Surgery 9PM Session

Dr.Aravind.K.R.
ADR Plexus Surgery Faculty
Which type of wound is Open cardiac massage?

A) Clean
B) Clean contaminated
C) Contaminated
D) Dirty

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Which of the following is not an
indication for the treatment given in the
picture?

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 Negative pressure wound therapy

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Identify the type of nipple inversion and
its significance.

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Nipple retraction

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A boy with perineal injury came to the emergency department. On examination
blood is present at meatus and has not passed urine. Bladder is not found to be
full. The next step of management is

A) Suprapubic catheterization
B) Wait and send home
C) Foley's catheter insertion
D) Wait for bladder to fill and urge to urinate

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Urethral injury
A 50 yr female came to the ER with history of blunt trauma abdomen. She is
confused and dyspneic with BP of 90/60 mmHg and PR of 118/min. U start IV fluid
resuscitation and arrange for blood products.

What is the class of shock in this patient?

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A 35 year old female was referred to the
surgical opd with this MRI abdomen film
done for something else. What is your
provisional diagnosis and
management?

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Hemangioma
 A patient comes with complaints of
pain, fever and jaundice to the
surgical OPD. U evaluate it to be a case
of obstructive jaundice with
cholangitis. What is your diagnosis
based on this MRCP image?
1. Primary sclerosing cholangitis
2. Choledocholithiasis
3. Ascariasis
4. CBD stricture

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What is the investigation
performed? And it’s
indications and usage.
 T tube cholangiogram

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Which of the following brain tumors does not have calcifications?

1. Meningioma
2. Oligodendroglioma
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3. Ependymoma
4. Craniopharyngioma
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70 year old male who is on oral anticoagulants had a trivial trauma
at home 1 AfraTafreeh.com
week before. He was doing good since then and then all
of a sudden he complains of headache and deteriorates. GCS on
arrival is 12 and then falls to 10 after few minutes.
A) What is the most probable diagnosis?
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What is the this type of drain and
when it is used?
Safety triangle

Pneumothorax
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Tension pneumothorax

Open pneumothorax
 Which of the following is not included in the Amsterdam II criteria used in the
diagnosis of HNPCC?

1. Two success generations affected

2. FAP excluded
3. Two or more family members with HNPCC related cancer
4. One tumour diagnosed before 50 years

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Identify the type of stoma.

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Ileostomy Colostomy
Identify this X-ray and comment on the
findings. Clinical significance also.
A 25 year old male was referred from
the cardiology OPD with hypertension
and fatigability on walking or exercise
along with dyspnea. The BP in the
upper limb is 180/100 mmHg and the
lower limb BP is 110/80 mmHg. There is
also radio femoral delay. The chest
X-ray is shown below
Coarctation of aorta

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An one day neonate is being referred to
the pediatric surgery dept with features of
respiratory difficulty(tachypnea). The
X-ray is shown as below. What will be
your provisional diagnosis and further
management? AfraTafreeh.com

↑
Congenital Diaphragmatic Hernia

-
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 Which of the following is not a scoring system used in the management of acute
pancreatitis?

1. Balthazar scoring
2. Ransons score -

3. Alvarado score
4. BISAP score
5. Glasgow score

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Ranson's score
The hereditary syndromes associated with RCC are all except

1. Von hippel lindau syndrome

2. Cowden syndrome
3. FAP
4. Birt Hogg Dube syndrome
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22. Which of the following regarding abdominal synergistic gangrene is true except?
1) Hyperbaric oxygen therapy is not recommended
2) Monomicrobial
3) It is called Fournier's gangrene if it is involving the scrotum
4) Occurs mostly in diabetics and immunocompromised individuals
5) Needs emergency debridement and broad spectrum antibiotics

A) 1 and 4
B) 1 and 2
C) 1 only
D) 4 and 5

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