Surgery MCQ 2
1. Regarding hand infections
a. Elevation of the hand facilitates the healing process
b. Oral antibiotics are sufficient in the initial stages
c. Mobilization of fingers should be delayed until complete resolution of infection
d. Swelling of the dorsum of the hand indicates an abscess in the dorsum
e. When the hand is splinted, the MCP joints should be maintained in flexion
2.A 65 year old man presents with severe colicky abdominal pain which is poorly localized. He had neither vomited nor passed flatus. The abdomen was mildly tender but grossly distended. The groin and external genitalia were normal. In this man,
a. Bowel obstruction is complicated by peritonitis
b. The absence of vomiting points a large bowel pathology
c. A supine X-ray of the abdomen is less useful than an erect one
d. NG suction is useful even in the absence of vomiting
e. Urgent sigmoidoscopy is indicated
3.Meckel’s diverticulum,
a. Is seen in 20% of the population
b. Is the remnant of the vitello-intestinal duct
c. Is a site for peptic ulceration
d. When inflamed, mimics acute appendicitis
e. Is premalignant
4.Characteristics associated with a better prognosis in breast carcinoma include,
a. Early menarche
b. Subareolar location
c. Lobular type histology
d. Tumour +ve axillary LNs
e. High level of hormone receptors
5. Fistula in ano,
a. Resolves spontaneously in 50% cases
b. Has an internal opening above the anorectal ring in the majority
c. Is treated by excising the fistulous tract
d. Recurrent in Crohn’s disease
e. Is caused by infection of the anal glands
6.A 55 year old women presents with a 2cm breast lump and axillary lymphadenopathy. FNAC is positive for malignant cells. There are no obvious distant metastases.
a. Lumpectomy is necessary prior to definitive therapy for breast CA
b. Breast conservation surgery is contraindicated in the presence of axillary LNs
c. Mammography is not indicated in this patient
d. She is most benefit from Tamoxifen therapy
e. Her-2/neu receptor positivity indicated a poor prognosis
7.Following are T/F regarding IC tubes in chest trauma.
a. 2nd ICS in the Midcalvicular line is the preferred site for insertion
b. It is usually inserted under local anaesthesia
c. It is the only form of treatment required in over 50% of those with pneumothorax
d. It is mandatory in the management of flail chest
e. Drainage of 100ml of blood in the first hour after insertion is an indication for emergency thoracotomy
8.USS is the preferred 1st line method (compared with X-ray, CT, Scintigraphy) of investigation of,
a. A breast lump in a 30 year old women
b. Right upper quadrant abdominal pain in a 45 year old women
c. Possible bone metastasis in a 70 year old man
d. Possible subphrenic abscess in a post operative patient
e. Suspected venous thrombosis in 60 year old with a swollen leg
9.Methods used in sterilization of surgical instruments
a. Ethylene oxide
b. Para-acetic acid
c. Chlorhexidine
d. G-rays
e. High pressure steam
10.Post operative pulmonary embolism,
a. Presents as haemoptysis
b. Can exclude if chest X-ray is normal
c. Confirmed by CT angiography
d. Can exclude if no DVT in calf veins