The document provides multiple choice questions (MCQs) related to common surgical topics. It addresses the most common types of various medical conditions, including: shock, wounds, infections, liver abscesses, burns, fractures, tumors, malignancies, birthmarks, and more. The MCQs cover topics in general surgery, orthopedics, oncology, dermatology and other specialties.

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The most common BCQs in Surgery
By
Sajid Ali Talpur

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1. The most common type of shock is:
a) Hypovolaemic
b) Vasovagal
c) Cardiogenic
d) Obstructive
e) Distributive
2. In the developed world the most common chronic wounds are:
a) Diabetic wounds
b) Leg ulcers
c) Staphylococcal wounds
d) Streptococcal wounds
e) Tetanus
3. Necrotizing soft tissue infections are most commonly caused by
a) Gram negative aerobic rods

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b) Gram positive anaerobic rods
c) Gram negative anaerobic rods
d) Gram positive aerobic rods
e) Polymcicrobial infection
4. Chronic scar most commonly gives rise to
a) Leg ulcer
b) Diabetic ulcer
c) Rodent ulcer
d) Marjolin ulcer
e) Cancer
5. The pressure sores are most commonly found over
a) Sacrum
b) Ischium
c) Heel
d) Occiput
e) Femur
1 A 4 D
2 B 5 B
3 E
6. The most common type of diathermy accidents is:
a) Burns
b) Electric shock
c) Explosion
d) Hemorrhage
e) Sepsis
7. During operative procedures the needle stick injuries are most common on
a) Dominant index finger
b) Dominant middle finger
c) Non dominant index finger
d) Non dominant index finger
e) Ring finger
8. The most common extraintestinal manifestation of amoebic infection occurs in:
a) Lungs

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b) Liver
c) Bones
d) Kidneys
e) Spleen
9. The common site for liver abscesses is:
a) High on diaphragmatic surface of right lobe
b) High on diaphragmatic surface of left lobe
c) Quadrate lobe
d) In the liver over stomach
e) In the lover over hepatic flexure
10. Amoeboma is most commonly found in:
a) Terminal ileum
b) Cecum
c) Ascending colon
d) Transverse colon
e) Descending colon
6 A 9 A
7 C 10 B
8 B
11. The amoebic infection in the liver causes
a) Coagulative necrosis
b) Liquafactive necrosis
c) Caseous necrosis
d) Fibrinoid necrosis
e) N.O.T
12. The second most common site of hydatid disease is:
a) Liver
b) Lungs
c) Small intestine
d) Large intestine
e) Stomach
13. The second most common cause of long term disability is:
a) Leprosy

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b) T.B lungs
c) T.B intestine
d) Filariasis
e) Actinomycosis
14. The definitive host of ecchynococcus granulosus is:
a) Got
b) Human
c) Dog
d) Sheep
e) Both c & d
15. The most common site of hydatid disease is:
a) Liver
b) Lungs
c) Small intestine
d) Large intestine
e) Stomach
11 B 14 C
12 B 15 A
13 D
16. The most common organ involved by mycetoma is:
a) Liver
b) Lungs
c) Head
d) Hand
e) Foot
17. The most common site of perforation in typhoid is:
a) Duodenum
b) Jejunum
c) Terminal ileum
d) Cecum
e) Colon
18. Testicular torsion is most common in
a) Infants

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b) Children
c) Neonate
d) Adolescents
e) Elderly
19. The most common site for hypospadias is
a) Just proximal to Glans penis
b) Shaft of penis
c) Root of penis
d) Perineum
e) Just distal to glans penis
20. The most common affected age group in hypertrophic pyloric stenosis is:
a) Early neonate
b) Late neonate
c) 1-2 weeks
d) 2-8 weeks
e) Infants
16 E 19 A
17 C 20 D
18 D
21. The most common congenital anomalies are
a) Gastrointestinal
b) Thoracic
c) Cardiac
d) Urogenital
e) Hepatobiliary
22. The most common anomaly of babies born to the mothers of age under 20 is:
a) Cardiac defects
b) Urogenital
c) Hepatobiliary
d) Omphalocele
e) Gastroschiasis

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23. Second most common method of imaging is:
a) X-ray
b) Ultrasound
c) C.T scan
d) M.R.I
e) Radioactive imaging
24. The best investigation for stomach is:
a) Barium meal
b) Endoscopy
c) Elisa
d) C.T scan
e) E.U ultrasound
25. The most common therapeutic use of colonoscopy is in the treatment of:
a) Colonic cancer
b) Colonic ulcers
c) Colonic polyps
d) Both a & c
e) A.O.T
21 C 24 B
22 E 25 C
23 B
26. The most commonly used depolarizing agent is:
a) Atracurium
b) Vecuronium
c) Rocuronium
d) Suxamethonium
e) Neostigmine
27. Which secretion has the highest concentration of potassium:
a) Saliva
b) Gastric acid
c) Intestinal secretions
d) Bile juice
e) Pancreatic secretions

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28. Wound dehiscence most commonly occurs at
a) 1st day postoperatively
b) 2nd day postoperatively
c) 3rd to 6th day postoperatively
d) 5th to 7th day postoperatively
e) 5th to 8th day postoperatively
29. The most common cause of death and disability in first four decades of life is:
a) Trauma
b) Cardiac problems
c) Respiratory disorders
d) Liver disorders
e) Git disorders
30. The most common organ damaged by blunt trauma in the left costal margin is:
a) Stomach
b) Spleen
c) Transverse colon
d) Descending colon
e) Left kidney
26 D 29 A
27 A 30 B
28 E
31. Subarachnoid hemorrhages are most common at:
a) The junction of circle of wills
b) Anterior cereberal artery
c) Middle cereberal artery
d) Posterior cereberal artery
e) posterior communicating artery
32. the most common site of fracture in children is:
a) proximal tibia
b) distal tibia
c) fibula
d) proximal radius
e) distal radius

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33. the most commonly fractured hand bone is
a) scaphoid
b) cuneiform
c) carpus
d) triquetrum
e) lunate
34. the most commonly involved organ by burns is
a) stomach
b) duodenum
c) kidney
d) trachea
e) N.O.T
35. The most common poisonous gas in a burning area is
a) CO
b) CO2
c) H2S
d) Methane
e) Ethane
31 A 34 E
32 E 35 A
33 A
36. The most common solution used in burn patients is:
a) Dextrose solution
b) Isotonic saline solution
c) Fresh frozen plasma
d) Ringer’s lactate
e) Blood
37. The most common site of stress fracture is:
a) Tibia
b) Femur
c) Fibula
d) Tarsal
e) Carpals

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38. The most common tumors of spine are:
a) Osteoma
b) Osteosarcoma
c) Ewings sarcoma
d) Osteolytic tumors
e) Metastatic tumors
39. Traumatic shoulder instability is in
a) Anterior direction
b) Posterior direction
c) Medially
d) Laterally
e) Anterioinferior
40. Ganglion cysts are most commonly found at
a) Dorsum of hand
b) Dorsum of foot
c) ventrum of hand
d) ventrum of foot
e) face
36 D 39 E
37 A 40 A
38 E
41. the metastatic tumors to the spine most commonly present with
a) deformity
b) progressive spinal pain
c) sudden spinal pain
d) fracture
e) asymptomatic
42. the most commonly organism spread to the spine via
a) hematogenous route
b) lymphatics
c) both a & b
d) localy
e) A.O.T

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43. Morton’s neuroma most commonly affects
a) First web space
b) Second web space
c) Third web space
d) Fourth web space
e) Thumb
44. Claw hand is cause by the damage to
a) Radius nerve
b) Ulnar nerve
c) Median nerve
d) Axillary nerve
e) Brachial plexus
45. Wrist drop is caused by
a) Radial nerve
b) Ulnar nerve
c) Median nerve
d) Axillary nerve
e) Brachial plexus
41 B 44 B
42 A 45 A
43 C
46. The most common cause of pes cavus is
a) Tabes dorsalis
b) Trauma
c) Charcot marie tooth disease
d) Tumors
e) N.O.T
47. The most common tumor found in foot is:
a) Plantar fibroma
b) Plantar neuroma
c) Plantar lipoma
d) Squamous cell carcinoma
e) Melanoma

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48. The septic arthritis is most commonly caused by:
a) Staph. Aureus
b) Streptococci
c) Chlamydia
d) Gonnocoi
e) Pseudomonas
49. The most common cause of heel pain is:
a) Plantar fibroma
b) Plantar lipoma
c) Plantar fasciitis
d) Wartz
e) Diabetic foot
50. It presents as sun ray appearance
a) Osteosarcoma
b) Osteocondroma
c) Ewings sarcoma
d) Osteoclastoma
e) N.O.T
46 C 49 C
47 A 50 A
48 A
51. It gives onion skin appearance:
a) Osteosarcoma
b) Osteochondroma
c) Ewings sarcoma
d) Osteoclastoma
e) N.O.T
52. It appears as mouth eaten
a) Osteosarcoma
b) Osteochondroma
c) Ewings sarcoma
d) Osteoclastoma
e) N.O.T

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53. The most common bone tumor in hand is:
a) Osteosarcoma
b) Osteochondroma
c) Ewings sarcoma
d) Osteoclastoma
e) N.O.T
54. The most common primary bone malignancy in adults is:
a) Osteosarcoma
b) Multiple myeloma
c) Osteochondroma
d) Ewings sarcoma
e) Osteoclastoma
55. The most common cause of cellulitis is:
a) Staph. Aureus
b) Streptococci
c) Clostridium
d) Pseudomonas
e) E.coli
51 C 54 B
52 D 55 B
53 E
56. The most common skin malignancy is:
a) SCC
b) Basal cell carcinoma
c) Melanoma
d) Adenocarcinoma
e) Secondaries
57. The second most common skin malignancy is:
a) SCC
b) BCC
c) Melanoma
d) Adenocarcinoma
e) Secondaries

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58. The most aggressive and dangerous skin malignancy is:
a) SCC
b) BCC
c) Malignant Melanoma
d) Adenocarcinoma
e) Secondaries
59. The most common cancer in young adults is:
a) SCC
b) BCC
c) Malignant Melanoma
d) Adenocarcinoma
e) Acute myeloid leukemia
60. The most common type of malignant melanoma is:
a) Superficial spreading
b) Nodular
c) Lentigo maligna
d) Acral lentigeous
e) N.O.T
56 A 59 C
57 B 60 A
58 C
61. The most common birth mark is:
a) Salmon patch
b) Capillary haemangioma
c) Cavernous haemangioma
d) Port wine stain
e) Melanoma
62. Strawberry naevus most commonly occurs on:
a) Head and neck
b) Trunk
c) Hand
d) Foot
e) Legs

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63. Kaposi’s sarcoma is caused by:
a) HIV
b) Herpes simplex type 1
c) Herpes simplex type 2
d) Cytomegalovirus
e) N.O.T
64. Spina bifida most commonly occurs at:
a) Cervical spine
b) Thoracic spine
c) Lumbar spine
d) Sacral spine
e) Cervico lumbar region
65. Meningitis are most commonly caused by:
a) Bacterial infection
b) Viral infection
c) Fungal infection
d) Tuberculosis
e) A.O.T
61 B 64 C
62 A 65 A
63 E
66. The most common intracranial tumors are:
a) Grade 1 glioma
b) Grade 2 glioma
c) Grade 3 glioma
d) Grade 4 glioma
e) Cerebral metastasis
67. The most common solid tumors in children are:
a) Wilm’s tumor
b) Brain tumor
c) Spinal cord tumor
d) Bone tumor
e) Lungs tumor

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68. The most common cause of obstruction in submandibular gland ducts is:
a) Sialadenitis
b) Stone
c) Tumor
d) Trauma
e) Foreign body
69. The most common site for salivary gland tumors is:
a) Parotid gland
b) Sub mandibular gland
c) Sub lingual gland
d) Minor Salivary gland
e) A.O.T
70. The most common tumor of parotid gland is:
a) Mucoepidermoid carcinoma
b) Warthins tumor
c) Pleomorphic adenoma
d) Adenocarcinoma
e) Actinic cell carcinoma
66 E 69 A
67 B 70 C
68 B
71. The most common method performed for parotid pathology is:
a) Superficial parotidectomy
b) Radical parotidectomy
c) Lobectomy
d) Lumpectomy
e) Deep parotidectomy
72. Sjogren syndrome most commonly gives rise to
a) Squamous cell carcinoma
b) Adenocarcinoma
c) Basal cell carcinoma
d) Warthin tumor
e) Lymphoma

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73. Carcinoid tumors are most commonly found in:
a) Small intestine
b) Large intestine
c) Lungs
d) Liver
e) Appendix
74. The most common cause of hyperthyroidism is:
a) Hashimoto’s thyroiditis
b) Reidels thyroiditis
c) Factitious intake
d) Grave’s disease
e) Adenoma
75. The most common cause of hypothyroidism is:
a) Iodine deficiency
b) Dishormogenesis
c) Iatrogenic
d) Hashimoto’s thyroiditis
e) Reidel’s thyroiditis
71 A 74 D
72 E 75 D
73 E
76. The most common cause of hyperparathyroidism is:
a) Parathyroid cancer
b) Parathyroid adenoma
c) Pituitary cancer
d) Pituitary adenoma
e) Lung cancer
77. The most common cause of bloody nipple discharge is:
a) Ductal carcinoma
b) Lobular carcinoma
c) Ductal papilloma
d) Paget’s disease
e) Duct ectasisa

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78. It most commonly presents with slit nipple:
a) Ductal carcinoma
b) Lobular carcinoma
c) Ductal papilloma
d) Duct ectasia
e) Paget’s disease
79. The most common type of breast carcinoma is:
a) Ductal carcinoma
b) Lobular carcinoma
c) Mucoid carcinoma
d) Medullary carcinoma
e) Inflammatory carcinoma
80. Peuode orange appearance is most commonly seen in:
a) Ductal carcinoma
b) Lobular carcinoma
c) Mucoid carcinoma
d) Paget’s disease
e) Inflammatory carcinoma
76 B 79 A
77 C 80 E
78 D
81. The most common postoperative arrhythmia is:
a) Sinus bradycardia
b) Sinus tachycardia
c) Atrial fibrillation
d) Ventricular fibrillation
e) Atrial flutter
82. The most common cause of mitral stenosis is:
a) M.I
b) Angina pectoris
c) Congenital
d) Rheumatic fever
e) Hypertensive heart disease

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83. The most common cause of cyanotic heart disease in children is:
a) Transposition of great vessels
b) Tetralogy of fallot
c) PDA
d) Eisenmenger syndrome
e) Ventricular septal defect
84. The most common cause of cyantotic heart disease in neonates is:
a) Transposition of great vessels
b) Tetralogy of fallot
c) PDA
d) Eisenmenger’s syndrome
e) VSD
85. It most commonly presents with machinery murmur.
a) Transposition of great vessels
b) Tetralogy of fallot
c) PDA
d) ASD
e) VSD
81 B 84 A
82 D 85 C
83 B
86. The most common congenital heart defect is:
a) Transposition of great vessels
b) Tetralogy of fallot
c) PDA
d) ASD
e) VSD
87. The most common heart tumor is
a) Fibroma
b) Leiyomyoma
c) Myxoma
d) Neuroma
e) Fibroneuroma

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88. Myxoma is most commonly found in:
a) Right atrium
b) Left artrium
c) Right ventricle
d) Left ventricle
e) Interventricualr septum
89. The most common cause of abdominal aortic aneurysm is:
a) Trauma
b) Syphilis
c) Atherosclerosis
d) Hypertension
e) N.O.T
90. The most common cancer related cause of death in the world is:
a) Breast cancer
b) Lung cancer
c) Prostate cancer
d) HCC
e) Gastric cancer
86 E 89 C
87 C 90 B
88 B
91. The most common benign lung tumor is:
a) Hamartoma
b) Fibroma
c) Carcinoid tumor
d) Leiyomyoma
e) N.O.T
92. The most common mediastinal tumor is:
a) Lymphoma
b) Thymoma
c) Germ cell tumor
d) Mesenchymal tumors
e) Neurogenic tumors

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93. The most common site of extragonadal germ cell tumors is:
a) Liver
b) Lungs
c) Bone
d) Brain
e) Anterior mediastinum
94. The most common type of large vessel aneurysm is found in
a) Ascending aorta
b) Arch of aorta
c) Descending aorta
d) Thoracic aorta
e) Abdominal aorta
95. The most common site of peripheral aneurysm is:
a) Abdominal aorta
b) Popliteal artery
c) Femoral artery
d) Iliac arteries
e) Brachial artery
91 A 94 E
92 B 95 B
93 E
96. The most common symptom of varicose veins is:
a) Aching or heaviness
b) Ulcer
c) Pain
d) Swelling
e) Discoloration of skin
97. The most common vessel ruptured in epidural hematoma is:
a) MCA
b) ACA
c) PCA
d) MMA
e) Circle of wills

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98. Lucid interval is most commonly seen in:
a) Extradural hematoma
b) Subdural hematoma
c) Subarachnoid hematoma
d) Intra cerebral hematoma
e) Retroperitoneal hematoma
99. Basal cell carcinoma most commonly metastases to:
a) Lymph nodes
b) Liver
c) Lungs
d) Bone
e) N.O.T
100. The most common cause of lymphedema worldwide is
a) Trauma
b) Filariasis
c) Lymphoma
d) Metastatic tumors
e) N.O.T
96 A 99 E
97 D 100 B
98 A