Mcq Subject: Surgery

A 55-year-old man presented to his general physician with pain and swelling of his right great toe. He repoed he has had this pain for approximately 2 days and it is getting worse. He also stated that he had a similar episode of this 4 years ago, but in the interim, he has been symptom free. He was given something for the prior episode, but does not recall the name. He denied trauma, fever, chills or sweats, and has been afebrile. On physical examination, he was afebrile and his right great toe is swollen at the metatarsophalangeal joint. There was decreased range of motion. X-ray films are unrevealing. He had no other joint involvement. A joint aspiration is performed. Which of the following types of crystals in the joint aspirate would confirm the likely diagnosis?

A. Negatively-birefringent needle-shaped crystals.

B. Negatively-birefringent oval crystals.

C. Negatively-birefringent rhomboidal shaped crystals.

D. Positively-birefringent needle-shaped crystals.

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Which is the best initial fluid for resuscitation during the shock state:

A. Crystalloids

B. Colloids

C. Blood

D. Plasma substitutes

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A patient was brought to the hospital with a history of A eight hours back. A few drops of blood is noted at the external urethral meatus. He has not passed urine and his bladder is palpable per abdomen. The probable diagnosis is :

A. Urethral injury

B. Rupture bladder

C. Urethral injury with extravasation of urine in the retroperitoneum

D. Anuria due to hypovolemia

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Electrical pacemaker of stomach is situated in-

A. fundus

B. Body

C. Incisura Gastro oesphageal junction

D. All of the above

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With respect to surgical repair of cleft palate, the soft palate is first repaired, ideal tune for which is

A. 12 months

B. 9 months

C. 6 months

D. 3 months

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A patient Came with Necrotising cellulitis after a hug bite on leg. The ideal initial management is

A. MRI of leg

B. CT of leg

C. C-reactive protein estimation

D. Surgical exploration

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Testicular teratoma in adults is?

A. Benign

B. Malignant

C. Locally aggressive

D. Borderline

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The treatment of Hodgkin’s disease of stomach is ?

A. Gastric resection

B. Gastric resection and chemotherapy

C. Purely medical

D. None of the above

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Meningomyelocele patient after being operated developed hydrocephalus due to:

A. Arnold Chiari malformation

B. Injury to absorptive surface

C. Central canal injury

D. Arachnoidal block

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Organism associated with fish consumption that also cause carcinoma gallbladder:

A. Clonorchis sinensis

B. Gnathostoma

C. Strongyloides cantonensis

D. H. dimunata

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