. Most common cause of this is:

338.Which of the following is spared in radical mastectomy:

339. False regarding cholelithiasis is:

340. Not a cause of cholanglocarcinoma ;

341. Most common type of gallstone is;

342.ureterosignoidostomy leads to which of the following condition:

343. Biochemicla change not associated with urinary diversion:

344. Varicose veins are most commonly seen in:

345.Epulis arises from:

346. kaposi’s sarcoma is seen in:

347. Budd-chiari syndrome can be caused by:

348. Budd-chiari syndrome the occlusion is at the:

349. In neonates, most common cause of acute intestinal obstruction is:

350.Most common site of metastasis of Wilm’s tumor is:

351. All are false regarding Wilm’s tumor except:

352.Good prognosis in wilms’ tumor is seen in:

353.Triad of Wilms’ tumor does not include:

354.False regarding Wilm’s tumor:

355. Which among the following is the most common tumor of posterior cranial fossa:

356.Which of the following should be done in a patient of pelvis fracture with perineal hematoma and inability to pass urine:

357. Hemangioma which resolves spontaneously is:

358. Most common site of primary of Krukenberg’s tumor is:

359. Acanthosis nigricans is commonly seen in:

360.Ischemic colitis most commonly occurs at:

361. “Thumb printing” sign is seen in:

362. Which is a non- absorbable a suture:

363. In vascular surgery the suture used is:

364. “skip lesion” is seen in which of the following condition;

365. In which of the following condition, “string” sign of kantor is seen:

366. “Thimble bladder” is seen in :

367.In which of the following condition, calcificatin of prostate is seen :

368.In which of the following condition,”motheaten alopecia” is seen:

369.EBV infection is usually associated with all of the following diseases except:

370.Not a cause of hypophosphatemic syndrome :

371. Dentigerous cyst arises from:

372. Most common form of actinomycosis is:

373. The period duct is also known as:

374. Not a feature of emphysematous cholecystitis:

375. Rectal polyps most commonly presents as:

376. In children most common cause of fresh blood in stools is:

377. Extradural hemorrhage is managed with:

378.In which of the following condition, immediate surgery is indicated:

379.After head injury a patient becomes temporarily unconscious, regains consciousness and then passes into deep coma. Most probable diagnosis is:

380. Tamoxifen is used for which of the following breast cancer:

381. Most common intraabdominal tumor in children under 2 years of age is:

382. In which of the following condition, Blalock-Tausing shunt is used:

383. Uncinate epilepsy is seen in tumors of…lobe:

384. In which of the following condition, rectal examination should not be done:

385. In which of the following condition,intractable peptic ulceration wit renal stones is seen :

386.False regarding pyonephrosis is;

387.In which of the following condition, subcapsular nephrectomy is indicated:

388.not a predisposing factor for carcinoma bladder;

389.Intra peritoneal abscess most commonly occurs at:

390.In acute lymphangitis , treatment of choice is:

391. False regarding aberrant renal artery is:

392. In which of the following condition hour glass deformity of stomach is seen:

393.Foley’s catheter is numbered:

394. Which of the following is the most common cause of cervical lymph node enlargement:

395. Not a criterion for determining the prognosis of acute pancreatitis:

396.Most common site of appendix is:

397.Not included in the triad of sign of ruptured bulbar urethra:

398.Rhytidectomy operation involves;

399.Stippled calcification of the adrenals is seen in:

400. Enthesopathy is characteristic of ;

401.in which of the following metastasis to bone generally does not occur:

402. Early step in treatment of gas gangrene is:

403. open treatment is useful in burns of:

404.In which of the following carcinoma of thyroid metastasis to bone occurs;

405. Benign stricture in common bile duct is most commonly caused by:

406.Femoral hernia is differentiated from inguinal hernia by which of the following :

407.Femoral hernia is comparison to pubic tubercle is;

408.False regarding denete line in anal canal is:

409.Most common site of lymphoma of GI tract is:

410.premalignant lesion of gallbladder is;

411. Courvoisier’s law is related to:

412.Carcinoma of which of the following has best prognosis:

413.Reactionary hemorrhage occurs after… hours;

414.injury to which of the following nerve during parotid swelling results in Frey’s syndrome:

415. Frey’s syndrome constitutes;

416.A 65 year old man has low back pain and retention of urine. Best investigation modality for this condition is;

417.Secretomotor fiber to parotid gland is via which of the following nerve:

418.in pyriform sinus, a malignant tumor;

419.Whipple’s triad is seen in which of the following condition;

420.Whipple’s triad in insulinoma includes;

421.Most common quadrant site breast carcinoma is:

422. Which of the following is not a premalignant ulcer;

424.Witzelsucht syndrome(pathological joking) is seen in:

425.Treatment of choice of umbilical adenoma in a newborn is:

426. Posterior urethral valves are most commonly situated:

427. Most common benign tumor of stomach is;

428. Idiopathic retroperitoneal fibrosis involves first:

429.Ormond’s disease is;

430.Lateral aberrant thyroid is;

431.In which of the following condition, widening of duodenal C loop is seen ;

432.At which of the following site, the wound healing is worst :

433. Which of the following salivary gland tumors shows perineural spread ;

434.Most common route of spread of follicular carcinoma of thyroid is:

435.Morhahni hernia is;

436. marlon’s disease occurs due to;

437.Bile is concentrated in Gallbladder to;

438.Felon is:

439.Most common infection of the hand is:

440.Workers of dye industry are prone to:

441. Oliguria is defined as…ml urine/2 hours;

442. Dercum’s disease is most common in;

443. Most common form of anthrax is;

444. Nerve lying close to Wharton’s duct is;

445. True regarding von Graefe’s sign:

446. Carotid sheath does not contain:

447. Musculoskeletal abnormality in neurofibromatosis is:

448. Term ‘universal tumor’ refers to:

449. Percentage of renal stones which are radiopaque is;

450.Delhi boil is caused by;

451.Vincent’s angina affects;

452. Hepatocellular carcinoma is a complication of:

453. Ulceration of peyer’s patches is seen in;

454. Sjogren’s syndrome is associated with:

455. Raised serum alkaline phosphatase indicates:

456. Paraneoplastic syndrome associated with bladder cancer is;

457. Pseudolymphoma is seen in:

458. Which of the following has got malignant potential :

459.Leukoencephalopathy is seen with use of:

460.Ochsner-sherren regimen is used in management of;

461. Bisgaard regimen is used for treatment of:

462. Triad of renal colic, swelling in loin which disappears after micturition is;

463.Dietl’s crisis is seen in:

464. In pediatric age group, jejuna biopsy is diagnostic for:

465. True regarding Milroy’s disease is:

466.Troisle’s sign is;

467.In which of the following brain tumor, metastasis outside the brain occurs:

468.Troisier’s sign is not seen in:

469.Cushing syndrome may occur in:

470.In which of the following condition “ lemon on match sticks” like contour is seen:

471. Most common site of obstruction in gallstone is:

472.Which of the following is the most common site of gallstone impaction:

473.Cause of acute mesenteric lymphadenitis is:

474.For acute cholecystitis, the chemical mediator is:

476.True regarding mondor’s disease is;

477.A child presents with proptosis, multiple skeletal limb secondaries and sutural separation. Most likely diagnosis is:

478.Medullary carcinoma of thyroid may manifest as;

479.Most common tumor of urinary bladder is:

480.Wound healing is not impaired by;

481. Which of the following is common in intradural extramedullary location;

482. Which of the following metastatic tumor does not cause compression of spinal cord:

483. Lithogenic bile has:

484.Battle’s sign indicates:

485. Spigelian hernia is seen in which of the following region:

486.True regarding spigelian hernia is:

487.in which of the following condition, splenectomy ismost successful:

488.After severe trauma, response to intravenous fluid is best monitored by:

489.In treatment of shock which of the following parameter is used:

490.Treatment of choice for carcinoma peritonei is:

491.Ideal treatment for large carcinoma of anal canal is:

492.Treatment of annular pancreas is:

493.DIC is not seen with:

494.Lemght of CBD is…..cm:

495.Half-life of factor VIII is …. Hours:

496.False regarding paralytic ileus is:

497.Raised level of carcinoembryonic antigen is seen in all except:

498.Majority of primary infections of urinary tract are caused by:

499.Drug of choice for carries of diphtheria is:

500.Cracked nipple may be;

501.Post-traumatic epilepsy should be treated with;

502. Fordyce spots are;

503.Deficiency of which of the following seen in pendred’s syndrome:

504.Most common histological variety of bronchogenic carcinoma is;

505.Hyoid bone is closely associated with;

506.Which of the following is an abslute contraindication of IVP :

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;

508.Following modes of treatment are used in Esophageal varices except:

509.Gynecomazia is not seen in:

510.False regarding Paterson-Brown –Kelly syndrome is;

511.Gleason’s staging is done in carcinoma of:

512.In intestinal obstruction , the main cause of distended abdomen is;

513.A 6 year old patient has diffuse toxic goiter.the treatment of choice is:

514.Presenting feature of endemic goiter is:

515.Endemic goiter most commonly prsents with;

516.For the diagnosis of which of the followinng condition, thyroid scan is most useful;

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;

518.Carcinoma which is femilial ;

519.False regarding congenital lymphedema:

520.in skin graft transfer the word ‘take’ of graft referrs to:

521.Most specific tumor marker for prostate is;

522.In a smoker a tumor with central cavitation is found. This is most likely to be;

523.Renal stone which is radiolucent;

524.True regarding collar stud abscess;

525.Most common type of mesentric cyst is;

526.A patient with hyperparathroidism with pheochromocytoma develops a thyroid swelling. Most likely the cause is:

527.Boil is:

528.Stone impaction near the ampulla of vater is ideally treated by:

529.Tnel’s sign indicates:

530.In which of the following condition, corkscrew esophagus is:

531.For diagnosing Hodgkin’s disease the investigation of choice is:

532.True regarding nephrocalcinosis is:

533.False regarding Raynaud’s disease is:

534.False regarding Raynaud’s disease is:

536.False regarding Raynaud’s phenomenon is:

537.In which of the following procedures, nerve of Kuntz is an important landmark:

538.Most common site of peptic ulcer is:

539.Formation of gallbladder stone is not influenced by:

540.Not a common site for Cushing’s tumor ulcer is:

541.Curling’s ulcer is seen in:

542.Most common tumor occurring in undescended testis is;

543.A 6-week infant has undescended testes in right side and normal testes on left side.he should be treated;

544.Epitheloid granuloma are characteristic of:

545.Clicking jaw occurs due to:

546.Keratoacanthoma is;

547.Dupuytren’s contracture of hand commonly starts in:

549.Arachnodactyly is:

550.Not seen in Meigs’ syndrome:

551.False regarding carbuncle is:

552.Metabolic disturbances seen in hypertrophic pyloric stenosis is:

553.In vertebralcanal most common site of chondroma is;

554.Epithelium of Barrett’s mucosa is:

555.True adenocarcinoma of esophagus is most likely to be due to:

556.Which of the following is a syndrome of medullary sponge kidney:

557.Treatment modality of achalasia which has maximum probability of causing a recurrence is:

558.In gastric obstruction in a patient of duodenal ulcer, the site of obstruction is most likely to be:

559.A patient with external hemorrhoids develops pain while passing stools.Nerve mediating this pain is:

560.True about Maffucci’s syndrome is:

561.Dysphagia lusoria is due to obstruction of which of the following :

562.Fascia of Denovilliers is:

563.Inussuscipiens is made up of;

564.in prune-belly syndrome there is:

565.MArjolin’s ulcer is seen in:

566.Which of the following is the most common tumor of liver:

567.Froment’s sign tests:

568.Which of the following is the most common type of diaphragmatic hernia:

569.Not seen in solitary rectal ulcer syndrome;

570.Stone in lower third of ureter should be treated with:

571.Full thickness graft means:

572.Wolfe graft is;

573.Not seen in Wilm’s tumor:

574. Benign prostatic hyperplasia occurs in the:

575.Prostatic carcinoma commonly arises from;

576.Transplantation of a kidney from mother to son is an example of:

577.β2 microglobulin is a marker for the prognosis of which of the following disease:

578.All are true regarding ureteric stone except:

579.Smoking is related to following carcinoma except:

580.False refgarding papillary thyroid carcinoma:

581. Carcinoma of prostate , most commonly metastasize to:

582.A patient of benign prostate hypertrophy underwent TURP after which he developed cerebral symptoms. Most likely electrolyte imbalance is:

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:

584.On USG an stone is seen in CBD dilated >1cm . Next investigation in this case should be:

585.In which of the following condition there is maximum risk of colon malignancy;

586.False regarding familial adenomatous polyposis :

587.Organ which contains appendices epiplocae is;

588.A 75 year old man underwent TURP operation.Biopsy revealed foci of adenocarcinoma . Next step of management is:

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:

590.Actinic keratosis leads to:

591.Most common complication following hemorrhoidectomy is:

592.Peroneus brevis is inserted to:

593.Not a feature of Horner’s syndrome ;

594.Human bite spreads which of the following infection:

595.False regarding erysipelas is;

596.False regarding carbuncle is:

597.Pentagastrin fast achlorhydria in patient with gastric ulcer indicates:

598.Treatment of acute embolus is;

599.Most common stomach tumor which bleeds:

600.True regarding glomous jugulare is:

601.Cause of Barrett’s ulcer is;

602.In gallstone ileus, the impaction occurs at:

603.Gallstone causes intestinal obstruction when it gets impacted in which part of the intestine commonly :

604.In which of the following condition, strangulated intestinal obstruction is not seen:

605.In lumbar sympathectomy which of the following ganglia is spread;

606.Most common tumor of retroperitoneal region among the following is:

607.Extralobar pulmonary sequestration is usually discovered by:

608.Most common site of duplication of GI tract is;

609.True regarding rupture of urinary bladder is:

610.Not a cause of pancreatitis:

611.An 8 year old boy presented with lump in epigastrium and non-bilious vomiting.most likely diagnosis is:

612.Not a clinical feature of gastric ulcer:

613.A newborn presenting with intestinal obstruction showed. On abdominal X-ray, multiple air fluid levels . most likely diagnosis is:

614.False regarding short bowel syndrome:

615.False regarding short bowel syndrome :

616.not a biochemical abnormality in pyloric obstruction :

617.Metabolic change likely to be seen in a 1 year old child with gastric outlet (pyloric)obstruction:

618. In infants not a clinical feature of pyloric stenosis;

619.False regarding hypospadias is;

620.False regarding hypospadias is:

621.False regarding hypospadias is:

622.False regarding hypospadias is:

623.Most common type of hypospadias is:

624.Meckel’s diverticulum is a derivative of which of the following:

625.In meckel’s diverticulum, ectopic gastric tissue is diagnosed by:

626.Not a constituent of Virchow’s triad:

627.Least common complication in pseudocyst of pancreas is:

628.False regarding skin graft is;

629.Best method for diagnosing gastro-oesphageal reflux disease is;

630.Whihc of the following is not a content of the pudendal canal;

631.Angle formed by the shaft and neck of the femur is:

632.Condyloma acuminatum is produced by which type of human papiloma virus;

633.False regarding blind loop syndrome is:

634.Which of the following is not seen in meniere’s disease;

635.In duodenal ulcer most common site of perforation is;

636.Sphenoid dysplasia is seen in :

637.Investigation of choice for posterior urethral valve is:

638.iliac “Hornia” are seen in:

639.In …. Pneumothorax , immediate surgical intervention is required:

640.Which of the following is the most premalignant lesion;

641.Most common complication of tracheostomy is:

642.klumpke’s paralysis is;

643.Not a content of Ringer’s lactase;

644.Most common carcinoma of paranasal sinuses is;

645.Brawny swelling below the angle of mandible likely diagnosis is:

646.Backwash ileitis is seen in;

647.Hypertensive bleed mostly occurs in:

648.Most common organism causing spontaneous bacterial peritonitis is;

649.Oral hairy leukoplakia and whitish plaque in the tongue and palate gives clue to most likely diagnosis of:

650.Which of the following is not a phakomatoses;

651.In a patient with solitary of thyroid , investigation of choice is ;

652.Best investigation to diagnose subphrenic abscess is;

653.Meconium plug syndrome occurs in:

654.Testicular seminoma secretes;

655.Most common site of thyroiglossal cyst is;

657.Alexithymia is:

658.Mucormycosis is seen in;

659.Treatment of carcinoma thyroid using radioactive iodine is:

660. In fracture shaft of femur, which nail is commonly used for ORIF:

661.Cells are most susceptible to radiation in which phase:

662.in down syndrome most common cause of intestinal obstruction:

663.Function of brown fat is;

664.A chronic smoker presents with dry, non productive cough and hemoptysis with mormal CXR. CT scan shows mass near distal trachea. Diagnosis is;

665.most common cause of upper limb lymphadema is:

666.True regarding cock’s “peculiear” tumor is:

667.Tetany after thyroidectomy should be immediately treated by:

669.von Willebrands disease; most common pattern of inheritance;

670.For amebic ulcer, the most common site is;

671.Hospices refer to:

672.False regarding strawberry hemangioma is:

673.Malignant cells in urine indicate;

674.Not a treatment of fat embolism:

675.In which of the following condition, acetyl cholinesterase enzymes is increased:

676.Whihc figures are very important to the endoscopists;

677.LInitis plastic is most commonly seen in which of the following condition;

678.Most common neoplasm of appendix is;

679.Most common site of postgonorrheal stricture is:

680.Whihc of the following is measured by swan Ganz catheter:

681.Strangulation is most common in;

682.In which of the following condition, melphalan is useful:

683.Whihc of the following nerve is involved in trasal tunnel syndrome;

684.In Wegner’s granulomatosis , the treatment of choice is:

685.False regarding intestinal tuberculosis is:

686.Organism most commonly associated with epidural abscess is;

687.Bleeding in duodenal ulcer commonly occurs from:

688.False regarding exstropsy of bladder is:

689.All are false regarding axial flap except;

690.In India most common cancer is of:

691.Fasle regarding typhoid choleycystitis:

692.Which of the following is raised if there is stone in bile duct:

693.Transpyloric plain passes through which of the following region:

694.First successful human heart transplant was performed by:

696.Bernstein test is useful in the diagnosis of cause of;

697.False regarding hernia is:

698.Not a feature of hepatocellular carcinoma:

699.Not seen in sudden onset peripheral arterial occlusion:

700.Not seen in sudden onset peripheral arterial occlusion:

701.Organism causing breast abscess is:

702.In breast abscess, the treatment of choice is:

703.In breast , the carcinomatous change is seen is:

704. Prognosis of which of the following carcinoma of breast is good:

705.Breast carcinoma which is most often bilateral;

706.Prognosis depends on which of the following, breast carcinoma metastasis:

707.Adverse side effect of which of the following drug is focal toxic myopathy:

708.Gastric malignancy is predisposed with:

710.Peritoneal seedlings into the abdominal cavity in a patient with peritoneal carcinoma is due to:

711.Hydradenitis supprativa is due to infection of:

712.Emergency procedure for esophageal variceal bleeding is:

713.All of the following are true about sliding hernia except:

714.MArjolin’s ulcer is a:

715.Marjolin’s ulcer is charcacterized by all except:

716.Froment’s sign is seen in:

717.The most common type of lung cancer is:

718.Pancoast’s tumor involves:

719.The following is not in the differential diagnosis of an ‘anterior’ mediastinal mass:

720.Anterior mediastinal tumor are all except:

721.Thymoma is associate with which of the following diseases:

722.The Tumor more commonly found in the ‘posterior’ mediastinum is:

723.The term rodent ulcer is used for:

724.Most common type of basal cell carcinoma is:

725.Chronic parocychia is caused by:

726.Kanavel sign is seen in;

727.Kanavel sign is seen in:

728.CAusalgia in a limb sequel to :

729.The most common malignant tumor of adult males in India is:

730. Which of the following is content of Littre’s hernia:

731.Most common tumor of the appendix is:

732.Acute pancreatitis is most commonly caused by:

733.Most common parotid tumor is:

734.Alpha waves are of which of the following frequencies:

736.The management of fat embolism includes all of the following except:

737.Fecal fistula at the umbilicus is due to:

738.The gold standard for definitive diagnosis of extrahepatic biliary atresia is:

739.Corkscrew esophagus is seen in:

740.Which of the following lasers is used for treatment of benign prostatic hyperplasia as well as urinary calculi?

741.Hamman’s sign is seen in:

742.Most common cause of infection in surgical wounds is;

743.Whihc of the following is an absolute indication for surgery in cases of benign prostatic hyperplasia :

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:

745.The best treatment for cystic hygroma is:

746.Premalignant all except:

747.Chromosome 5 has gene for:

748.The differential diagnosis of rectal prolapse in a child is:

749.Most common site of urethral rupture is;

750.Most common surgical complication of typhoid is:

751.The most common cause of multiple stricture in the small intestine is:

752.What is most characteristic of congenital hypertrophic pyloric stenosis?

753.The metabolic derangement in congenital pyloric stenosis is;

754.Hypochloremia, hypokalemia alkalosis are seen in:

755.A 65 year old male smoker presents with gross total painless hematuria. The most likely diagnosis is:

756.Renal common cause of painless hematuria is:

757.Radiation exposures during infancy has been linked to which 1 of the following carcinoma:

758.Treatmetn of squamous cell carcinoma of anal canal is;

759.Treatment of anal carcinoma is;

760.Tumor, which is relatively more benign as compared to the rest, is:

761.Most radiosensitive tumor:

762.True regarding seminoma is:

763.Regarding testicular tumors, the following are false except:

764.A 40 year old male had undergone splenectomy 20 years ago. Peripheral blood smear examination would show the presence of:

765.An increased incidence of cholangiocarcinoma is seen in all of the following except:

766. Strong correlation with colorectal cancer is seen in;

767.Pancreatitis, pulmonary tumor and pheochromocytoma may be associated with:

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:

769.The drug of choice for thoratic actinomycosis is:

770.Which of the following is not a component of crush syndrome?

771.The most common organism causing cellulitis is:

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:

773.Infant with blood in stools & mass in abdomen, diagnosis is:

774.The best time for surgery of hypospadias is:

775.Swan-Ganz catheter is mainly used to measure:

776.Pott’s puffy tumor is:

777.Following entrapment of a nerve rise to pronator syndrome. The nerve involved is:

778.Which among the following is true about the meckel’s diverticulum:

779.True regarding achalasia cardia are all of the following except:

780.The transformation of squamous cells to columnar cells in Barrett’s esophagus is an example of:

781.Peau d’ orange skin over breast is due to:

782.Sutre material most commonly used for intestine repair is:

783.Bleeding in subdural hemantoma (SDH) is from:

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:

785.The most commoncause of subrachnoid hemorrhage is:

786.Which of the following is the causative agent of nasopharyngeal carcinoma?

787.True about carcinoma nasopharynx is:

788.All of the following are true about the stomach cancer except:

789.All of the following are true about hemorrhoids except:

790.ulcerative colitis is known to cause all of the following except:

791.True regarding the ulcers seen in typhoid is:

792.The aorta opens in the diaphragm at the level of:

793.The most common site of intestinal obstruction in gallstone ileus is:

794.One unit of fresh blood raises the HB% concentration by:

795.Pseudoclaudication is due to the compression of:

796.Polydioxanone is absorbed in how many days:

797.Karyotype in testicular feminization syndrome is:

798.Treatmetn of acute variceal bleeding include all except:

799.all of the following form radio-lucent stones except:

800.A ‘malignant pustule’ is a term used for;

801.A warthin’s tumor is;

802.A newborn baby had normal APGAR score at birth and development excessive frothing and choking on attempted feeds. The investigation of choice is:

803. A newborn baby has been referred to the casualty as a café of congenital diaphragmatic hernia. The first clinical intervention is of:

804.Cells from the neural crest are involved in all except:

805.Which of the following imaging modality is most sensitive to defect early renal tuberculosis:

806.Which of the following is not true of gas gangrene:

807.In a blast injury, which of the following organ is the least vulnerable to the blast wave:

808.The term post-traumatic epilepsy refers to seizures occurring:

809.Most common cause of bladder rupture is?

810.The random flap derives its blood supply from;

811.Parotid tumor, which is characterized by perineural spread is:

812.Pancreaticoduodenectomy is the treatment of choice for:

813.Most common ‘artery’ used for coronary artery bypass graft is:

814. pes cavus is caused by:

815.Deficiency of adenosine deaminase is a marker of:

816.ACTH production by a pituitary tumor can be differentiated fro ectopic ACTH production :

817.A patient with thyroid nodule has enlarged neck lymph node on same side. On needle aspiration amyloid is found. Diagnosis is:

818.A patient with thyroid nodule has enlarged neck lymph node on same side.on needle aspiration , amyloid is found. Treatment of choice is:

819.Degloving injury is:

820.Chronically lymphoedematous limb is predisposed to all of the following except:

821.In Budd-Chiari syndrome, the site of venous thrombosis is:

823.Injection sclerotherapy is ideal for the following :

824.Which of the following types of pancreatitis has the best prognosis?

825.Which of the following is not an important cause of hyponatremia?

826.Unilateral undescended testis is ideally operated around:

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?

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?

829.A blood stained discharge from the nipple indicates:

830.Dysphagia lusoria is due to:

831.Hypoparathyroidism following thyroid surgery commonly occurs within:

832.Investigation of choice to diagnose HIrschsprung’s disease is:

833.Which of the following malignant diseases of children has the best prognosis?

834.Which of the following substances is not used as an irrigant during transurethral resection of the prostate?

835.The treatment of choice for a mucocele of gallbladder is:

836.Carcinoid tumor is most common in :

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?

838.During bilateral adrenalectomy, intraoperative dose of hydrocortisons should be given after:

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 ?

840.Lumbar sympathectomy is of value in the management of:

841.A blood stained discharge from the nipple indicates one of the following:

842.In which of the following conditions splenctomy is not useful?

843.The following is ideal for the treatment with injection of sclerosing agents:

844. In which of the following locations, carcinoid tumor is most common ?

845.Parathyroid hyperplasia and pheochromocytoma may be associated with:

846.Whihc of the following usually produces osteoblastic secondaries?

847.Gardener’s syndrome is a rare hereditary disorder involving the colon. It is characterized by:

848.All of the following are true for patients of ulcerative colitis associated with primary sclerosing cholangitis (PSC) except:

849.Which one of the following is not used as a tumor marker in testicular tumors?

850.According to the Glasgow coma scale (GCS), a verbal score of 1 indicates;

851.Which one of the following is not a feature of liver histology in noncirrhotic portal fibrosis(NCPF)

852.The most common complication seen in hiatus hernia is:

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:

854.The most common cancer affecting Indian urban women in Delhi, Mumbai and Chennai is:

855.in which of the following diseases, screening procedure increases the overall survival?

856. Hypoparathyroidism following thyroid surgery occurs within:

857.The tissue of origin of the kaposi’s sarcoma is:

858.All of the following hereditary conditions, predispose to CNS tumors, except:

859.All of the following clinicopathologic features are seen more often in seminomas ascompared to non seminomatous germ cell tumors of the testis except:

860.Which of the following is the most common type of pituitary adenoma?

861.Nelson’s sundrome is most likely seen after:

862.The most common site of intestinal obstruction in gallstone ileus is:

863.Treatment of choice for medullary carcinoma of thyroid is:

864.Complications of total thyroidectomy include all, except:

865.Which of the following is the most radiosensitive tumor?

866.Congenital hypertrophic pyloric stenosis usually presents:

867.Whihc is the most common site of metastatic disease?

868.Treatment of choice in renal cell carcinoma with tumor of les than 4 cm in size is: