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Surgery MCQs with answers Part 2:

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1.A new born presented with bloated abdomen shortly after birth with passing of less meconium. A full thickness biopsy of the rectum was carried out. Which one of the following rectal biopsy findings is most likely to be present?
A. Fibrosis of submucosa
B. Hyalinisation of the muscular coat
C. Thickened Muscularis propria
D. Lack of ganglion cells
Correct answer : D. Lack of ganglion cells
The history is suggestive of congenital aganglionic megacolon (Hirschprung disease). The ganglion cells in the intestinal wall are absent. It occurs due to arrest in migration of neural crest cells. …

2.In which one of the following conditions is sialography contraindicated?
A, Ductal calculus
B. Chronic parotitis
C. Acute parotitis
D. Recurrent sialadenitis
Correct answer : C. Acute parotitis
Acute parotitis is a contraindication for saliography.

3.Abbey Estlander flap is used in the reconstruction of:
A. Buccal mucosa
B. Lip
C. Tongue
D. Palate
Correct answer : B. Lip
Abbey Estlander flap (stair step advancement technique) is used in reconstruction of lip.

4.The most common complication seen in hiatus hernia is:
A. Oesophagitis
B. Aspiration pneumonitis
C, Volvulus
D. Esophageal stricture
Correct answer : A. Oesophagitis

5.In which one of the following head and neck cancer, perineural invasion is most commonly seen?
A. Adenocarcinoma
B. Adenoid cystic carcinoma
C. Basal Cell Adenoma
D. Squamous cell carcinoma
Correct answer : B. Adenoid cystic carcinoma
Perineural invasion is characteristically seen in adenoid cystic carcinoma. It is the most common malignant tumour of submandibular salivary glands.

6.Lumbar sympathectomy is of value in the management of:
A. Intermittent claudication
B. Distal ischaemia affecting the skin of the toes
C. Arteriovenous Fistula
D. Back pain
Correct answer : B. Distal ischaemia affecting the skin of the toes
The sympathetic system controls the blood flow to skin (not muscle). Sympathetic tone has a vasoconstrictor effect. Hence lumbar sympathectomy will cause vasodilation and increased blood flow to skin of toes.

7.A blood stained discharge from the nipple indicates one of the following:
A. Breast abscess
B. Fibroadenoma
C. Duct Papilloma
D. Fat Necrosis of Breast
Correct answer : C. Duct Papilloma
Causes of blood stained nipple discharge
Intraductal papilloma
Carcinoma
Duct ectasia
Fibrocystic disease

8.The most preferred approach for pituitary surgery at the present time is:
A. Transcranial
B. Transethmoidal
C. Trans-sphenoidal
D. Transcallosal
Correct answer : C. Trans-sphenoidal

9.Which of the following is not a preferred site for planning vascular access for maintenance hemodialysis?
A. Nondominant extremity
B. Upper limb
C. Radiocephalic AV fistula
D. Saphenofemoral fistula
Correct answer : D. Saphenofemoral fistula
Usual site is forearm of non dominant hand. The femoral vessels are used only if all upper limb vessles have been used.

10.Dacron vascular graft is:
A. Nontextile synthetic
B. Textile synthetic
C. Nontextile biologic
D. Textile biologic
Correct answer : B. Textile synthetic
Dacron is a synthetic graft material. It is a type of medical textile.
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