Surgery Previous Year Questions 2016
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Questions and Answers

Which diagnosis is the least likely for a child presenting with a thyroid nodule and appearing euthyroid?

  • Papillary carcinoma
  • Follicular carcinoma
  • Simple adenoma
  • Dysgenetic thyroid gland (correct)

    • Which of the following symptoms is least associated with cancer of the pancreatic head?

  • Palpable gallbladder
  • Jaundice
  • Esophageal varices (correct)
  • Weight loss

    • What is the most serious complication associated with a large abdominal aortic aneurysm?

  • Embolization to tibial artery
  • Rupture (correct)
  • Infection
  • Compression of neighboring organs

    • Which statement about arterial intermittent claudication of lower limbs is true?

    <p>Cramps relieved by rest</p> Signup and view all the answers

    What is the most accurate method for diagnosing hypertrophic pyloric stenosis?

    <p>Abdominal ultrasound</p> Signup and view all the answers

    Which child is most suitable for a tonsillectomy?

    <p>6-year-old male with five sore throats per year for two years</p> Signup and view all the answers

    In managing a 2-week-old baby with hip instability and a partially dislocated femoral head, what is the next step?

    <p>Surgery</p> Signup and view all the answers

    Which statement about orthostatic proteinuria is true?

    <p>Has a good prognosis</p> Signup and view all the answers

    What is the normal intracranial pressure (ICP) in adults?

    <p>10-15 mmHg</p> Signup and view all the answers

    Which condition is characterized by young females presenting with unclear breast lumps and pain during menstruation?

    <p>Mastopathia</p> Signup and view all the answers

    After subtotal gastrectomy with Billroth I or II reconstruction, which of the following is NOT a common complication?

    <p>Hypothyroidism</p> Signup and view all the answers

    What is the most common clinical manifestation of pancreatic head cancer?

    <p>Abdominal pain, jaundice, weight loss</p> Signup and view all the answers

    What is the first line therapy for prolactinoma?

    <p>Cabergoline</p> Signup and view all the answers

    Which presentation is most common with Meckel's diverticulum?

    <p>GI bleeding</p> Signup and view all the answers

    In a patient with recurrent indolent fistula and gastrointestinal symptoms, what is the likely diagnosis?

    <p>Ulcerative colitis</p> Signup and view all the answers

    Which of the following is NOT a predisposing factor for stress ulceration?

    <p>Isolated tibial fracture</p> Signup and view all the answers

    Which disorder is suggested by symptoms of weakness, sweating, tachycardia, confusion, and headache relieved by eating?

    <p>Insulinoma</p> Signup and view all the answers

    What is the main treatment for an abscess caused by acute mastitis?

    <p>Incision and drainage</p> Signup and view all the answers

    Which organism primarily invades the large intestine?

    <p>Entamoeba histolytica</p> Signup and view all the answers

    Which of the following is NOT a metabolic complication of subtotal gastrectomy?

    <p>Hypothyroidism</p> Signup and view all the answers

    Which statement about gallstones is false?

    <p>Symptoms commonly appear in all patients with gallstones</p> Signup and view all the answers

    Which of the following is NOT contained within the abdominopelvic cavity?

    <p>Lungs</p> Signup and view all the answers

    Which statement regarding post-splenectomy sepsis is false?

    <p>The incidence in adults is about 10%</p> Signup and view all the answers

    Which statement about benign lesions of the liver is true?

    <p>Hemangiomas are the most common benign lesions that require surgical attention.</p> Signup and view all the answers

    What is the diagnostic criteria for prolactin levels indicative of prolactinoma?

    <blockquote> <p>200 ng/ml</p> </blockquote> Signup and view all the answers

    What is the most common complication of enteral nutrition?

    <p>Vomiting and diarrhea</p> Signup and view all the answers

    Which structure is primarily involved in the formation of the superficial inguinal ring?

    <p>External oblique muscle tendon</p> Signup and view all the answers

    What is the basic construction and functional unit of the liver?

    <p>Hepatic lobules</p> Signup and view all the answers

    In the context of abdominal paracentesis, which diagnosis is most likely when extracting non-coagulable blood?

    <p>Parenchymal organ rupture</p> Signup and view all the answers

    Which chemotherapeutic agent is most commonly used for malignant gliomas?

    <p>Temozolomide</p> Signup and view all the answers

    In managing a patient with acute RUQ pain, which statement about diagnosis and treatment is true?

    <p>Antibiotics should be appropriately used.</p> Signup and view all the answers

    Which statement about pancreatic carcinoma is true?

    <p>99% of patients with pancreatic cancer have metastatic disease at the time of diagnosis.</p> Signup and view all the answers

    What is the most dangerous complication of portal hypertension?

    <p>Bleeding of esophageal gastric varices and rupture</p> Signup and view all the answers

    What is the most likely sign for a patient with postprandial abdominal pain?

    <p>Succusion splash positive</p> Signup and view all the answers

    Which statement regarding amylase changes in acute pancreatitis is incorrect?

    <p>The duration of urine amylase increase is shorter than that of blood amylase.</p> Signup and view all the answers

    What is the likely diagnosis for a patient experiencing a dull headache and uncontrollable jerking movements?

    <p>Migraine headache</p> Signup and view all the answers

    Which nerve is primarily responsible for pupil dilation during uncal herniation?

    <p>Oculomotor nerve (III)</p> Signup and view all the answers

    What is the significance of a succusion splash in a patient with abdominal pain?

    <p>Indicates a gastric outlet obstruction.</p> Signup and view all the answers

    What is the most common site for pancreatic cancer?

    <p>Head of pancreas</p> Signup and view all the answers

    Which condition is least likely to cause an increase in serum amylase levels?

    <p>Gastric ulcers</p> Signup and view all the answers

    Which management option is appropriate for a patient with a serum sodium level of 120 meq/L five days after cholecystectomy?

    <p>Administration of hypertonic saline solution</p> Signup and view all the answers

    What does the term 'three without' skin refer to in the anal canal?

    <p>No sweat glands, hair follicles, lymphatics</p> Signup and view all the answers

    Which of the following is NOT a contraindication for highly selective vagatomy?

    <p>Cigarette chain smoking</p> Signup and view all the answers

    A patient with abdominal pain and vomiting is likely diagnosed as having what condition based on the presence of a mass in the right lower quadrant?

    <p>Appendicitis</p> Signup and view all the answers

    Which of the following statements about the clinical course of appendicitis is true?

    <p>Nausea and vomiting usually precedes pain</p> Signup and view all the answers

    Which advantage is associated with minimally invasive surgery?

    <p>Less scarring</p> Signup and view all the answers

    What commonly presents first in a patient with appendicitis?

    <p>Periumbilical pain</p> Signup and view all the answers

    Study Notes

    Surgery Previous Year Questions 2016

    • Question 1: Concentration of mannitol used in elevated ICP is 0.2.
    • Question 2: Nerve responsible for dilation of affected pupil in uncal herniation is III.
    • Question 3: Preferred method of examination for biliary diseases is abdominal USG.
    • Question 4: Normal ICP in adults is less than 10-15 mmHg.
    • Question 5: Young female with unclear breast lumps and pain during menstruation is likely mastopathia.
    • Question 6: Patient localized to painful stimuli, GCS score of 3.
    • Question 7: Most common clinical manifestation of pancreatic head cancer is abdominal pain, jaundice, and weight loss.
    • Question 8: Complications of subtotal gastrectomy (Billroth I or II) reconstruction, except hypothyroidism.
    • Question 9: Basic construction and functional unit of the liver is hepatic lobules.
    • Question 10: First muscle group affected by tetanus is the masticatory muscles.
    • Question 11: Diagnosis for a 25-year-old man with recurrent indolent fistula in ano, weight loss, and recurrent diarrhea with blood in stools is ulcerative colitis.
    • Question 12: First-line therapy for prolactinoma is cabergoline.
    • Question 13: Commonest presentation of Meckel's diverticulum is gastrointestinal bleeding.
    • Question 14: For a 34-year-old male with acute appendicitis and localized peritonitis (5 days post-appendectomy), the first diagnostic check should be subphrenic abscess.
    • Question 15: Predisposing factors for stress ulceration, excluding isolated tibial fracture.
    • Question 16: Characteristics of gastrinoma include peptic ulcer being common.
    • Question 17: Reliable way to diagnose early gastric cancer is exfoliated cell examination.

    Other Questions from the Document

    • Question 18: Surgical intervention in portal hypertension is variceal hemorrhage.

    • Question 19: Quicker and safer method to detect ferromagnetic material near a patient is CT.

    • Question 20: Most common benign tumor of small intestine is adenoma.

    • Question 21: Patient with GSC score of 6 or less is considered severe TBI.

    • Question 22: Simple way to clarify inspection for amylase is peritoneal puncture fluid.

    • Question 23: After portal vein blockage, the first sign is congestive splenomegaly.

    • Question 24: In thoracic spinal injury with complete paralysis of limbs, the muscle strength level is 0.

    • Question 25: Most important treatment before splenic rupture surgery is blood volume supplementation.

    • Question 26: Polyps associated with highest malignant degeneration incidence are villous adenomas.

    • Question 27: Main cause of portal hypertension is cirrhosis of the liver.

    • Question 28: In thyroid adenoma, the part of neck mass often considered is in front middle part of neck that goes up and down with swallowing activities.

    • Question 29: Order of repairing stomach, jejunum, and ileum perforation is ileum, jejunum, stomach.

    • Question 30: Crohn's disease is associated with mycobacterium paratuberculosis.

    • Question 31: Most common pathological type of pancreatic head cancer is duct cell carcinoma.

    • Question 32: Diagnostic criteria for prolactinoma is a prolactin level over 200 ng/mL.

    • Question 33: Blood supply of the liver coming from portal vein is 70-75%.

    • Question 34: Space of the rectum and anal canal excluding anal canal space is ischiorectal space, pelvirectal space, retrorectal space.

    • Question 35: Commonest complication after appendectomy is incision infection.

    • Question 36: Nipple discharge (associated with small mass) in a 36-year-old female is likely intraductal papillary adenoma.

    • Question 37: Peptic ulcer disease excludes spicy foods.

    • Question 38: Main clinical manifestations of pancreatic head cancer include abdominal pain, weight loss (and anemia).

    • Question 39: Length of the rectum is 5-15 cm.

    • Question 40: Correct statement about Crohn's disease is that it is caused by mycobacterium paratuberculosis.

    • Question 41: Most common presentation of pancreatic head cancer is Obstructive jaundice

    • Question 42: Common cause for perforation during closed abdominal surgery is ileum perforation.

    • Question 43: In acute generalized peritonitis of young patients, abdominal contracture suggests surgery.

    • Question 44: True statement about colonic carcinoma is left-sided colon cancer and liver metastasis don't preclude surgery

    • Question 45: Most reliable way to diagnose early gastric cancer is exfoliated cell examination

    • Question 46: Most common incarcerated abdominal hernia is femoral hernia.

    • Question 47: Most easily damaged substantive organ from closed abdominal injury is the spleen.

    • Question 48: Hypersplenism is associated with immune response, and may occur without obvious illness.

    • Question 49: Useful methods for detecting splenic injuries include diagnostic peritoneal lavage, and MRI.

    • Question 50: In a 70-year-old male with urinary dysfunction, the next diagnostic step before assuming BPH is a urinalysis with culture.

    • Question 51: Normal ICP in adults is less than 15 mmHg.

    • Question 52: Important treatment for splenic rupture is blood volume supplementation.

    • Question 53: Most frequent type of colonic polyp associated with malignant degeneration is the villous adenoma.

    • Question 54: A 30-year-old female with intermittent, worsening headaches, especially in the morning, suggesting uncontrollable jerks, is likely to have cluster headache.

    • Question 55: Dilated pupil in uncal herniation is caused by compression of oculomotor nerve by uncus of temporal lobe.

    • Question 56: Focal nodular hyperplasia (FNH) of the liver is typically associated with birth control pills and usually requires resection.

    • Question 57: Diagnostic criteria for prolactinoma are prolactin levels greater than 200 ng/ml.

    • Question 58: The most common complication of enteral nutrition is hypoglycemia

    • Question 59: The most frequent functional pituitary tumor is growth hormone secreting tumor.

    • Question 60: Advantages of minimally invasive surgery include shorter hospitalization, less blood loss, less pain, and less scarring.

    • Question 61: All options are contraindications to a highly selective vagotomy except fundic peptic ulceration.

    • Question 62: A patient with abdominal pain, vomiting, and hyperactive bowel sounds in the RLQ is likely intussusception.

    • Question 63: First-line therapy for prolactinomas is cabergoline rather than bromocriptine.

    • Question 64: Symptoms such as weakness, sweating, tachycardia, and confusion, especially with fasting, are associated with insulinoma (rather than other options).

    • Question 65: Main treatment for acute mastitis is incision and drainage.

    • Question 66: Entamoeba histolytica primarily invades the large intestine (LI).

    • Question 67: Metabolic complications of subtotal gastrectomy (Billroth I or II) do not include hypothyroidism.

    • Question 68: Regarding gallstones, large stones are not easily incarcerated, and symptoms are often worsened after a fatty meal..

    • Question 69: The abdominopelvic cavity does not contain lungs.

    • Question 70: Heamophilus influenzae, streptococcus pneumonia and Neisseria meningitidis are the most common causes of post-splenectomy sepsis.

    • Question 71: Ducts in the liver, not wrapped in the Ghisson sheath, are the hepatic artery.

    • Question 72: Common auxiliary diagnosis and follow-up for pancreatic cancer is CA19-9.

    • Question 73: The most frequent functional pituitary tumor is prolactinomas, rather than other options given.

    • Question 74: Avoidance of hypocalcemia after radical thyroidectomy is important.

    • Question 75: Depth of epidural hematoma for surgical removal is 0.5-1.5 cm.

    • Question 76: Portal vein blockage leads to congestive splenomegaly.

    • Question 77: Preferred method for examining biliary disease is Abdominal ultrasound (US).

    • Question 78: Common benign tumor in small intestine is leiomyoma

    • Question 79: A valid diagnostic sign of acute pancreatitis is the presence of Grey-Turner's sign.

    • Question 80: Common intracranial tumor in adults is glioma.

    • Question 81: Gastrinoma is characterized by peptic ulcers.

    • Question 82: Combined glutamine use in nutritional support is beneficial for intestinal mucosa, liver protection, and cell function.

    • Question 83: Low-grade gliomas include gangliomas, oligodendrogliomas, and astrocytomas.

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    Description

    Test your knowledge with this quiz featuring previous year questions from surgery in 2016. It covers various topics including mannitol use, nerve functions in herniation, and complications of surgical procedures. Perfect for medical students preparing for exams!

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