Tuesday, 23 June 2015

GENERAL SURGERY- AIPGMEE 2006 QUESTIONS AND ANSWERS



Q168.The most common malignancy found in Marjolin’s ulcer is:

A.     Basal cell carcinoma.

B.     Squamous cell carcinoma.

C.     Malignant fibrous histiocytoma.

D.     Neurotrophic malignant melanoma.

Ans: B.   Squamous cell carcinoma.


Q169.Mycotic aneurysm is an aneurysm infected because of :

A.     Fungal infection.

B.     Blood borne infection (intravascular)

C.     Infection introduced from outside (extravascular)

D.     Both intravascular & extravascular infection.

Ans: D.  Both intravascular & extravascular infection

Q170.The procedure of choice for the evaluation of an aneurysm is :

A.     Ultrasonography.

B.     Computed tomography.

C.     Magnetic resonance imaging.

D.     Arteriography.

Ans: D.  Arteriography.

Q171.The most common cause of acquired arteriovenous fistuala is:

A.     Bacterial infection.

B.     Fungal infection.

C.     Blunt trauma.

D.     Penetrating trauma.


Ans: D.  Penetrating trauma.

Q172.Laryngocele arises as a herniation of laryngeal mucosa through the following membrance:

A.     Thyrohyoid.

B.     Criciothyroid.

C.     Crico-tracheal.

D.     Crisosternal.

Ans: A.   Thyrohyoid.


Q173.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 >6mm of ultrasound.

C.     ERCP, sphincterotomy and balloon clearance is now the standard treatment.

D.     When removed by exploration of the common bile duct the T-tube can be removed after 3 days.

Ans: D.  When removed by exploration of the common bile duct the T-tube can be removed after 3 days.

Q174.Which of the following colonic polyps is not pre-maligant?

A.     Juvenile polyps.

B.     Hamartomatous polyps associated with Peutz-Jeghers syndrome.

C.     Villous adenomas.

D.     Tubular adenomas.


Ans: A.   Juvenile polyps.
Q175.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 aerogenosa.


Ans: A.   Escherichia coli.

Q176.Biliary stricture developing after Laparascopic cholecystectomy usually occurs at which part of the common bile duct?

A.     Upper.

B.     Middle.

C.     Lower.

D.     All sites with equal frequency.

Ans: B.   Middle.

Q177. Apart from Escherichia Coli, the other most common organism implicated in acute suppurative bacterial peritonitis is:

A.     Bacteroides.

B.     Klebsiella

C.     Peptostreptococcus.

D.     Pseudomonas.

Ans: A.   Bacteroides.

Q178.The treatment of choice for the management of carcinoma of the anal canal is :

  

A.     Abdomino perineal resection.

B.     Primary radiotherapy.

C.     Combined radio-and chemotheraphy.

D.     Neoadjuvant chemotherapy and local excision.

Ans: C.   Combined radio-and chemotheraphy.

Q179.The following statements about thyroglossal cyst are true, except:

A.     Frequent cause of anterior midline neck masses in the first decade of life.

B.     The cyst is located within 2 cm of the midline.

C.     Incision and Drainage is the treatment of choice.

D.     The swelling moves upwards on protrusion of tongue.

Ans: C.   Incision and Drainage is the treatment of choice.

Q180.Which of the following is not a preferred site for planning vascular access for maintenance haemodialysis ?

A.     Non-dominant extremity.

B.     Upper limb.

C.     Radio-cephalic AV fistula.

D.     Sapheno-femoral fistula.


Ans: D.  Sapheno-femoral fistula.

Q181.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.

Ans: C.   FK 506.


Q182.Which of the following is not a component of Glasgow Coma Scale?

A.     Eye opening.

B.     Motor response.

C.     Pupil size.

D.     Verbal response.

Ans: C.   Pupil size.

Q183.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.

Ans: C.   Integrity of palmar arch.

Q184.Neointimal hyperplasia causes vascular graft failure as a result of hypertrophy of:

A.     Endothelial cells.

B.     Collagen fibers.

C.     Smooth muscle cells.

D.     Elastic fibers.

Ans: A.   Endothelial cells.

Q185.Dacron vascular graft is :


A.     Nontextile synthetic.

B.     Textile synthetic

C.     Nontextile biologic.

D.     Textile biologic.

Ans: B.   Textile synthetic


Q186.Total score in Glasgow Coma Scale of a conscious person is :

A.     8

B.     3

C.     15

D.     10

Ans: C.   15


Q187.Mycotic abscesses are due to:

A.     Bacterial infection

B.     Fungal infection.

C.     Viral infection.

D.     Mixed infection.

Ans: B.   Fungal infection.

Q188.The most preferred approach for pituitary surgery at the present time is:

A.     Transcranial.

B.     Tranethmoidal


C.     Transphenoidal.

D.     Transcallosal.

Ans: C.   Transphenoidal.

Q189.The common cause of subarachnoid hemorrhage is :

A.     Arterio-venous malformation.

B.     Cavernous Angioma.

C.     Aneurysm.

D.     Hypertension.

Ans: C.   Aneurysm.

Q190.Blalock and Taussig shunt is done between:

A.     Aorta to Pulmonary artery

B.     Aorta to Pulmonary vein

C.     Subclavian artery to Pulmonary artery

D.     Subclavian vein to artery

Ans: C.   Subclavian artery to Pulmonary artery

Q191.A two month old infant has undergone a major surgical procedure.  Regarding post operative pain relief which one of the following is recommended:

A.     No medication is needed as infant does not feel pain after surgery due to immaturity of nervous system

B.     Only paracetamol suppository is adequate

C.     Spinal narcotics via intrathecal route

D.     Intravenous narcotic infusion in lower dosage

Ans: B.   Only paracetamol suppository is adequate

Q192.A 5 year old patient is scheduled for tonsiilectomy.  On the day of surgery he had running nose, temperature 37.5ºC and dry cough.  Which of the following should be the most appropriate decision for surgery?

A.     Surgery should be cancelled.

B.     Can proceed for surgery if chest is clear and there is no history of asthma

C.     Should get x-ray chest before proceeding for surgery

D.     Cancel surgery for 3 week and patient to be on antibiotic

Ans: D.  Cancel surgery for 3 week and patient to be on antibiotic

Q193. Calcitonin is secreted by:

A.     Thyroid gland

B.     Parathyroid gland

C.     Adrenal glands

D.     Ovaries

Ans: A.   Thyroid gland