WorksheetsSurgical Knowledge Quiz
Total questions: 50
Worksheet time: 25mins
A 35 y/man is admitted with SBP of 60 mmHg and HR of 150 bpm following a gunshot wound to the liver. What is the effect on the kidneys?
They undergo further ischemia if hypothermia is present
They can become damaged ,even though urine output exceeds 1500 ml/d
They are affected and cause an increased creatinine clearance
They are prevented from further damage by a vasopressor.
Carrels triangle is used in
Bowel anastomosis
Tendon repair
Vascular anastomosis
Nerve repair
In a pre op patient check list, which of the following is not needed?
oral consent
doctor’s signature
site marking
antibiotic prophylaxis
"Howship-Romberg" sign suggest
Lumbar hernia
Femoral Hernia
Para-vesical Hernia
Obturator Hernia
Milan’s criteria is used for
Kidney transplant
Lung transplant
Liver transplant
Heart transplant
Following TPN, one can expects weight gain after
2 days
7 days
10-15th day
6 weeks
Psammoma bodies are not seen in
Papillary Ca
Meningioma
Serous cystadenoma
Medullary Ca
Layer which are penetrated with trocar and cannula in production of pneumoperitoneum
skin and superficial fascia
Rectus abdominis
Transverses abdominis
Rectus sheath
Which aggressive subtype of melanoma is characterized by an early vertical growth pattern, often leading to later-stage diagnosis?
Superficial spreading
Lentigo maligna
Nodular
Acral lentiginous
What is the minimum number of regional lymph nodes that should be removed and tested in gastrectomy specimen for gastric cancer as per NCCN guideline?
8
12
16
30
Fournier’s gangrene of scrotum is caused by all except
Clostridia
Coliforms
Bacteroids
Peptostreptococci
Mismatched blood transfusion in anesthesized patient presents as
Hyperthermia and Hypertension
Hypotension and Bleeding from site of wound
Bradycardia and Hypertension
Tachycardia and Hypertension
Which of the following is not a concepts/theory of breast carcinoma ?
Halstedian concept
Fischer concept of systemic disease
Hell man spectrum theory
QUART theory of Veronessi
Which of the following gives the severity of pancreatitis ?
Modified atlantas classification
CT severity index
Ransons Criteria
APACHE scorings
Courvoisier’s law states that:
A palpable gallbladder in jaundice is due to gallstones
A tender gallbladder in jaundice is likely cancer
A palpable, non-tender gallbladder with jaundice suggests malignancy
A palpable liver with jaundice indicates hepatitis
Which bacteria is involved in aetiology of gastric cancer
CagA-VacAS2m2 H.pylori
Pseudomonas aeruginosa
Streptococcus gastrolyticus
CagA + VaCAs1m1 H.pylori
how much Botox is required in complex AWR?
100 units
300 units
400 units
600 units
Which acid–base disorder is commonly associated with hypokalemia in surgical patients?
Metabolic acidosis
Respiratory acidosis
Lactic acidosis
Metabolic alkalosis
Middle rectal valve corresponds to?
Rectosigmoid junction
Anterior peritoneal reflection
Anorectal junction
None of the above
Name of lower rectal cancer classification?
Duke’s classification
Japanese classification
Mercury classification
Rullier’s classification
A patient receiving chemotherapy develops hemorrhagic cystitis. Which drug is responsible and what is the antidote?
Ifosfamide – Mesna
Cyclophosphamide – Mesna
Cisplatin – Amifostine
Doxorubicin – Dexrazoxane
Allograft represents graft from
Identical twins
Within the body
Within the same species
From animals
Cadaveric transplant represents
Organs from dead people.
Organs from cardiac arrest people.
Organs from cancer patients.
Organs retrieved from brain death patients.
What is the single most important factor determining management of solid organ injury in abdominal trauma?
Grade of injury on CT scan
Hemodynamic stability
Mechanism of injury
Associated injuries
The most common cause of delayed extraluminal postpancreatectomy haemorrhage is bleeding from
Superior pancreaticoduodenal artery
Inferior pancreaticoduodenal artery
Gastroduodenal artery
transected pancreatic margins
During laparoscopic Heller myotomy, the minimum recommended distal extension of myotomy onto the stomach is:
1 cm
2 cm
3 cm
5 cm
Which of the following is considered a "Red Flag" or "Stopping Rule" during dissection in Calot's triangle?
Seeing a single artery entering the gallbladder.
Visualizing three or more tubular structures entering the gallbladder.
Finding the cystic lymph node (Mascaigni’s node).
Exposing the inferior edge of the liver.
Which breast cancer subtype is most likely to present as LABC despite screening programs?
Luminal A
HER2-positive
Triple-negative breast cancer
Low-grade DCIS
When the Critical View of Safety (CVS) cannot be safely achieved due to severe inflammation or fibrosis, what is the suggested SAGES "bailout" strategy?
"Fundus-first" (top-down) total cholecystectomy.
Routine clipping of the largest visible tubular structure.
Subtotal cholecystectomy or cholecystostomy tube placement.
Immediate blind application of clips to control bleeding.
Which of the following reporting system of complications takes all the complications into consideration?
International Study group on Pancreatic Surgery
Clavien-Dindo Grading system
Accordion Grading system
Comprehensive Complication Index
Mortality among patients with Grade C POPF reported in literature is
20%
30%
40%
50%
Which scenario most favors POEM over laparoscopic Heller myotomy?
Young patient with Type II achalasia
Elderly patient with severe GERD
Patient with Type III (spastic) achalasia
Patient with sigmoid esophagus
Which of the following best defines Locally Advanced Breast Cancer (LABC)?
Tumor size ≤2 cm with mobile axillary lymph nodes
Stage III breast cancer without distant metastasis
Any breast cancer requiring neoadjuvant chemotherapy
Inflammatory breast cancer only
The most common risk factor for development of delayed gastric emptying after pancreatic resection is
Type of Pancreaticoenteric anastomosis
Intraoperative blood loss
Development of postoperative pancreatic fistula
Male sex
Which of the following is a feature of keloid?
Collagen fibres are randomly arranged
Type IV collagen dominates
Lesion with healthy margin removed
Steroid is very useful
A 40 y/m with a 20 – year history of UC presents to the physician with progressive fatigue, pruritis. ERCP shows alternating strictures and dilatations of the bile ducts. Which of the following condition is consistent with these ERCP findings?
Cholelithiasis
Pancreatic ca
Primary biliary chirrhosis
Primary scleorsing cholangitis
Most common genetic mutation in ca pancreas?
KRAS
SPINK-10
P-16
P-53
In posterior component separation, which structure do we divide first?
transversus abdominis muscle
internal oblique muscle (IOM)
anterior lamella of IOM
posterior lamella of IOM
which endoscopic feature favours TB over Crohn's?
Longitudinal Ulcers
transverse ulcers with patulous IC valve
psudopolyps
apthous ulcers
Gold standard investigation for recurrent gastrointestinal stromal tumor is
MRi
MIBG
PET-CT
Tyrosine kinase receptor evaluation
Incidence of pouchitis in patients treated for ulcerative colitits with IPAA is
7-33%
6-8%
18-56%
<7%
In cholangiography CBD stone appears as
Meniscus sign
Mercedes sign
Cut off sign
Spaghetti sign
Saint's Triad does not include
Hiatus hernia
Colonic diverticule
Gall stones
Peptic ulcer
Drainage procedures in chronic pancreatitis among the following are
Berger procedure
Frey’s procedure
Duval procedure
Warren’s procedure
Following are the maneuvers for retroperitoneal exposure
Phillip’s maneuvers
Cattle-Brasch Manoeuvres
Denish-Brown manoeuvres
Haggits Maneuvers
Genetic mutation most commonly found in sporadic colon cancer is
BRCA1
APC gene
Her2/Neu
EGFR
reduced liver transplants:
given to two recipients after dividing into two parts
left lateral lobe divided and given to child
left lateral segment divided from segment 2 & given to child
part of liver segment transplanted into recipient depending upon requirement
which of the following metastasis appears hypoechoie on USG?
Breast ca
RCC
NET
Mucinous adenocarcinoma
40-year-old patient with a high-output ileostomy presents with dehydration. ABG shows metabolic acidosis with normal anion gap. What is the cause?
Lactic acidosis
Renal failure
Loss of bicarbonate
Respiratory compensation
A 35-year-old patient underwent two sessions of pneumatic dilatation for achalasia. He presents with persistent dysphagia after 1 year. Next best management?
Repeat pneumatic dilatation with larger balloon
Botulinum toxin injection
Laparoscopic Heller myotomy
Esophagectomy
