Final MBBS Surgery MCQs

1. In mesh repair for inguinal hernia, which type of suture can be used for suturing mesh
to muscle?
a) silk
b) propylene
c) stainless steel
d) polylactic acid
e) catgut
2. Necrotising fasciitis is associated with
a) swelling of the calf
b) redness
c) high fever
d) high !"
e) high #"$
%. In a patient with hypovolaemic shock, which cannular si&e would you ideally choose
for infusion?
a) 1'(
b) 21(
c) 1%(
d) 2)(
e) *+(
). ,de-uate minimum urine output in a .+kg man during resuscitation is
a) */ ml0hr
b) 2+ ml0hr
c) /+ ml0hr
d) %/ ml 0hr
e) )+ ml0hr
.. #opper I1#2 prevent pregnancy by the following way3
a) spermicidal action
b) preventing ovulation
c) prevent implantation of embryo
d) all of the above
e) non of the above
'. 4hich is important in the antenatal history?
a) menstrual history
b) medical history
c) family history
d) previous contraceptive methods
e) all of the above
11. 4hich of the statement about a perforated duodenal ulcer is false3
a) ?
b) patch repair
c) ?
d) 2+5 show free air under diaphragm on #6"
1*. !everal studies have followed up patients with asymptomatic gallstones. 4hat
percentage of patients develop symptoms after / 7 2+ years?
a) 8 25
b) 1+ 7 2+ 5
c) *+ 7 %+ 5
d) /+ 7 )+ 5
e) )+5
1%. !albutamol
a) may cause hypokalaemia
b) not used with steroid for $9: in 2;
c) improve outcome when used alone by prolonging pregnancy
d) negative chronotrophic effect on heart
e) more effective in $"<;
1/. 4hich of the following give complications in 1
st
=>: in?ection?
a) trigger finger
b) 2e@uervainAs tenovaginitis
c) ,chilles tendinitis
d) ?
e) 9ennis elbow
1). ,cute retention of urine, which is B,:!3
a) imperforate hymen does not commonly present as ,"1
b) herpes simpleC genitalis often presents with voiding difficulties and urinary
retention
c) can be treated by indwelling catheter for %D hours
d) retention is often accompanied by overflow incontinence
e) often occurs post vaginal delivery, postEinstrumental vaginal delivery, post
surgical instrumentation
1.. 4hich of the following is true for basal cell carcinoma?
a) metastases to lymph node is rare
b) common at nonEsun eCposed area
c) 1F light is not a cause
d) morpheous type is easily treated
e) treatment of choice is radiotherapy
1D. Inhalation burn in?ury 2+ mins earlier, now carbonaceous sputum, respiratory rate 2%
breaths per minute. 9"13
a) if stridor and cyanosis not present, then not severe
b) 6Erays, chest signs should be positive
c) ,G( normal, then watch0treat conservatively
d) bronchoscopy is of no value
e) intubation and oCygen indicated
1'. Farus in?ury to the knee results in
a) medial meniscus in?ury
b) medial condyle fracture
c) tear of fibulo?? ligament
d) ?inability to use eCtensor hallucis longus
2+. 4hich is the least likely to be present in ?acute cholecystitis
a) nausea
b) right hypocondrial tenderness
c) right hypochondrial guarding
d) elevated con?ugated bilirubin
e) ?aundice
21. Bollowing are features of #onnAs 6#$9
a) hypertension
b) low serum potassium
c) low plasma rennin activity
d) raised serum sodium
e) muscle weakness
2*. 4orkman fell on a bar, hit perineum. !crotal haematoma and perEuretral bleeding.
4hich is 9"1?
a) catheterise
b) surgery to repair urethra
c) suprapubic catheter if patient cannot pass urine
2%. 4hich of the following is N<9 a risk factor for bladder cancer
a) smoking
b) cyclophosphamide
c) schisostomiasis
d) pelvic irradiation
e) adriamycin
2). 9reatment of dysfunctional uterine bleeding eCcept
a) prostaglandin
b) bromocriptine
c) dana&ol
d) traneCamic acid
e) <#$
2.. %+ year old male with ulcerative colitis now with eCacerbation of (I symptoms.
,ssess severity with
a) erythema nodosum
b) anaemia
c) dose of sala&opyrine
d) ankylosing spondylitis
e) dysplasia on colonoscopy
2D. #ause of thirst and oliguria in ileostomy
a) hypokalaemia
b) metabolic alkalosis
c) renal calculi
d) high output from ileostomy
2'. ;an went for anterior resection, postEop histo shows 2uke #. ,dvise3
a) ad?uvant chemoE"9
b) neoad?uvant "9
c) liver resection
*+. 9ermination of midEtrimester pregnancy can be by applying prostaglandin via
a) intraEamniotic
b) eCtraEamniotic
c) vaginally
d) none of the above
e) all of the above
*1. , 2D year old lady complains of painful defecation associated with fresh perErectal
bleed. $ossible diagnosis to consider3
a) hiradenitis suppurativa
b) dermoid cyst
c) pilonidal sinus
d) anal fissure
e) pruritis ani
*2. 4hich is B,:! for colorectal cancer?
a) father with colorectal cancer predisposes one to higher risk than general
population
b) familial adenomatous polypopsis coli is inherited as autosomal dominant
c) cancer locali&ed to mucosa can be cured
d) 2N, mismatch repair gene mutation predisposes you to 1++5 lifetime risk of
colorectal cancer
**. ? !ubmandibular stones associated with
a) swelling
b) radiolucent stones
c) BreyAs syndrome
d) pain after eating 2 hours
e) eCcision of the whole gland
*%. Not a cause of large bowel intestinal obstruction
a) #rohnAs
b) volvulus
c) radiotherapy
d) adhsions
e) recurrent ischaemic colitis
*/. =aemorrhoids
a) are commonly believed to be venous malformation
b) re-uire surgical eCcision if small and symptomatic
c) commonly present with painful bleeding and perianal swelling
d) may undergo malignant metaplasia in those with chronic prolapse
e) pruritis ani
*'. 4hat is true about malrotation and volvulus?
a) commonly presents with bilious vomiting
b) presents in late childhood
c) barium meal eCcludes it
d) may lead to acute ischaemic colitis
e) is not an emergency and may be treated conservatively
%+. 4hich statement with regards to burns is 9"1?
a) the commonest cause of deaths is overwhelming infection
b) in electrical burns, eCtent of surface in?ury is a good reflection of underlying
in?ury
c) flame burns worse than scalds
d) ?
e) $artial thickness burns are sensate
%1. ;aternal mortality rate is calculated as the number of maternal deaths per3
a) 1++
b) 1+++
c) 1+ +++
d) 1++ +++
e) 1 +++ +++
%2. 4hich is false for s-uamous cell carcinoma
a) can be caused by repeated eCposure to chronic skin irritation
b) can arise from chronic conditions like ;ar?olinAs ulcer
c) GowenAs and $agetAs are known risk factors
d) seborrhoiec keratosis is a preEmalignant lesion
e) can present as cutaneous horn
%%. 4hich of the following is commonly used to screen for osteoporosis0osteopenia in a
menopausal lady?
a) ;"I of hip
b) lumbar 6Eray
c) 26,
d) mammogram
e) #9 scan
%). 9he osmolality of plasma and interstitial fluid is determined by3
a) bicarbonate
b) potassium
c) chloride
d) protein
e) sodium
/+. In the 2
nd
stage of labour
a) immediate delivery is indicated in early decelerations
b) pushing is encouraged once cervis is fully dilated
c) urinary catheter is routinely done to help foetal head engage
d) persistent late decelerations is suggestive of foetal hypoCia
e) it is never allowed to go beyond 1 hour
/2. (rade III open fracture of tibia best treated with3 eCternal fiCation
/*. 9he following signs > symptoms are consistent with acute unruptured appendicitis
6#$93
a) patient writhing in pain
b) pain initially paraumbilical, then moves to right iliac fossa
c) "ovsingAs sign positive
d) "ectal temperature *D.1H#
e) ?
/%. , young lady presents with *cm thyroid nodule. BN,# shows papillary cells. 9he
neCt appropriate management is
a) thyroCine
b) radioactive iodine
c) ?
d) Ccise nodule
e) =emithyroidectomy
/). ;enopause is associated with the following eCcept3
a) hot flushes
b) urinary problems
c) #olleAs fracture
d) Increase risk of acute myocardial infarct
e) 2ysmenorrhoea
/D. =yperprolactinaemia is associated with the following 6#$93
a) =ypothyroid
b) Gitemporal hemianopia
c) <varian cyst
d) Greast discharge
e) <ligomenorrhoea
/'. ;an with *cm adrenal mass found on #9 scan. 4hich of the following is N<9 true3
a) do #6"
b) BN,#
c) 2o rennin level
d) !urgery
e) observe
)1. 4hich of the following is not associated with increased maternal mortality?
a) antepartum haemorrhage
b) postpartum haemorrhage
c) infection
d) ectopic pregnancy
e) preEeCisting diabetes mellitus
)*. .+ year old man fell in bathroom and fractured left hip Idisplaced N<B J). 9reatment3
a) total hip replacement
b) hemiarthroplasty
c) eCcisional arthroplasty
d) internal fiCation and screw
e) dynamic hip screw
)%. 4hich of the following is found in diabetes insipidus?
a) increase serum urea
b) decrease serum urea
c) increase serum potassium
d) decrease serum potassium
e) decrease creatinine
)/. #hronic pelvic pain associated with the following 6#$93
a) chronic pelvic inflammatory disease
b) previous abdominal operation
c) adenomyosis
d) endometrioma
e) retroverted uterus
)). ;ost common cause of subEarachnoid haemorrhage is
a) hypertension
b) coagulopathy
c) arteriovenous malformation
d) aneurysm
e) tumour
).. !I,2= is associated with
a) hypernatraemia
b) hyponatraemia
c) hyperkalaemia
d) hypokalaemia
e) raised serum urea
)D. 4hich of the following is not a sign of upper motor neurone lesion?
a) sustained clonus
b) hyper refleCia
c) =offmanAs sign
d) 1pgoing plantar
e) Blaccid paralysis
.+. 9he following affect perinatal mortality rate eCcept
a) low birth weight
b) asphyCia
c) vacuum aspiration
d) congenital abnormalities
e) prematurity
.1. Bollowing a road traffic accident, a motorcyclist presents with a cold pulseless foot.
In?uries that may be associated include3
a) posterior knee dislocation
b) closed fracture of the tibia and fibula
c) penetrating in?ury to the popliteal fossa
d) a > b
e) a, b > c
.2. #ontraindications to breast conservation
a) multicentric on mammogram
b) central
c) K )+ year old
d) diabetes mellitus
e) LehovahAs 4itness
.). $ertheAs disease3 which of the following is 9"1?
a) present K 1+ years old poorer prognosis
b) always bilateral
c) has congenital deformities
d) age range up to 2+ years old
e) early surgery improves prognosis
... 4ide local eCcision M aCillary clearance M radiotherapy compared with simple
mastectomy M aCillary clearance3
a) ?
b) inprove survival, increase local recurrence
c) same survival and recurrence
d) inprove survival, reduced local recurrence
e) studies inconclusive
.D. $atient going for right hemicolectomy. #onsultant asks you to prescribe ampicillinE
sulbactam. ,fter checking no drug allergy, you would administer3
a) oral route 2%hr before surgery
b) oral route 1+ 7 *+ min before surgery
c) IF route ) hr before skin incision
d) IF 1+ 7 *+ min before skin incision
e) IF + 7 *+ min before surgery and continue for * days after
.'. 4hich is not a cause of pancreatitis?
a) hypercalcaemia
b) hypokalaemia
c) hyperlipidaemia
d) obstruction at ampulla of Fater
e) thia&ide
D1. )+ year old man, .+kg with oesophageal carcinoma. $oor feeding for 2 wks because
of dysphagia, lost 12kg in % wks. 4hat would you do for him?
a) do not need nutritional correction
b) IF parenteral nutrition 1 day before operation
c) IF parenteral nutrition 1 wk before operation
d) IF parenteral nutrition after surgery
e) ?
D2. ;onteggia fractureEdislocation. 4hich is 9"1?
a) fracture of proCimal ulnar M radial head
b) ulnar nerve palsy
c) weak finger eCtension
d) crossEunion
e) treat conservatively with aboveEelbow cast
D*. $atient with colorectal #a /cm metastasis to liver. 92N1;1. $rimary is treated. 4hat
to do with liver mets?
a) liver resection
b) 9,# Itransarterial chemoEembolisation)
c) "adiotherapy
d) #hemoradiotherapy
e) 4ait and see
D%. In which of the following tumours does radiotherapy Ioffered as a 1
st
line treatment)
have the same results as surgical resection?
a) renal cell carcinoma
b) adenocarcinoma of stomach
c) malignant melanoma
d) s-uamous cell carcinoma of oesophagus
e) carcinoma of rectum
D/. #losed fracture of the shaft of humerus may be associated with inability to3
a) eCtend distal interphalangeal ?oint of little finger
b) oppose thumb
c) fleC wrist
d) fleC proCimal metacarpophalangeal ?oint of thumb
e) eCtend the interphalangeal ?oint of thumb
D). Normal menstrual cycle, true 6#$93
a) :;$ taken as final day of last menstrual period
b) B!=, := change continuously throughout cycle
c) midEcycle pain and bleeding is physiological
D.. 11 year old male cyclist had an accident, sustained laceration over left thigh
eCtending over left inguinal area into left iliac fossa. <n further history taking he is
estranged from his parents and staying alone. #hoose the most appropriate statement.
a) patient is a minor and his consent for any operation is not needed
b) patient and 2 senior doctors can sign the consent form
c) toilet > suture is minor procedure so consent is not re-uired
d) if patient refuses treatment, it is not necessary to trace the parents to inform them
e) no consent is needed if procedure performed in emergency room
D'. Nou are a =< clerking a patient for elective laparoscopic cholecystectomy for
cholelithiasis. =e complained of dark urine of 1 day duration the day before. =ad
abdominal pain * weeks ago, after fatty food.
:B9 shows3
E con?ugated bilirubin 2/
E uncon?ugated bilirubin 2+
E ,:$ 1D+
E ,:9 2/
E ,!9 2)
E $9 1*.* s
Nour plan of management3
a) continue with cholecystectomy, becourse the stones will be taken out anyway
b) ultrasound, if dilated bile ducts refer for "#$
c) =ep G, =ep # screen
d) "echeck :B9 in 2 weeks
e) #9 liver
'+. 9rue of slipped capital femoral epiphysis 6#$93
a) common in children 8 ) years old
b) associated with endocrine abnormalities
c) present with limp
d) associated with obesity
e) ?
'2. ;ost effective parameter in the ultrasound diagnosis of I1(" is3
a) biparietal diameter
b) head circumference
c) abdominal circumference
d) femur length to biparietal diameter ratio
e) umbilical artery 2oppler
'*. 9eenager with painful flat foot. 4hich can cause it?
a) ?uvenile chronic arthritis
b) tarsal coalition
c) accessory navicular bone
d) all of the above
e) none of the above
'%. $eriosteal bone formation seen in
a) chronic osteomyelitis
b) osteogenic sarcoma
c) postEphlebitic leg
d) a > c
e) all of the above
'). Indications for vaginal eCamination in theatre
a) diagnose placenta praevia
b) ?
c) 1ltrasound finding of placenta praevia
d) "evealed $F bleeding
e) #oncealed $F bleeding
'.. *% year old lady, *cm hard mass in left breast, what is the investigation which is least
helpful?
a) BN,# of lump
b) 1ltrasound both breast for 2#I!
c) ;ammogram both breast for 2#I!
d) :B9 for mets
e) #6" for mets
'D. In variceal bleeding, B,:!3
a) IF somatostatin early
b) #orrect $9 of 22 with BB$
c) ncephalopathy may be treated by lactulose
d) !engstakenEGlackmore tube once diagnosis made
e) Gand ligation in 1
st
endoscope
''. %/ year old motorcyclist, has a road traffic accident. ,> findings revealed patient
groaning, speaking unintelligibly, chest wall abrasions. "" 2+0min, G$ '+0.+ mm=g,
pulse 12/0min, small pulse volume. #old and clammy. "educed air entry and tympanic
percussion note on right chest. 2istended neck veins. NeCt appropriate thing to do?
a) en-uire "9, circumstances
b) 2 large bore IF lines
c) Intubate
d) Needle in 2
nd
intercostals space
e) $ericardiocentesis
1++. Bat embolism is commonly associated with
a) ?
b) ?
c) mental alteration and restlessness
1+1. Bace presentation in labour, most commonly associated with
a) post term
b) anencephaly
c) ?
d) <ligohydramnios
e) 2ownAs syndrome
1+2. In a bleeding patient, which is the most important parameter to assess successful
fluid replacement?
a) pulse rate
b) pulse pressure
c) urine output
d) cutaneous perfusion
e) pallor
1+*. , young man at ,> after road traffic accident. 1nconscious, systolic G$ )+mm=g
by palpation. No obvious open wounds or fractures. ;ost likely cause of shock3
a) subEdural haemorrhage
b) cervical transection
c) bleeding into abdomen and chest cavity
d) cardiac tamponade
e) tension pneumothoraC
1+%. "egarding mammographies, which is inappropriate3
a) increase false negative in younger females compared to older females
b) mammograms have not affected mortality outcome
c) false negative rate is about 1+E1/5
d) women about %+ years should go for one
e) women under %+ should go if they have positive family history
1+'. nterocutaneous fistula. 4hich is false
a) skin irritation is a ma?or problem
b) barium meal should be done by 1
st
wk
c) ?
d) #an try oral elemental feeding if fistula is at distal small intestine
e) Bistulogram can help in diagnosis
111. 2/ year old smoker, *2 wks pregnant, noticed to have I1(" on ultrasound only,
what is associated with this feature?
a) polyhydramnios
b) gestational diabetes mellitus
c) decreased fetal plasma viscosity
d) drinking alcohol of K 12+mg daily
e) ? increased proction of thromboCane ,2 > prostacyclin
112. , .+ year old man presents with painless cholestatic ?aundice and vomiting. #9 scan
shows a bulky tumour in the pancreas and tumour thrombosis in the superior mesenteric
and splenic veins. ,n appropriate treatment plan is
a) pancreaticoduodenectomy
b) fibrinolysis treatment followed by 4hippleAs operation
c) gastro?e?unostomy and choledocho?e?unostomy
d) total pancreatectomy and splenectomy
e) fraCiparin I:;4 heparin) and pain relief
11%. !ymptoms of endometriosis include the following 6#$93
a) dysmenorrhoea
b) irregular bleeding
c) sudden lower abdominal pain
d) infertility
e) abdominal mass
11). "egarding traumatic diaphragmatic rupture, which statement is B,:!3
a) laparotomy is indicated
b) mainly on right side
c) "yleAs tube can assist in making diagnosis
d) respiratory distress is common
e) blunt is more common than penetrating trauma
11D. Incidence of postEterm pregnancies
a) 15
b) 2+5
c) )5
d) D+5
e) +.+15
12+. In renal trauma the diagnostic investigation that best demonstrates parenchymal
laceration, urine eCtravasation, eCtent of retroperitoneal haemorrhage is3
a) intraEvenous urogram
b) #9 abdomen
c) Nephrotomography
d) ,rteriogram
e) ;"I
12%. ;ost appropriate investigation for an obstructed upper urinary tract which is dilated
a) IF1
b) #9 scan
c) ;"I
d) 1ltrasound
e) "enogram
12). 4hich is not a proven benefit of combined ="9?
a) decrease risk of osteoporosis
b) decrease risk of ovarian #a
c) decrease risk of endometrial cancer
d) decrease risk of colon cancer
e) reduction of vasomotor symptoms
12.. 9he best way to evaluate the testicle and epididymis in the presence of a tense
hydrocoele is3
a) manual compression
b) transillumination
c) 2oppler flow studies
d) scrotal ultrasound
e) 29$, scan
12D. %+ year old #hinese man, 2 days history of right knee swelling. !" '+ mm0hr, #"$
raised. ,febrile
a) diagnostic aspiration
b) arthrotomy and washout
c) intravenous antibiotics
d) N!,I2s
e) None of the above
12'. ,nterior dislocation of shoulder is associated with loss of sensation
a) of medial arm
b) of lateral forearm
c) of medial forearm
d) of 1
st
dorsal interossei of hand
e) none of the above
1*1. !coliosis
a) kyphotic deformity of the spine
b) poor back posture
c) lateral curvature of spine
d) eCaggerated lordosis
e) congenital high scapula
1*2. ;anagement of %mm midEureteric stone include3
a) ?push stone up > $#N:
b) #onservative
c) "etrograde ureteroscopy > laser
d) ?<pen surgery
e) ?!4: alone
1**. In the blood supply of the long bone, which of the following is true?
a) nutrient artery supplies 20* of the inner corteC
b) periosteal arterioles supply 20* of outer corteC
c) nutrient artery supplies 10* of inner corteC
d) the blood supply is centripetal
e) nutrient artery supplies O of the inner corteC
1*%. 9he following is true of (n"= agonist 6#$93
a) symptoms of endometriosis may worsen
b) can be given in intravenous pulses
c) can be given as depots
d) ?
e) Increase bone density
1*/. 4hich of the following is true about epidural analgesia?
a) cardiorespiratory collapse is a recogni&ed complication
b) it cause increased pelvic floor tone
c) previous #aesarean section is a contraindication
d) current pregnancyEinduced hypertension is a contraindication
e) postEdural puncture headache occurs immediately
1*). ;ost common symptom of testicular tumour
a) testicular pain
b) scrotal swelling
c) sensation of heaviness in scrotum
d) haematocoele
e) bilateral gynaecomastia
1*.. 9he following are risk factors for senile osteoporosis, 6#$93
a) chronic smoking
b) regular aspirin intake
c) ,sian women with small build
d) #hronic steroid intake
e) N!,I2s ingestion
1*D. In uterine rupture, all are found 6#$93
a) hypotension
b) increased uterine contractions
c) haematuria
d) perEvaginal bleeding
e) fetal distress
1*'. (;$Emediated relaCation of penile corporeal smooth muscle is mediated by
a) norepinephrine
b) dopamine
c) serotonin
d) N<
e) endothelin
1%1. Gladder cancer, true 6#$93
a) smoking is a risk factor
b) superficial variant is most common
c) transitional cell carcinoma is commonest histology
d) lifelong followEup following ablation for superficial transitional cell carcinoma
e) immunotherapy is not useful
1%2. !ideEeffect of use of prostagladins for midEtrimester termination of pregnancy
include all 6#$93
a) shivering
b) nausea > vomiting
c) pyreCia
d) diarrhea
e) postEpartum haemorrhage
1%%. 4ith respect to compartment syndrome, which of the following is B,:!3
a) pale > pulseless limb is an early sign
b) it can occur in open fractures
c) indication for urgent fasciotomy
d) can occur in the foot
e) pain is always present
1%/. ,bruption placentae
a) more common in primigravida than multiparous women
b) associated with ? coulevaire uterus
c) always lead to perEvaginal bleeding
d) does not result in fetal death
e) associated with cardiac disease
1%). <ccipital posterior presentation in labour
a) occipital frontal is presenting diameter
b) rupture of membrane occurs late in pregnancy
c) /+5 rotate to occipital anterior during labour
d) $ersistent occipital posterior means vaginal delivery contraindicated
e) ,ccounts for /+5 of verteC presentation in early labour
1%.. #ommonest cause of haematospermia
a) nonEspecific inflammation of prostate or seminal vesicles
b) 9G prostate
c) ,denocarcinoma prostate
d) 9ransitional cell carcinoma of prostate
e) pididymoEorchitis
1%D. 9he following antibiotics are used for prophylaCis of 19I 6#$9
a) trimethoprimEsulphametha&ole
b) amoCicillin
c) nitrofurantoin
d) cephaleCin
e) fluro-uinolones
1%'. ;anagement of *cm stone in renal pelvis3
a) $#N:
b) !4:
c) conservative management
d) open pyelolitomy
e) double LEstenting
1/1. 4hich of the following is not used in ="9 administration?
a) tablets
b) patch
c) subdermal implantation
d) vaginal pessaries
e) I1#2
1/2. 4hich is not a feature of degenerative spine diease
a) decreased ?oint space
b) sclerosis of vertebral body
c) grade 1 spondylolisthesis of :%0/ vertebrae
d) decrease ?oint space of facet ?oints
e) syndesmophytic lipping
1/%. #hronic complication of radiotherapy for cancer of cerviC. 4hich is B,:!3
a) urinary continence will not be compromised
b) blood transfusion may be indicated for haemorrhagic cystitis
c) ?it is caused by endarteritis, fibrosis
d) Includes pelvic pain, tenesmus, diarrhea, rectal bleeding
e) <ccurs ) 7 *) months after cessation
1//. .+ year old lady, fit, presents with lower 10* ureter transitional cell carcinoma, no
lymph node involvement. 9reatment3
a) radiotherapy
b) intravesical chemotherapy
c) radical nephrectomy
d) radical cystectomy
e) nephroEuretectomy
1/.. )2 year old man presents with recurrent lower urinary tract infection. 4hich of the
following investigations is most unlikely to be useful?
a) uroflow
b) urine culture
c) intravenous urogram
d) micturating cystourogram
e) cystoscopy
1/D. $olycystic ovarian syndrome may be treated by the following, 6#$93
a) ovarian cystectomy
b) norethisterone
c) clomiphene
d) ovarian drilling
e) metformin
1/'. ,fter motorcycle accident, ** year old man with fiCed internal rotation of upper
arm. 2iagnosis to eCclude is3
a) fracture of surgical neck of humerus
b) anterior dislocation of shoulder
c) posterior dislocation of shoulder
d) rotator cuff tear
e) none of the above
1)+. , %+ year old man presented to the ,> department with ureteric colic. 4hich of
the following investigation is not relevant?
a) abdominal ultrasound
b) nonEcontrast #9 scan
c) intravenous urogram
d) urine dipstick
e) urine culture
1)1. 4hich of the following drugs should not be used in pregnancy?
a) amoCicillin
b) tetracycline
c) erythromycin
d) acyclovir
e) &idovudine
1)*. ndometrioma is associated with
a) cervical cancer
b) vulva cancer
c) clear cell cancer of ovary
d) cancer of fallopian tube
e) germ cell tumour of ovary
1)). 9he single largest factor determining long term survival in breast cancer is3
a) tumour si&e
b) tumour grade
c) tumour subtype
d) nodal positivity
e) ad?uvant chemotherapy
1)'. 4hat is not true about nephroblastoma?
a) also known as 4ilmAs tumour
b) occurs in 1+5 of children
c) presents as an abdominal mass
d) more common in children before * years of age
e) composed purely of epithelial elements
1.+. 4hat is true of phaeochromocytoma
a) neuroendocrine tumour of adrenal corteC
b) associated with ;N I
c) malignant in '+5 of cases
d) ? scan
e) <nly PEblocker re-uired preEop
1.1. 9rue about cephaloEpelvic disproportion3
a) a high head at *) wk is diagnostic
b) prolong latent phase is a good sign of #$2
c) diagnosis usually not made without trial of labour
d) diagnosis made accurately by 6Eray pelvimetry
e) fetal abnormalities such as microcephaly is associated with increased risk of #$2
1.2. $rocedure of choice to define anatomic details of calyces, pelvis and ureter is3
a) intravenous urogram
b) ultrasound
c) #9 scan
d) nuclear renogram
e) retrograde pyelography
1.*. Balse statement about placental locali&ation > antepartum haemorrhage
management3
a) ultrasound at 22 wks is unreliable
b) absence of retroEplacental haematoma effectively eCcludes abruption placentae
c) posterior placenta gives false negative report of placenta praevia
d) transvaginal scan can be done for suspected placenta praevia
e) placenta accrete can be diagnosed antenatally on ultrasound
1.%. ffectiveness of breast cancer screening has been shown to be most useful in the
following age group
a) 8 */
b) %+ 7 %'
c) /+ 7 )%
d) K .+
e) ,ll age groups
1./. 9he following is associated with increased risk of breast cancer3
a) fibroadenoma
b) fibrocystic disease
c) atypical duct hyperplasia
d) ductal papilloma
e) increase breast si&e
1.D. 1) year old boy presents with a gradually enlarging left knee. 6Eray shows a lytic
lesion in the metaphysic of proCimal tibia. 4hich of the following need to be eCcluded?
a) chondrosarcoma
b) osteogenic sarcoma
c) osteochondroma
d) giant cell tumour
e) chondroblastoma
1.'. $agetAs diease of the breast
a) present anywhere on breast skin
b) usually bilateral
c) rare inEsitu carcinoma
d) bad prognosis
e) usually re-uire mastectomy with aCillary clearance
E ;in. urine output in .+kg person per day3
a) */ml
b) 2/ml
c) %+ml
d) )+ml
E Bollowing can cause gout, 6#$93
a) deficiency of homo?? oCidase
b) loop diuretics
c) chemotherapy
d) myeloproliferative disease
E .+ year old man has a chest drain inserted for pneumothoraC. =e is listed for surgery
because of a persistant large air leak. Nurses call you to the ward because during transfer,
he became acutely dyspnoeic and oCygen saturation is .+5. Nour first course of action
is3
a) check chest tube since it may have become inadvertently clamped during transfer
b) eCclude anCiety as a cause
c) eCclude reaction to anaesthetic premedication
d) check if pulse oCimetry machine is working
e) none of the above
E ,bout inguinal hernia, which is B,:!?
a) deep ring is a defect in fascia transversalis
b) cannot get above it
c) cough impulse may be absent in large hernia
d) mesh repair is contraindicated unless recurrence
e) repair can be done under local anaesthesia
E 4hich donAt improve claudication distance in peripheral vascular disease?
a) bypass
b) angioplasty
c) eCercise
d) stop smoking
e) aspirin
E 4hich is not contributory to (lasgow #oma !cale?
a) obey commands
b) locali&es painful stimuli
c) open eyes to calling
d) incomprehensible sounds
e) /mm pupils
E 9he following are features of #onnAs syndrome 6#$93
a) hypertension
b) hypernatraemia
c) low plasma rennin activity
d) hypokalaemia
e) muscular weakness