Surgery MCQs with answers Part 3:

1.Allen’s test is useful in evaluating:
A. Thoracic outlet compression
B. Presence of cervical rib
C. Integrity of palmar arch
D. Digital blood flow
Correct answer : C. Integrity of palmar arch
How to perform allen’s test: (To check for patency of radial and ulnar arteries and to confirm integrity of the palmar arterial arch between them)

2.The patient makes a tight fist
The examiner compresses the radial and ulnar arteries distally
The fist is released and compression of the ulnar artery is released
The speed of return of colour to the palm is looked for
Steps 1 and 2 are …

3.The most common cause of acquired arteriovenous fistula is;
A. Bacterial infection
B. Fungal infection
C. Blunt trauma
D. Penetrating trauma
Correct answer : D. Penetrating trauma

4.Which of the following statements is true regarding testicular tumors?
A. Are embryonal cell carcinomas in 95% of cases
B. Bilateral in up to 10% cases
C. Teratomas are more common than seminomas
D. Usually present after 50 years of age
Correct answer : B. Bilateral in up to 10% cases
15% of familial and 5% of sporadic cases of testicular tumour are bilateral.

5.The treatment of choice for squamous cell anal cancer is:
A. Abdominoperineal resection
B. Laser fulgaration
C. Chemoradiotherapy
D. Platinum—based chemotherapy
Correct answer : C. Chemoradiotherapy
Chemotherapy with radiotherapy (Nigro regimen) is the preferred treatment for anal carcinoma.

5.Which of the following drugs is not a part of the ‘Triple Therapy’ immunosuppression for post-renal transplant patients?
A. Cyclosporine
B. Azathioprine
C. FK 506
D. Prednisolone
Correct answer : C. FK 506
Components of triple therapy immunosuppression for post-renal transplant patients are :

Cyclosporine
Azathioprine
Prednisolone

5.The most common cause of gastric outlet obstruction in India is:
A. Tuberculosis
B. Cancer of stomach
C. Duodenal lymphoma
D. Peptic ulcer disease
Correct answer : B. Cancer of stomach

6.All of the following modalities can be used for in situ ablation of liver secondaries, except?
A. Ultrasonic waves
B. Cryotherapy
C. Alcohol
D. Radiofrequency
Correct answer : A. Ultrasonic waves
Ablation of liver secondaries can be done by:

Cryotherapy
Radiofrequency ablation
Microwave ablation
Injection of chemicals like alcohol and acetic acid

7.Biliary stricture developing after laparascopic cholecystectomy usually occurs at which part of the common bile duct?
A. Upper
B. Middle
C. Lower
D. All sides with equal frequency
Correct answer : A. Upper
During surgery, the common bile duct may be mistakenly identified as the cystic duct. Hence, surgeon may ligate the common bile duct instead of the cystic duct resulting in the development of a stricture in the upper part.

8.Which one of the following statements is incorrect regarding stones in the common bile duct?
A. Can present with Charcot‘s triad
B. Are suggested by a bile duct diameter > 6 mm in ultrasound
C. ERCP, sphincterotomy and balloon clearance is now the standard treatment
D. When removed by exploration of the common bile ducts the T-tube can be removed after 3 days
Correct answer : D. When removed by exploration of the common bile ducts the T-tube can be removed after 3 days
T tubes are kept in the bile duct for 7-30 days. …

8.A patient of post cholecystectomy biliary stricture has undergone an ERCP three days ago. Following this she has developed acute cholangitis. The most likely organism is:
A. Escherichia coli
B. Bacillus fragilis
C. Streptococcus viridans
D. Pseudomonas aeruginosa
Correct answer : A. Escherichia coli

9.Apart from Escherichia coli. the other most common organism implicated in acute suppurative bacterial peritonitis is:
A. Bacteroides
B. Klebsiella
C. Peptostreptococcus
D. Pseudomonas
Correct answer : A. Bacteroides

10.Referred pain from all of the following conditions may be felt along the inner side of right thigh, except:
A. Inflamed pelvic appendix
B. Inflamed ovaries
C. Stone in pelvic ureter
D. Pelvic abscess
Correct answer : D. Pelvic abscess