Question as remembered for MRCS
Intercollegiate(surgery)-part-1 held at Armed Forces Hospital,Riyad,Saudi Arabia on 11th Sept 2006.
Index of short form I will b using:-
Art-artery
Vn-vein
n-nerve
rt-right
lt-left
sba-single best answer
t/f-true/false
Questions:-
1.rt.subclavian art:- t/f
-arises from costocervical trunk
-remnant of 6th brachial arch
-third part related to vagus
-anterior to scalneus medius
2.Mediastinal pleura: t/f
-innervated by phrenic n.
-rt.supra plural membrane covers the rt.lung only
-visceral pleural pain sensitive
3.68 yr old women complains of lower abd.pain,on examination,abd founf to be soft with no organomegaly,but superficial inguinal lymphnodes found,possibility of Pathology
: t/f
-bladder
-ipsilateral ovary
-uterus
-anal canal above dentate line
-lower limb
4.cytic fibrosis associated with: t/f
-intestinal obstruction
-assosiated with exocrine dysfunction all over the body
-defect in ca transport
-commonest congenital anomaly in UK
5.lung ca.: t/f
-commonest is adenoCa.
-majority arise from periphery
-incidence is increasing in women in west
6.pt. underwent lt.mastectomy with axillary clearance,after few days she complains of winging of scapula,which muscle involved: t/f
-latissmus dorsi
-subscpularis
-suprascapularis
-serrtus anterior
7.renal cell Ca:- t/f
-rubber industry involvement
-fever
-
8.man playing in a club,suddenly falls and is found dead,cause:- t/f
-extradural hematoma
-subdural hematoma
-subarachnoid hemorrhage
-intraventricular
10.metastatic calcification seen in: t/f
-noraml tissue
-chracterised by psammoma bodies
-uterine ca.
-hyperparathyroidism
11.pt brought to ER withbp 130/80,pulse 84bpm,localizes to pain, opens eye to pain, mumbles only,localizes to painful stimuli,moves all his limbs,GCS is: t/f
- 7
-8
-10
-11
12.larynx: t/f
-all muscles supplied by recurrent laryngeal n.
-subglotic part innervated by recurrent laryngeal n.
17.knee reflex:- t/f
-monosynaptic reflex
-lost if cord transected at L5
-
18.ankle reflex:- t/f
-innervated by S2,S3
19.(weird question from Locomotor system): t/f
-tibialis anterior contracts when heel strikes the ground
-extensor hallucis longus contracts
20.boy involved in RTA,Xray shows # fibula & examination shows unable to dorsiflex ankle,nerve involved:- sba
-popliteal n.
-ant.tibial n.
-common peroneal n.
-sural n.
21.Pain:- t/f
-Pacinian corpuscles
-tissue release chemical at site of injury
-ant spino-thalamic tract
-blocked by opiod receptors in spinal tract
22.anastomosis exists between:- t/f
-lt.gastric vn & azygous system
-ant.abdominal vn. & mesenteric vn
-bare area of liver-
-inferior pudendal vn & inferior mesenteric vn.
23.epiploic formaen boundries:- t/f
-lesser omentum
-lesser omentum attached to porta hepatic
25.pt underwent complete pancreatectomy,later complains of foul smelling stoll which she is unable to flush,enzyme responsible:- t/f
-amylase
-trypsin
-lipase
-pancrease
27.pt. biopsied,lower esophagus found to be squamous epithelium,cause:- t/f
-dysplasia
-anaplasia
-hyperplasia
-metaplasia
28.Cephalic vn:- t/f
-commonest vn used for iv line
-passes thro supinator muscles
-drains into axiallary vn.
-formed on palmar surface
29.stress test done on a pt before admission,found to have increased cardiac output as a physiological response due to: t/f
-bradycardia
-tachycardia
-increased venous return
30.post-op day 5 A-P resection,pt. has tachycardia,warm peripheries,wbc 17,000/,Hb 8gm/dl:- t/f
-anaphylactic shock
-hypovolumic shock
-spinal shock
-septic shock
31.during lap-chole, pt was insuffulated with co2, after 30mins pt. was dypsnic because:-t/f
-decrease lung compliance
-increased C.O
32.post-op pt. clenches his chest due to pain because:- t/f
-decrease O2 extraction from the coronary art.
-increased coronary blood flow
33.pulmonary embolism can be due to: t/f
-pulmonary art. Thrombus
-rt.ventricle thrombus
-mitral valve thrombus
-portal vn. Thrombus
34.spianl tapping done,bloody iniatially,then clear fluid,cause of blood:- sba
-ant.spinal art.
-post.spinal art
-vertebral venous plexus
35.Tension pneumo thorax,needle inserted into 5 ICS mid-axillary line,massive amount of blood draining,due to: sba
-ventricle puncture
-pericardophrenic art. Puncture
-intercostal art. Puncture
36.suprascapular art.: t/f
-related to the neck of scapula
-anastomoses with subscapular art.
37.following are steroid hormone: t/f
-estrogen
-thryroxine
-glucagon
-insulin
-ACTH
38.pt. had ant.pituatary removed,problems he might face are: t/f
-can not conserve water
-can not concentrate urine
39.GFR can be measured by: t/f
-inulin
-creatinine
-PAH
-sodium
-glucose
40.K + excreation: t/f
-decreased by thiazide
-increased in Conns syndro
-hyperuricemia
41.muscles which crosses hip & knee joints are:- t/f
-gracillis
-adductor magnus
-adductor longus
-rectus femoris
42.in negative Trendelenburg Test of rt.leg when pt. standing on lt.leg: t/f
-there shud be no cong.dislocation of hip of the lt leg
-rt.gluteus shud be intact
-sup.gluteal n. shud be intact
-there shud be no shortening of rt.leg due to #neck femur
43.middle meningeal art:- t/f
-foramen ovale
-traverses the cranial vault
-accompanied by vn.
44.farmer with face lesion,2cm,with fibrin plug in the centre,rapidly growing:- sba
-basal ca.
-squamous ca.
-kearatoacanthoma
45.8yr old child presents with fresh blood per rectum as told by mother:- sba
-peutz-jegher syndro
-hyperplastic polyp
-melanosis coli
-juvenile polyp
46.palatine tonsil: t/f
-situated in soft palate
-supplied by facial art.
-drained by para-tonsilar vn.
-drains to submandibular lymph node
51.Atrophy: t/f
-due to overuse
-seen during fetal development
-ischemia
52.shapheneus vn:- t/f
-post medial malleolus
-comunicates with short shaphaneus vn.
-joined by ankle perforators
-close to shapaneus nerve in the thigh
53.67yr old man,wt.loss,cough,polyuria,Ca=3.2,appropriate investigation:- sba
-thyroxine level
-glucose
-PTH
55.cardiac complications can occur in:- t/f
-hyperparathyroidism
56.autonomic bladder: t/f
-cauda equina syndro
-cord transection at L5
57.teratoma:- t/f
-increased betaHCG
-increased alpha Feto protein
58.testis: t/f
-drains to superficial inguinal lymph node
-drains to vertebral venous plexus
-rt. Testis more prone to torsion
-maldescened testis accompanied by inguinal hernia
59.boy involved in RTA with # pelvis & unable to pass urine: sba
-penile urethra rupture
-posterior urethra rupture
-prostatic urethra rupture
60.referred pain- t/f
-lt.shoulder pain due to spleen rupture
-renal colic pain referred to scrotum thro genitor femoral n.
-8th intercostals n. at umbilicus in appendicitis
61.pt. with claudication in calf,location of Pathology
:- sba
-external illiac
-internal iliac
-profunda femoris
-femoral branch in adductor canal
62.pt. had monoplegia of rt.leg,artery involved: sba
-ant.cerbral art.
-post.cerbral art.
-mid. Miningeal art.
63.thyroid:- t/f
-foliicular ca. Common
-papillary ca. worse prognosis than follicular ca.
-papillary ca. can develop in person previously irradiated
-meduallary ca. associated with endocrine neoplasia
71.wrist laseration of 2cm,pt presenting with loss of sensation in the ring & little finger along with loss of abduction & adduction of the two fingers,nerve likely to be involved is: sba
-median n.
-ulnar n.
-radial n.
-post.interosseus n.
72.vertebral art or vertebral vein(not sure if it was art or vn!) is related to: t/f
-lateral mass of C1 vertebrae
-
73.28 yr male with # shaft Femur,underwent open reduction & internal fixation which was uneventful. 48hrs post-op,he is found dypneic,vitals stable & labs normal:- sba
-Pulmonary embolism
-MI
-fat embolism
-pneumonia
74.42yr old women underwent uneventful lap-chole,post-op-10hrs her vitals were,BP 160/90 mmHg(pre-op 120/80),and she was found to be tachycardic and had a pain control score of 4/10.the reason for her hypertensiveness was: sba
-anesthesia related
-incedental finding of hypertension
-inadequate analgesia control
75.spleen in adults:- t/f
-contains red & white pulp
-most important site for antibody production
76.Hodgkins lymphoma has:- t/f
-beeter prognosis than non-hodgkins
-has Reed-Sternberg cells
-lymphocyte predominant has better prognosis
77.pt. underwent resection of large tumor of therectum which involved the mesorectum and also 2 of the 24 mesentric lymphnodes which were positive:- sba
-dukes A
-dukes B
-dukes C
-dukes D
-dukes E
78.23 yr old female with pain abdomen,family history of colorectal Ca. deaths,found that she had ful thickness involvement of the colon with skip lesion:- sba
-FAP
-Ulcerative colitis
-Crohn disease
79.in the femoral canal:- t/f
-medial boundry is formed by lacunar ligament
-vein lies lateral to artery
-
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