Mcq Subject: Surgery

A 32-year-old man underwent laparotomy for trauma because of multiorgan injuries. He was discharged after 2 weeks in the hospital only to be readmitted after 3 days because of abdominal pain and sepsis. The CT scan showed an accumulation of fluid in the subhepatic space. This space is likely to be directly involved following an injury to which of the following?

A. Inferior pole of the right kidney

B. Stomach

C. Superior mesenteric artery

D. Inferior mesenteric vein

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Absence of myenteric ganglion is seen in ?

A. Crohn's disease

B. Ulcerative colitis

C. Hirschprung's disease

D. Intussusception

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The activity of procaine is terminated by:

A. Elimination by kidney

B. Storage in the adipose tissue

C. Metabolism in the liver only

D. Metabolism in the liver and by pseudo-cholinesterase in the plasma

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Which of the following is the initial treatment of choice of Smith’s fracture?

A. Open reduction and internal fixation

B. Open reduction and external fixation

C. Above elbow cast with forearm in pronation

D. Above elbow cast with forearm in supination

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What is the content of an epiplocele ?

A. Omentum

B. Intestine

C. Colon

D. Urinary bladder

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The best treatment of tension pneumothorax is –

A. Immediate letting out of air

B. Wait and watch

C. Rib resection

D. Underwater drainage

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Which of the following is the best method to assess the adequacy of replacement :

A. Decrease in thirst

B. Increase in urine output

C. Blood pressure

D. Increased PaO2

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In extraperitoneal rupture of bladder, urine extravasates in –

A. Groin

B. Intraperitoneal region

C. Extraperitoneal region

D. Perivesical space

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A variety of causative factors have been implicated in the development of Ca esophagus. Which of the following is NOT a predisposing factor for Ca esophagus?

A. Diveicula

B. Human papilloma virus

C. Mediastinal fibrosis

D. Caustic ingestion

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Persistent foetal lobulation of adult kidney is due to:

A. Congenital renal defect

B. Obstructive uropathy

C. Intrauterine infections and scar

D. Is a normal variant

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