← MHMS
Past Questions — 2022
Most common tumor of urinary bladder is-
A)
Squamous cell carcinoma
B)
Adenocarcinoma
C)
Transitional cell carcinoma
D)
Stratified squamous carcinoma
Transitional cell (urothelial) carcinoma accounts for ~90% of bladder tumors; squamous and adenocarcinoma are less common.
NOT true about urethral injuries is-
A)
Catheterize the patient immediately
B)
Can be associated with fracture pelvis
C)
Bladder injury is associated with post urethral injuries
D)
Blood at the external urethral meatus is an important feature
Catheterize the patient immediately is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
In Medullary carcinoma thyroid, tumor marker is-
A)
TSH
B)
Calcitonin
C)
T3,T4 &TSH
D)
Alpha Fetoprotein
Calcitonin correctly describes the definition or characteristic asked in the question.
Commonest cancer in burn scar is-
A)
Squamous cell carcinoma
B)
Fibrosarcoma
C)
Adenocarcinoma
D)
Adeno-squamous carcinoma
Adeno-squamous carcinoma is the standard/commonest association or the most appropriate choice for this presentation.
Varicocele is common on left testis because-
A)
Left testicular vein drains into IVC which has high pressure
B)
Left testicular vein drains into left renal vein which has high pressure
C)
Left testis is lower situated
D)
Compression of testicular vein by rectum
Left testicular vein drains into left renal vein which has high pressure correctly describes the definition or characteristic asked in the question.
Ca. urinary bladder commonly presents as-
A)
Hematuria
B)
Frequency
C)
Dysuria
D)
Abdominal lump
Bladder cancer classically presents with painless gross hematuria, intermittent and throughout stream.
The commonest site of obstruction in Gall stone ileus is-
A)
Proximal ileum
B)
Distal ileum
C)
Ileocecal junction
D)
Transverse colon
Distal ileum is the standard/commonest association or the most appropriate choice for this presentation.
In children most common type of polyp is-
A)
Juvenile polyp
B)
Solitary polyp
C)
Familial polyposis
D)
Multiple adenomatous polyp
Juvenile polyp is the standard/commonest association or the most appropriate choice for this presentation.
Structures preserved in radical dissection of the neck-
A)
Internal jugular vein
B)
Sternomastoid
C)
Submandibular gland
D)
Vagus nerve
Submandibular gland correctly describes the definition or characteristic asked in the question.
All are component of Saint’s triad EXCEPT-
A)
Renal stones
B)
Hiatus hernia
C)
Diverticulosis coli
D)
Gall stones
Renal stones is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
The Couinaud’s segmental nomenclature is based on the position of the-
A)
Hepatic veins and portal vein
B)
Hepatic veins and biliary ducts
C)
Portal vein and biliary ducts
D)
Portal vein and hepatic artery
Couinaud segmentation divides liver into 8 segments based on portal vein distribution within and hepatic veins between segments.
Vascular inflow occlusion of the liver is by-
A)
Clamping the hepatic artery
B)
Occluding the portal vein
C)
Clamping the hepatic vein
D)
The Pringle manoeuvre
The Pringle manoeuvre correctly describes the definition or characteristic asked in the question.
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
Integrity of palmar arch correctly describes the definition or characteristic asked in the question.
Recurrent laryngeal nerve is in close association with-
A)
Superior thyroid artery
B)
Inferior thyroid artery
C)
Middle thyroid vein
D)
Superior thyroid vein
Inferior thyroid artery correctly describes the definition or characteristic asked in the question.
Dumping syndrome is due to-
A)
Diarrhoea
B)
Presence of hypertonic content in small intestine
C)
Vagotomy
D)
Reduced gastric capacity
Presence of hypertonic content in small intestine correctly describes the definition or characteristic asked in the question.
Duodenal blow out following Billroth gstrectomy most commonly occurs on which day-
A)
2nd day
B)
4th day
C)
6th day
D)
12th day
Duodenal stump blowout after Billroth II typically occurs around day 4-5.
Complications of total thyroidectomy include all EXCEPT-
A)
Hoarseness
B)
Airway obstruction
C)
Hemorrhage
D)
Hypercalcemia
Hemorrhage is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
A surgeon excises a portion of liver to the left of the attachment of the falciform ligament. The segments that have been resected are-
A)
Segment 1 to 4
B)
Segment 1 and 4b
C)
Segment 2 and 3
D)
Segment 2 to 4
Anatomical left lobe to left of falciform ligament corresponds to left lateral segmentectomy = Couinaud segments II and III.
Radical dissection of neck includes all EXCEPT-
A)
Cervical lymph nodes
B)
Sternocleidomastoid
C)
Phrenic nerves
D)
Internal jugular vein
Radical neck dissection removes levels I-V nodes, SCM, IJV, accessory nerve and submandibular gland but spares phrenic nerve, carotid and vagus.
Fogarty’s catheter is used for-
A)
Drainage of urinary bladder
B)
Parenteral hyperalimentation
C)
Removal of embolus from blood vessels
D)
Ureteric catheterization
Drainage of urinary bladder correctly describes the definition or characteristic asked in the question.
Most common tumor of parotid gland is-
A)
Squamous cell carcinoma
B)
Pleomorphic adenoma
C)
Adenolymphoma
D)
None of the above
Adenolymphoma is the standard/commonest association or the most appropriate choice for this presentation.
Triple assessment for carcinoma breast includes-
A)
History, clinical examination and mammogram
B)
History, clinical examination and FNAC
C)
USG, mammogram and FNAC
D)
Clinical examination, Mammogram and FNAC
Clinical examination, Mammogram and FNAC is the correct choice based on the standard clinical or subject-matter fact tested.
Which of the following is the most common site for carcinoma of pancreas-
A)
Head
B)
Ampulla
C)
Body
D)
Tail
Head is the standard/commonest association or the most appropriate choice for this presentation.
Budd Chiari syndrome is due to thrombosis of-
A)
Infra renal IVC
B)
Renal part of IVC
C)
Superior mesenteric vein thrombosis
D)
Hepatic veins
Budd-Chiari is hepatic venous outflow obstruction due to thrombosis of major hepatic veins or suprahepatic IVC.
Commonest site of peptic ulcer perforation
A)
Anterior aspect of the 1st part of duodenum
B)
Posterior aspect of the 1st part of duodenum
C)
Greater curvature of the stomach
D)
Anterior aspect of 2nd part of duodenum
Most duodenal ulcers are anterior in first part; anterior perforation into free peritoneal cavity is classic, posterior causes bleeding from gastroduodenal artery.