Mcq Subject: Surgery

In solitary thyroid nodule true is/are :

A. THR-Ab

B. Lined by columnar epithelium

C. Diffuse hyperplasia of thyroid

D. Common in female

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A patient presents in the causality with history of abdominal pain. On examination the person is in shock, with severe abdominal tenderness and guarding. There was also one episode of bloody diarrhoea. He gives a history of recurrent abdominal pain soon after taking food which persists for about 3 hours after food. He also has a history of MI about 5 years back. What is your diagnosis?

A. Acute thrombotic mesenteric vascular occlusion

B. Acute pancreatitis

C. Acute duodenal ulcer perforation

D. Acute appendicitis

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Hypehyroidism will present as all, except :

A. Hypotension

B. Atrial fibrillation

C. Tremor

D. Panic attacks

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True about Ischiorectal fossa Boundaries

A. Anterior border is formed by inferior fascia of urogenital diaphragm.

B. Superior border is formed by Gluteus Maximus

C. Lateral border is formed by Levator Ani

D. Posterior border is formed by obturator internus muscle.

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Sentinel lymph node biopsy is done in all except

A. ca breast

B. ca penis

C. malignant melanoma

D. ca colon

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Which one of the following is the management of pancreatic abscess –

A. Needle aspiration

B. Gastro-cytostomy

C. External drainage

D. Jejuno-cystostomy

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Anatomical structure injured in excision of ranula –

A. Lingual vein

B. Lingual artery

C. Submandibular duct

D. Parotid duct

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Kamli Rath 75 yrs old woman present with post-myocardial infarction after 6 weeks with mild CHF. There was past H/O neck surgery for parathyroid adenoma 5 years ago, EKG shows slow atrial fibrillation. Serum Ca+2 13.0 mg/L and urinary Ca2+ is 300 mg/ 24 hr. On examination, there is small mass in the Para tracheal position behind the right clavicle. Appropriate management at this time is –

A. Repeat neck surgery

B. Treatment with technetium - 99

C. Observation and repeat serum Ca+2 in two months

D. Ultrasound-guided alcohol injection of the mass

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Early stage of trauma is characterized by

A. Catabolism

B. Anabolism

C. Glycogenesis

D. Lipolysis

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A 58 year old male presents with hematuria. He s diagnosed of having bladder cancer which extends muscle deep. The best treatment is

A. Intravesical Chemotherapy

B. Neoadjuvant chemotherapy followed by radical cystectomy

C. Radiotherapy

D. Tranurethral resection

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