Surgery SuperSpeciality MCQs for MCH Exam Preparation

We provide Bailey & Sabiston based MCQs, Past Papers and Mock tests with answers and Explanations .

For GI and Onco Surgery; MCQs are from specialty books such as Schakelford, Blumgart and Devita.

All Questions are in MCQ form with detailed explanations and references.

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Most common cause of Pseudomyxoma peritonei

Q) Most common cause of pseudomyxoma peritonei is?

a) Appendicular cancer

b) Ovarian cancer

c) colon cancer

d) Pancreatic cancer

Ans a ) Appendicular cancer

It is a disease characterized by mucinous ascites  that arise most often from a perforated mucinous tumor of the appendix.

Similar clinical features may occur in patients with mucinous tumors of the ovary, colon, and pancreas.

The histology of appendiceal tumors is an important predictor of survival

 Adenomucinosis has the best survival rate (75% at 5 years), and peritoneal mucinous carcinomatosis, the worst 

Ref sabiston page 1093

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Nerve injury Sentinel lymph node biopsy

Q) Most common nerve injured in sentinel lymph node biopsy in carcinoma breast ? ( Breast Onco Q 21-40) 

a) Long thoracic

b) Intercostobrachial

c) Lateral pectoral

d) Nerve to latissmus dorsi

Ans b

SLND causes less paranesthesia's as compared to ALND

Axillary paresthesias are less likely to occur after SLND alone than after SLND + ALND at any follow-up time

Adding ALND caused more axillary paresthesias, probably because ALND is more likely than SLND alone to disrupt the intercostobrachial nerves.

ref Paper

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Necrotising Infections

Q)  Least common Signs or symptoms of necrotising infections is
a) Unusual pain
b) Oedema beyond area of erythema
c) Crepitus
d) Fever

( MCQS on infections bailey and Sabiston based) 

Ans d 

Fever is unusual

Signs and symptoms of necrotising infections
● Unusual pain
● Oedema beyond area of erythema
● Crepitus
● Skin blistering
● Fever (often absent)
● Greyish drainage (‘dishwater pus’)
● Pink/orange skin staining
● Focal skin gangrene (late sign)
● Shock, coagulopathy and multiorgan failure

Ref Bailey 27th page 30

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