General Surgery New pattern Test NEET SS 22 test 4 is from selected topics of Bailey and Sabiston. Please enter your email address to get the result Please enter your email: 1. Q) 18 months old male baby with soft cystic selling in posterior triangle of neck. It is brilliantly illuminating This is ? Branchial cyst Dermoid cyst Cystic hygroma Rhabdomyosarcoma 2. Q) 16 months old male child presents with10 cm liver mass which has been increasing. There is no unusual symptoms apart from that and growth is normal. Diagnosis of Hepatoblastoma is made on imaging, There is no metastasis. How will you manage the patient? a) Plan for surgical resection b) Radiotherapy and resection c) Chemotherapy and resection d) Chemotherapy only 3. Q) Which of the following is not a true statement regarding Blood supply to the liver a) Portal blood is 75 % of total blood flow b) Portal blood is 50- 70 % of oxygenation to liver c) Portal blood is rich in nutrients Increases in hepatic arterial flow causes reciprocal increase in portal vein flow 4. Q) A 50 year old cirrhotic patient presents with massive Upper GI bleed with hemodynamic instability. EVL has failed to control bleed. A sengstaken Blakmoore tube is inserted and patient becomes temporarily hemodynamically stable. Next step? Beta blockers TIPS Emergency Transplant Wait and watch 5. Q) Highest risk of Pseudomembranous colitis is with the use of which class of antibiotics a) Cephalosporins b) Quinolones c) Aminoglycosides d) Imipenem 6. A Child is born with haemophilia A. What will be the finding in his blood report? A) prolonged PT B) Prolonged aptt C)both D) none 7. Q) 45 year old male with fungating, 3 cm mass tip of penis. Which of the following is true about ca penis ? A) 90% will have inguinal lymph nodes B) 2cm margin is necessary in resection C) Results of Radiotherapy are equivalent to surgery D) delay treatment of inguinal nodes for 3 weeks after prinary. Not to be done together 8. Q) Which drug is not a part of “Extreme”Trial in head and neck cancer recurrence ? a)5 Fu Cisplatin c) Rituximab d) Cetuximab 9. Which Streptococcus species is the most pathogenic? Group A Group B Group D Alpha haemolytic Streptococcus viridans 10. Q) A new born baby is diagnosed to have hypospadias. Which is the most severe form of hypospadias? a) Glanular b) Penile c) Perineal d) Coronal 11. Q) What is seen in split thickness graft as compared to full thickness graft ? Better uptake Better colour match Better texture match None 12. Q) Full thickness skin loss without erosion of underlying fascia is which degree of pressure sore ? Grade i Grade ii Grade iii Grade Iv 13. What would be the ASA grade for a 58-year-old male with diabetes and diabetic nephropathy (serum creatinine 2.1) who is otherwise ambulant and has no other complaints, undergoing evaluation for colon cancer resection? II III IV V 14. Q) A 38 year old lady presents with right upper quadrant pain and nausea. She is otherwise well. Her liver function tests are normal. An ultrasound examination demonstrates a hyperechoic well defined lesion in the left lobe of the liver which measures 14 cm in diameter. What is your diagnosis? Cystadenoma Cavernous haemangioma Liver cell adenoma Hydatid cyst 15. Q) Mucoepidermoid carcinoma of deep lobe of parotid. Facial nerve is spared. Best management would be ? a) Superficial Parotidectomy b) Deep Parotidecteomy with preservation of facial nerve c) Deep Parotidectomy with sacrifice of facial nerve Radiation therapy 16. Q) A 65 year old male a case of carcinoma colon. Two days back he underwent balloon angioplasty for recent MI. After how many days can he safely undergo colectomy? 1 week 2 weeks 1 month 6 months 17. 45 yr old male undergoes General Anesthesia with isoflurane for bowel resection. He develops tachycardia , fever , rhabdomyolysis and 30 mins after abdominal wall closure. Most probable diagnosis is ? A) Malignant hyperthermia B) Gas embolism C) MI D) Pulmonary embolism 18. Q) 46 year old lady with mandible excision for head and neck tumor. Which of the following flaps would you use to cover the defect? a) Fibula osseous flap b) Radial forearm c) Scapula d) Ant thigh 19. Q) Which of the following is a selective shunt? ECk Fistula DSRS PSRS Side to Side PCS 20. Q) Suppurative infections are most commonly caused by a) Streptococcus b) Staphylococcus c) Clostridium d) E coli 21. Q) All are seen more in ameobic liver abscess than pyogenic liver abscess except? a) Age 50 years b) Jaundice not common c) More in males d) H/o travel to endemic area 22. Q) What is the most common location for an ectopic testis? Root of penis Superficial inguinal pouch Perineum Femoral triangle 23. Q) Pus discharge along wound more than 2 cm falls under which grade of Southampton scoring system IIB IIIA IIIB IV 24. Q) 61 year old male with HBV, CHILD C Cirrhosis with HCC. CT shows 3 lesions, largest being 4 cm. Liver Transplant can be done as per which criteria ? a) UCSF b) MILAN c) Cheng DU d) Koyoto 25. Q) A 3 day old baby develops dyspneoa. A chest x-ray is performed and shows a radio-opaque shadow with an air-fluid level in the chest. It is located immediately anterior to the 6th hemivertebra. Which of the following is the most likely underlying diagnosis? Bronchogenic cyst B. Congenital diaphragmatic hernia C. Infection with Staphylococcus aureus D. Oesphageal duplication cyst 26. Q) Which of the following regarding lymphatic spread in head and neck cancers is not true? a) Upper lip metastatise ipsilaterally where as lower lip goes bilateral b)Tumors of tongue base go to ipsilateral II, III, IV c)Tumors of nasopharynx go to retropharyngeal nodes d) Tumors of larynx go to ipsilateral II, III, Iv 27. Q) Which is not an effective treatment option for hypertrophic scar? Intralesional steroid Pressure Silicone gel Intralesional excision 28. Q) A 56 year old worker falls astride on a scaffolding and suffers injury to the perineum. He can not void and has blood at the urinary meatus. Next step would be ? a) Catheter insertion b) Uretherography c) IV Antibiotics d) Reassure 29. Q) A 10 year old boy presents with Intestinal obstruction. ON CT there is complete block of small bowel with many curvilinear structures seen in the ileum and. Next step? a) Laparotomy b) Anti helminthic drugs c) Saline ENema not to be given d) None of the above 30. Q) 35 year old male with testicular tumor. Orchidectomy specimen on HPE shows oval cells with clear cytoplasm and large, rounded nuclei with prominent acidophilic nucleoli. This tumor will have metastases mainly through?? a) Lymphatics b) Blood c) local d) All Loading … Question 1 of 30
