Educational surgery pdf

1. LRR FMGE
SURGERY
Part-2
Dr Pritesh Kumar Singh
MBBS (MAMC), MS (Surgery), FMAS, FIAGES
Author of SURGERY ESSENCE, AIIMS ESSENCE,
NEET ESSENCE, Quick Review of Surgery, INI-CET ESSENCE

2. a. T4a
b. T4b
c. T4c
d. T4d
Q. What will be the most probable tumor classification in a patient with
breast cancer, currently showing Peau-d-orange and ⅔rd involvement of
breast skin?

4. a. Axillary LN status
b. Distant metastasis
c. Size of tumor
d. Hormonal Status
Q. Most important prognostic factor for CA Breast?

6. a. 1-B; 2-C; 3-D; 4-A
b. 1-B; 2-A; 3-A; 4-C
c. 1-B; 2-A; 3-C; 4-D
d. 1-B; 2-C; 3-A; 4-D
Q. Match the following:
Column A Column B
1. Peau-d-orange A. Involvement of ligament of Cooper
2. Dimpling B. Lymphatic permeation by tumor cells
3. Puckering C. Involvement of breast skin and chest wall
4. Cancer-en-cuirasse D. Involvement of axillary tail of Spence

8. a. LD flap
b. TRAM flap
c. DIEP flap
d. PMMC flap
Q. What is the name of this flap used for breast reconstruction?

10. a. Follicular carcinoma
b. Thyroid lymphoma
c. Reidel’s thyroiditis
d. None of the above
Q. FNAC is the investigation of choice in:

11. a. Associated with MEN 2a/2b
b. Associated with hypocalcemia
c. Doesn’t respond to radioactive iodine ablation
d. Diagnosed by FNAC
Q. A 60 years old female presents with midline swelling in anterior part of
neck. The patient had the history of diarrhea and presence of amyloid
stroma on FNAC. Calcitonin was raised. Which of the following statement
is not correct about this tumor?

12. a. Total thyroidectomy
b. Ramstedt's operation
c. Hemi-thyroidectomy
d. Sistrunk's operation
Q. A 6-year-old child presents with a swelling in the subhyoid region of the
neck that moves with deglutition and protrusion of the tongue. What is
the recommended treatment for this patient?

14. a. Recurrent laryngeal nerve
b. External laryngeal nerve
c. Superior laryngeal nerve
d. Cervical sympathetic trunk
Q. Most commonly injured nerve during thyroidectomy:

15. a. C2
b. C3
c. C4a
d. C4b
Q. A patient is diagnosed with varicose veins and eczema. According to the
CEAP classification, what is the C category for this patient?

17. a. Epidermis and full dermis
b. Epidermis and variable part of the dermis
c. Epidermis, dermis, and fat
d. Epidermis only
Q. What does the inclusion of a split-thickness skin graft in wound closure on
the thigh entail?

19. a. Long saphenous vein
b. Internal mammary artery
c. Poly tetra fluoroethylene (PTFE)
d. Gastroepiploic artery
Q. Which of the options listed below offers persistent outcomes in a
coronary artery bypass graft (CABG)?

21. a. Head injury
b. Fat embolism
c. Hemorrhagic shock
d. Chest trauma
Q. A 28 years old patient was brought to the emergency after severe road
traffic accident. Attending clinician found the fracture of right femur.
Initially, he was alert, conscious and oriented with normal vitals. After 12
hours, he became confused and developed breathing difficulty with skin
rashes over the axilla and chest. What is the most probable cause?

22. a. Buerger's disease
b. Atherosclerosis
c. Raynaud's disease
d. Giant cell arteritis
Q. What is the probable diagnosis for a 73-year-old male smoker with a
previous history of coronary artery disease who is experiencing
blackening of the toes? An image of the foot is provided for reference.

23. a. 1st
b. 2nd superficial
c. 2nd deep
d. 3rd degree
Q. What is the classification of the burn in a female patient who has a 50%
total body surface area (TBSA) burn with dermis and subcutaneous fat
involvement and has presented to the emergency department?

25. a. Incision and drainage
b. Aspiration
c. Excision
d. Sclerosant injection
Q. What procedure is typically employed for managing recurrent Ranula in a
55-year-old male who presented with a mass on the oral cavity floor, as
depicted in the image, after undergoing a thorough history and
examination by the emergency physician?

27. a. HRCT chest
b. Wide bore needle insertion in 5th intercostal space
followed by ICD in 5th intercostal space
c. Wide bore needle insertion in 5th intercostal space only
d. None of the above
Q. A 25 years old patient of RTA was brought to the emergency after road
traffic accident. Patient respiratory rate was 35/min and BP of 100/60
mmHg with difficulty in speaking sentences. On percussion, hyper
resonance note was heard on entire right side of the chest. FAST was
performed and it was normal. The chest X-ray is given below. What is the
next immediate step of management?

29. a.EDH
b.SDH
c. SAH
d.ICH
Q. A 60 years old male presents to the emergency with altered sensorium.
There was history of fall 1 week back. NCCT image is given below. What is
the diagnosis?

31. a.8 VNT
b.9 VNT
c. 10 VNT
d.11 VNT
Q.Calculate the GCS score of an intubated patient with spontaneous
eye opening and localizing the pain:

33. a.Moderate traumatic brain injury
b.Severe traumatic brain injury
c. Minor traumatic brain injury
d.Mild traumatic brain injury
Q.What is the classification of the head injury of a patient involved in
a road traffic accident, based on a GCS score of 10?

34. a.Focused assessment with sonography for trauma
b.Done in 2-4 minutes
c. First investigation done in Blunt trauma abdomen
d. All of the above
Q.Which of the following is correct about FAST?

36. a. Use of video laryngoscope for intubation
b. Insertion of wide bore needle in 5th intercostal space slightly anterior to mid
axillary line in adults in tension pneumothorax
c. Give only 1-2 liters of warm isotonic crystalloids for adults having shock
d. In children with shock, initial 20 mL/kg bolus of isotonic crystalloid followed by
10-20 mL/kg of packed cells, plasma & platelets in the ratio of 1:1:1
Q.Which of the following are not included in the latest ATLS
modifications?

37. a.Minimum number of people required for log roll is 5
b.Revised trauma score consists of GCS, systolic blood pressure and
respiratory rate
c. TRISS includes injury severity score, revised trauma score, age,
mechanism
d.Mangled extremity severity score includes energy, limb ischemia,
shock, patient’s age
Q.All of the following statements are correct in relation to trauma
except:

39. a. 1-A; 2-B; 3-D; 4-G; 5-C; 6-E; 7-F
b. 1-A; 2-D; 3-B; 4-G; 5-C; 6-E; 7-F
c. 1-B; 2-A; 3-D; 4-G; 5-C; 6-E; 7-F
d. 1-B; 2-A; 3-D; 4-C; 5-G; 6-E; 7-F
Q. Match the following:
1. Most common injured organ in blunt trauma abdomen A. Liver
2. Most common injured organ in penetrating trauma abdomen B. Spleen
3. Most common injured organ in gunshot wound C. Duodenojejunal junction
4. Most common injured structure in seat belt injury D. Small intestine
5. Most common injured site in deceleration injury E. FAST
6. First investigation done in blunt trauma abdomen F. CECT
7. Gold standard investigation in stable patients of blunt
trauma abdomen
G. Mesentery

40. a.Chest tube drainage
b.Oxygen administration
c. IPPV
d.Internal operative fixation of the fractured segments
Q.Management of flail chest with respiratory failure is:

41. a.Within 48 hours of hospital admission
b.3 days of discharge
c. 30 days of an operation
d.All of the above
Q.Hospital acquired infection includes infections occurring:

42. a.At induction of anesthesia
b.Any time during surgical procedure
c. One hour after induction of anesthesia
d.One hour prior to induction of anesthesia
Q.Ideally, the prophylactic antibiotic for surgical patients should be
given:

43. a.Colloidal iodine
b.Glutaraldehyde
c. Hydrogen peroxide
d.Isopropyl alcohol
Q.Which of the following is used as preservative for packing catgut
sutures?

48. a.Draining liver abscess
b.To create pneumoperitoneum
c. To drain ascites
d.Used in emergency pneumothorax
Q.Following instrument is used for:

50. a.Sponge holder
b.Babcock’s forceps
c. Kocher’s forceps
d.Allis tissue forceps
Q.What is the name of the given instrument?

53. a.Internal diameter
b.External diameter
c. Length
d.Volume of bulb
Q.What does "F" stand for in Foley's catheter in size 16F?

55. a.Supine with neck flexed
b.Supine with neck extended
c. Sitting with neck flexed
d.Sitting with neck extended
Q.What is the accurate technique for the insertion of a Nasogastric
tube?

56. a.16 G
b.18 G
c. 20 G
d.22 G
Q.What is the gauge of given cannula?

58. THANKS