Sohag University
Sohag faculty of medicine
21/4/2012
Surgery department
Time allowed: 3 hours
MD in general surgery
Paper I

 

Discuss the following questions:-
1) Bariatric surgery : Ebb and Tide.
2) Triage.
3) Congenital anomalies resulting from errors in intestinal rotation.

 

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


1) Most common cause of nausea and vomiting in patients with carcinoma head of
pancreas is
a) Tumor infiltration of coeliac nerve plexus
b) Direct tumor infiltration of duodenum
c) Tumor infiltration around Superior Mesentary artery
d) External Compression of duodenum


2) True about ileostomy output is
a) Sodium excretion is two to three times that of normal stool
b) Contents of ileostomy are alkaline
c) Usually it starts functioning in 24 hours
d) Uric Acid renal calculus formation is more common than cholelithiasis


3) CT Scan in Carcinoma Esophagus is least useful in describing
a) T staging
b) Nodal staging
c) Distant Metastasis
d) Omental involvement


4) Surgical Treatment of bleeding Type I gastric ulcer is
a) Wedge resection of the gastric ulcer
b) Oversewing the vessel at the ulcer base
c) Distal gastrectomy
d) Distal gastrectomy along with truncal vagotomy


5) Treatment for bleeding duodenal diverticulum is
a) Diverticulectomy
b) Diverticulopexy
c) Diverticulization
d) Subtotal diverticulectomy


6) Which is the most common cause of Hemobilia
a) Blunt Trauma Abdomen
b) Iatrogenic injury
c) Cholelithiasis
d) Hepatic artery aneyrysm


7) Which is not true regarding Haemangioendothelioma of liver?
a) It is a rare tumor
b) It is highly vascular
c) It involves both lobes of the liver
d)) In 50% cases it has extrahepatic spread.


8) All of the following have been used in management of Acute Pancreatitis except
a) Interleukin-10
b) Gabexate
c) Somatostatin
d) Peritoneal dialysis


9) Nealon's classification is used for
a) Acute pancreatitis
b) chronic pancreatitis
c) pseudocyst pancreas
d) alcoholic pancreatitis


10) Which of the following is not true regarding wandering spleen?
a) The spleen is attached to a long vascular pedicle without the usual mesenteric attachments.
b) Torsion and infarction of the spleen are common complications
c) There is congenital atresia of the dorsal mesogastrium in children
d) Splenectomy is required in all cases


11) Which of the following is not true for malignancy of Familial Adenomatous
Polyposis
a) Adrenals
b) Thyroid
c) Astrocytomas
d) Hepatoblastomas


12) In ulcerative coilitis with toxic megacolon lowest rate of recurrence is seen in
a) Complete proctocolectomy and Brook's ileostomy
b) Ileo rectal anastomoses
c) kock's pouch
d) Ileo anal pull through procedure


13) All are precancerous for carcinoma colon except
a. Crohn's disease
b. Bile acids
c. Fats
d. Carotene


14) Most Common malignancy of appendix is?
a) Carcinoid Tumor
b) Adenocarcinoma
c) Squmaous Cell carcinoma
d) MIxed Cellularity


15) In the classification of cholangiocarcinoma by site, Type II is
a) Confined to the common hepatic duct
b) Involve the bifurcation without involvement of secondary intrahepatic ducts
c) Tumors
extend into either the right or left secondary intrahepatic ducts, respectively.
d) Involve the secondary intrahepatic ducts on both sides.