Surgery MCQ Questions — Page 665

Question 1

25 yr old male presents with a diffuse thyroid swelling Biopsy shows intense lymphocytic infiltration along with Huhle cell change TSH is increased Diagnosis

Answer

Grave's Disease

Answer

Hashimoto's thyroiditis

Answer

Follicular carcinoma

Answer

medullary thyroid carcinoma

Question 2

A most common site for carcinoma stomach is –

AAntrum

BFundus

Answer

Lesser curvature

Answer

Greater curvature

Question 3

Incidental adrenal masses:

Answer

May be seen in as many as 10% of abdominal CT studies.

Answer

Most commonly represent pheochromocytoma; adrenocoical adenoma, adrenocoical carcinoma, and metastases from other primary cancers occur less frequently.

Answer

May represent adrenocoical carcinoma if greater than 6 cm. in diameter.

Answer

Should be routinely evaluated by measurement of 24-hour urine levels of catecholamines and their metabolites, coisol, and aldosterone plus fine-needle aspiration.

Question 4

30 years of women come with dysphagia for both solid & liquids & barium swallow shows Parrot beak appearance. On oesophagal manometry, increased LES pressure. Management includes Except

ANitrates

Answer

Ca channel blockers

Answer

Botulinum toxin

Answer

Myotomy (POEM)

Question 5

A 29-year-old male with HIV, on indinavir, zidovudine, and stavudine, presents with severe edema and a serum creatinine of 2.0 mg/dL. He has had bone pain for 5 years and takes large amounts of acetaminophen with codeine, aspirin, and ibuprofen. He is on prophylactic trimethoprim sulfamethoxazole. Blood pressure is 170/110; urinalysis shows 4+ protein, 5 to 10 RBC; 24-h urine protein is 6.2 g. What is the most likely cause of his renal disease?

Answer

Indinavir toxicity

Answer

Analgesic nephropathy

Answer

Trimethoprim sulfamethoxazole-induced interstitial nephritis

Answer

Focal sclerosis

Question 6

False about medullary Cancer thyroid is?

Answer

Tumor marker is calcitonin

Answer

From parafollicular cells

Answer

RET mutation

Answer

90% familial

Question 7

The following structure may be injured during the repair of an inguinal hernia

Answer

Ilioinguinal nerve

Answer

Lateral femoral urtaneous nerve

Answer

Iliohypogastic nerve

Answer

All of the above

Question 8

Metaplasia is thought to be caused in most cases by:-

Answer

Genetic mutation

Answer

Oncogenic virus

Answer

Chronic irritation

Answer

Immunologic reaction

Question 9

The following methods are used to lower the intracranial pressure in patients with head injury except

Answer

Hyperventilation

Answer

Administration of Mannitol

Answer

Hypothermia

Answer

Administration of Nifedipine