MHMS • 2022 • Paper-III (Technical)
Surgery of choice for chronic duodenal ulcer is
A)
Vagotomy + antrectomy
B)
Total gastrectomy
C)
Truncal vagotomy + pyloroplasty
D)
Highly selective vagotomy
Truncal vagotomy + pyloroplasty correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Carcinoma of right colon presents as-
A)
Anemia
B)
Alternate constipation and diarrhoea
C)
Bleeding PR
D)
Presents with obstruction
Anemia is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Secondary deposits from carcinoma breast is commonest in-
A)
Lung
B)
Liver
C)
Brain
D)
Bone
Liver is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Which of the following is NOT a landmark for facial nerve during parotid surgery?-
A)
Digastric muscle
B)
Inferior belly of omohyoid
C)
Tragal pointer
D)
Retrograde dissection of distal branch
Inferior belly of omohyoid is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
In Barrett’s esophagus true is-
A)
Metaplasia
B)
Peptic stricture
C)
Para-esophageal hernia predisposes
D)
Squamous carcinoma
Metaplasia correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
In postoperative room after thyroid surgery, patient developed sudden respiratory distress, dressing was removed and it was found to be slightly blood stained and wound was bulging. What will be the first thing to be done-
A)
Tracheostomy
B)
Cricothyroidotomy
C)
Laryngoscopy and intubation
D)
Remove the stitch and take the patient to O.T
Tracheostomy correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Hypoparathyroidism following thyroid surgery occurs within-
A)
24 hours
B)
2-5 days
C)
7-14 days
D)
2-3 weeks
24 hours correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Child’s criteria include all EXCEPT-
A)
Bilirubin
B)
Nutrition
C)
Albumin
D)
Encephalopathy
Child-Pugh score includes bilirubin, albumin, PT prolongation, ascites and encephalopathy; nutrition was in original Child but replaced by PT.
MHMS • 2022 • Paper-III (Technical)
Heller’s operation is done for-
A)
Achalasia cardia
B)
Pyloric stenosis
C)
Peptic ulcer
D)
CA Esophagus
Peptic ulcer correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Mallory Weiss syndrome is partial thickness rupture, occurs at-
A)
Gastric cardia
B)
Esophagus mucosa
C)
Gastro-esophageal junction
D)
Gastro-duodenal junction
Gastro-esophageal junction correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Brodie-Trendelenburg test is positive in-
A)
Sapheno-femoral incompetence
B)
Perforator competence above knee
C)
Deep vein incompetence
D)
Perforator competence below knee
Perforator competence below knee correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Most common cause of thyroiditis is-
A)
Reidl’s thyroiditis
B)
Sub acute thyroiditis
C)
Hashimoto’s thyroiditis
D)
Viral thyroiditis
Hashimoto’s thyroiditis is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Which one of the following is not a treatment of gastroesophageal variceal hemorrhage-
A)
Sclerotherapy
B)
Sengstaken tube
C)
Transjugular intrahepatic portocaval shunt
D)
Gastric freezing
GERD variceal bleed is managed by banding, sclerotherapy, Sengstaken balloon tamponade and TIPS; gastric freezing is historic and ineffective.
MHMS • 2022 • Paper-III (Technical)
Which is not a feature of pilonidal sinus-
A)
Branching tracts are common
B)
Recurrence is uncommon
C)
Bony involvement is uncommon
D)
Seen in drivers
Branching tracts are common is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Breast cancer which is multicentric and bilateral-
A)
Ductal
B)
Lobular
C)
Mucoid
D)
Colloid
Ductal correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Most common type of choledochal cyst-
A)
Type 1
B)
Type 2
C)
Type 3
D)
Type 6
Type 1 is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
A Warthin’s tumor is-
A)
An adenolymphoma of parotid gland
B)
A pleomorphic adenoma of parotid
C)
A carcinoma of the parotid
D)
A carcinoma of submandibular salivary gland
An adenolymphoma of parotid gland correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
‘Chain of lakes’ appearance seen in-
A)
Acute pancreatitis
B)
Chronic pancreatitis
C)
Carcinoma pancreas
D)
Strawberry gall bladder
Chronic pancreatitis is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Surgery in varicose veins is NOT attempted in presence of-
A)
Deep vein thrombosis
B)
Multiple incompetent perforators
C)
Varicose veins with leg ulcer
D)
All of the above
Varicose veins with leg ulcer correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Commonest salivary gland to get stones-
A)
Parotid
B)
Submandibular
C)
Minor salivary gland
D)
Sublingual
Submandibular is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
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.
MHMS • 2022 • Paper-III (Technical)
Most common site of cholangiocarcinoma-
A)
Distal biliary duct
B)
Hilum
C)
Intrahepatic duct
D)
Multifocal
Hilum is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
25 year old patient presented with mass in right iliac fossa. Which after laparotomy was found to be carcinoid of 2.5 cm in diameter. What will be the next step in management?-
A)
Segmental resection
B)
Appendectomy
C)
Right hemicolectomy
D)
Do yearly 5 HIAA assay
Right hemicolectomy is the preferred standard management for this clinical situation.
MHMS • 2022 • Paper-III (Technical)
A 60 years old male has been operated for carcinoma of caecum and right hemicolectomy has been done. On the fourth post-operative day, the patient develops fever and pain in the legs. The most important clinical entity one should look for is-
A)
Urinary tract infection
B)
Intravenous line infection
C)
Chest infection
D)
Deep vein thrombosis
Chest infection is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Which among the following is the most common neoplasm of salivary gland-
A)
Pleomorphic adenoma
B)
Adenocystic carcinoma
C)
Mucoepidermoid
D)
Mixed tumor
Mixed tumor is the standard/commonest association or the most appropriate choice for this presentation.
