Question 1: A 25 year old lady presents with spontaneous nipple discharge of 3 months duration. On examination the discharge is bloody and from a single duct. The following statements about the management of this patient are true except ?
A) Ultrasound can be a useful investigation
B) Radical duct excision is the operation of choice
C) Galactogram, though useful, is not essential
D) Majority of blood-stained nipple discharges are due to Papillomas or other benign condition
Answer:
B
Question 2: All of the following statements are correct about renal transplantation except ?
A) Renal transplantation is heterotropic
B) Cyclosporine is the mainstay of immunosuppression
C) In India, organ harvesting from Brain Dead patients is not permitted by Law
D) Kidney after removal is flushed with cold perfusion solution
Answer:
Question 3: All of the following statements are true about repair of groin hernias except ?
A) Lichtenstein tension free repair has a low recurrence rate
B) TEPP repair is an extraperitoneal approach to laparoscopic repair of groin hernia
C) In Shouldice repair, non-absorbable mesh is used
D) The surgery can be done under local aneathesia in selected cases
Answer:
C
Question 4: A 25 year old male presents to Emergency with history of road traffic accident two hours ago. The patient is hemodynamically stable. Abdomen is soft. On catheterization of the bladder, hematuria is noted. The next step in the management should be ?
A) Immediate laparotomy
B) Retrograde Cystourethrography (RGU)
C) Diagnostic Peritoneal Lavage (DPL)
D) Contrast Enhanced Computed Tomography (CECT) of Abdomen
Answer:
B
Question 5: A young patient presenting with massive hematemesis was found to have splenomegaly. In this case the most likely source of bleeding is ?
A) Duodenal ulcer
B) Esophageal varices
C) Erosive mucosal disease
D) Gastric ulcer
Answer:
C
Question 6: Following resuscitation, a patient with bleeding oesophageal varices should be treated initially with ?
A) Sclerotherapy
B) Sangstaken Blackmore tube
C) Propranolol
D) Surgery
Answer:
A
Question 7: Migratory thrombophlebitis is associated with the following malignancies except ?
A) Lung cancer
B) Prostate cancer
C) Pancreas cancer
D) Gastro-intestinal cancer
Answer:
B
Question 8: A 40 year old patient is suffering from carotid body tumor. Which of the following is the best choice of treatment for him ?
A) Excision of tumor
B) Radiotherapy
C) Chemotherapy
D) Carotid artery ligation both proximal and distal to the tumor
Answer:
A
Question 9: Which of the following is the investigation of choice for assessment of depth of penetration and perirectal nodes in rectal cancer?
A) Trans rectal ultrasound
B) CT scan pelvis
C) MRI Scan
D) Double contrast Barium enema
Answer:
C
Question 10: All of the following clinicopathologic features are seen more often in seminomas as compared to non-seminomatous germ cell tumors of the testis, except ?
A) Tumors remain localized to testis for a long time
B) They are radiosensitive
C) They metastasize predominantly by lymphatics
D) They are often associated with raised levels of serum alphafetoprotein and human chorionic gonadotrophin
Answer:
D
Question 11: A 55 year old male presents with features of Obstructive Jaundice. He also reports a weight loss of seven kilograms in last two months. On CT Scan, the CBD is dilated till the lower end and the main pancreatic duct is also dilated. Pancreas is normal. The most likely diagnosis is ?
A) Choledocholithiasis
B) Carcinoma Gallbladder
C) Hilar Cholangiocarcinoma
D) Periampullary Carcinoma
Answer:
D
Question 12: Hypoparathyroidism following thyroid surgery occurs within ?
A) 24 hours
B) 2 - 5 days
C) 7 - 14 days
D) 2 - 3 weeks
Answer:
B
Question 13: Which of the following is the most beneficial technique of using chemotherapy with a course of radiotherapy in head and neck malignancies ?
A) Neo adjuvant chemotherapy
B) Adjuvant chemotherapy
C) Concurrent chemotherapy
D) Alternating chemotherapy and radiotherapy
Answer:
Question 14: The treatment of choice in renal cell carcinoma with the tumor of less than 4 cm in size is ?
A) Partial nephrectomy
B) Radical nephrectomy
C) Radical nephrectomy + post operative radiotherapy
D) Radical nephrectomy + chemotherapy
Answer:
B
Question 15: During bilateral adrenalectomy, intraoperative dose of hydrocortisone 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
Answer:
A
Question 16: A 20-year-old female patient presented with a thyroid swelling. Most probably, the fine needle aspiration cytology with not diagnose ?
A) Papillary carcinoma of thyroid
B) Medullary carcinoma of thyroid
C) Non-Hodgkin's lymphoma of thyroid
D) Follicular carcinoma of thyroid
Answer:
D
Question 17: A 40 year old woman has undergone a Cholecystectomy. The histopathology reveals that she has a 3 cm adenocarcinoma in the body of the gallbladder infiltrating upto the serosa. Which of the following further management would you advise her ?
A) Chemotherapy
B) Radiotherapy
C) Radical Cholecystectomy
D) Follow up with regular ultrasound examinations
Answer:
D
Question 18: Which one of the following is the treatment of choice for a 4 cm retroperitoneal lymph node mass in a patient with non seminomatous germ cell tumor of the testis ?
A) Radical radiotherapy alone
B) High Orchidectomy + RPLND
C) RPLND alone
D) High Orchidectomy alone
Answer:
B
Question 19: A 13 year old boy presents with acute onset 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
Answer:
A
Question 20: Which one of the following organs should always be imaged in a suspected case of bronchogenic carcinoma ?