Assistant Professor General Surgery 419/2016 Answer Key 23/2018

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Post : Assistant Professor General Surgery
Department : Medical Education
Category Code : 419/16
Qualification : Medical Post Graduate Degree + Three years Teaching Experience + Permanent Registration under State Medical Council
Question Paper Code : 23/18
Date of Test : 12-02-2018




  1. Risk of male breast carcinoma in klinefelters syndrome is _________times.
    • 30
    • 20
    • 60
    • 50

  2. Morbid obesity defined as BMI more than__________.
    • 30
    • 35
    • 40
    • 32

  3. Bier’s block is :
    • Axillary block
    • Transverse abdominis plane block
    • Intravenous regional anaesthesia
    • Field block

  4. Total energy requirement of stable patient with normal need is approximately :
    • 30 - 40 Kcal/kg
    • 35 - 50 Kcal/kg
    • 50 - 60 Kcal/kg
    • 20 - 30 Kcal/kg

  5. What is the % of incidence of bacteremia after rectal examination?
    • 5
    • 4
    • 11
    • 15

  6. Order of return of function of the intestine after abdominal surgery :
    • Stomach/large bowel/small bowel
    • Small bowel/large bowel/stomach
    • Large bowel/small bowel/stomach
    • Stomach/small bowel/large bowel

  7. Hangman's fracture is :
    • Odontoid fracture
    • Occipital condyle fracture
    • Traumatic spondylolisthesis of C2 on C3
    • Atlantoaxial instability

  8. Most common site of fracture of mandible :
    • Angle of mandible
    • Neck of the condyle
    • Region of the canine tooth
    • Symphysis menti

  9. Retroperitoneal injury always to be explored in ___________.
    • Zone 1
    • Zone 2
    • Zone 3
    • All zones

  10. Correct statement about FAST is all except :
    • it detects free fluid in the abdomen
    • it will not reliably detect less than 100 ml of free fluid
    • it detects free fluid in the pericardium
    • it will identify injury to hollow viscus

  11. Diagnostic peritoneal lavage is considered to be positive when cannula is aspirated for blood more than __________.
    • 15 ml
    • 10 ml
    • 20 ml
    • 30 ml

  12. The correct statement about cooling of the burn wound is correct except :
    • will not provide analgesia
    • it slows the delayed microvascular damage
    • hypothermia must be avoided
    • effective upto 1 hour after burn injury

  13. Correct statement about role of hyperbaric oxygen in necrotizing fasciitis is :
    • bactericidal
    • improve neutrophil function
    • promote wound healing
    • all of these

  14. Correct statement about frostbite except :
    • it is a cold burn
    • the tissue feels hard
    • cannot be indented
    • no freezing of tissue

  15. Spurling test is done for :
    • cervical nerve root compression
    • lumbar disc prolapse
    • kyphosis
    • thoracic disc herniation

  16. The muscles in rotator cuff are all except :
    • supraspinatus
    • infraspinatus
    • subscapularis
    • teres major

  17. Turf toe occurs in :
    • Golf
    • Tennis
    • Rowing
    • Football

  18. Commonst malignancy that metastasise to the spine :
    • Lung
    • Breast
    • Prostate
    • Thyroid

  19. % of metastasis in cutaneous squamous cell carcinoma :
    • 3
    • 8
    • 10
    • 2

  20. Total C S F volume is :
    • 150 ml
    • 125 ml
    • 200 ml
    • 500 ml

  21. The common primary tumor of brain is :
    • Pituitary adenoma
    • Schwannoma
    • Glioma
    • none

  22. Common tumor producing metastasis to brain :
    • Melanoma
    • Lung
    • Breast
    • Unknown primary

  23. Most common cancer producing left vocal cord palsy :
    • Thyroid
    • Lung
    • Nasopharynx
    • Oesophagus

  24. Fontaine sign seen in :
    • cystic hygroma
    • chemodectoma
    • secondary lymph node
    • branchial cyst

  25. Mucosa of the oral cavity contain approximately__________minor salivary gland.
    • 350
    • 450
    • 250
    • 550

  26. Wrong statement about ranula :
    • retention cyst
    • translucent
    • can resolve spontaneously
    • none

  27. Nerve not injured during submandibular gland excision :
    • lingual
    • hypoglossal
    • marginal mandibular
    • vagus

  28. Kuttner tumor is :
    • parotid tumor
    • lymph node in papillary carcinoma
    • non inflammatory enlargement of salivary gland
    • chronic sclerosing sialadenitis of submandibular gland

  29. The hormone tri-iodothyronine extracted in :
    • 1920
    • 1915
    • 1917
    • 1930
    Question error

  30. Rockall scoring system is to assess rebleeding :
    • Upper gastrointestinal
    • Lower gastrointestinal
    • Portal hypertension
    • Haemorrhoid bleeding

  31. Severe hyponatremia is defined as (Na+) less than __________ meq/L.
    • 122
    • 120
    • 130
    • 100

  32. Maximal rate of sodium correction should not exceed __________ meq/L.
    • 0.35
    • 0.25
    • 0.3
    • 0.4
    Question error

  33. Not a feature of tumor lysis syndrome :
    • hyperkalemia
    • hyperuricemia
    • hypercalcemia
    • hyperphosphatemia

  34. Adequate suture wound length ratio to prevent incisional hernia is :
    • 3 : 1
    • 2 : 1
    • 5 : 1
    • 4 : 1

  35. Not a feature of malignant lymph node in carcinoma thyroid :
    • microcalcification
    • irregular shape
    • hypervascularity of node
    • cystic change

  36. Commonst malignant tumor of salivary gland is :
    • pleomorphic adenoma
    • adenoid cystic carcinoma
    • mucoepidermoid cancer
    • secondaries

  37. Wrong statement about deep vein thrombosis in surgical patients :
    • risk more over age of 40
    • risk more with malignant disease
    • subcutaneous low molecular heparin is more effective
    • early mobilization encourages D V T

  38. The weight of normal adrenal gland is approximately__________gm.
    • 5
    • 4
    • 3
    • 2

  39. Wrong statement about scalene node :
    • situated in scalene triangle
    • same as Virchow node
    • involved in pulmonary disease
    • part of chain of deep mediastinal node

  40. Inguinal ligament is the lower free edge of __________muscle.
    • internal oblique
    • transverse abdominisa
    • external oblique
    • all of these

  41. The structures coursing through the preperitoneal space are the following except :
    • medial umbilical ligament
    • median umbilical ligament
    • falciform ligament
    • none

  42. The risk of developing desmoid tumor in F A P is __________fold.
    • 1000
    • 650
    • 2000
    • 100

  43. Most common primary malignancy of the mesentery is :
    • GIST
    • liposarcoma
    • desmoid tumor
    • neurofibroma

  44. Howship-Romberg sign seen in :
    • obturator hernia
    • lumbar hernia
    • sciatic hernia
    • incisional hernia

  45. Clay brook sign seen in :
    • acute appendicitis
    • acute cholecystitis
    • acute pancreatitis
    • ruptured abdominal viscera

  46. Forrest classification is used to assess :
    • risk of perforation in peptic ulcer disease
    • need of blood transfusion in bleeding peptic ulcer
    • risk of rebleeding in peptic ulcer disease
    • all of these

  47. Water meion stomach is :
    • complication of carcinoma stomach
    • complication of chronic D U
    • gastric dialatation
    • vascular ectasia

  48. Angiodysplasia of large bowel common in :
    • transverse colon
    • sigmoid
    • cecum
    • rectum

  49. Sudden collapse occurs in patients with bleeding from :
    • neoplasia of the colon
    • diverticular disease of the colon
    • angiodysplasia
    • colitis

  50. Correct statement about meckels diverticulum is all except :
    • true diverticulum
    • remnant of omphalomesenteric duct
    • bleeding common from ulcerative lesion on the ileal wall opposite diverticulum
    • segmental resection is not the treatment

  51. Largest artery to stomach is :
    • left gastric
    • right    gastric
    • left gastroepiploic
    • right    gastroepiploic

  52. Incorrect statement about stomach morphology :
    • covered all around peritoneum
    • middle layer of the smooth muscle is only complete muscle layer of the stomach wall
    • peritoneum forms the outer serosa of the stomach
    • middle circular layer at pylorus forms sphincter

  53. Gastric acid secretion by the parietal cell is regulated by all except :
    • acetyle choline
    • gastrin
    • somatostatin
    • histamine

  54. Adenolymphoma is :
    • hodgkins lymphoma
    • warthins tumor
    • lymphoma of the stomach
    • none

  55. Most common metabolic defect after gastrectomy :
    • anaemia
    • impaired absorbtion of fat
    • osteoporosis
    • osteomalacia

  56. Most common site of lymphoma in G I T is :
    • stomach
    • small bowel
    • colon
    • duodenum

  57. Total bile salt pool in human is :
    • 2-3 gm
    • 4-8 gm
    • 5-6 gm
    • 8-9 gm

  58. In enterohepatic circulation bile salts are recirculate about __________times in every 24 hours.
    • 3
    • 4
    • 5
    • 6

  59. Hormone not synthesized in small bowel :
    • gastric inhibitory polypeptide
    • gastrin releasing peptide
    • somatostatin
    • neurotensin

  60. Crohns disease involves all parts of the large bowel except :
    • rectum
    • sigmoid
    • ascending colon
    • descending colon

  61. Extra intestine manifestation of crohns disease is all except :
    • iritis
    • peripheral arthritis
    • phlebothrombosis
    • none

  62. Scrofula is :
    • cervical tuberculous lymphadenitis
    • cutaneous manifestation of tuberculosis
    • fungal infection
    • candidiasis of oral cavity

  63. Reason for decreased incidence of cancer in small bowel is that except :
    • rapid transit of luminal content
    • high turn over of small bowel epithelial cells
    • high bacterial count of small intestinal contents
    • high level of IgA in the intestinal wall

  64. Metastasis common in __________ carcinoid tumor.
    • ileum
    • appendix
    • rectum
    • all of these

  65. Most common extra abdominal source for metastatic neoplasm to small bowel is :
    • breast
    • lung
    • malignant melanoma
    • thyroid

  66. Riglers sign seen in :
    • pneumoperitoneum
    • haemoperitoneum
    • gall stone ileus
    • sigmoid volvulus

  67. Most common extraluminal cause of small bowel obstruction :
    • hernia
    • adhesion
    • tumor of adjacent organ
    • volvulus

  68. False statement about ulcerative colitis :
    • common in developed countries
    • there is no increased incidence among individuals who migrate from low risk to high risk areas
    • there is a seasonal variation
    • aetiology is unknown

  69. False statement about carcinoma arising in ulcerative colitis :
    • poorly differentiated
    • highly aggressive
    • high risk of developing malignancy when disease confined to left side of colon
    • duration is one risk factor

  70. Marker for F A P is CHRPF which is detected by :
    • indirect laryngoscopy
    • indirect ophthalmoscopy
    • direct laryngoscopy
    • colonoscopy

  71. Umbilical fissure of liver does not contain :
    • hepatic vein
    • left portal vein
    • hepatic artery
    • bile duct

  72. Wrong statement about portal vein :
    • portal vein form at the level of second lumbar vertebrae
    • 1 cm diameter
    • runs along the left border of lesser omentum
    • runs posterior to the bile duct and hepatic artery

  73. Neuroendocrine tumor less commonly metastasis to liver :
    • gastrinoma
    • glucognoma
    • somatostatinoma
    • insulinoma

  74. Tumbling intestinal obstruction seen in :
    • internal herniation
    • malignancy of colon
    • gallstone ileus
    • pseudo obstruction of colon

  75. Wrong statement about biliary leak after laparoscopic cholecystectomy :
    • managed by early repair
    • common cause is dislodgement of clips
    • commonly occurs within 1 week
    • bile staining of right side port is a feature

  76. Statement about acute acalculus cholecystitis is correct except :
    • more fulminant course
    • commonly progress to gangrene
    • frequently occurs in young patients
    • common in trauma and burns

  77. Thyroid malignancy that cannot be diagnosed by FNAC :
    • papillary
    • medullary
    • follicular
    • anaplastic

  78. Absolute indication for total gastrectomy :
    • carcinoma fundus of the stomach
    • gastric volvulus
    • gastric bezoars
    • bleeding gastric varices

  79. Wrong statement about caecal volvulus :
    • usually anticlockwise
    • common in females
    • ischemia is common
    • palpable tympanic swelling in midline

  80. Strawberry lesion of the rectosigmoid :
    • amoebic granuloma
    • gonococcal proctitis
    • infection with sprochaeta vincenti
    • rectal bilharziasis

  81. The idea of Residuary powers in Indian constitution is indebted from __________.
    • Ireland
    • Canada
    • Australia
    • France

  82. __________ of Indian constitution prohibits untouchability and makes it a punishable offence.
    • Article 19
    • Article 16
    • Article 21
    • Article 17

  83. The second Chairman of the Human Rights Commission :
    • Justice Ranganath Mishra
    • Justice A.S. Anand
    • Justice Venkatachalam
    • H L Dattu

  84. __________was appointed to study and report about centre state relations.
    • Rajendra Babu commission
    • Shah commission
    • Nanavathi commission
    • Sarkaria commission

  85. ‘Magdalanamariam’ is the work of :
    • Vallathol
    • Ulloor
    • Ponkunnam Varkey
    • Kesavdev

  86. Who founded Cochin Muslim Education Society?
    • P M Aattakoya Thangal
    • Moidu Moulavi
    • T K Muhammed
    • Muhammed Abdu Rahiman

  87. Which is the first book printed at Mannanam press by Kuriakose Elias Chavara?
    • Jnanapiyoosham
    • Karmala Kusumam
    • Atmanuthapam
    • Nalaagamangal

  88. “It was always been a mystery to me how men can feel themselves honoured by the humiliation of their fellow beings.” These are the words of __________.
    • Jawaharlal Nehru
    • Rajendra Prasad
    • Gandhiji
    • S Radhakrishnan

  89. Wife of Kozhipurath Madhava Menon is__________.
    • Arya pallam
    • Saraswathyamma
    • Kunjakkamma
    • Kuttimalu Amma

  90. A G Velayudhan was killed in lathi-charges in connection with :
    • Paliyam Satyagraha
    • Guruvayoor Sathyagraha
    • Vaikom Satyagraha
    • Channar Agitation

  91. Author of the book Onnekalkodi Malayalikal :
    • A K Gopalan
    • E M Sankaran Namboothiripad
    • Mannathu Padmanabhan
    • G K Pillai

  92. Chattampi Swamikal was born at :
    • Kannanmoola
    • Panmana
    • Varkala
    • Aruvippuram

  93. “Vichitravijayam” is a drama written by :
    • C Kunjiraman
    • Thoppilbhasi
    • Kumaranasan
    • S L Puram Sadanandan

  94. Early name of Subhananda Guru is __________.
    • Kunjan Pillai
    • Raman Pillai
    • Nanu
    • Pappankutty

  95. G S T (Goods and Service Tax) was introduced at first in :
    • France
    • India
    • America
    • China

  96. The present Indian President is :
    • Venkaia Naidu
    • Gopal Krishna Gandhi
    • Meera Kumar
    • Ramnath Kovind

  97. Missile woman of India :
    • Tessy Thomas
    • T K Anuradha
    • Seetha S
    • V R Lalithambika

  98. The story ‘Vaarikuzhi’ is written by :
    • K G George
    • Padmarajan
    • P A Baker
    • M T Vasudevan Nair

  99. “The Ministry of Utmost Happiness” written by__________.
    • Arundhati Roy
    • Jayasree Mishra
    • Madhavikutty
    • Sasi Tharoor

  100. Pakistan's Mother Teresa :
    • Malala Yousaf
    • Ruth Pfau
    • Benazir Bhutto
    • Sanmir

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