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Surgery MCQ Cram Sheet for MRCS, NEET SS, DNB CET SS (QUESTION 1 TO 10)

Introducing surgery MCQs in cram sheet format to get the most out of your limited time online. Will be adding more MCQs patterned for MRCS Part A, NEET SS, DNB CET SS exams.

1.In blast injury, which of the following organ is least vulnerable to blast wave?

a) GIT
b) Lungs
c) Ear drum
d) Liver
b: Liver
Primary injuries are caused by blast shockwaves. The ear drums are most often affected by the blast wave, followed by the lungs and the hollow organs of the gastrointestinal tract.
2.On mammogram all of the following are the features of a malignant tumor except:

a) Spiculation
b) Micro-calcification
c) Macro-calcification
d) Irregular mass
c. Macro-Calcification
Micro-calcifications may be associated with cancer.
Macro calcification may be caused by aging or by a benign condition such as fibro-adenoma, a common noncancerous tumor of the breast.
Distorted areas suggest tumors that may have invaded neighbouring tissues
3.A 40 year old patient is suffering from carotid body tumor. Which of the following is the best choice of treatment for him?

a) Excision of tumor
b) Radiotherapy
c) Chemotherapy
d) Carotid artery ligation both proximal and distal to the tumor
a. Excision of tumor
Surgical excision is the treatment of choice. The larger the tumor the higher is the risk of operative complication
4.The diagnosis of congenital mega-colon is confirmed by
a) Clinical features
b) Barium enema
c) Rectal biopsy
d) Recto-sigmoidoscopy
c. Rectal biopsy
In Hirschsprug’s disease, the migration is not complete and part of the colon lacks these nerve bodies that regulate the activity of the colon. The suction rectal biopsy is considered the current international gold standard
5.Which of the following renal calculi are most difficult to treat with lithotripsy?

a) Uric acid stones
b) Cystine stones
c) Calcium oxalate stones
d) Triple phosphate stones
b. Cystine stones
ESWL does not successfully treat Cystine kidney stones
6.Most common site of spinal cord tumour is:

a) Intra-dural extra-medullary
b) Extra-dural
c) Intra-medullary
d) Equally distributed
b. Extra-dural
Spinal tumors are neoplasms located in the spinal cord. Extra-dural tumors are more common than intra-dural neoplasms.
Extra-dural tumors are mostly metastases from primary cancers elsewhere (commonly breast, prostate and lung cancer).
7.Most common cause of liver abscess in chronic granulomatous disease:
a. Klebsiella
b. Staph. aureus
c. Peptostreptococcus
d. E. coli

b. Staph. Aureus
Staphylococcus is most common.
Occurs in the setting of chronic granulomatous diseaseQ, disorder of granulocyte function and hematologic malignancies.

8.Choledochocoele is which type as per Todani classification:
a. Type 2
b. Type 3
c. Type 4
d. Type 5

b. Type 3
Type 1: Solitary Extrahepatic fusiform in shape
Type 2: Extrahepatic supraduodenal diverticulum
Type 3: Choledochocoele
Type 4: Extra and Intrahepatic/ Multiple Extrahepatic
Type 5: Multiple Intrahepatic

9.A patient with obstructive jaundice bilirubin level of 40 mg/dl, the possible explanation is
a) Malignancy of gall bladder
b) Concomitant renal failure
c) Chronic cholecystitis
d) Complete obstruction of common bile duct
b) Concomitant renal failure

In presence of complete biliary obstruction, serum bilirubin levels generally plateau at 25 to 30 mg/dl.
At this level, daily bilirubin load equals that excreted by kidneys,
Situation in which even higher bilirubin levels can be found include renal insufficiency, hemolysis and hepato-biliary disease.

10.TRUE about neurogenic shock
a) Cold and moist extremity
b) Tachycardia
c) Due to parasympathetic cut-off
d) Diagnosis of exclusion

d) Diagnosis of exclusion

Following are features of neurogenic shock which you should remember:
· Due to sudden loss of autonomic tone
· Disruption of descending sympathetic pathway
· Patient has bradycardia
· Extremities are warm