General Surgery

NEET, DNB questions from general surgery

Pericardial Injury

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Q) A 25-year-old male presents after a stab wound to the left 5th intercostal space at the midclavicular line. He is hypotensive, tachycardic, and confused. eFAST reveals pericardial fluid. What is the next best step in management?

A. Pericardiocentesis
B. Emergency thoracotomy
C. CT angiography of the chest
D. Chest tube insertion

Suturing Techniques

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Q) During a surgical skills assessment, you are asked to perform a hand-sewn intestinal anastomosis using a continuous, inverting suture that enters the bowel lumen. Which of the following suture techniques best fits this description?

#Theme from INI CET GI Mock test

A. Lembert suture
B. Cushing suture
C. Gambee suture
D. Connell suture

Correct Answer: D. Connell suture

The Connell suture is a continuous, inverting, full-thickness suture technique. It is unique because:

  • The needle enters the bowel lumen, passing through the mucosa.

  • It is run parallel to the incision line.

  • It achieves inversion of the bowel edge, which promotes serosal healing but intraluminal suture exposure is a drawback.

  • Historically used for the inner layer of two-layer bowel anastomoses.

Comparison with Other Options:

A. Lembert suture

  • Seromuscular only, avoids the mucosa

  • Interrupted or continuous

  • Inverting, but does not enter lumen

B. Cushing suture

  • Continuous, inverting

  • Parallel to incision

  • Penetrates submucosa but not mucosa (no lumen entry)

C. Gambee suture

  • Interrupted, inverting

  • Passes through a small portion of mucosa

  • Designed to minimize mucosal eversion and reduce luminal exposure

H. Pylori serology

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Q) Which of the following is the primary reason why serology is not recommended for evaluating H. pylori treatment success? Q from next INI GI MOck test # Stomach

A) Serological tests are less sensitive than stool antigen and urea breath tests.
B) Antibody levels can remain elevated for months to years after infection is eradicated.
C) Serological tests lack the ability to detect IgG antibodies accurately.
D) Serology tests have a specificity of less than 50%.

Modified Mallampati Grades

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Q ) 48 year old male is about to under go TEPP. On PAC on mouth opening only hard palate  is seen. Which modified Mallampati grade  is this?

a) Grade I

b) Grade II

c) Grade III

d) Grade IV

Nutrition and Perio Op management 

Gen Surgery MCQs sitemap

 

Distributive Shock

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Q) What is not seen in Distributive Shock?

a) High central venous pressure

b) High Cardiac output

c) High Base deficit

d) High Mixed Venous Saturation

MCQs on Shock and Body Response 

Ans a 

In Distributive shock Systemic vascular resistance and venous pressure are low ( because of vasodilation)

All other parameters are high

Distributive Shock Symptoms

Vasodilation

Warm peripheries

Hypotension

Causes of Distributive Shock are

  1. Anaphylaxis
  2. High spinal cord injury
  3. Septic shock
  4. Toxic Shock Syndrome
  5. The distributive shock from adrenal insufficiency occurs due to decreased alpha-1 receptor expression on arterioles secondary to cortisol deficiency, which results in vasodilation. This is seen in patients on chronic steroids that are stopped suddenly.

 

Carcinoma Breast with brain metastasis

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Q) Known case of Ca breast presents with headache and signs of raised ICT. Solitary brain metastasis is confirmed on CT scan. How will you manage initially

a) Steroids

b) Mannitol

c) Surgery 

d) Both steroid and Mannitol

Breast

Neet SS 22 paper

Epigastric mass

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Q) 8year old male child with h/o fall 2 months back with epigastric mass now. What is the likely diagnosis ? # NEET SS 22

a) Peritoneal inclusion cyst

b) Gastric duplication cyst

c) Liver haemangioma

d) Pseudocyst of pancreas

 

Small bowel resection

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Q) Which of the following is not true regarding the effects of small bowel resection ?

# nutrition  # peri operative management

a) Resection of jejunum is better tolerated than ileum

b) Resection of ileum results in increased gastric motility and  intestinal transit

c) Diarrheas is more with resection of jejunum than ileum

d) Loss of ileum results in steatorrhea