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
- Risk of male breast carcinoma in klinefelters syndrome is _________times.
- 30
- 20
- 60
- 50
- Morbid obesity defined as BMI more than__________.
- 30
- 35
- 40
- 32
- Bier’s block is :
- Axillary block
- Transverse abdominis plane block
- Intravenous regional anaesthesia
- Field block
- 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
- What is the % of incidence of bacteremia after rectal examination?
- 5
- 4
- 11
- 15
- 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
- Hangman's fracture is :
- Odontoid fracture
- Occipital condyle fracture
- Traumatic spondylolisthesis of C2 on C3
- Atlantoaxial instability
- Most common site of fracture of mandible :
- Angle of mandible
- Neck of the condyle
- Region of the canine tooth
- Symphysis menti
- Retroperitoneal injury always to be explored in ___________.
- Zone 1
- Zone 2
- Zone 3
- All zones
- 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
- Diagnostic peritoneal lavage is considered to be positive when cannula is aspirated for blood more than __________.
- 15 ml
- 10 ml
- 20 ml
- 30 ml
- 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
- Correct statement about role of hyperbaric oxygen in necrotizing fasciitis is :
- bactericidal
- improve neutrophil function
- promote wound healing
- all of these
- Correct statement about frostbite except :
- it is a cold burn
- the tissue feels hard
- cannot be indented
- no freezing of tissue
- Spurling test is done for :
- cervical nerve root compression
- lumbar disc prolapse
- kyphosis
- thoracic disc herniation
- The muscles in rotator cuff are all except :
- supraspinatus
- infraspinatus
- subscapularis
- teres major
- Turf toe occurs in :
- Golf
- Tennis
- Rowing
- Football
- Commonst malignancy that metastasise to the spine :
- Lung
- Breast
- Prostate
- Thyroid
- % of metastasis in cutaneous squamous cell carcinoma :
- 3
- 8
- 10
- 2
- Total C S F volume is :
- 150 ml
- 125 ml
- 200 ml
- 500 ml
- The common primary tumor of brain is :
- Pituitary adenoma
- Schwannoma
- Glioma
- none
- Common tumor producing metastasis to brain :
- Melanoma
- Lung
- Breast
- Unknown primary
- Most common cancer producing left vocal cord palsy :
- Thyroid
- Lung
- Nasopharynx
- Oesophagus
- Fontaine sign seen in :
- cystic hygroma
- chemodectoma
- secondary lymph node
- branchial cyst
- Mucosa of the oral cavity contain approximately__________minor salivary gland.
- 350
- 450
- 250
- 550
- Wrong statement about ranula :
- retention cyst
- translucent
- can resolve spontaneously
- none
- Nerve not injured during submandibular gland excision :
- lingual
- hypoglossal
- marginal mandibular
- vagus
- Kuttner tumor is :
- parotid tumor
- lymph node in papillary carcinoma
- non inflammatory enlargement of salivary gland
- chronic sclerosing sialadenitis of submandibular gland
- The hormone tri-iodothyronine extracted in :
- 1920
- 1915
- 1917
- 1930
Question error
- Rockall scoring system is to assess rebleeding :
- Upper gastrointestinal
- Lower gastrointestinal
- Portal hypertension
- Haemorrhoid bleeding
- Severe hyponatremia is defined as (Na+) less than __________ meq/L.
- 122
- 120
- 130
- 100
- Maximal rate of sodium correction should not exceed __________ meq/L.
- 0.35
- 0.25
- 0.3
- 0.4
Question error
- Not a feature of tumor lysis syndrome :
- hyperkalemia
- hyperuricemia
- hypercalcemia
- hyperphosphatemia
- Adequate suture wound length ratio to prevent incisional hernia is :
- 3 : 1
- 2 : 1
- 5 : 1
- 4 : 1
- Not a feature of malignant lymph node in carcinoma thyroid :
- microcalcification
- irregular shape
- hypervascularity of node
- cystic change
- Commonst malignant tumor of salivary gland is :
- pleomorphic adenoma
- adenoid cystic carcinoma
- mucoepidermoid cancer
- secondaries
- 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
- The weight of normal adrenal gland is approximately__________gm.
- 5
- 4
- 3
- 2
- Wrong statement about scalene node :
- situated in scalene triangle
- same as Virchow node
- involved in pulmonary disease
- part of chain of deep mediastinal node
- Inguinal ligament is the lower free edge of __________muscle.
- internal oblique
- transverse abdominisa
- external oblique
- all of these
- The structures coursing through the preperitoneal space are the following except :
- medial umbilical ligament
- median umbilical ligament
- falciform ligament
- none
- The risk of developing desmoid tumor in F A P is __________fold.
- 1000
- 650
- 2000
- 100
- Most common primary malignancy of the mesentery is :
- GIST
- liposarcoma
- desmoid tumor
- neurofibroma
- Howship-Romberg sign seen in :
- obturator hernia
- lumbar hernia
- sciatic hernia
- incisional hernia
- Clay brook sign seen in :
- acute appendicitis
- acute cholecystitis
- acute pancreatitis
- ruptured abdominal viscera
- 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
- Water meion stomach is :
- complication of carcinoma stomach
- complication of chronic D U
- gastric dialatation
- vascular ectasia
- Angiodysplasia of large bowel common in :
- transverse colon
- sigmoid
- cecum
- rectum
- Sudden collapse occurs in patients with bleeding from :
- neoplasia of the colon
- diverticular disease of the colon
- angiodysplasia
- colitis
- 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
- Largest artery to stomach is :
- left gastric
- right gastric
- left gastroepiploic
- right gastroepiploic
- 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
- Gastric acid secretion by the parietal cell is regulated by all except :
- acetyle choline
- gastrin
- somatostatin
- histamine
- Adenolymphoma is :
- hodgkins lymphoma
- warthins tumor
- lymphoma of the stomach
- none
- Most common metabolic defect after gastrectomy :
- anaemia
- impaired absorbtion of fat
- osteoporosis
- osteomalacia
- Most common site of lymphoma in G I T is :
- stomach
- small bowel
- colon
- duodenum
- Total bile salt pool in human is :
- 2-3 gm
- 4-8 gm
- 5-6 gm
- 8-9 gm
- In enterohepatic circulation bile salts are recirculate about __________times in every 24 hours.
- 3
- 4
- 5
- 6
- Hormone not synthesized in small bowel :
- gastric inhibitory polypeptide
- gastrin releasing peptide
- somatostatin
- neurotensin
- Crohns disease involves all parts of the large bowel except :
- rectum
- sigmoid
- ascending colon
- descending colon
- Extra intestine manifestation of crohns disease is all except :
- iritis
- peripheral arthritis
- phlebothrombosis
- none
- Scrofula is :
- cervical tuberculous lymphadenitis
- cutaneous manifestation of tuberculosis
- fungal infection
- candidiasis of oral cavity
- 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
- Metastasis common in __________ carcinoid tumor.
- ileum
- appendix
- rectum
- all of these
- Most common extra abdominal source for metastatic neoplasm to small bowel is :
- breast
- lung
- malignant melanoma
- thyroid
- Riglers sign seen in :
- pneumoperitoneum
- haemoperitoneum
- gall stone ileus
- sigmoid volvulus
- Most common extraluminal cause of small bowel obstruction :
- hernia
- adhesion
- tumor of adjacent organ
- volvulus
- 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
- 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
- Marker for F A P is CHRPF which is detected by :
- indirect laryngoscopy
- indirect ophthalmoscopy
- direct laryngoscopy
- colonoscopy
- Umbilical fissure of liver does not contain :
- hepatic vein
- left portal vein
- hepatic artery
- bile duct
- 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
- Neuroendocrine tumor less commonly metastasis to liver :
- gastrinoma
- glucognoma
- somatostatinoma
- insulinoma
- Tumbling intestinal obstruction seen in :
- internal herniation
- malignancy of colon
- gallstone ileus
- pseudo obstruction of colon
- 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
- 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
- Thyroid malignancy that cannot be diagnosed by FNAC :
- papillary
- medullary
- follicular
- anaplastic
- Absolute indication for total gastrectomy :
- carcinoma fundus of the stomach
- gastric volvulus
- gastric bezoars
- bleeding gastric varices
- Wrong statement about caecal volvulus :
- usually anticlockwise
- common in females
- ischemia is common
- palpable tympanic swelling in midline
- Strawberry lesion of the rectosigmoid :
- amoebic granuloma
- gonococcal proctitis
- infection with sprochaeta vincenti
- rectal bilharziasis
- The idea of Residuary powers in Indian constitution is indebted from __________.
- Ireland
- Canada
- Australia
- France
- __________ of Indian constitution prohibits untouchability and makes it a punishable offence.
- Article 19
- Article 16
- Article 21
- Article 17
- The second Chairman of the Human Rights Commission :
- Justice Ranganath Mishra
- Justice A.S. Anand
- Justice Venkatachalam
- H L Dattu
- __________was appointed to study and report about centre state relations.
- Rajendra Babu commission
- Shah commission
- Nanavathi commission
- Sarkaria commission
- ‘Magdalanamariam’ is the work of :
- Vallathol
- Ulloor
- Ponkunnam Varkey
- Kesavdev
- Who founded Cochin Muslim Education Society?
- P M Aattakoya Thangal
- Moidu Moulavi
- T K Muhammed
- Muhammed Abdu Rahiman
- Which is the first book printed at Mannanam press by Kuriakose Elias Chavara?
- Jnanapiyoosham
- Karmala Kusumam
- Atmanuthapam
- Nalaagamangal
- “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
- Wife of Kozhipurath Madhava Menon is__________.
- Arya pallam
- Saraswathyamma
- Kunjakkamma
- Kuttimalu Amma
- A G Velayudhan was killed in lathi-charges in connection with :
- Paliyam Satyagraha
- Guruvayoor Sathyagraha
- Vaikom Satyagraha
- Channar Agitation
- Author of the book Onnekalkodi Malayalikal :
- A K Gopalan
- E M Sankaran Namboothiripad
- Mannathu Padmanabhan
- G K Pillai
- Chattampi Swamikal was born at :
- Kannanmoola
- Panmana
- Varkala
- Aruvippuram
- “Vichitravijayam” is a drama written by :
- C Kunjiraman
- Thoppilbhasi
- Kumaranasan
- S L Puram Sadanandan
- Early name of Subhananda Guru is __________.
- Kunjan Pillai
- Raman Pillai
- Nanu
- Pappankutty
- G S T (Goods and Service Tax) was introduced at first in :
- France
- India
- America
- China
- The present Indian President is :
- Venkaia Naidu
- Gopal Krishna Gandhi
- Meera Kumar
- Ramnath Kovind
- Missile woman of India :
- Tessy Thomas
- T K Anuradha
- Seetha S
- V R Lalithambika
- The story ‘Vaarikuzhi’ is written by :
- K G George
- Padmarajan
- P A Baker
- M T Vasudevan Nair
- “The Ministry of Utmost Happiness” written by__________.
- Arundhati Roy
- Jayasree Mishra
- Madhavikutty
- Sasi Tharoor
- Pakistan's Mother Teresa :
- Malala Yousaf
- Ruth Pfau
- Benazir Bhutto
- Sanmir
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