VI TERM

GENERAL SURGERY & ORTHOPAEDICS (15 MARKS)

Duration – 30 min

MCQs —Tick the correct answer (0.5 Marks Each)

1.All are precancerous for colon cancer except?

a) Crohn's disease
b) Bile acids
c) Fats
d) Vit C

2. Which of the following is not a typical symptom of appendicitis?

a) Vomiting
b) Nausea
c) Fever
d) Hematochezia

3. 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

4. Most common site of gastric ulcer is?

a) Lesser curvature
b) Greater curvature stomach
c) Fundus of stomach
d) Antrum

5. Thyrotoxicosis is characterized by which of the following?

a) Weight gain
b) Proximal myopathy
c) Enopthalmos
d) Hypertrophy of the vascular elastic
lamina

6.Which is a feature of the submandibular duct?

a) Lies between mylohyoid and hyoglossus muscle
b) Is 10cm long
c) Develops from the endoderm
d) Is closely related to the facial nerve

7. A patient is suspected of having a haemolytic transfusion reaction. How should the

patient best be managed?
a) Removal of inessential foreign body
irritants (nasogastric tube, Foley’s
catheter)
b) Fluid restriction
c) 0.1M HCl infusion
d) Fluids and mannitol

8. Which of the following cells secrete intrinsic factor?

a) Goblet cells
b) Kupffer cells
c) Parietal cells
d) Chief (zymogenic) cells

9. Splenectomy increases susceptibility to which of the following organisms?

a) Streptococcus pyogenes
b) Schistosoma haematobium
c) Bacteroides fragilis
d) Neisseria meningitidis

10. Which statement is true for flow through a vessel or lumen?

a) It is inversely proportional to the pressure
head of flow
b) It is inversely proportional to the radius
c) It is directly proportional to the fourth
power of the radius
d) It is directly proportional to the viscosity
of blood passing through the tube

11. The oxygen–haemoglobin dissociation curve is shifted to the left by what?

a) An increase in Pco2
b) A fall in pH
c) Fetal haemoglobin
d) An increase in 2,3-DPG

12. Which of the following gastrointestinal fluids is richest in potassium?

a) Salivary
b) Pancreatic
c) Gastric
d) Bile

13. Bile salt reuptake principally occurs

where?
a) In the duodenum
b) In the jejenum
c) In the ileum
d) In the colon

14. The following changes occur at birth:

a) The left umbilical vein becomes the
ligamentum venosum
b) The urachus becomes the medial
umbilical ligament
c) The ligamentum arteriosum is a remnant
of the umbilical arteries
d) The vitellointestinal duct may persist as
a Meckel’s diverticulum

15. Which one of the following cranial nerves carries parasympathetic fbres?
a) V
b) IV
c) VI
d) III

16. Concerning the thyroid gland, which one of the following is correct?
a) Blood supply is through the internal
carotid and subclavian arteries
b) Embryologically starts out at the foramen
caecum of the tongue
c) Venous drainage is by way of the external
jugular vein
d) Produces thyroid stimulating hormone
(TSH)

17. With regard to the tongue:

a) All muscles of the tongue are innervated
via the hypoglossal nerve
b) Special taste sensation on the anterior
two-thirds of the tongue is through the
mandibular division of the trigeminal
nerve
c) It is composed of smooth musculature
d) Genioglossus muscle protrudes the
tongue

18. The spinal accessory nerve supplies which

of the following muscles?
a) Buccinator
b) Latissimus dorsi
c) Trapezius
d) Stylopharyngeus
19. With regard to blood clotting:
a) The haemostatic response comprises two
key events
b) Blood platelets have a small single-lobed
nucleus
c) The conversion of fbrinogen to fbrin is
catalysed by prothrombin
d) It is reversed by plasmin (fbrinolysin)

20. With regard to the spermatic cord:

a) It contains within it the ilioinguinal nerve
b) It contains the femoral branch of the
genitofemoral nerve
c) It is surrounded by two fascial coverings
d) It contains the pampiniform plexus

21. Deficiencies of which of the following factors usually predispose to thrombosis rather
than bleeding?
a) Factor V
b) Factor VIII
c) Factor IX
d) Factor XII

22. Which of the following veins empties into the left renal vein?
a) Hepatic
b) Left suprarenal
c) Right gonadal
d) Left phrenic

23. With regard to thyroxine:

a) The thyroid gland produces more T3
than T4
b) TRH directly results in thyroxine release
from the thyroid gland
c) Thyroxine promotes the growth and
development of the brain
d) Thyroxine decreases basal metabolic rate

24. Which one of the following hormones is secreted by the anterior pituitary?
A Testosterone
b) Oxytocin
c) Thyroid-stimulating hormone (TSH)
D Corticotropin-releasing hormone (CRH)

25. With regard to intestinal absorption:

A A greater volume of water is absorbed from the colon than from the small intestine
b) Gastric acid assists in the absorption of iron
c) Glucose is absorbed by a potassium cotransport mechanism
d) Vitamin B 12 is absorbed from the duodenum

26. Risk factors for developing osteoporosis

include:
a) Obesity
b) Low calcium intake
c) Late menopause
d) Excessive rigorous physical exercise

27. Which one of the following is the commonest malignant tumour of bone?
a) Chondroblastoma
b) Giant-cell tumour
c) Osteosarcoma
d) Secondary carcinoma/Mets

28. A man falls on an outstretched hand. X-rays indicate an anterior dislocation of

one of the carpal bones. Which carpal bone is most commonly dislocated?
a) Capitate
b) Lunate
c) Scaphoid
d) Trapezoid

29. With regard to the shoulder (glenohumeral) joint:

a) It is a ball-and-socket fbrocartilagenous joint
b) It has high mobility at the expense of stability
c) It is supported mainly by way of ligaments
d) It lies in close relation to the musculocutaneous nerve

30. During fracture healing, what type of bone makes up the provisional callus?
a) Cortical bone
b) Cancellous bone
c) Cartilage
d) Woven bone