GENERAL FORMAT OF MCQ’S

Specialty Course: FCPS

Area: Basic surgical skills and anastomoses
Theme: Laparoscopic surgery Sub-theme: Principles of safe
laparoscopic surgery

QUESTION STEM (SCENARIO) Dr. Aqeeb

What is the best preferred site for primary trocar insertion following the principles of
safe laparoscopic surgery:

A. Subxiphoid port
B. Umbilical port
C. Medial subcostal port
D. Lateral subxiphoid port

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Edition 27, Chapter:07, Page:87

 GENERAL FORMAT OF MCQ’S
Specialty Course: FCPS
Area: Basic surgical skills and anastomoses
Theme: Drain Sub-theme: Removal of drains

QUESTION STEM (SCENARIO) Dr. Murtaza

Drains put in to cover colorectal anastomoses should be removed at :

A. 2nd-4th day
B. 3rd-4th day
C. 8th-10th day
D. 9th-10th day
E. 5-7th day

KEY: (E)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Edition 27th, Page:101

 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area:
Theme: Basic surgical skills and Sub-theme: Principles of anastomosis
anastomosis

QUESTION STEM (SCENARIO) Dr. Ayisha Mahnoor

Which of the following is commonly used for oesophago-jejunostomy?

A. Intra luminal anastomosis

B. Transverse anastomosis
C. End to end anastomosis
D. Both A & B

KEY: (C)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love page 97

 GENERAL FORMAT OF MCQ’S
Specialty Course: FCPS
Area: Basic surgical skills and anastomoses
Theme: Sub-theme: Technique for
laparoscopic primary

QUESTION STEM (SCENARIO) Dr. Saad Asim

In laparoscopic cholecystectomy, the incision made in the sub-umbilical region is?

A. Vertical about 10-12mm

B. Transverse about 10-12 mm
C. Transverse about 5-6mm
D. Vertical about 7-8mm
E. Transverse about 8-9 mm

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Edition 27th, Page: 87

 GENERAL FORMAT OF MCQ’S
Specialty Course: FCPS
Area: Basic surgical skills and anastomoses
Theme: skin incision Sub-theme: Sutures

QUESTION STEM (SCENARIO) Dr. Aabia Islam

During closure of abdominal wall the suitable length of suture material in comparison
to wound length should be:

A. 2 times
B. 3 times
C. 4 times
D. 6 times

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Edition 27th, Page: 86

 GENERAL FORMAT OF MCQ’S
Specialty Course: FCPS
Area: Basic surgical skills and anastomoses
Theme: Sub-theme: Anastomosis

QUESTION STEM (SCENARIO) Dr. Taram Asghar

Which of the following statements are false?

A. Large-bowel anastomosis must be done only by one-layer technique.

B. The bowel ends being anastomosed must be well mobilised so as not to create
tension in the anastomosis.
C. Synthetic polymers are to be used for intestinal anastomosis.
D. In vascular anastomosis the needle must pass from within outwards.
E. Polypropylene-like sutures with indefinite integrity must be used for vascular
anastomosis

KEY: (A)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Edition 27th, Page: 97

 GENERAL FORMAT OF MCQ’S
Specialty Course: FCPS
Area: Basic surgical skills and anastomoses
Theme: Sub-theme: Anastomosis

QUESTION STEM (SCENARIO) Dr. Shahid

Semi-open drains work on the principle of ......

A. Gravity
B. Suction
C. Capillary effect
D. Drainage track
E. Lawson tait

KEY: (C)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Edition 27th, Page: 100

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area: Basic Surgical skills and anastomosis
Theme: The Principles of Sub-theme: Vascular anastomosis
anastomosis

QUESTION STEM (SCENARIO) Dr. Iqra Maqsood

A young male presented in ER after suffering a glass cut injury of his arm. He had
suffered injury to brachial artery.Arteriotomy was closed using vein patch using
polypropylene suture. Polypropylene suture is used for this purpose for all the
following reasons except

A. It is non biodegradable
B. It has infinite (>1yr) tensile strength
C. Its multifilament nature provides extra strength to the knots and hence
the anastomosis
D. It causes minimal tissue reaction.

KEY: (C)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Short practice of Surgery 27 edition Page 99

 GENERAL FORMAT OF MCQ’S
Specialty G surgery Course: FCPS
Area:
Surgical skills Sub-theme: Hormonic scalpels

QUESTION STEM (SCENARIO) Dr. Hafiz Zaheer

A surgeon is performing laparoscopic cholecystectomy and uses hormonal scalpel for
hemostasis. He has knowledge that hormonic scalpel uses

A. Gamma wave radiations

B. Ultravoilet radiations
C. Ultrasound radiations
D. Elecrtron beam radiations
E. Energy fromr alternate current

KEY: (C)
COGNITION LEVEL 1

IMPORTANCE
DIFFICULTY 2

REFERENCE: page 104….Bailey and love,s

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area: Basic Surgical skills and anastomosis
Theme: Sub-theme: Wound closure.

QUESTION STEM (SCENARIO) Dr. Tanveer

Polydioxanone has tensile strength on 4th week approximately.

A. 14%
B. 20%
C. 40%
D. 50%
E. 70%.

KEY: (D)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's page 93

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area: Basic Surgical skills and anastomosis
Theme: Surgical skills Sub-theme: Gut anastomoses

QUESTION STEM (SCENARIO) Dr. Iqra Khalid

The strongest layer of gut ,to be taken in anastomoses is

A. Mucosa
B. Submucosa
C. Serosa
D. Adventasia
E. none of these

KEY: (B)
COGNITION LEVEL Mild

IMPORTANCE Important

DIFFICULTY Moderate

REFERENCE: Bailey and Love's 27th edition

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area: Basic Surgical skills and anastomosis
Theme: DRAINS Sub-theme: Removal of drains

QUESTION STEM (SCENARIO) Dr. Zaid Ashraf Mirza

Drains put in to cover perioperative bleeding in thyroidectomy should be removed

after

A. 24 hours
B. 30 hours
C. 36 hours
D. 48 hours

KEY: (A)
COGNITION LEVEL Mild

IMPORTANCE Important

DIFFICULTY Moderate

REFERENCE: Bailey & Love’s Short Practice Of Surgery 27th Edition page 101
 GENERAL FORMAT OF MCQ’S
Specialty Surgery Course: FCPS
Area: basic surgical skills and anaatomosis
Theme: Laparoscopic surgery Sub-theme: Benefits

QUESTION STEM (SCENARIO) Dr. Faisal Naeemi

The benefit of laproscopic surgery is:

A. Less postoperative pain
B. Better cosmosis
C. Earlier return of normal physiological function
D. Shorter hospital detail
E. All of the above

KEY: E
COGNITION LEVEL
IMPORTANCE Important

DIFFICULTY Moderate

REFERENCE: Bailey and Love . Chapter 7 Page # 87

 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area: Basic Surgical Skills
Theme: Sutures Sub-theme:

QUESTION STEM (SCENARIO) Dr. Zeeshan Ashiq

Which of the following statements are false?

A. Polymeric synthetic suture materials cause minimal inflammatory reaction.
B. Monofilament non-absorbable sutures are easy to use in tying secure
knots.
C. The integrity of polypropylene sutures in holding tissues together can last
indefinitely.
D. Braided suture material can be a nidus for infection.
E. Absorption is more predictable and complete with absorbable sutures

KEY: B
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Chapter 7 : Basic Surgical Skills and anastomosis

Page 89
 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area: Basic Surgical Skills
Theme: Wound Closure Sub-theme: Knotting

QUESTION STEM (SCENARIO) Dr. Dilawaiz Mujahid

A surgeon was applying knot at depth. He was taking two throws of same type
followed by a slip knot, he again applied reef knot on it. This type of k not is called.
A. Granmy knot
B. Single reef knot
C. Double reef knot
D. Aberdeen knot
E. Vertical suture

KEY: A
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love . 27th edition Chapter 7 Page # 95

 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area: Basic Surgical Skills
Theme: Incisions Sub-theme: Quality of good incision

QUESTION STEM (SCENARIO) Dr. M. Yaqoob

A young surgeon is going operate a suspected case of acute appendicitis. He is

planning for incision,an ideal incision should have all these except
A. Should be cosmetically acceptable
B. Should be easily extendable
C. Should never cross midline
D. Should give adequate exposure
E. Should be over the pathology

KEY: C
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love . 27th edition Page # 85

 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area: Basic Surgical Skills
Theme: Sub-theme:

QUESTION STEM (SCENARIO) Dr. Rabail Rana

As a rule of thumb the distance of insertion from the edge of the wound should
correopend of the thickness of the tissue being sutured (X). what should the distance
between the two successive suture
A. X
B. 2 X
C. 3 X
D. 4 X

KEY: B
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love . 27th edition Page # 113

 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area: Basic Surgical Skills
Theme: Basic Surgical skills Sub-theme: Surgical Blades.

QUESTION STEM (SCENARIO) Dr. Humaira Naseem

20 year old female come to you with complain of breast lump your diagnosis was
fibroadenoma on performing surgery which number blade you will prefer for surgery.
A. 22-blade
B. 10-blade
C. 11-blade
D. 15-blade

KEY: D
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love . 27th edition Page # 85

 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area: Basic Surgical Skills
Theme: Uses Of Drains Sub-theme: Removal of drains.

QUESTION STEM (SCENARIO) Dr. Tabinda

A drain placed in to cover colorectal anastomoses, it should be removed about how

many days.
A. 7days.
B. 3-4days.
C. 9-10days.
D. 1-2days.

KEY: A
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love . 27th edition Page # 101

 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area: Basic Surgical Skills
Theme: Uses Of Drains Sub-theme: Removal of drains.

QUESTION STEM (SCENARIO) Dr. Tabinda

A drain placed in to cover colorectal anastomoses, it should be removed about how

many days.
A. 7days.
B. 3-4days.
C. 9-10days.
D. 1-2days.

KEY: A
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love . 27th edition Page # 101

 GENERAL FORMAT OF MCQ’S
Specialty General Surgery Course: FCPS
Area: Basic Surgical Skills
Theme: Electrocautery. Sub-theme: Complication of
electrocautery.

QUESTION STEM (SCENARIO) Dr. Rehan

40 yrs old female pt presented to er with sudden onset of abdominal pain

constipation. there is h/o of lap cholecystectomy 3 weeks back. DPL shows fecal
matter. what is your diagnosis?
A. Sub acute intestinal obstruction
B. Enteric perforation
C. No injury
D. Electrocautery injury

KEY: D
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love . 27th edition Page #