Final Year Test 30/10/23

* Indicates required question

Untitled Section
The following of the commonest site for venous ulcers *
1 point

instep of foot
low 1/3rd leg and ankle
lower 2/3rd of leg
middle 1/3rd of leg

The most important symptom of chronic pancreatitis is *

1 point

weight loss
steatorrhea
abdominal pain
DM

Which of the following statements in biochemical investigation is

false*
1 point

Elevation of S/Amylase is diagnostic

Lipase is more sensitive and specific
Pancreatic exocrine function can be measured
Serum elastase measurement is useful

Bedsores are predisposed to following factors except*

1 point

pressure
anaemia
malnutrition
mobility

Neoadjuvent chemotherapy is more effective *

1 point

in hormone negative receptors

in Harman positive receptors
in DCIS
NOne

Not true regarding complications in acute pancreatitis?*

1 point

In severe case laparotomy must be done

acute condition require CECT scan
Aneurism of SMA can occur
Pleural effusion is seen in patients

Commonest cause of unilateral pedal edema is *

1 point

filariasis
post traumatic
post irradiation
milory disease

Which of the following muscles do not form the post. relation of

breast*
1 point

pect. major
serratus anterior
rectus abdominis
latismus dorsi

Basic structural unit of mammary gland is *

1 point

Lobule
Ductules
Lactiferous duct
None of these

Which of the following is not a potential complication of

cardiopulmonary bypass*
1 point

pulmonary embolism
post cradiotomy syndrome
neurological dysfunction
bleeding disorder

Which of the following causes of acute pancreatic is d/t congenital

anatomical variation *
1 point

gallstones
Hereditary pancreatitis
pancreatic divisum
Hyperparathyroidism

Congenital absence of breast is known as *

1 point

amazia
polymazia
mastitis
none

This is the similarity between the pulmonary and systemic

circulation*
1 point

total capacity
pulse pressure
peripheral vascular resistance
volume of circulation per minute

Contraindications for breast conservative surgery in CA breast*

1 point

Small lump to breast ration

central tumor mass
tumor size less than 5cm
young age of patient

Raynaud's phenomenon is seen in all except*

1 point

atherosclerosis
scleroderma
juvenile arthritis
buerger disease

The ventricular muscles accept impulse directly from *

1 point

AV node
bundle of HIS
right an left bundle branch
purkinge system

On heart, the impact of adrenaline is all of these except*

1 point

it increases the uptake of O2

increases the contraction force
increases the myocardial irritability
it increases heart rate

All of the following is seen in deep verin thrombosis except*

1 point

pain
discolouration
swelling
Claudication
In young females with dense breast important investigation is
*
1 point

Mammogram
USG
CT scan
MRI

Management of arterial occlusion may include *

1 point

Stop smoking
analgesia
sympathometomy
All of the above

Which of the following statements is not true?*

1 point

weight of the pancreas is 80grams

splenic artery travel along the upper border of pancreas
space in front of pancreas is greater sac
uncinate process lie behind SMA

The reason for dicrotic notch on aortic pressure curve is *

1 point

contraction of aorta
closure of aortic valve
rapid filling of left ventricle
closure of pulmonary valve

Which of the following statement are true *

1 point

lymphedema is arms is due to reoccurrence

radiotherapy after implant reconstruction of breast gives poor cosmetic results
male breast cancer poor prognosis
none

Breast fibroadenoma best treatment option is*

1 point

Enucleation
USG aspiration
medication
None

Intermittent claudication is caused by*

1 point
venous occlusion
arterial occlusion
neural compression
muscular dystrophy

Inflammatory breast cancer is not related to*

1 point

infections
fibroadenoma
trauma
none

Which of the following is not an acynotic heart disease*

1 point

Patent ductus arterioles

transposition of great vessels
patent foramen ovale
coarctation of aorta

Normal resting ankle brachial pressure index is *

1 point

1-2
0.9-1.3
1.5-2
None

Buergers disease is seen in*

1 point

Only females
Age <40 years
Age >40 years
Smokers

Which of the following not true regarding BRCA mutation is breast

cancer*
1 point

BRCA tumors are high grade

BRCA breast cancer are hormone receptors
BRCA 1 breast are aneuploid
All are true

T-lymphocytes and B-lymphocytes are major cells of *

1 point

lymph nodes
lymphatic vessels
adrenal gland
thymus
Which of the following is considered a main risk factor and
necessary cause of cervical cnacer?*
1 point

Human toro virus

Human papilloma virus
Rotavirus
None

Which of the following are less common causes of pulmonary

embolism*
1 point

air
blebs
amniotic fluid
lipids

The triad of virchow include all of the following except*

1 point

venous stasis
hypercoaguability
hypokalaemia
endothelial injury

Which of the following is not likely to be found in lymph*

1 point

RBC
Protein molecules
micro-organism
macrophages

The duration of heparin therapy in DVT is *

1 point

7-10 days
15-20 days
3-4 days
1 month

A most common cause of chronic pancreatitis is *

1 point

Gallstones
Alcoholism
Tropical pancreatitis
Severe protein-caloric malnutrition

Earliest and most severely affected in malabsorption due to chronic

pancreatitis*
1 point

Maldigestion of carbohydrates
Maldigestion of proteins
Maldigestion of fats
Maldigestion of protein and carbohydrates

Commonest cause of AV fistula is *

1 point

congenital
traumatic
surgical creation
tumor erosion

The following parameters not used to assess the severity of acute

pancreatitis*
1 point

Age
White cell count
Serum amylase
Blood Urea

IScheamia beyond following hours is usually irreversible and result

in limb loss*
1 point

6
8
4
12

Minimal number of L/nodes to be dissected in axillary sampling in

BCS is*
1 point

2
3
4
5

Which of the following signs have been known to occur in acute

pancreatitis*
1 point

Trausseau sign
Grey turner sign
Murphy sign
Cullen sign

Following is the risk factor for Ischaemic heart disease*

1 point

female gender
smoking
bleeding disorder
increase physical activity

What is the location of spleen*

1 point

pelvic cavity
chest cavity
abdominal cavity
GIT

Rise in carotid sinus pressure lead to*

1 point

reflex hypercapnia
reflex hyperpnea
reflex bradycardia
reflex tachycardia

Most common site of metastasis in CA breast is*

1 point

Bone
Lung
Liver
Brain

In patients with breast lump, diagnosis should be made by*

1 point

Clinical assessment
Radiological imaging
Histological analysis
Combination of these three

Which of the following is not a feature of peripheral arterial

occlusion*
1 point

shock
pallor
pain
pulselessness

One of the following is not a lymphatic organ*

1 point

pancreas
spleen
thymus
tonsils

The most common symptom associated with pseudocyst*

1 point

Abdominal pain
Palpable mass
Jaundice
Persistent elevation of Serum Amylase

All are the features of chronic lower limb arterial stenosis except*
1 point

rest pain
absent pulse
arterial bruit
paralysis

This sets glomerular capillary pressure apart from other capillaries

found in the body*
1 point

lower filtration pressure

higher filtration pressure
both higher and lower filtration pressure
none

Duration of absolute period i.e when the whole heart is in diastole

is*
1 point

0.1 sec
0.2 sec
0.4 sec
0.8 sec

What is the effect of alcohol on the stellate cells of the pancreas?*

1 point

Stimulates
Inhibits
No effect
Both stimulates and inhibits.

Lymphatic capillaries resemble blood capillaries because lymphatic

capillaries*
1 point

same permeability
lining of endothelium
leads of vena cava
thick walled

Regarding primary sclerosing cholangitis following statement is

true *
1 point

More common is females

Involve both intra and extra biliary ducts
Usually start in childhood
Liver biopsy not useful

Signs and symptoms of pulmonary embolism include which of the

following*
1 point

pleuritic chest pain

dyspnea
night sweats
none

Which of the following test can be used to detect pre-cancerous

stage of cervical cancer?*
1 point

Pap smear
Mammography
fecal sample test
urine sample test

Causative bacteria of lactational mastits is *

1 point

Mycobacterium
S. aureus
S. epidermicus
all three

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