Saturday, 11 July 2015

GENERAL SURGERY- AIIMS 2003 MAY QUESTIONS AND ANSWERS



Question 75:Which of the following is the most common tumor associated with type I neurofibromatosis ?
A) Optic nerve glioma
B) Meningioma
C) Acoustic neuroma
D) Low grade astrocytoma

Ans:A
Question 76:Which of the following is not a contraindication for extracorporeal shockwave lithotripsy (ESWL) for renal calculi ?
A) Uncorrected bleeding diathesis
B) Pregnancy
C) Ureteric stricture
D) Stone in a calyceal diverticulum

Ans:D
Question 77:Use of tamoxifen in carcinoma of breast patients does not lead to the following side effects ?
A) Thromboembolic events
B) Endometrial Carcinoma
C) Cataract
D) Cancer in opposite breast

Ans:D

Question 78:There is a high risk of renal dysplasia in ?
A) Posterior urethral valves
B) Bladder extrophy
C) Anorectal malformation
D) Neonatal sepsis

Ans:C
Question 79:Stereotactic Radio-surgery is a form of ?
A) Radiotherapy
B) Radioiodine therapy
C) Robotic Surgery
D) Cryo Surgery

Ans:A
Question 80:In the immediate post operative period the common cause of respiratory insufficiency could be because of the following, except ?
A) Residual effect of muscle relaxant
B) Overdose of narcotic analgesic
C) Mild hypovolemia
D) Myocardial infarction

Ans:C
Question 81:In a blast injury, which of the following organ is the least vulnerable to the blast wave ?
A) G.I. Tract
B) Lungs
C) Liver
D) Ear drum

Ans:C
Question 82:Hypochloremia, hypokalemia and alkalosis are seen in ?
A) Congenital hypertrophic pyloric stenosis
B) Hirschprung's disease
C) Oesophagal atresia
D) Jejunal atresia

Ans:A
Question 83:Following surgical removal of a firm nodular cancer swelling in the right breast and exploration of the right axilla, on examination the patient was found to have a winged right scapula. Most likely this could have occured due to injury to the ?
A) Subscapular muscle
B) Coracoid process of scapula
C) Long thoracic nerve
D) Circumflex scapular artery

Ans:C
Question 84:An adult old man gets a burn injury to his hands. Over few weeks , the burned skin heals without the need for skin grafting. The most critical factor responsible for the rapid healing in this case is ?
A) Remnant skin appendages
B) Underlying connective tissue
C) Minimal edema and erythema
D) Granulation tissue

Ans:A
Question 85:All of the following form radiolucent stones except ?
A) Xanthine
B) Cysteine
C) Allopurinol
D) Orotic acid

Ans:B
Question 86:A Warthin's tumor is ?
A) An adenolymphoma of parotid gland
B) A pleomorphic adenoma of parotid gland
C) A carcinoma of the parotid
D) A carcinoma of the submandibular salivary gland

Ans:A
Question 87:A patient undergoing surgery suddenly develops hypotension. The monitor shows that the end tidal carbondioxide has decreased abruptly by 15 mm Hg. What is the probable diagnosis ?
A) Hypothermia
B) Pulmonary embolism
C) Massive fluid deficit
D) Myocardial depression due to anaesthetic agents

Ans:B
Question 88:A 55 year old male accident victim in casualty urgently needs blood. The blood bank is unable to determine his ABO group, as his red cell group and plasma group do not match. Emergency transfusion of patient should be with ?
A) RBC corresponding to his red cell group and colloids/crystalloid
B) Whole blood group corresponding to his plasma group
C) O positive RBC and colloids/crystalloid
D) AB negative whole blood

Ans:C