Mcq Subject: Surgery

Metabolic abnormality seen in congenital hyperophic pyloric stenosis is

A. Hypochloremic hypokalemic metabolic alkalosis

B. Hyperchlonemic hypokalemic metabolic alkalosis

C. Hypochloremic hypokalemic metabolic acidosis

D. Hyperchoremic hypokalemic metabolic acidosis

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Normal axis of hea is?

A. -30 to +90

B. +90 to 120

C. +120 to -30

D. 60 to - 60

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A 65-year-old smoker presents with hoarseness, hemoptysis and a hard painless lump in the left supraclavicular fossa. Which of the following is the MOST appropriate diagnostic step in this patient?

A. Undeake an open biopsy of the neck lump

B. Undeake a radical neck dissection

C. Do fine needle aspiration cytology

D. Give a trial of Anti tuberculous therapy

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Most common cause of anorectal abscess is ?

A. Inflammation of anal gland

B. Folliculitis

C. Inflammation of rectal mucosa

D. Rectum

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T.U.R. (transurethral resection) syndrome is due to ?

A. Hyponatremia

B. Hypokalemia

C. Hypovolaemia

D. Hypoxia

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An 8-year-old boy presents to the emergency depament complaining of generalized abdominal pain for the past 24 hours. Laboratory tests reveal a leukocytosis of 13,000 and he is tender in the RLQ on physical examination. He is taken to the operating room for laparoscopic appendectomy. Removal of the appendix has been associated with a protective effect of which of the following?

A. Crohn colitis

B. Ulcerative colitis

C. Clostridium dif cile

D. Carcinoid

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A patient is diagnosed with gas gangrene of the foot. Best management would be

A. Hyperbaric oxygen

B. Polyvalent gas gangrene antitoxin

C. Amputation of the involved limb

D. Antibiotics with surgical debridement

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All are true about basal cell carcinoma EXCEPT:

A. Most common site is upper eye lid

B. Locally invasive

C. Rarely metastasizes

D. Associated with exposure to sun

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Grey Turner sign is seen in:

A. A/c pancreatitis

B. C/c pancreatitis

C. A/c cholecystitis

D. A/c parotitis

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Gold standard investigation for chronic pancreatitis?

A. MRI

B. ERCP

C. Pancreatic function tests

D. Fecal fat estimation

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