QUESTIONS: 2011 SEPT PART-A
1- Appearance of skull Xray in MM: Lytic lesions
2- High Ca, High ALP, normal PO4 : 1ry hyperparathyroidism
3-Artery liable to injury during ligation at SFJ (superficial external pudendal art)
4- Lesion at anal verge, what is the LNs involved -------- sup. I.L.N
5- Lytic metastatic bone lesion, what is most probable primary :breast
6-pathology associated with Crohn's disease :granulomatous inflammation. ------------- non caseating
7- Cells forming giant cells: macrophage
8- Colorectal Ca going through to mesentry with 2 LNs involved : Duke C
9- Pancreatic tumor with groin and buttock rash seen at dermatology : glucagonoma
10- Athlete died during footbal game: ?intercerbral Hge/? subarachnoid hge
11-artery involved with patient coming with leg weakness: ? ACA
12- tendon involved in anatomical snuff box: extensor pollicis brevis
13- Patient with enlarged lateral and 3rd ventricles: stenosis at aquecuct of Sylvius.
14- Thyroid carcinoma with cervical LNs metastasis: papillary thyroid CA.
15- Intracranial bleeding with unilateral dilated fixed pupil: trantentorial herniation.
16- Deprssed skull fracture at vertex, which vein involved : SSS
17- Nerve injured in posterior triangle of the neck: spinal accessory N.
18- Golf player had blow to the face, probable EO muscle injury, which investigation: US
19- Inhaled FB, where it will settle: right lower lobe
20- Nerves supplying anal sphincter: S2,3,4
21- Catheterizing a male, what is the tightest part: membranous urethra
22- perinural parotid tumour: ?pleomorphic adenoma ----- Adenoid cystic ca; Acinic cell ca
23- Slim tall pregnant lady with chest pain: ? aortic dissection (probable Marfan syndrome)
24- prgnant lady with shock: ? acute massive PE
25- pregnant lady with pleuritic chest pain, haemoptysis: ? pulmonary infarction
26- 19 years old boy post appendecectomy, poor UOP: 500 mls gelo
27- Post stroke gentleman, day 7, not eating: consider PEG tube
28- daily requirment post op patient: 1 L saline+ 1.5 L hartmann's
29- 45 years old gentlema, known Barrett's oes, high grade dysplasia : ? for oesophagectomy
30- Advanced Ca oes with solitar liver met:? stent
31- A lady with known iron defeciency and dysphagia oes varices
32- young lady, chest pain, normal ECG and enzymes: oes spasm
33- Newborn, respiratory distress, trachea shifted, displaced cardiac apex: ? congenital diaphragmatic hernia
34-Newborn, cyanotic, improves with crying: choanal atresia
35- Newborn, unable to pass NG, air in stomach: congenital oes atresia with tracheo-oes fistula.
th
36- embryonic origin of right and left pul arteries. 6 arch
37- Tumour marker for medullary thyroid CA: calcitonin
38- Tumour marker for pheochromocytoma: VMA
39- Prolonged constipation, LIF pain, fever: diverticulitis
40- Drug used in ITU , important in septic shock: noradrenaline
41- Post thyroidectomy teacher, unable to sing: unilateral external laryngeal N injury
42- Vomitting, abdo pain, swelling at reversal of colostomy site: obstructed incisional hernia
43- Pfannenstiel incision, which layer divided: ? rectus sheath
44- Upper midline incision, which layer divided: linea alba
45- Bullet going through junction of linea semilunaris and costal margin on right side, which structure injured: GB
46- Structure at medial part of femoral ring: lacunar lig
1
47- pu;sating neck swelling, confirmed by angio: carotid a aneurysm
48- Enlarged tender liver, multiple lesions, calcification: ? hydatid disease
49- 11 years old child, painful scrotal 3 mm swelling, separated from testis: torsion hydatid of Morgagni
50- Man acute scrotum, oedematous, tender hemiscrotum: ? testicular torsion
51- big painless scrotal swelling: hydrocele
52- painless swelling above testis: ?epidydimal cyst
53- 26 years old male, rapidly growing swelling within testis: ? testicular tumor
54- site of ectopic testis: ? base of penis
55- footballer with twisting injury and tenderness just proximal to medial part of knee joint: ? med. Col. Lig. injury
56- structure felt in PV anteriorly at level fo cervix:? dome of bladder/ ? base of bladder
57- Artery injured in upper chest wall below clavicle: ? thoracoacromial a.
58. Structure liable to injury during fibulectomy: ?peroneal artery
59. Recoprical of absolute risk: ?number needed to treat
60- Sensitivity definition
61- Difference between control and experiment: ?absolute risk
62- Type of fracture in child: ?greenstick
63- Type of fracture in twisting injury of tibia: ?spiral
64- Type of fracture in femur after car accident: I did it oblique (but I think correct answer is transverse)
65- Type of fracture in metastatic/osteoporotic bone: ?transverse
66- Hyperechoic lesion in liver: ?hemangioma
67- Cirrhotic and hep C liver: hepatocellular carcinoma
68- Another liver lesion (can’t remember its description): ?metastases
70- Post thyroidectomy unable to cough and clear throat: superior laryngeal n
71- Neck swelling that appeared before infront of sternomastoid: branchial cyst
72- Neck swelling at base of neck, transilluminates in infant: cystic hygroma
73- Neck swelling moves sideways but not up and down: ?carotid body tumor
74- A boy with septic arthritis in paper 1
75- Theme in paper 2, (I think it was first question on paper) one of them had avascular necrosis and other had
SUFE?
76. Organism causing tonsillitis: S. Pneumoniae
77. Organism causing sinusitis (facial pain and post nasal drip) : S Pneumoniae
78. Patient with lymphedema and infection: what organism?
[Link] abscess organism? E coli
[Link] abscess organism? Staph
[Link] causing infection with dead tissue and cripitus: C perfringens
[Link] of hallux (3 themes) can’t remember them
[Link] of ulcer ... one with bed sores of the heel: conservative or is it debridement (can anyone remember
the other 2?)
[Link] infestations, one patient with ova at anal verge: mebendazole ... another patient with ova and cysts in
faeces: metronidazole
[Link] of cranial blood flow in a patient with low GCS: CPP
[Link] response to hge: ?baroreceptors
87. First substance that would directly cause vasoconstriction: Ag II (some of my colleagues say that rennin causes
VC?)
2
BA questions
88) young man has pelvic fracture ---> sudden onset of acute urinary retention. What is the possible cause?
a) urethral injury
b) bladder rupture
c) ureter injury
89) Causes of raise PSA
a) Prostatic ca
b) prostitis
90) Bee sting, presented with HR 120, BP 60/40
first treatment....
a) IV antihistamine
b) IV fluid
c) IV steroid
d) local antihistamine
e) s/c adrenaline
91) noradrenaline binds to...
a) a1 receptor
b) a2 receptor
c) b1 receptor
d b2 receptor
92) post op developed high glucose level. prior to op, pt is not DM. This is due to .....
GH secretion post-op?
93) pt has splenic rupture. denied any trauma. what infection can cause spenic rupture?
a) EBV
b) mumps
c) measles
94) recurrent UTI, pneumuria, and irregular bowel habits. CT shown mass involved both the sigmoid and bladder.
a) diverticulitis
b) sigmoid ca
c) Crohn\'s ds
d) UC
[Link] loss of appetite, malaise, multiple lymphadenopathy involvement...axillary, inguinal
a) malignant lymphoma
96) what is the course of median nerve related to brachial a.
.......from medial to ant to lat to brachial a.
97) a cut above the ulnar olecranon cause unbale to extend UL. what is the tendon being cut?
---> tricep tendon
98) sprinting duirng playing football --> pain and post of the thigh. later severe pain and the lat side of the knee.
3
unable to extend knee dt pain. what is the tendon being involve?
--> tendon of biceps femoris
99) the first structure being noted after open up the popliteal fossa
a) popliteal vein
b) femoral n
c) popliteus
100) accident --> multiple tibial and fibula # --> intramedullary nailing done. 6 hours later ---> severe pain at leg
a) DVT
b) compartment syndrome
101) malaise, weight loss, cervical lymp nodes. biopsy --> epitheliod macrophages and giant cell
----> TB
102) the border of the snuff box
a) extensor pollicis longus
b) abductor pollicis brevis
c) flexor digitorum longus
103) cut at the midline between the base of the little finger and the wrist ---> cause loss of thumb adduction power
what is the nerve being injured?
a) superficial ulnar n
b) deep ulnar n
c) medial nerve
d) radial n
104) after the varicose vein surgery, loss sensation and the dorsal of the foot, unable to dorsiflex the foot
what is the nerve being injured?
a) common peroneal n
b) sup peroneal n
c) deep peroneal n
[Link] 2-days old neonates, cyanoses at the LL. Weak pulse and LL. BP 60/40 and both UL.
what is the abn
a) pulmonary atresia
b) aortic arch abn
c) VSD with pul stenosis
106) trauma to the chest, CXR shown widening of the mediastinum. what of the structure being rupture?
ascending aorta
descending aorta
107) a knife penetrate the midline of the sternal angle with injure
a) trachea
b) oesophagus
c) sup vena cava
d) azygos V
4
108) IN surgical ICU, pt develop metabolic acidosis. what is the most common cause?
a) vomiting
b) nasogastric aspiration
[Link] is the acute management for gaining a airway in acute resp distress?
a) chest tube
b) needle thro the cricothyroid membrane
110. fresh blood noted at the chest tube, the bleeding is from?
a) intersostal a
b) pericardiophrenic a
c) r ventricular
111. insulin dependent, h/o chest infection started with antibiotic, admitted with drowsiness --> DKA
what is the electrolyte imbalance
------> hyperkalemia
112. non-alcoholic, with palpable nodular liver, biopsy confirm is HCC. what is the cause for the patient --> HBV
cirrhosis
113 degree partial thickness burn, developed bilaterally LL swelling. what is the cause? ------> hypoalbuminemia
114. hlo back pain, walking cause pain at the L LL, loss os the sensation over the surface of the knee, what is the
cord lesion ----> L3
115. profuse LGIB, contrast accumulate at the left iliac fossa, for vessel embolisation, which level of artery is
cannulate?
----> L3 ( inferior mesenteric artery )
116. during prolapsed interventricular disc, what is the structure compressed on the nerve? --> nucleus pulposus
117. after the mastectomy, the woman has a wing scapula, what is the nerve being injured?
-----> long thoracic nerve
118. woman presented with the lump at ant neck, move with swallowing, FNAC done confirm is malignancy......what
is the CA --> papillary thyroid ca
119. a surgery done for the sweating palm dissert at the base of the neck ant to the first rib, what is the complication
--> phrenic nerve injury ? R diaphragm elevation
121.a man hav a trauma over the medial part of the thigh, clean wound, closure done. few day later patient
developed pulsatile mass...
----> false aneurysm of the femoral a.
122. hip replacement woman, walk with the tredelenburg gait. what is the defect?
5
-- sciatic nerve
-- gluteus medium
-- femoral nerve
123. what is the mechanism of the counter-current in the nephron for the concentration of the urine?
--> impermeability of the thick ascending for the water
124:Lumber puncture in space??
subarachnoid
subdural
epidural
125 :Lavel of termination of conis medularis in neonates???
l1
l2
l3
l5
126: Right leg weakness in a man occlusion of the artery??
left antcerebral
left middle cerebral
rt ant cerebral
rt middle cerebral
127.
:Structure damaged just infront ofthe lateral melleolus
muscl?? proneus???
128:a child fell and injured left side of the nec, some neuralgia the recoverd fully what caused??
neuropexia??
axonalpexia??
129.:a man brought to emergency deptt with head injury initially gcs 15, after some time 10 cause
subdural
extradural
intraventricular bleeding
130.:ASA I,2,3,4,5
RElation to the deases
bp 175/90
copd
diabetic ketoacidosis
orthopnea at rest
131:lavel of inferior vanacava opening at diaphragm??
132:breast uoq swelling with some scleroticchanges on mamography??
cancer
6
fibroadenoma
duct ectesia
fibroadenosis
pagets disease
133:tibia/fibulla fracture operatedwith intramedullary nailing?? afterwards compartment syndrome
ant compartment
lateral dompartment
134:pupil dialated rt side cause???
3rd nerveparasympthatic damage
3rd nerve sympathatic damage
2nd nerve
4th nerve...............
135. *what vitamin supports collagen?
vit A
vit E
vit B6
136*Face lesion with central keratosis?!
Bsal cell carcinoma
Malignant melanoma
137*Sneezing with eosinophil?
Ig A
Ig E
Ig M
Ig g
138*Erection dysfuction
Splanchic nerve
pudendal nerve
ilioiguinal nerve
139*Nerve supply skin under left eye?
ifraorbital
facial
trigeminal
3 qustion ।
140. CTS --- multiple joints of hand involved @ morning- stiffness, cz -----gout or osteoarthritis
141. Ant. Pituitary hormones
142. cholesteotoma- Tympanic membrane ruptured
