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Question papers>MAHE>2003>Surgery

1] Commonest complication of appendectomy

  1. Wound infection
  2. Portal pyemia
  3. Subphrenic abscess
  4. Fecal fistula

Ans : A [repeat]

2] Commonest benign tumor of esophagus :

  1. Epithelial polyp
  2. Leiomyoma
  3. Carcinoid tumor
  4. Fibrovascular polyp

Ans : B

3] The cause of intussusption :

  1. Volvulus
  2. Typhoid
  3. Inflamed payers patch
  4. All the above

Ans :C

4] Butcher's thigh is see in :

  1. Penetrating wound through femoral artery
  2. Vertical cut across popliteal artery
  3. Penetrating wound through major vessels of thigh
  4. Cut in external iliac artery

Ans :C

5] In clarks classification of malignant melanoma which type indicates lesion has reached the dermis?

  1. I
  2. II
  3. III
  4. IV

Ans :B

6] Jaffory's sign is seen in :

  1. Simple goitre
  2. Thyrotoxicosis
  3. Papillary CA of thyroid
  4. Thyroid adenoma

Ans : B

7] Bony metastasis commonest in all except:

  1. CA Lung
  2. CA Thyroid
  3. CA Breast
  4. CA Rectum

Ans :D

8] Features of congenital Hypertrophic pyloric stenosis are all except :

  1. Vomiting
  2. Presence of lump P/A
  3. Diarrhea
  4. Visible peristalsis

Ans : C

9] Commonest type of CA Lung :

  1. Adeno CA
  2. Small cell CA
  3. SQ Cell CA
  4. Oat cell CA

Ans :C

10] Commonest site of CA Stomach :

  1. Cardiac end
  2. Body
  3. Prepyloric
  4. Fundus

Ans :

11] Potato tumor is :

  1. Sternocliedomastoid tumor
  2. Carotid body tumor
  3. Cystic tumor
  4. Sublingual dermoid

Ans : B

12] Tumor marker for CA Thyroid :

  1. PTH
  2. Thyroxine
  3. Calcitonin
  4. Alfa feto protein

Ans :C

13] Commonest symptom of CA Bladder :

  1. Hematuria
  2. Dysurea
  3. Hesitancy
  4. Foul smelling discharge

Ans : A

14] Which of the following statements are true regarding multinodular goiter ?

  1. Carbimazole is the drug of choice
  2. Exophthalmia is more common in graves disease
  3. Free T4 levels is elevated & TSH is normal
  4. None of above

Ans :D

15] In renal transplantation :

  1. ABO compatibility between the donor & recipient is not considered
  2. Satisfactory renal function can be expected with a warm ischemic time of up to 200 minutes
  3. The donor kidney is usually placed on the right side of the recipient .
  4. The characteristic sign of A/C rejection is fever, hypertension & leucocytosis.

Ans: D

16] A 65 year old man presents with an acute onset of pain, paresthesia , pallor & an absent DORSALIS PEDIS pulse in his right leg. The skin is cool on touch & the pallor increases on raising his leg. Probable diagnosis :

  1. Superficial thrombophlebitis
  2. Lumbar disc hernia
  3. Arterial Occlusion
  4. DVT

Ans : C

17] In a woman under 40 years , which of the following breast anomalies would have the highest predictive value of malignancy ?

  1.  Painful , mobile mass
  2. Painless , Mobile mass
  3. Bloody nipple discharge
  4. Breast skin edema with dimpling

Ans : D

18] Which of the following surgical procedures for a peptic ulcer disease is most effective in preventing "dumping syndrome"?

  1. Truncal vagotomy with pyloroplasty
  2. Subtotal gastrectomy
  3. Selective vagotomy
  4. Parietal cell vagotomy

Ans : D

19] A patient presents with abdominal pain associated with weight loss , Cutaneous flushing & telengiectasia . Pruritis is absent. Most likely diagnosis :

  1. Carcinoid syndrome
  2. Atopic dermatitis
  3. Primary biliary cirrhosis
  4. Malignancy

Ans  : A

20] A 46year old man with chronic pancreatitis has a palpable abdominal mass & a persistently elevated serum amylase & urine amylase . Most likely cause :

  1. Cystadenoma
  2. Carcinoma
  3. Macro-amylasemia
  4. Pseudo cyst

Ans : D

 

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