General Surgery #10

1. Better levels of factor VIII are achieved by infusion of:

Fresh frozen plasma

Desmopressin

Cryoprecipitate

Fresh blood

Question 1 of 20

2. In traumatic cases, shock is most likely due to

Head injury

Septicemia

Cardiac failure

Injury to intra-abdominal solid organ

Question 2 of 20

3. If surgery is to be carried in s haemophilic patient his factor VIII should be raised at least up to:

20-40 %

2-20 %

50-70 %

Question 3 of 20

4. A 5 yr old child was administered local anesthesia for upper right deciduous central incisor. Following injection, the child started crying, complained of burning sensation in the eye on the same side and swelling in the lower eyelid. What is the most probable reason

Caused due to preservative in LA, it will settle on its own

Uncertain course of the middle superior alveolar nerve

Routine crying, no need to worry

LA reached the lower eyelid after diffusing through infraorbital foramen

Question 4 of 20

5. Prolonged QT interval with inverted T wave is a characteristic feature of

Hypokalemia

Hypocalcemia

Hyponatremia

Hypercalcemia

Question 5 of 20

6. Which is best method for supplementing nutrition in patients, who have undergone massive resection of the small intestine is

Parenteral

All of the above

Enteral

Gastrostomy

Question 6 of 20

7. Discontinuity of an epithelial surface Is seen in

Ulcer

None

Fistula

Sinus

Question 7 of 20

8. After removal of the Parotid gland, patient is having sweating on cheeks while eating. In this complication seen after parotidectomy, the auriculotemporal nerve which contains parasympathetic secretomotor fibres to parotid gland is fused with which nerve?

Greater petrosal nerve

Facial nerve

Great auricular nerve

Buccal nerve

Question 8 of 20

9. Phantom pain is seen in patients of

Billiary colic

Acute appendicitis

Amputation

Renal colic

Question 9 of 20

10. Bed sore is an example of

Venous ulcer

Trophic ulcer

Tropical ulcer

Post-thrombotic ulcer

Question 10 of 20

11. Antibiotic prophylactic regimens are suggested before vascular surgery to counteract which of the following microorganisms

Streptococcus viridans

Bacteroides streptococci

Staphylococcus epidermidis

Staphylococcus aureus

Question 11 of 20

12. Which of the following are colloids

Albumin

Physiological saline

Ringer lactate

Dextrose saline

Question 12 of 20

13. A 25 year old male with roadside accident underwent debridement and reduction of fractured both bones right forearm under axillary block. On the second postoperative day the patient complained of persistent numbness and paresthesia in the right forearm and hand. The commonest cause of this neurological dysfunction could be all of the following except

Systemic toxicity of local anaesthetics

acerated nerves

A tight cast or dressing

Crush injury to the hand and

Question 13 of 20

14. In Haemorrhagic shock, hypotension occurs when blood loss is more than

10%-15%

30%-40%

more than 40%

15%-30%

Question 14 of 20

15. Anesthetic agent with vasoconstrictor is contraindicated in?

Epidural block

Finger block

Spinal block

Regional anesthesia

Question 15 of 20

16. Most common mode of spread to cervical lymphnode in TB is

None

Lymphogenic

Contact

Hematogenous

Question 16 of 20

17. Which of the following grading methods is used to evaluate the prognosis / outcome after subarachnoid hemorrhage

Glasgow Coma Scale

Hess and Hunt Scale

Intracerebral Hemorrhage score

Glasgow - Blatchford Bleeding score

Question 17 of 20

18. In extradural hematoma patient presents with

Rapid pulse and normal BP.

Slow bounding pulse and falling BP.

Rapid thready pulse and falling BP.

Slow bounding pulse and rising BP.

Question 18 of 20

19. The treatment of choice for nasopharyngeal carcinoma is

Radiotherapy alone

Surgery alone

Chemotherapy alone

Radiotherapy & surgery

Question 19 of 20

20. In Glasgow coma scale, rating is given to patient on the basis of his level of consciousness. The minimum score that can be given is:

Question 20 of 20