MCQ BY DR.

RIZWAN AKRAM RANDHAWA SURGEON (WHF)

1. In patient with pneumothorax and circulatory collapse ,first action should be

a. Immediate x.ray chest
b. Oxygen inhalation
c. Insertion of chest drain
d. Putting the patient on ventilator
2. Useful method for detection of splenic injury in descending order of sensitivity is
a. DPL
b. C.T
c. Ultrasonography
d. Isotope scan
3. Kehr’s sign is
a. Left shoulder pain with splenic rupture
b. Left shoulder pain with liver injury
c. Right shoulder pain with splenic injury
d. L.H.C pain with splenic injury
4. Which of the following is not an indication for admission in case of burns
a. Full thickness burns more than 5%of total body surface area
b. Partial thickness burns more than 10% in adults
c. Partial thickness burns more than 10% in children
d. Inhalation burns
5. Vomiting in congenital pyloric stenosis is
a. Bilious
b. Non bilious
c. Non projectile
d. U.S is not investigation of choice
6. Bones,stones,groans and moans relate to
a. Hyperparathyroidism
b. Hypoparathyroidism
c. Hyperthyroidism
d. Hypothyroidism
7. A 20 year male presented with small swelling in front of neck in midline, swelling
moves upward on protrusion of tongue, what is diagnosis
a. Branchial cyst
b. Cystic hygroma
c. Thyroglossal cyst
d. Submental lymph node
8. The clinical picture of gall stone ileus include which of the following
a. Air in the biliary tree
b. Small bowel obstruction
c. A stone at the site of obstruction
d. All of the above
9. Patient with established complete simple distal small bowel obstruction usually have the
following on plain and upright abdominal radiographs
a. Distended small bowel identifiable by the vulvulae connivents with multiple air fluid
levels
b. Free air
c. Prominent haustral markings
d. All of the above
10. The test with the highest diagnostic yield for detecting a colovesical fistula is
a. Barium enema
b. cystoscopy
c. colonoscopy
d. C.T
11. The most important factor in fracture healing is
a. Good alignment
b. Organization of blood clot
c. Immobilization
d. Adequate calcium intake
12. All are components of rotator cuff except
a. Supraspinatus
b. Infraspinatus
c. Subscapularis
d. Teres major
13. Most common malignancy of appendix is
a. Carcinoid tumor
b. Adenocarcinoma
c. Squamous cell carcinoma
d. Mixed cellularity
14. Which of the following structures is not part of the portal triad in liver
a. Portal vein
b. Hepatic vein
c. Hepatic artery
d. Bile duct
15. After a swelling has been clinically defined, the most commonly advised investigation is
a. X.ray
b. U.S
c. C.T
d. F.N.A.C
16. Tripple assessment in suspicious breast lump include
a. Clinical examination
b. Mammography
c. Biopsy
d. All of the above
17. The cause of mass in left iliac fossa is
a. Appendicitis
b. Tuberculosis
c. Diverticulitis
d. Carcinoma caecum
18. Ulcer with everted edge is a feature of
a. Basal cell carcinoma
b. Healing wound
c. Squamous cell carcinoma
d. Tuberculosis
19. Which of the following is not a typical symptom of appendicitis
a. Vomiting
b. Nausea
c. Fever
d. Hematochezia
20. A patient with acute urinary tract infection usually present with
a. Chills and fever
b. Flank pain
c. Nausea and vomiting
d. Painful micturation
 ANSWERS

Q NO ANSWER Q NO ANSWER
1 C 11 C
2 B 12 D
3 A 13 B
4 B 14 B
5 B 15 D
6 A 16 D
7 C 17 C
8 D 18 C
9 A 19 D
10 B 20 D