This document contains questions and explanations from a surgery exam question bank website. It includes 5 multiple choice questions about the anatomy of the liver ducts, risk factors for colon cancer, atypical symptoms of appendicitis, common cysts of the spleen, and location of gastric ulcers. For each question, the correct answer is provided along with a short explanation of the topic and a link to additional questions on the website.

1. Q U E S T I O N S F R O M S U R G E R Y E X A M S
W I T H A N S W E R S A N D E X P L A N A T I O N S
W W W . M C Q S U R G E R Y . C O M
Surgery MCQ

2. Q1 Right Posterior segment duct drains into
a) VI VII b) V Viii
c) III d) IV
Ans1 a
Anterior superior (VIII) and and inferior (V) ducts join to
form right anterior bile duct. The post superior (VII) and post
inferior (VI) unite as right post duct. These two join medially
to form the Right Hepatic duct
www.mcqsurgery.com/liver

3. Q 2 All are precancerous for colon cancer
 a. Crohn's disease
 b. Bile acids
 c. Fats
 d. Carotene
Ans2 d
Carotene, Vit C and Calcium reduce the risk of colon
cancer
www.mcqsurgery.com/colon

4. Q3. Which of the following is not a typical symptom of
appendicitis?
a) Vomiting
b) Nausea
c) Fever
d) Hematochezia
3. D
Some atypical symptoms include haematuria (tip of appendix irritating urinary baldder) ,
diarrhea (in pelvic appendicitis), small bowel obstruction and even chest pain.
Hematochezia (bleeding in stools in not a symptom of appendicitis)
www.mcqsurgery.com/appendix

5.  Q 4. The most common cystic disease of the spleen is
 a) Hydatic cyst of spleen
 b) Pseudo cyst of the spleen
 c) Columnar lined cyst of spleen
 d) Cystic lymphangioma
4.B
Pseudocyst of the spleen are 4 times more common than the true cysts. Pseudocyst spleen is
mostly acquired after trauma. True cysts of the spleen are lined by a layer of epithelium.
True cysts like columnar lined cyst of spleen are rare. The epithelial cells are rich in CEA
(Carcino embryonic Antigen) and CA19- 9 but they are benign. Management is required if
the cyst is more than 8 cm or causing symptoms.
www.mcqsurgery.com/spleen

6.  Q 5. Most common site of gastric ulcer is
 a) Incisura
 b) Greater curvature stomach
 c) Fundus of stomach
 d) Antrum
 Answer a
 a
 Types of gastric ulcer
 Type I ulcer - commonest --A type I gastric ulcer is typically located along the lesser curvature
of the stomach, usually at the antral-fundic junction.
 Type II ulcer - Occurs in conjunction with active or healed duodenal ulcer disease.
 Type III- Prepyloric ulcer
 Type IV ulcer - Gastro esophageal junction at the lesser curve
 Type V ulcer- Anywhere in the stomach associated with chronic NSAID use or aspirin use
www.mcqsurgery.com/ulcer

7.  For more questions on Surgical Gastro, USMLE
Surgery
 www.mcqsurgery.com