3. Q. A patient underwent hernioplasty and post-op period was uneventful. He
presents on POD 7 with complains of minimal bleeding from the site. What is
the cause and Rx?
Blood Components-
a. Whole Blood-
b. Packed RBC-
c. Fresh Frozen Plasma-
d. Platelet Rich Plasma-
e. Cryoprecipitate-
4. Blood Donation
1 Unit
Size of Needle
Anticoagulants
Size of Filter
Temp of Storage
Shelf Life of RBC
MC Complication
Screening for Infections before BT-
5. Transfusion Reactions- a. MC-
b. ABO Incompatibility-
MCC-
MC Sx-
MC Sign-
MC Sign in Anesthetized Patient-
Rx-
Massive BT- Replacement of whole blood volume or 10 units within 24 hrs OR
Replacement of 4 units within few hours.
PRBC : FFP : PRP-
Complications- MC-
15. Shock-
MC Type-
Isolated head injury can never give rise to hypovolemic shock Search for
other sites of bleeding
Earliest Indicator (Sign)-
Best Indicator to determine amount of fluid required in Shock-
Best Clinical Indicator of fluid resuscitation or to assess adequate fluid
administration in Shock-
• SBP is decreased in all types of shock except __________________
• All shocks lead to Hypotension and Tachycardia but Hypotension and
Bradycardia is seen in __________________
18. Q. A 22 year old male following RTA was referred to you 2 days later. On
examination, his GCS was E2V3M2 and he had no fractures or visible bleeding
or lacerations. His BP- 180/90 mm Hg, HR- 52 bpm and GCS is not improving
and NCCT head was performed which is given. The likely diagnosis is?
19. Q. A 60 year old male, known case of CAD, taking NSAIDs was brought to
emergency with acute pain abdomen. On examination, tenderness was present
all over abdomen, guarding with BP 90/60 mm Hg. His Chest Xray is given
below. What is the preferred management?
a. IV Fluids and Exploratory Laparotomy
b. Emergency Laparoscopic repair
c. USG abdomen
d. Observation and Conservative management
20. BURNS-
BURNS
MC Overall
MC Hospital
MC Cold
Q. A person was stuck in his cabin when it caught fire, he
was rescued by firefighters but was brought in
unconscious state to ER. What is the most important step
in Mx?
Q. A 30 year old male was caught in fire and brought to ER.
Doctor for assessment of TBSA of burns used Wallace’s rule.
His both upper limbs and thorax was charred anteriorly and
posteriorly. TBSA involved?
BURNS MCC
Immediate Death
Early Death
Late Death
21. Q. A child 20kg was brought to you with burns and
fluid resuscitation was to be started. TBSA involved
was 30%. Calculate fluid requirement according
to Parkland’s formula?
Definitive Mx
First Degree
Second Degree
Third Degree
Fourth Degree
22. BREAST-
Q. A lady presents to you with breast lump, what will be best approach for
assessment?
Screening Test
Female <40 years
Female >40 years
Pregnant Female
Female with Breast Implants
High Risk Female
30. Sudden arterial obstruction-
Management
First Step
Early
Late
.
.
.
Q. A 45 year old female took long flight and after landing complains of
chest pain and dies on the way to hospital. COD and Underlying Cause?
32. GIT SURGERY
Oesophagus-
Q. A patient presents with heartburn, epigastric and retrosternal pain. The
patient didn’t respond to lifestyle modifications. Next Step?
Anomaly Status Surgery
Type A 2 Ends Close
2 Ends Far
Types
B/C/D/E
Depends on
BW
34. Q. A 30 yr old male Kamlesss, chronic alcoholic presents
to ER with chest pain and retching. He gives H/O
binge drinking. On palpation, crepitus is felt. Dx?
Achalasia Cardia
MCC
Sx
IOC
RxOC
Comp
35. Stomach-
Q. A 4 week old male newborn was brought with complains of projectile non-
bilious vomiting. On feeding, peristalsis is visible and olive shaped mass is felt in
epigastrium. Mother had taken which drug during pregnancy?
MCC Adults Children
Upper GI H’age
Lower GI H’age
36. Q. A neonate presented with bilious vomiting at birth. The X-ray is given. IOC?
Diag-
RxOC-
Intestinal Obstruction-
1st Inv-
IOC-
Rx-
Dynamic
Adynamic
37.
38. Q. A neonate was brought to Paedia ER with complains of no passage
of meconium. On DRE, meconium floods out. Dx and Mx?
MC Site
IOC
IOC for T & M Staging
IOC for Staging
MC Site- Mets
RxOC
39. Anal Cancer-
Rectal Prolapse Partial Full Thickness
Layers
MC Age
Rx
IOC
Rx- 1st Degree
Rx- 2nd Degree
Rx- 3/4 Degree
40.
41. • Appendix- MC Position
LC Position
IOC- Adults
IOC- Children
Q. A pregnant female
presents with appendicitis.
Mx?
Appendicular
Lump Mx
Patient Recovers
No Recovery
42. Pancreas-
MC Congenital Anomaly-
Q. A male patient present to ER with sudden onset severe acute epigastric pain
and radiates on lying supine whereas relieved on bending forward along with
nausea and vomiting. What is next best step?
IOC-
Criteria-
Mx-
43. Chronic Pancreatitis-
Classification-
IOC- Gold Std-
Rx-
Pancreatic Cancer-
Dysfunction
Exocrine
Endocrine
Procedures
Draining MPD <6mm
MPD >6mm
Resective Head
Tail
Ext Drainage
Int Drainage
Ca Head Peri-ampullary Ca
Jaundice
Pain
IOC
RxOC
44. Liver-
IOC-
Hydatid Cyst-
MCC- MC Organ-
Rx-
Pyogenic Liver Abscess Amoebic Liver Abscess
MCC
MC Site
C/F
IOC
Rx
MC Malignancy Liver
MC Primary Malignancy
MC Primary Tumor in Children
MC Benign Tumor
46. Q. A patient presents to you with sudden onset RUQ pain, fever, nausea and
vomiting. The sign given below is elicited. Dx and IOC?
Q. A neonate has progressive jaundice at birth and pale stools. LFT shows raised
ALP. IOC?
47. Choledocholithiasis-
During Sx After Sx
Partial Injury Complete Transection Minor Leak Major Leak
No loss of segment Loss of segment No Sepsis / Stable
Within 48hrs >2 days
50. Q. A patient presents with abdominal mass, flank pain and
hematuria. Dx?
Nephroblastoma-
Bladder Cancer-
<4cm
>4cm
Stone Location RxOC
Kidney / Upper or Mid
Ureteric
Low Ureteric
Urinary Bladder
Large UB
Urethral Stone
52. Q. A neonate was brought to ER with urinary retention and child was diagnosed
with complete PUV with MCU. What is the emergency or definitive Mx?
Q. A neonate was delivered pre-term and on examination,
his scrotal sac was empty, so USG was performed which
reveals right sided testis in inguinal canal & left one in
iliac fossa. Dx?
UDT
MCC
MC Site
IOC
Best Inv
RxOC
54. Varicocele
MCC
IOC
RxOC
Q. A 15 year old male presents with
sudden severe scrotal and abdominal
pain. On elevating scrotum, his pain is not
relieved. Dx and Mx?
Viable
Non-Viable
IOC-
IOC-
BPH- MC Age-
MC Site-
DOC-
Prostate Ca- MC Site-
Screening-
Sentinel LN-
Rx- Localized-
Advanced-
MC Testicular Tumor
Children
Adults
Elderly
55. HERNIA- Indirect Direct
Age
Passes via
Direction of Hernia
Relation with IEV
Scrotal Extension
MC Hernia
MC in Elderly
MC in Females
Rx MC Nerve Injury
Open Surgery
Laparoscopic Sx
Congenital Hernia
56. THANK YOU!
Patience, Passion and
Perseverance makes you a
Physician…
Skills added to it makes
you a Surgeon
-Dr. Omkar
