| Questions>Karnataka>2003>Surgery |
1] Most common benign mesenchymal tumor of the stomach...
-
Polypoid adenoma
-
Leiomyoma
-
Glomus tumor
-
Lipoma
=
B
2] All the following are risk factors of CA- Colon except.........
-
Crohn's disease
-
Ulcerative Colitis
-
Adenomatous Polyp
-
Juvenile Polyposis
= D
3] Which of the following is a locally aggressive soft tissue tumor?
-
Rhabdomyoma
-
Angiosarcoma
-
Round tissue liposarcoma
-
Fibromatosis
= D
4] In a patient with A/C gastric dilatation , initial evaluation & treatment should include all these except.............
-
Insertion of intravenous catheter
-
Insertion of nasogastric tube
-
Administration of metaclopramide to increase the rate of gastric emptying
-
Insertion of Foley's catheter
= D
5] A patient presents with a small fast growing lesion on the upper extremity & comments that it has been present since 2 weeks . Likely diagnosis is...
-
Sq cell CA
-
Keratoachanthoma
-
Basal cell CA
-
Junctional Nevus
= B
6] The least painful surgical approach to heart & lungs is:
-
Median sternotomy
-
Postero lateral Thoracotomy
-
Anterolateral Thoracotomy
-
Transverse sternal splitting Thoracotomy
= A
7] All the following about BPH are true except:
-
Decreased force & caliber of the urinary stream is the usual presenting feature
-
Increase in PSA levels is one of the diagnostics features
-
Dynamic uro flowmetry is one of the diagnostic modalities.
-
Incidence is age related
= B
8] An elderly lady has been admitted with features of anemia weakness ,weight loss & a palpable mass per abdomen . She has CA:Colon. The most likely anatomical site is...............
-
Rectum
-
Sigmoid colon
-
transverse colon
-
left colon
= B
9] A 28year old man presents with a single descended testis & a 6 cms solid mass seen by CT. The most likely diagnosis is:
-
Metastatic prostate cancer
-
Teratoma
-
Hyper plastic cryporchid testis
-
Seminoma
= D
10] The initial therapy of documented DVT in a post operative case is :
-
Subcutaneous heparin therapy
-
IV heparin therapy
-
Anti Thrombosis therapy with urokinase
-
aspirin therapy
= B
11] Out of the following locations of intra cranial hemorrhage , surgery is most useful in :
-
Putamen hemorrhage
-
Thalamic hemorrhage
-
Cerebellar hemorrhage
-
Pontine hemorrhage
Ans= C
Corrected by Delta waves -- thanks very much
12] Which of the following statements regarding AV fistula are true?
-
Blood volume is decreased
-
Cardiac output is increased
-
Heart rate is decreased
-
Peripheral vascular resistance is decreased
= D
13] A 35 year old lady is diagnosed to have Medullary CA of rt breast with TNM staging of T2 N1 M0 . The current recommended treatment is :
-
Multimodality therapy consisting of surgery , radiotherapy & chemotherapy .
-
Modified radical mastectomy
-
Simple mastectomy with radiotherapy
-
Combination therapy
= A
14] A 5 year old boy has a midline swelling of neck that moves with deglutition & is located below the hyoid bone . The mass is likely to be......
-
Branchial cleft cyst
-
cystic hygroma
-
Teratoma
-
Thyroglossal duct cyst.
= D
15]A 40year old lady comes to the OPD after noticing a lump in her breast . Physical examination revels a 3 cms , firm irregular mass on the lateral aspect of the rt breast with dimpling of the overlying skin . A subsequent biopsy revels chronic inflammatory necrotic adipose tissue with saponification , with areas of calcification . Diagnosis will be...
-
Chomedo CA
-
Fat necrosis
-
Duct ectasia
-
Granulomatous mastitis
= B
16] The most acceptable method of treatment of esophageal perforation during endoscopy, which is associated with a leak into pleural space is :
-
Observation alone
-
Observation + antibiotics
-
Insertion of left chest tube
-
Drainage & surgical repair of the injury
= D
17] In TNM classification of lung CA N2 nodes includes all the following except?
-
Paratrachial nodes
-
Subcarinal nodes
-
Nodes in the inferior pulmonary ligaments
-
Inter lobar nodes
= D
18] Regarding primary Sclerosing Cholengitis all the following are true except...
-
USG is often normal
-
ERCP is the preferred approach
-
Cholangiogram appearance may mimic diffuse form of Cholangio CA
-
Affects only intra hepatic ducts
= D
19] The most important anomaly in the urethra & bladder that leads to stress incontinence is ......
-
Loss of estrogen in menopausal period
-
Loss of urethral sphincter
-
Prolapse Uterus
-
Loss of posterior Urethrovesicle angle
= D
20] On radiograph of chest , a double shadow behind the heart ,signs of aspiration pneumonia , & absence of air in the stomach is suggestive of
-
Aneurism of aorta
-
Achalasia
-
Ca esophagus
-
Peptic ulcer of stomach
= B
21] In the early detection of breast CA the following screening programmes are recommended except
-
All women between 20 & 40 years should have complete breast examination once in 6 months
-
All women over 20 yrs should be advised to have monthly breast examinations
-
All women over 40 yrs are advised to have breast examination yearly
-
Mammography every year for women who are at high risk* of developing CA Breast [ * Family history endometrial CA nulliparous ]
= ? C
22] Which of the following statement regarding inguinal hernia is true...
-
Neck of the sac below & lateral to pubic tubercle
-
Direct inguinal hernia bulges medial to inferior epigastric vessels
-
The indirect inguinal hernia is more likely to get strangulated
-
Direct inguinal hernia is in front of conjoined tendon
-= B
23] All the following are characteristics of hypoparathyroidism occurring after accidental removal of Para thyroid's during thyroid surgery. except....
-
Decreased serum phosphate levels
-
Carpo pedal spasm
-
Seizures
-
Strider
= ? A
24] The investigation of choice for gallstones
-
USG
-
ERCP
-
Oral cholecystography
-
Sulphur colloid scan
= A
25] The most important consideration in a patient with borderline pulmonary function requiring resection is...
-
The amount of non functional lung tissue to be removed
-
The amount of functional lung tissue to be removed
-
Experience of the surgical team
-
Elevated pulmonary artery pressure
= B
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