Saturday 2 March 2013

Surgery MCQs with answers Part 1:



1.Which one of the following soft tissue sarcomas frequently metastasizes to lymph nodes?
A. Fibrosarcoma
B. Osteosarcoma
C. Embryonal Rhabdomyosarcoma
D. Alveolar soft part sarcoma
Correct answer : C. Embryonal Rhabdomyosarcoma
Rhabdomyosarcoma is a soft tissue sarcoma which frequently metastasizes to lymph nodes.

2.The earliest manifestation of increased intracranial pressure following head injury is:
A. Ipsilateral pupillary dilatation
B. Contralateral pupillary dilatation
C. Altered mental status
D. Hemiparesis
Correct answer : C. Altered mental status

3.The following statements regarding finasteride are true except:
A. It is used in the medical treatment of benign Prostatic hypertrophy (BPH)
B. Impotence is well documented after its use
C. It blocks the conversion of dihydrotestosterone to testosterone
D. It is a 5-alpha reductase inhibitor
Correct answer : C. It blocks the conversion of dihydrotestosterone to testosterone
Finasteride blocks the conversion of testosterone to dihydrotestosterone!

4.According to the Glasgow Coma Scale (GCS), a verbal score of 1 indicates:
A. No response
B. Inappropriate words
C. Incomprehensible sounds
D. Disoriented response
Correct answer : A. No response
GCS verbal score:
No response
Incomprehensible sounds
Inappropriate words
Disorriented and converses
Oriented and converses


5.Which of the following is the most troublesome source of bleeding during a radical retropubic prostatectomy?
A. Dorsal venous complex
B. Inferior vesical pedicle
C. Superior vesical pedicle
D. Seminal vesicular artery
Correct answer : A. Dorsal venous complex
Dorsal venous complex passes over the prostate. It is the most troublesome source of bleeding during a prostatectomy.

6.Sclerotherapy is ideal for treatment of
A. External hemorrhoids
B. Internal hemorrhoids
C. Prolapsed hemorrhoids
D. Strangulated hemorrhoids
Correct answer : B. Internal hemorrhoids
Sclerotherapy is ideal for treatment of internal haemorrhoids. (first degree with bleeding and early second degree haemorrhoids)

7.Which of the following catheter materials is most suited for long-term use?
A. Latex
B. Silicone
C. Rubber
D. Polyurethane
Correct answer : B. Silicone
Silicone catheters can be used for upto 12 weeks.

8.All of the following are true for patients of ulcerative colitis associated with primary sclerosing cholangitis (PSC), except:
A. They may develop biliary cirrhosis
B. May have raised alkaline phosphatase
C. Increased risk of hilar Cholangiocarcinoma
D. PSC reverts after a total colectomy
Correct answer : D. PSC reverts after a total colectomy
Colectomy does not alter the course of PSC.

9.In which of the following disease, the overall survival is increased by screening procedure?
A. Prostate cancer
B. Lung cancer
C. Colon cancer
D. Ovarian cancer
Correct answer : C. Colon cancer

10.Gardner’s syndrome is a rare hereditary disorder involving the colon. It is characterized by:
A. Polyposis colon, cancer thyroid, skin tumours
B. Polyposis in jejunum, pituitary adenoma and skin tumours
C. Polyposis colon, osteomas, epidermal inclusion cysts and fibrous tumours in the skin
D. Polyposis of gastrointestinal tract, Cholangiocarcinoma and skin tumours
Correct answer : C. Polyposis colon, osteomas, epidermal inclusion cysts and fibrous tumours in the skin
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