Sohag University
Sohag faculty of medicine
15/10/2011
Surgery department
Time allowed: 3 hours
MD in general surgery
Paper I

 

Discuss the following questions:-
1) Surgical significance of variations in total serum calcium level.
2) Peritonitis.
3) Oncogenic viruses.

 

MD in general surgery
MCQ Examination
Answer all questions in the same sheet
Student's Name:
Secret Number:
Secret Number:


1)Most common extraintestinal manifestation of Crohn's disease of small intestine is:
a) Ankylosing Spondylitis
b) Erythema Nodosum
c) Iritis
d) Ureteral Obstruction


2)Which of the following is the most common cause of death in Crohn's disease of
small intestine:
a) Malignancy
b) Sepsis
c) Electrolyte Disorders
d) Thromboembolic Phenomenon


3)Which of the following is not a common site for gastrinoma:
a) 1st part of duodenum.
b) 2nd part of duodenum
c) 3rd part of duodenum
d) 4th part of duodenum


4)Right sided colon conduit after esophagectomy is based on:
a) Ileo colic artery
b) Right colic artery
c) Middle colic artery
d) Left colic artery


5)Which is not true regarding BRCA mutations in breast cancer:
a) BRCA 1 tumors are high grade as compared to BRCA 2
b) BRCA 1 breast cancer are hormone receptor positive
c) BRCA 1 breast tumor are aneuploid
d) BRCA 1 breast cancer have an incraesed S phase fraction


6)Minimum number of lymph nodes to be dissected in Axillary sampling in breast
conservation surgery is:
a) 2
b) 3
c) 4
d) 5


7)In Breast Reconstructive surgery after mastectomy which of the following is not
true regarding TRAM flap:
a) TRAM flap may be based on a pedicled Superior Epigastric artery
b) TRAM flap can be transferred as a free flap
c) It is a type of myocutaneous flap
d) It uses supraumbilical fat


8)Which of the following is not true for Acalculus cholecystitis:
a) It accounts for 5-10% cases of Acute Cholecystitis.
b) This entity has a more fulminant course of disease progression
c) More commonly seen after burns trauma or major cardiac surgeries.
d) Cholescintigraphy is the investigation of choice for detecting Acute
Acalculus Cholecystitis


9)Which is not a paraneoplastic syndrome for Hepatocellular Carcinoma:
a) Hypercalcemia
b) Hypoglycemia
c) Erythrocytosis
d) Hyperglycemia


10)Which of the following is not true for Hashimoto thyroiditis:
a) It is an autoimmune disease caused by CD4 cells with specificity to thyroid antigens
b) commonly presents as hypothyroidism
c) Surgery is required in almost all cases
d) Hashimoto thyroiditis can progress to lymphoma of thyroid


11)Regarding thyroid and parathyroid neoplasms all are false except:
a) Follicular carcinoma of thyroid primarily spreads through lymphatics -
b) Parathyroid adenoma is the most likely cause of primary hyperparathyroidism
c) Hürthle cell carcinoma is a variant of papillary carcinoma of the thyroid -
d) Phaeochromocytoma is detected by measuring urinary 5-HIAA levels -
e) Superior laryngeal nerve supplies cricothyroid muscle


12)The most common cystic disease of the spleen is:
a) Hydatic cyst of spleen
b) Pseudo cyst of the spleen
c) Columnar lined cyst of spleen
d) Cystic lymphangioma


13)Which is not an indication of splenectomy in idiopathic thrombocytopenia ( ITP):
a) asymptomatic patients with platelet count between 30000-50000 mm3
b) refractory thrombocytopenia
c) relapse after glucocorticoid therapy
d) platelet count of 10000 despite management for 6 weeks but no bleeding.


14)Which of the following is not true regarding blood supply of pancrease:
a) It receives blood supply from coeliac trunk and superior mesenteric artery.
b) Body and tail of pancreas is supplied by Splenic artery
c) Postero superior pancreaticoduodenal artery is a branch of Superior mesenteric
artery.
d) All major pancreatic arteries lie posterior to pancreatic ducts.


15)Growth factor for adaptive response is:
a) Gastrin
b) Secretin
c) Neurotensin
d) Peptide YY