- Most accurate biochemical test is diagnostic for acute pancreatitis. (A) Serum amylase (B)Serum lipase (C) Urinary amylase concentration (D) Urinary amylase excreted in 2 hours.
- Most common renal calculi is (A) Calcium phosphate (B) Calcium oxalate (C) Ammonium magnesium phosphate (D) Uric acid.
- Most frequent complication of first degree hypospadias is (A) Chordee (B) Short urethra (C)Dorsal curvature (D) Bifid scrotum.
- Which of the following is diagnostic sign of substernal goiter (A) Dyspnea & orthopnea (B)Fullness in suprasternal notch (C) Deviation of trachea on X-ray film (D) Dilatation of neck veins.
- Most common cause of pancreatic fistula is (A) Acute pancreatitis (B) Trauma (C)Carcinoma pancreas (D) Pseudocyst of pancreas.
- Insulin is used during intravenous glucose infusion for (A) Effective utilisation of glucose (B)Prevention of hyperosmolar dehydration (C)Management of acidosis (D)Adequate hydration & renal output.
- Dye used for intravenous cholangiography is (A) Iapanoic acid (B)Meglumine (C)Na diatrizoate (D) Urograffin.
- Acute extradural haematoma may have the following features except (A) Haematoma under temporalis muscle (B)Presence of lucid internal (C)Tear of superior cerebral vein (D) Fracture of squamous-temporal bone.
- Commonest cause of 'pulsion diverticulum' of urinary bladder is (A) Benign hypertrophy of prostate (B) Contracture of bladder neck (C) Urethral stricture (D)Congenital valves of posterior urethra.
- 'Duodenal blowout' after polya gastrectomy occurs on (A) Second day (B)Fourth day (C) Elighth day (D)Tenth day.
- In hydatid disease of liver, Casoni's test is positive in (A) 35% (B)55% (C)75% (D) 95%
- The purpose of vagotomy in treatment of duodenal ulcer is to (A) Reduce pepsin secretion (B) Reduce acid secretion (C) Increase gastric mucus secretion (D) Reduce gastric motility.
- All are features of A-V fistula, except (A) Congestive heart failure (B)Ischemic changes in distal limb (C)Overgrowth of the limb (D)Recurrent hemorrhages.
- Following splenectomy, there is increased suscceptibility to infection with all, except (A) Strep. Pneumoniae (B)Hemophilus influenzae (C)Malaria (D) E.coli.
- Hyperacute rejection after kidney transplantation is due to (A) Cell mediated immunity (B) Circulating antibodies (C)Post operative infection (D) HLA antigen mismatch
- The treatment of stage II seminoma is orchitectomy followed by (A) Chemotherapy (B)Hormonal therapy (C)Radiotherapy of mediastinum and same side of pelvis (D)Radiotherapy and chemotherapy.
- Treatment of choice for 'cystosarcoma phylloides' is (A) Simple mastectomy (B)Radical mastectomy (C) Simple mastectomy & radiotherapy (D) Hormonal therapy.
- Important premonitory sign of burst abdomen is (A) Gap in suture line (B) Localised edema (C) Serosanguinous discharge (D) Feeling of something giving way.
- 'Cavitation phenomenon' is seen in (A) Crush injury (B) Stab wound (C) Low velocity missile injuty (D)High velocity missile injury.
- Earliest symptom of benign hypertrophy of prostate is (A)Urgency (B)Frequency (C)Difficulty in micturition (D) Terminal dribbling.
- Most common presenting clinical feature of mucoviscidosis during infancy is (A) Intestinal obstruction (B)Decreased sweating (C)Bronchiolitis (D) Loss of appetite.
- Commonest hernia is (A) Inguinal (B)Incisional (C)Femoral (D) Epigastric.
- All statements about 'internal haemorrhoids' are true except (A) Pedicle is situated at the dentate line (B) Bleeding is the earliest symptom (C) Cannot be felt per rectum unless thrombosed (D)Diagnosis is made by proctoscopy (E) Injeection treatment is useful only in first degree and early second degree haemorrhoids.
- Commonest site of thyroglossal cyst is (A) Region of thyroid cartilage (B)Beneath the hyoid (C) Floor of mouth (D) At level of cricoid cartilage.
- All statements about intestinal obstruction are true except (A) In adults, presence of two fluid levels is physiological (B) Nearer the obstruction is to ileocaecal valve, smaller is the number of fluid levels (C) Fluid levels appear later than gas shadows. (D) In small bowel obstruction erect radiograph shows fluid levels arranged in 'step ladder' pattern.
- Biochemical finding in haemochromatosis by 'Secretin-pancreozymin test' is (A) Low volume, low bicarbonate and low enzyme (B) Low volume, normal bicarbonate and normal enzyme (C)Normal volume, low bicarbonate and low enzyme (D) Increased bolume, low bicarbonate and normal enzyme.
- Carcinoid tumor is most often seen in (A) Jejunum (B)IIeum (C) Appendix (D)Ascending colon.
- Commonest cause of 'target lesion' in stomach is (A) Melanoma (B) Carcinoid (C)Lymphoma (D)Fibroma.
- Salivary gland calculi are commonest in (A) parotid gland (B)Submandibular gland (C) Sublingual gland (D) Minor salivary glands.
- The malignant tumor having a tendency for spontaneous regression is (A) Neuroblastoma (B)Acute leukemia (C)Wilm's tumor (D) Hodgkin's lymphoma.
- Leriche's syndrome results from obstruction of (A) Common iliac artery (B) Internal iliac artery (C) Femoral artery (D) Aorto-iliac junction.
- Automatic bladder results from (A) Spinal shock (B)Lesion at cauda equina (C)Injury to parasympathetic nerve to bladder (D) Superior sagittal sinus thrombosis.
- Most frequently and first the effects of retroperitoneal fibrosis are seen on (A) Ureter (B) Aorta (C) Duodenum (D) Colon.
- The commonest peripheral artery involved in aneurysm is (A) Radial (B)Branchial (C)Femoral (D) Popliteal.
- Commonest site of perforation in enteric fever is (A) Jejunum (B)Caecum (C) Terminal ileum (D) Ascending colon.
- Testicular tumor in children most commonly appear in (A) First year (B) 3-7 years (C)7-10 years (D)11-14 years.
- Cleft palate is repaired at the age of (A) 2-3 months (B) 6-9 months (C)12-18 months (D) 5-8 years.
- Coleman's sign is positive in (A) Acute appendicites (B) Fractire of body of mandible (C) Type II Le Fortfracture (D) Latent tetany.
- Best ureterocolic anastomosis for preventing reflux and stricture formations is (A)Caffey type (B) Grey turner type (C) Leadbetter type (D) Nesbit type.
- The most common symptom of bladder carcinoma (A) Frequency (B)Urgency (C) Dysuria (D) Intermittent hematuria.
- The commonest type of breast cancer is (A) Schirrous carcinoma (B)Medullary carcinoma (C) Mastitis carcinomatosa (D) Duct carcinoma.
- Which statement about splenic rupture is not true ? (A) Usual presentation is initial shock which is rapidly fatal (B) Ultrasound is investigation of choice when the diagnosis is difficult (C) Plain X-ray abdomen shows obliteration of psoas shadow (D) Splenectomy is treatment of choice.
- Commonest cause of obstructive jaundice in the infants is (A) Congenital atresia of the bile ducts (B) Congenital hepatic fibrosis (C)Galactosemia (D) Infantile cirrhosis.
- Thoracotomy is not indicated when the pneumothorax is less than (A) 10 % (B) 20% (C) 30% (D) 40%
- Cerebrospinal otorrhea is caused by (A) Fracture of mastoid antrum (B) Fracture of petrous ridge (C) Fracture of cribriform plate (D) Rupture of tympanic membrane.
- Characteristics of 'carcinoma of gallbladder' are that all except (A) Majority occurs in female (B) Associated with stones in 90% cases (C) Presently features are not typical (D) Five year survival is 50%
- 'Warm ischaemia time' for kidneys is (A) 30 minutes (B) 45 minutes (C)1 hour (D)6 hours.
- The narrowest part of the male urethra is at (A) Bulbous urethra (B) External meatus (C) Prostatic urethra (D) Internal meatus.
- Complication of chronic lymphedema are all except (A) Recurrent infection (B)Lymphangiosarcoma (C)Solid edema (D) Skin coarsened & ulcerated.
- Commonest cause of inflammatory tubular stricture of rectum is (A)Ulcerative colitis (B)Lymphogranuloma inguinale (C) Granuloma inguinale (D) Irradiation.
- Acute prostatitis is commonly caused by (A) Escherichia coli (B)Staphylococcus aureus (C) Staphylococcus albus (D) Neisseria gonorrheae.
- Clinical sign diagnostic of oesophageal atresia in a new born is (A)Cyanosis (B)Regurgitation of feeds (C) Abdominal distension (D) Continuous pouring of saliva from its mouth
- 'Keratoderma blenorrhagicum' is seen in (A) Crohn's disease (B) Ulcerative colitis (C) Reiters' disease (D) Gonorrohea.
- Commonest cause of post-operative chest infection is (A) Staphylococcus aureus (B)Streptococcus pyogenes (C)Hemophilus influenzae (D) Pseudomonas pyocyanea.
- Extra water allowance for excessive sweating is (A) 100 ml/0.5 C of patient's temperature above 37.8 C (B) 200 ml/0.5 C of patient's temperature above 37 C (C) 200 ml/0.5 C of patient's temperature above 37.8 C (D) 400 ml/0.5 C of patient's temperature above 37.8 C.
- Earliest symptom of renal tuberculosis usually is (A) Dysuria (B)Frequency (C) Hematuria (D) Loss of weight.
- Ist day post operative fever is due to (A) Transient bacteremia (B)Septicemia (C)Tissue break down products (D) Both A & B
- Minimum amount of air needed for acute massive pulmonary embolism is (A) Less than 10ml. (B) 15 ml. (C)30 ml. (D) 50 ml.
- Whipple's triad is diagnostic of (A)Carcinoma thyroid (B)Insulinoma (C)Renal cell carcinoma (D) Lymphoma.
- Most frequent indication for surgery in Crohn's disease is (A) Intestinal obstruction (B)Internal fistula (C)Abdominal mass (D) External fistula.
- Treatment of choice for choledochal cyst is (A) Excision (B) Lobectomy (C) Choledochocystojeijunostomy (D) Cholecystojjejunostomy.
- Varus deformity of foot is present at (A)Talotibial joint (B)Talocalcaneal joint (C)Talonavicular joint (D) Calcaneo-cuboid joint
- Treatment of carcinoma of caecum is (A) Right hemicolectomy (B)Total colectomy (C) Chemotherapy (D)Ileocolostomy.
- Which of the following type of breast carcinoma carries best prognosis (A) Duct carcinoma (B)Medullary carcinoma (C) Labular carcinoma (D) Mastitis carcinomatosa
- Best investigation for periampullary carcinoma of pancreasis (A) Hypotonic duodenography (B) Ultrasonography (C) ERCP (D)Selective arteriography
- In fibroadenosis of breast, feature that indicates malignant potential is (A) Epitheliosis (B)Cystic changes (C)Fibrosis (D)Adenosis.
- Gasless abdomen on x-ray is seen in (A) Acute pancreatitis (B)Pyloric obstruction (C) Mensenteric infarction (D)All of the above.
- Most accurate method for detecting potentially invasive wound sepsis is (A) Daily wound inspection (B)Monitoring vital signs (C)Serial blood cultures (D)Quantitative bacteriology.
- Commonest histological type of mucosal cheek malignancy is (A) Adenocarcinoma (B)Squamous cell carcinoma (C)Burkitt's lymphoma (D)Mucoepidermoid carcinoma.
- Deficiency of which of the following mineral occurs in patient on total parenteral nutrition (A) Chromium (B) Magneesium (C) Zinc (D) All of the above.
- Treatment of choice for Zollinger-Ellison syndrome is (A) Total gastrectomy (B)Ranitidine (C) Partial gastrectomy (D)Bagotomy with gastric drainage.
- All are seen after massive resection of small bowel except (A) Loss of fat & protein (B) Intractable diarrhea (C)Increased serum calcium (D) Lowered serum protein
- Principal cause of death in renal transplant recipients is (A) Uremia (B)Infection (C) Haemorrhage (D) Malignancy.
- Dye useful for coronary angiography is (A) 76% urograffin (B)Conray 280 (C)60% urograffin (D) Na diatrizoate.
- Which of the following serum protein is subclinical marker for peptic ulcer (A) Gastrin (B)Trypsin (C)Group 1 pepsinogen (D) Histamine.
- Most common complication following gastric by pass surgery is (A) Anastomotic leak (B) Cuodenal fistula (C) Intestinal obstruction (D) Paralytic ileus
- Amount of blood in stool necessary to produce melena is (A)5ml (B) 50 ml (C) 100 ml (D) 250 ml.
- Half life of transfused platelets is approximately (A) 6-12 hrs (B) 24-28 hrs (C)7-8 days (D) 15-20 days.
- Commonest site of stricuture in ulcerative colitis is (A) Ileocaecal region (B) Descending colon (C)Rectosigmoid junction (D) Sigmoid colon.
- Diagnosis of carcinoma prostate is best confirmed by (A) Needle biopsy (B)Ultrasonography (C) Peer-rectal examination (D)X-ray for skeletal secondaries.
- All of the above following statement about 'branchial fistula' are true except (A) External opening in midline (B) Internal opening, near fornix of tonsil (C) Represents second branchial cleft (D) May arise secondary to infected branchial cyst.
- Which of the following hemangioma undergoes spontaneous resolution (A) Portwine stain (B) Strawberry angioma (C) Cavernous angioma (D) Plexiform angioma
- Flower vase appearance on IVP is seen in (A) Horse shoe kidney (B)Polycystic kidney (C) Hydronephrosis (D) Congenital meguareter.
- Lymph node mass palpable in 'Troisier's sign is (A) Epigastric (B) Left supraclavicular (C) Left axillary (D) Left inguinal
- Best screening procedure for adenocarcinoma of colon would be (A) Barium enema (B) Sigmoidoscopy (C) CEA assay (D) Stool occult blood test.
- All of the following are features of villous adenoma of intestine except (A) Increased serum calcium & phosphate (B)Decreased serum potassium (C)Watery diarrhoea (D)Tenesms.
- Which of the following is generally used method for establishing the diagnosis of acute appendicitis (A) Clinical examination (B) Exploratory lapratomy (C) Ultrasonography (D) CT scan.
- Which of the following statement is not true about fibroadenoma breast (A) Commonest tumor below 35 years (B) Solitary well defined lobulated mobile lump (C) Premenstrual pain & tenderness present (D) Treatment of choice is enucleation.
- Chronic duodenal ulcer is associated with (A)Hyperthyroidism (B)Hyperparathyroidism (C) Insulinoma (D) Phaeochromocytoma
- Most accurate technique for evaluating degree of acute renal trauma is (A) Intravenous pyelography (B) Ultrasonography (C) Renal arteriogram (D) Retrograde pyelography.
- Treatment of choice for ileocaecal tuber culosis with intestinal obstruction is (A) Conservative treatment with chemotherapy (B)Defunctioning ileocolostomy (C) Right hemicolectomy (D) Resection anastomosis.
- Most common cause of surgical wound infection is (A) Inadequate skin preparation (B)Contamination during operation (C)Trauma due to overretraction (D)Wound dressings removed too early.
- Treatment of hypercalcemia of malignancy includes all of the following except (A) Mithramycin (B) Prednisone (C) Furosemide (D) Dipyridamole.
- All of the following statements are true regarding varicocele except (A) Varicosity of cremasteric veins (B)Left side is affected usually (C)Feels like a bag of worms (D) May lead to infertility
- Staghorn calculus is of the following type (A) Calcium phosphate (B) Calcium oxalate (C)Triple phosphate (D)Cysteine.
- Single most important prognostic factor for carcinoma of breast is (A) Histological classification (B)Axillary lymph node involvement (C) Size of carcinoma at time of presentation (D)Fixity to the skin.
- Commonest cause of bleeding per rectum in 3rd to 4th decade is (A) Internal haemorrhoids (B) Carcinoma rectum (C)Intestinal polyps (D)Meckel's diverticulum.
- Commonest soft tissue tumor is (A) Lipoma (B)Fibroma (C) Neurofibroma (D)Liposarcoma.
- Which of the foloowing is not a complication of lymphoedema (A) Recurrent lymphangitis (B) Skin wrinkled & coarsened (C) Skin ulceration (D)Lymphangiosarcoma.
- Ureterocele results from (A) Ectopic ureteric orifice (B) Congenital atresia of ureteric orifice (C) Obstruction of right ureter behind inferior vena cava (D) Dilatation of ureter due to reflux.
- The pain of intestinal obstruction is best described as : (a) Dull and aching (b) Cramping (c) Vague and ill-defined (d) Tingling (e) Sore and dull
- Atleast 50% of all carcinomas of the colon are found in the (a) Ascending colon (b) Splenic flexure (c) Transverse colon (d) Sigmoid region (e) None of the above
- The usual order of occurrence of the symptom in acute appendicitis (a) Fever nausea, epigastric pain (b) Fever, local iliac tenderness, nausea (c) Epigastric pain, nausea, local iliac tenderness (d) Leukocytosis, fever, local iliac tenderness
- The most common complications of regional ileitis are (a) Fistuala formation and carcinoma (b) Fistuala formation and recurrence (c) Perforation and tuberculosis (d) Perforation and haemorrhage
- In a child colicky abdominal pain, early onset of vomiting, palpable mass and bleeding per rectum, mst strongly suggests (a) Appendicitis (b) Intussusception (c) Ulcerative colitis (d) Volvulus of the mid-gut
- Which of the following indicates rupture of a hollow viscus ? (a) Localized abdominal pain becoming generalized (b) Shoulder pain, nausea, vomiting and muscular rigidity (c) Absent peristaltic activity (d) Free air in peritoneal cavity (e) All of the above
- The area of the pharynx which communicates directly with the larynx is the (a) Oropharynx (b) Hypopharynx (c) Nasopharynx (d) None of the above (e) All of the above
- Tuberculosis produces enlarged lymph nodes which are characterized by the following EXCEPT (a) Soft and fluctuant (b) Matted together (c) Sinus formation (d) firm and rubbery (e) Conglomeration of the nodes
- A nodular, reddish brown tumour appearing on the outer side of the alveolar ridge is characteristic of (a) Congenital lues (b) Polyvitamin deficiency (c) Herpes labialis (d) Epulis (e) Ranula
- The cerebral lobe with the LOWEST incidence of all types of tumour is the (a) Frontal (b) Parietal (c) Temporal (d) Occipital (e) None and the incidence is roughly equal
- In acute head injury, immediate operation is indicated by (a) Bloody spinal fluid on lumbar tap (b) Unilateral fixed dilated pupil (c) Rapidly changing neurological findings (d) Closed ddepressed fracture in frontal area (e) Generalized convulsive seizures
- The common site for ecotopic testis (a) Perianal (b) Pelvic (c) Femoral (d) Penis (e) Superficial inguinal pouch
- The most common cause of bowel obstruction is (a) Malignancy (b) Volvulus (c) Peritoneal adhesions (d) External hernia
- The most common cyst of the jaw is (a) Odontogenic cyst (b) Dentigerous cyst (c) Radicular cyst (d) Follicular cyst
- The most coommon orbital tumour causing exophthalmos is (a)Haemangioma (b) Meningloma (c) Glioma (d) Mixed tumour of lacrimal gland (e) None of the above
- Retrolental fibroplasia (a) is congenital (b) may lead to macrophthalmos (c) may occur without oxygen therapy (d) Does not involve the vitreous (e) None of the above
- The most common tumour in a child is (a) Embryoma of the kidney (Wilm's tumour) (b) Neuroblastoma (c) Malignant melanoma (d) Benign sacrocooccygeal teratoma (e) Malignant sacrococcygeal teratoma
- Complications of ulcerative colitis is/are (a) Iritis (b) Arthritis (c) Fistula (d) Pyoderma (e) All of the above
- The common site for colonic diverticula is (a) Ascending colon (b) Transverse colon (c) Upper descending colon (d) Sigmoid colon (e) Rectum
- Fissure-in-anoo is located characteristically (a) Midline anteriorly (b) Midline posteriorly (c) Right lateral quadrent (d) Left lateral quadrent (e) None of the above
- Which of the following is NOT a presenting sign of lung cancer (a) Anaemia (b) Hoarseness (c) Unilateral wheeze (d) cough (e) haemoptysis
Click here for more questions
