Surgery

Question 1

Which ca history predisposes to breast ca in female?

Answer 1

Ovarian ca

Endometrial ca

Question 2

Mc histological type of breast ca

Answer 2

AdenoCA

Question 3

Mc histological subtype of breast ca

Answer 3

Invasive ductal ca

Question 4

Least common subtype of breast ca

Answer 4

Papillary ca of breast

Question 5

Most malignant and worst prognosis of breast ca

Answer 5

Inflammatory breast ca

Question 6

Least malignant and best prognosis of breast ca

Answer 6

Tubular ca of breast

Question 7

Simple/total mastectomy

Answer 7

En block removal of all tissue

Question 8

Extended mastectomy

Answer 8

Simple mastectomy + removal of level 1 LN

Question 9

Modified radical mastectomy

Answer 9

Total mastectomy + Level 1 + 2 LN removal

Question 10

Extended radical mastectomy

Answer 10

Radical mastectomy + Internal mammary LN removal

Question 11

Super radical mastectomy

Answer 11

Radical mastectomy + Removal of supraclavicular LN+ Internal mammary lN+ Mediastinal ln removal

Question 12

Eczamatous eruption of nipple + Cea +ve

Answer 12

Paget’s disease of nipple

Question 13

Eczamatous eruption of nipple + s100 +ve

Answer 13

Melanoma

Question 14

Vessel involved in Mondor’s disease

Answer 14

Lateral thoracic vein

Question 15

Thyroglossal cyst and hashimoto thyroiditis increases risk of which thyroid ca?

Answer 15

Papillary thyroid ca

Question 16

3 limitations of fnac in thyroid surgery case?

Answer 16

Can’t differentiate between follicular adenoma and ca
Reidels thyroiditis
Thyroid lymphoma

Question 17

Mcc of hypothyroidism

Answer 17

Hashimoto’s thyroiditis

Question 18

Mcc of hyperthyroidism

Answer 18

Grave’s disease

Question 19

Anti thyroid doc for grave’s disease

Answer 19

Methimazol

Question 20

Anti thyroid doc for grave’s disease in pregnancy

Answer 20

Carbimazol

Question 21

Anti thyroid doc for grave’s disease during thyrotoxic crisis

Answer 21

PTU

Question 22

Mc thyroid malignancy

Answer 22

Papillary thyroid ca

Question 23

Mc thyroid ca in iodine deficient area

Answer 23

Follicular thyroid ca

Question 24

Mc thyroid ca in long standing history of goitre

Answer 24

Follicular thyroid ca

Question 25

Accidental removal of PT gland is re implanted in which muscle?

Answer 25

SCM

Question 26

In Parathyroidectomy in PT hyperplasia, 1/2 gland is re implanted in which muscle?

Answer 26

Brachioradialis of non dominant arm

Question 27

Mc nerve damaged in thyroidectomy

Answer 27

Ext branch of superior laryngeal nerve aka external laryngeal nerve

Question 28

Venous drainage of caudate lobe of liver

Answer 28

Directly into IVC

Question 29

On endoscopy, the narrowing which is found at 15cm from upper incisor is?

Answer 29

Cricopharynx

Question 30

On endoscopy, the narrowing which is found at 25cm from upper incisor is?

Answer 30

Arch of aorta | Left bronchus

Question 31

On endoscopy, the narrowing which is found at 40cm from upper incisor is?

Answer 31

Diaphragm

Question 32

Left sided Posterolateral esophageal hernia

Answer 32

Bochdalek hernia

Question 33

Tight sided/ retrosternal hernia

Answer 33

Morgagni hernia

Question 34

3 muscle fibres which makes the upper esophageal sphincter?

Answer 34

Oblique fibres of thyropharyngeal Transverse fibres of cricopharyngeus Longitudinal muscles of esophagus

Question 35

Dehiscence between the fibres of thyropharyngeal and cricopharyngeal muscles

Answer 35

Killian’s dehiscene

Question 36

Dehiscence below and lateral to cricopharyngeaus

Answer 36

Killian jamieson area

Question 37

Dehiscene below cricopharyngeaus

Answer 37

Laimers dehiscene

Question 38

Esophageal diverticula/herniation in killian area causes

Answer 38

Zenker’s diverticulum

Question 39

Esophageal diverticula/herniation in killian jamieson area causes

Answer 39

Killian jamieson diverticulum

Question 40

Only one True diverticulum

Answer 40

Traction/ mid esophageal diverticulum

Question 41

False diverticulum

Answer 41

Zenker’s diverticulum | Epiphrenic diverticulum

Question 42

Barret’s esophagus metaplasia description

Answer 42

Stratified squamous epithelium is replaced by intestinal columnar cells with goblet cells

Question 43

Which serology marker is specific for ulcerative colitis?

Answer 43

P-ANCA

Question 44

Which serology marker is specific for Crohn’s disease?

Answer 44

ASCA

Question 45

If the defect is in deep ring in hernia, then it a pathology of?

Answer 45

Fascia transversalis

Question 46

Sac of indirect inguinal hernia enters via which ring?

Answer 46

Deep ring

Question 47

Boundaries of hesselbach triangle? | Lateral medial inferior

Answer 47

Lateral- Inferior epigastric artery Medial- Lateral border of rectus abdominus Inferiorly- Inguinal ligament

Question 48

Relation of sac with the spermatic cord in direct inguinal hernia?

Answer 48

Sac is posterior to spermatic cord

Question 49

Relation of sac with the spermatic cord in indirect inguinal hernia?

Answer 49

Sac is Anterolateral to spermatic cord

Question 50

Relation of neck of sac In inguinal hernia?

Answer 50

Sac is above and medial to pubic tubercle

Question 51

Relation of neck of sac In femoral hernia?

Answer 51

Sac is below and lateral to pubic tubercle

Question 52

Antibody involved in primary biliary cirrhosis?

Answer 52

Anti mitochondrial antibody

Question 53

Antibody involved in hashimoto thyroiditis?

Answer 53

Anti tpo

Question 54

Antibody involved in graves disease?

Answer 54

Thyroid stimulating ab- anti TSH receptor

Question 55

Which pancreatic enzyme is more specific for diagnosis of acute pancreatitis?

Answer 55

Lipase