Mcq Subject: Surgery

A 50 year old with history of jaundice in the past has presented with right upper quadrant abdominal pain. Examination and investigations reveal chronic calculous cholecystitis. The liver functions tests are within normal limits and on ultrasound examination, the common bile ducts is not dilated. Which of the following will be the procedure of choice?

A. Laparoscopic cholecystectomy

B. Open choledocholithotomy followed by laparoscopic cholecystectomy

C. ERCP + choledocholithotomy followed by Laparoscopic cholecystectomy

D. Laparoscopic cholecystectomy followed by ERCP + choledocholithotomy

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A 40-year-old female have a right hypochondriac pain. USG is taken. What is the inference?

A. Gall stone

B. Cholecystitis

C. Porcelain gall bladder

D. Cholangiocarcinoma

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A patient presented with 2 months history of increased ICP, with massive parietal edema, CT/MRI shows single and were circumscribed region lesion

A. Granuloma

B. Metastases

C. Glioblastoma

D. All of the above

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Most common site of tear in Mallory-weiss syndrome is in

A. Upper esophagus

B. Mid operation

C. Lower esophagus

D. Cardia stomach

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Focal lesion in liver is best detected by

A. MRI

B. CT

C. USG

D. PET

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The first step when doing a pneumonectomy for cancer of the bronchus is to:

A. Ligate the pulmonary vein

B. Ligate pulmonary aery

C. Divide the bronchus

D. Perform lymph node clearance

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A 60 yr old smoker came with a history of painless gross hematuria for one day. Most logical investigation would be

A. Urine routine

B. Plain X ray KUB

C. USG KUB

D. Urine microscopy for malignant cytology

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A 65-year-old man suffers a sudden fall in mean aerial pressure, 4 hours after his CABG surgery. Other findings include elevated JVP. What is the best next step in the management of this case?

A. PRBC Transfusion

B. Vasopressors along with the inotropes

C. Immediate re-exploration of the mediastinum

D. Intra-aoic balloon pump

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Malignant cold nodule in thyroid diagnostic on USG by all EXCEPT

A. No cystic lesion

B. Irregular margins

C. Calcification at margin of tumour

D. Hypoechoic

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True regarding scrum pox is all except

A. Common in rugby players

B. Caused by varicella zoster virus

C. Acyclovir is treatment

D. Vesicular Lesions and fever seen

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