42nd BCS VIVA Model Test – 08

1. Which hormone does not rise after trauma?
ACTH.
GH.
Adrenaline.
Cortisol.
Insulin.
2. Which of the following is a specific ulcer?
Ischemic ulcer.
Neuropathic ulcer.
Decubitus ulcer.
Tubercular ulcer.
Traumatic ulcer.
3. Which of following is false regarding tubercular ulcer?
Site: Neck, axilla, groin, mucosal surfaces.
Edge: Raised, rolling.
Discharge: Serous.
Floor: Pale/ apple gelly like granulation.
Base: Mildly indurated.
4. Common sites of pressure sore do not include?
Sacrum
Ischium
Greater trochanter
Heel
Shoulder.
5. Which of the following is false regarding ulcer in squamous cell CA?
Edge: Raised and Everted.
Floor: Greyish white slough, may bleed on touch.
Discharge: Serosanguinous or blood stained.
Base: Soft
Draining LN: May be enlarged and hard
6. Which ulcer edge vs cause pair is wrong?
Sloping: Healing and venous ulcer.
Punched out: Ischemic
Undermined: Tubercular
Raised and Rolled: Basal cell carcinoma.
Everted, heaped up: Peptic ulcer.
7. All of the following are acquired fistula except?
Perianal fistula.
Rectovesical fistula.
VVF.
Gastro-jejunocolic fistula
Tracheoesophageal fistula.
8. Which of the following is an acquired cyst?
Sebaceous cyst.
Dermoid cyst.
Cystic hygroma.
Branchial cyst.
Thyroglossal cyst.
9. All of the following causes gas gangrene, except?
Clostridium perfringes/welchii.
Clostridium histolyticum.
Clostridium botulinum.
Cl. Sordeli.
Cl. Septicum
10. All of the following are cause of reactionary hemorrhage except?
Tonsillectomy
Thyroidectomy
Haemorrhoidectomy
Prostetectomy
Appendicectomy
11. Which of the following is a colloid solution?
Ringer’s lactate.
Hartmann’s solution.
Haemacel.
5% Dextrose in NS.
5% DA.
12. Following are fluid and electrolyte changes seen in Gastric outlet obstruction, except?
Hypochloremia.
Hyponatremia.
Hypokalemia.
Hypocalcemia.
Metabolic acidosis.
13. Which of the following causes hypokalemia?
Renal failure.
DKA.
Metabolic acidosis.
Excessive Insulin injection.
Trauma.
14. Following are complications of massive transfusion, except?
Volume overload.
Coagulopathy.
Hypercalcemia.
Hypocalcemia.
Hypothermia.
15. According to Parkland formula 50% of required fluid is given within?
5 hours.
7 hours.
8 hours.
16 hours.
24 hours.
16. Burn in following areas commonly cause contraction except?
Over joints.
Eyelids.
Lips
Neck.
Posterior calf.
17. All of the following are respiratory complications of General anesthesia except?
Respiratory failure.
ARDS.
Pneumothorax.
Atelectasis.
Pulmonary hemorrhage.
18. What is the most common complication of spinal anaesthesia?
Headache.
Meningism & meningitis: Aseptic or bacterial.
Root damage: Pain, paresthesia, anesthesia, paralysis.
Cord damage.
Adhesive arachnoiditis.
19. All of the following are premalignant lesions of the tongue, except?
Leukoplakia.
Speckled leukoplakia.
Erythroplakia.
Chronic hyperplastic candidiasis.
Aphthous ulcer.
20. A 35-year-old presents with difficulty in swallowing, more for liquid. On Barium swallow > smooth tapering in the distal esophagus. What is the diagnosis?
Achalasia cardia.
CA esophagus.
Barret esophagus.
Esophageal stricture.
Fundal CA stomach.
21. 60-year-old patient presents with difficulty swallowing more for solids. His barium swallow shows irregular pattern in lower esophagus. What is the diagnosis?
Achalasia cardia.
CA esophagus.
Barret esophagus.
Esophageal stricture.
Fundal CA stomach.
22. a 24 y/o male comes with severe epigastric pain. O/E: patient has board like rigidity in abdomen. What is the next investigation you should do to diagnose this case?
Plain X Ray abdomen in erect posture with both domes of diaphragm.
X Ray KUB.
CT abdomen.
USG of W/A.
Endoscopy of upper GIT.
23. Findings of chest percussion in a suspected perforation case?
Normal percussion.
Hyperresonance.
Dullness over lower chest.
Obliteration of upper border of liver dullness.
Prominence of liver dullness.
24. 40 y/o male comes with Hx of fatigue, O/E he has severe anemia, malnutrition, there is an enlarged lymph node in left supraclavicular region, what is the diagnosis?
CA esophagus.
CA stomach.
CA colon.
CA pancreas.
RCC.
25. What’s is the best test to confirm the diagnosis of above-mentioned case?
Plain X Ray abdomen.
CT abdomen.
Endoscopy of upper GIT with biopsy and histopathological examination.
USG of abdomen.
PET CT.
26. A 30 y/o patient comes with Hx of abdominal pain, vomiting and distension, O/E > Abdominal swelling and hyperactive bowel sounds. What is the diagnosis?
Perforation.
Intestinal obstruction.
Appendicitis.
Cholecystitis.
Pancreatitis.
27. What is the next best investigation of the above mentioned patient?
USG of W/A
CT Abdomen.
Plain X Ray abdomen in AP view with erect posture if possible
Urine R/E
S. Lipase.
28. What is the most common cause of intestinal obstruction?
Benign stricture.
Malignant stricture.
Fecal impaction.
Bands and adhesions.
Volvulus.
29. Which worm impaction can lead to intestinal obstruction?
Taenia saginata.
Taenia solium.
Ascaris lumbricoides.
Ecchinococcus.
Wuchereria bancrofti.
30. What is the single most important risk factor of Buerger disease?
DM.
Hypertension.
CKD.
IHD
Smoking.
31. 50 y/o patient presents with severe weakness. o/e there is severe anemia + koilonychia + a 5x4cm lump in RIF. What is the provisional diagnosis?
Appendicular lump.
CA caecum.
CA pancreas
Ulcerative colitis.
IBS.
32. 16 y/o male with pain in central abdomen, 2 hours later pain localized in RIF. O/E there is rebound tenderness. Urine R/E shows pus cell. What is the diagnosis?
Acute PUD.
Cholecystitis.
Acute appendicitis.
Pancreatitis.
UTI.
33. Which sign suggest peritonitis in a patient with acute appendicitis?
McBurney’s point tenderness.
Rebound tenderness.
Rovsing’s sign.
Psoas sign.
Obturator sign
34. a 30 male comes with long term history of severe constipation. He passed very hard stool. Now he has pain during defecation and fearful of going to toilet. He also passed streaks of blood around stool. What is the likely diagnosis?
Hemorrhoids.
CA rectum.
CA anal canal.
Anal fissure.
Fistula in ano.
35. What is the appropriate surgical management of the above-mentioned patient?
Medial internal anal sphincterotomy.
Lateral internal anal sphincterotomy.
Lateral external anal sphincterotomy.
Removal of Hemorrhoids.
Medial external anal sphincterotomy.
36. 50 y/o man comes with history of fresh per rectal bleeding for 1 month, tenesemus, weight loss and abdominal swelling. What is the most likely diagnosis?
CA rectum.
Hemorrhoids.
Anal fissure.
Crohn’s disease.
IBS.
37. What is the best investigation to confirm the diagnosis of the above patient?
Proctoscopy.
Sigmoidoscopy.
Colonoscopy.
CT abdomen.
USG of W/A.
38. 40-year-old obese women with 5 kids came with hx of colicky pain in upper abdomen. Pain is more after taking fatty food. She also has jaundice. What is the likely diagnosis?
Acute cholecystitis.
Chronic cholecysititis.
Chronic cholecystitis with choledocolithiasis.
PUD.
Pancreatitis.
39. What should be first investigation of the above-mentioned patient?
CT abdomen.
Endoscopy of upper git.
S. lipase.
USG of Hepatobiliary system and pancreas.
HIDA scan.
40. 45 y/o man with epigastric pain, vomiting > O/E there is epigastric tenderness >> BP >> 90/60 mm Hg. There is discoloration around umbilicus and flank. What is the most likely diagnosis?
PUD.
Cholecystitis.
Inferior MI.
Acute pancreatitis.
Perforation.
41. What is the most specific investigation in the above-mentioned patient?
Endoscopy
Abdominal x ray
S Amylase.
S lipase
Troponin I.
42. 50 y/o Hx of smoking comes with hematuria without pain. He has High BP, eyes are congested. O/E there is a lump in loin. What is the likely diagnosis?
UTI.
CA prostate
Renal cell carcinoma.
TB of urinary tract.
Anticoagulant use.
43. 20 y/o medical student comes with painful hematuria. He has pain in his loin that radiates to scrotal region. What is the likely diagnosis?
Renal stone only.
Ureteric stone.
UTI.
Pyelonephritis.
AGN.
44. Which of the following is the most sensitive investigation to diagnose the above-mentioned case?
USG.
X Ray KUB.
CT abdomen with contrast.
Urine R/E.
Urine C/S.
45. What is the commonest cause of bladder outlet obstruction?
Bladder stone.
Blood clots.
Bladder cancer.
Benign prostatic hyperplasia.
Posterior urethral valve.
46. Which of the following is a storage symptom of BPH?
Hesitancy.
Poor flow.
Urgency.
Intermittent stream.
Sensation of poor bladder emptying.
47. All of the following are indications of prostatectomy except?
Complications of BOO: Stone, infection, diverticulum formation.
Hemorrhage.
Severe symptoms.
Flow rate <10ml/s.
PVR >30ml
48. Which of the following is a type of congenital hydrocele?
Trauma.
Tumor.
TB.
Hydrocele of the cord.
Torsion.
49. Which goiter cause fibrosis?
Simple goiter.
Multinodular goiter.
Riedel’s thyroiditis.
De Quervain’s thyroiditis.
Pyogenic thyroiditis.
50. A 45-year-old women presents with weakness, cold intolerance and weight gain. What is the most likely investigation findings?
High TSH.
High T4.
High cortisol
High Growth hormone level.
Normal TSH.
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