High Ranked Surgery SEQ’s & MCQ’s
UNITS ANNUAL
Meckel , diverticulum,
2007 SUPPLY
peritonitis TB intestine,IBD, stomas + previous Qs,model paper 2007
2007 5.LOWER GIT ANNUAL A.PERITONIUM 2008 SUPPLY B.APPENDIX 2008 ANNUAL 2009 1.MUSCULOSKELETAL
C.HERNIA appendicectomy procedure acute intususception inguinal hernioraphy hemorrhoid fistula, rectal CA, FISTULECTOMY , hernias+ previous Qs,model paper 2007
Midshaft fracture femur colles fracture Fracture radius n ulna Supracondyler fracture of child Hip,shoulder dislocation fracture of tibia,fibula, shaft humerous,neck femur+ previous Qs,model paper 2007
6.URINARY SYSTEM
2.UPPER GIT
7.GENITAL SYSTEM
A.STOMACH
rupture of bulbous urethera circumcision bulbous urethera rupture stricture of urethera testis, scrotum previous Qs,model paper 2007
B.ESOPHAGUS Achlasia GERD complication, Peptic ulcer parforation, esophagus perforation CA esophagus ,stomach, motility disorders esophagus+ previous Qs,model paper 2007 3.UPPER GIT A.LIVER B.GALL BLADDER
Wilms tumor BPH C/F, Renal cell CA , renal cell CA , Ureter, urinary bladder, renal stone,TVP, previous Qs,model paper 2007
8. HEAD NECK TB neck salivery gland tumor classify MNG etiology, patho Tracheostomy procedure Salivery gland, parathyroid, adrenal, parotidectomy+ previous Qs,model paper 2007 9. THOAX Chest intubation procedure flial chest Tension pneumothorax CA lung,tumor of lung, classify mediastinal tumors+ previous Qs,model paper 2007
C.SPLEEN D.PANCREAS gallstone complication liver abcess choledocholithiasis gastritis , spleen ,pancreas+ previous Qs,model paper 2007
10. BREAST CA breast incision drainage of breast abscess procedure Fibroadenoma Acute mastitis MRM, breast tumor clasify + previous Qs,model paper 2007
4.LOWER GIT
11, NERVOUS YSTEM
A.SMALL INTESTINE
A.NERVE
B.LARGE INTESTINE
B.SPINE
C.PERITONIUM Annal fissure CA rectum, Intestinal obstruction, CA colon
C.BRAIN
Raheel Khan Final year MBBS Quaid-e-Azam Medical College Bahwalpur (www.xraheel.20m.com)
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High Ranked Surgery SEQ’s & MCQ’s
Extradural hematoma radial nerve injury (compartment syndrome)
SCARS Trauma ,general Qs accident , general Qs ALTS RTA e multiple laceration
Disc prolapse Spine, nerve,brain, related general Qs+ previous Qs,model paper 2007
( wound) Tisue repair,scars, missile injurie , +repeat Qs, model paper2007
12. HEART, GREAT VESSEL Mitral stenosis surgical option trriple vessel disease surgical option CPB Popliteal artery embolism
3.BLOOD TRANSFUSION
(acute ischemia of lower limb) MI risk factors, cardiac temponade+ previous Qs,model paper 2007
FLUID E/L BALANCE Fluid E/L, acid base balance,(acute intestinal obstruction) hypovolemic shock BLOOD TRANSFUSION (name infection) Fluid E/L, (pylorostenosis) Shock general Qs+ repeat Qs, model paper2007
13. ORODENTAL (MAXILOFACIAL) Mandibular fracture RX D/D of bony cyst at angle of mandible TongueCA leukoplakia Maxillary fracture, dental abnormalities, cleft palat,lip+ previous Qs,model paper 2007 SURGERY PAPER 1
SHOCK,
4.NUTRITION TPN monitoring TPN monitoring Tota enteral feeding TPN complication repeat Qs, model paper2007 5.SURGICAL n SPECIAL INFECTION, STERILE PRECAUTION Gas gangrene tetanus HIV precaution sterilization surgical infection + repeat Qs, model paper2007
UNITS ANNUAL 6.ARTERIAL, LYMPHATICS, 2007 SUPPLY 2007 ANNUAL
VENOUS DIORERS Acute arterial occlusion femoral artery laceration Varicose vein fliariasis DVT, repeat Qs, model paper2007gangrene,
2008 SUPPLY 7.TUMOUR, 2008 ANNUAL BURNS, 2009 CYST INUS , 1. ANATOMY Anatomical structure of thyroidectomy Anatomical structure of pyelolithotomy Anatomical structure of cholecystectomy arteries ligated during total gastrectomy Spleenectomy, appendectomy, hernioplasty, , ,incision related Qs, +repeat Qs, model paper2007 2.ACCIDENTS, WARFARE WOUNDS,
ULCER , SKIN LESION, GRAFTNG Burn general Qs squamous cell CA Basal cell CA diabetic ulcer Sinus,cyst ,grafting, malignant melanoma+ repeat Qs, model paper2007 8.RADIOLOGY Endoscopic ultrasound rt.illiac fossa mass radiological investigation Radionucleide scan CT SCAN ERCP, nephrostomy tube+ repeat Qs, model paper2007
TISSUE REPAIR, 9.ANESTHESIA Raheel Khan Final year MBBS Quaid-e-Azam Medical College Bahwalpur (www.xraheel.20m.com)
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High Ranked Surgery SEQ’s & MCQ’s
PRE OP PREP POST OP PREP Anesthesia types post operation generel Qs Regional anesthesia types steps of general ansthesia Pre/post OP preperation + repeat Qs, model paper2007
• 7.IN SHOULDER DISLOCATION WHICH IS MOST COMMON DISLOCATION=ANT.DISLOCATION • 8.A FRACTURE IN WHICH ONE SIDE IS BROKEN OTHER IS BENT ,IT IS CALLED=GREN STICK FRACTURE
10.ONCOLOGY CHEMOTHERAPY
• 9.PT WITH L4,5 DISC PROLAPSE RX IS =MICRODISECTOY
RADIOTHERAPY Side effects of radiotherapy Chemotherapy side effect Brachy radiotherapy complication of radiotherapy General Qs+ + repeat Qs, model paper2007
• 10.PT WITH UNCONSCIOUNESS N COMES IN EMERGENCY N GETS CONSCIOUNESS THIS IS DIAGNOSTIC SIGN OF=EXTRADURAL HEMATOMA
MCQs of SURGERY PAPER 1, 11
• 11.PT 70YR OLD WITH BPH MOST COMMON LOCATION OF BPH IS =CENTRAL OR TRANSITIONAL ZONE
• 1-.A NEWLY RECRUITED INFANTARY MAN CARIES FULLY LADEN ROOT MARCHE,IN THIS MAN WHICH TYPE O FRACTURE OCCUR=STRESS FRACTURES • 2-.A PT.INJURES FROM FALL ON OUTSTRETCHED HAND IN COLLE'S FRACTURE,WHICH TYPE OF DEFORMITY OCCUR= DINNER DEFORMITY
• 12.PT 70 YR WITH HARD IRREGULAR N HETEROGENOUS MASS ON PR OF PT,IT IS DIAGNOSIS OF=PROSTATIC CARCINOMA • 13.DIAGNOSTIC TEST FOR PROSTATIC CARCINOMA IS=TRANSRECTAL ULTRASOUND N BIOPSY • 14.BEST AGE FOR THE CLEFT LIP OF PT IS=3 MONTH OR 3-6 MONTH
• • 3-.PT.HAS TENDERNESS AT ANATOMICAL SNUFBOX,WHICH TYPE OF INJURY RESULT FROM FALL ON OUT STRETCH HAND=FRACTURE OF SCAPHOID
• 15.MOST COMMON MALIGNANT TUMOR OF PAROTID IS =MUCOEPIDERMOID • 16.MOST COMMON BENIGN TUMOR OF PAROTID IS =PLEOMORPHIC ADENOMA
• • 4.IN EXTRACAPSULAR NECK FEMUR FRACTURE HAS TWO PART INTERTROCHANTERIC FRACTURE,WHAT IS THE TREATMENT OF CHOICE=INTERNAL FIXATION N DYNAMIC HIP SCREW
• 17.MOST COMMON LUNG CARCINOMA IS=ADENO CARCINOMA
• 5.PT. HAS SUNRAY APPEARANCE ON RADIOGRAPH, IT IS THE DIAGNOSTIC SIGN OF=OSTEOSARCOMA
• 19.RX OF CHOICE OF PEPTIC ULCER IS =PPI
• 6.PT PRESENT WITH DISCHARGING SINUS ALONG WITH SEQUESTRUM AFTER RX OF QUACK,IT IS THE DIAGNOSTIC SIGN OF=CH.OSTEOMLITIS
• 18.MOST COMMON WORLDWIDE CARCINOMA OF ESOPHAGUS IS=SQUAMOUS CELL CARCINOMA
• 20.DIAGNOSTIC INVESTIGATION FOR PEPTIC ULCER IS=ENDOSCOPY • 21.PT TAKING ASPRIN FOR LONG TIME FOR OSTEOARTHRITIS ,WHICH TYPE OF
Raheel Khan Final year MBBS Quaid-e-Azam Medical College Bahwalpur (www.xraheel.20m.com)
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High Ranked Surgery SEQ’s & MCQ’s
ULCER IS MOST COMMON IH HTIS VARIETY=GASTRIC ULCER • 22.MOST COMMON PEPTIC ULCER PERFORATION IS =DUODENAL ULCER • 23.BEST ANTIBIOTIC FOR H.PYLORI IN PEPTIC ULCER IS =CLARITHROMYCIN • 24.PT 70 YR MASS IN LIVER,LFT RAISED ALPHE FETO PROTEIN ALSO RAISED ,WHICH TYPE OF TUMOR =HCC • 25.ABSOLUTE INDICATION FOR SPLEENECTOMY IS =TRAUMA • 26.IN SPLEENECTOMY PT MAY BENEFIT IN =ITP • 27,PT CT SCAN SHOWING FLOOTING MEMBRANE IS DAIGNOSTIC FOR =HYDATID LIVER DISEASE • 28.IN SPLEENECTOMY WHICH OF ORGAN IS MOST IMP TO PRESERVE=TAIL OF PANCREAS • 29.IN POST OPERATIVE SPLEENECTOMY WHICH IS MOST COMMON COMPICATION=DM • 30.MOST COMMON CAUSE OF ACUTE PANCREATITIS=GALL STONES • 31.INDICATION FOR SURGERY IN ACUTE PANCREATITIS IS=INFECTED NECROSIS • 32.IN HURSHSPRUNG DISEASE ,WHICH IS TRUE=ABSENCE OF MYENTERIC PLEXES IN DISTAL HIND GUT • 33.WHICH IS TRUE FOR CARCINOID TUMOR=APUDOMA • 34,IF CARCINOID TUMOR SIZE IS LESS THAN 2 CM RX OF CHOICE IS=APPENDISECTOMY • 35.IF TUMOR SIZE IS MORE TAHN 2CM, THEN OPTION IS =RIGHT HEMICOLECTOMY
• 36.A PT WITH CARCINOID TUMOR HAVING SIZE THAN 2CM,UNDERGO APPENDISECTOMY WHICH IS TRUE=NOTHIG DONE • 37.MOST COMMON CAUSE OF INTESTINAL OBSTRUCTION IS=TB THEN ADHESION N BANDS • 38.IN 2ND DEGREE HAMORRHOIDS RX OF CHOICE IS BAND LIGATION • 39.MEDICAL RX OF CHOICE IN VARICEAL HEMORRHAGE IS =OCTREOTIDE • 40.MOST COMMON ABCESS IS=PELVIC ABCESS • 41.PT WITH PELVIC FRACTURE MOST COMMON URETHRAL INJURY IS =MEMBRANOUS URETHERA • 42.MOST COMMON INDICATION FOR CIRCUMCISION IS=RELIGIOUS • 43.PT HAS SCROTAL SWELLING WITH BAG OF WORM IS=VARICOCELE • 44.PT WITH BASE OF SKULL FRACTURE THAT SEPARATES FROM THE FACIAL SKELETON IS=LEOFORT3 • 45.PT WITH BASE OF SKULL FRACTURE THAT SEPARATES PALATE FROM ALVEOLUS IS=LEOFORT1 • 46.INTERNAL MAMMARY ARTERY IS USED FOR LONG TERM SURVIVAL IN CABG • 47.RX OF CHOICE IN NONINVASIVE BLADER CARCINOMA IS =INTRAVASICAL CHEMOTHERAPY • 48.RX OF CHOICE IN INVASIVE BLADER CARCINOMA IS =RADIAL CYSTECTOMY • 49.BEST MANAGEMENT FOR THE RESISTANT EMPYEMA OF THORAX IS=DECORTICATION
Raheel Khan Final year MBBS Quaid-e-Azam Medical College Bahwalpur (www.xraheel.20m.com)
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High Ranked Surgery SEQ’s & MCQ’s
• 50.MOST COMMON COMPLICATION OF GALLSTONE IS =CARCINOMA. • 51.WHICH ELECTROLYTE IS USED AS CARDIOPLEGIC AGENT IN CABG IS=K • 52.A BODYBUILDER USED STEROID ,MOST COMMON CAUSE OF GYNACOMASTIA IS HORMONAL • 53.IN WHICH TECHNIQUE WE CANT INTER PLEURAL SPACE FOR ESOPHAGEAL CARCINOMA RX=TRANSHIATAL • 54.X.RAY ABDOMEN SHOWS GALLBLADER STONE ONLY 10% • 55.RX OF CHOICE FOR CHOLANGITIS IS DRAINAGE
• 65,PT WITH BREAST CARCINOMA HAVE AFRACTURE OF BONE ,WHICH TYPE OF FRACTURE IS=PATHOLOGICAL FRACTURE • 66.MCQ GIVEN FROM CASE OF • 67.ADENO CARCINOMA OF ANUS ,RX OF Page | 5 CHOICE IS =EXCISION • 68.DISTENDED GALLBLADER,PROSTATE HARD TENDER PT WITH FEVER ,DIAGNOSIS IS =ACUTE PROSTITIS • 69.SHIFTING TENDERNESS IS DIAGNOSTIC SIGN OF=NON SPECIFIC MESENTERIC ADENITIS
• 56.MOST COMMON POSITION OF APPENDIX IS =RETROCECAL=70%
• 70.MASS IN RIGHT ILIAC FOSSA ,PT COMPLAIN OF WEAKNESS N VAGUE ABDOMINAL PAIN ,HB IS 5GM/DL,DIAGNOSIS IS CARCINOMA OF CECUM
• 57.MOST COMMON ELECTROLYTE DEFICIENT CAUSE OF PARALYTIC ILEUS IS =HYPOKALEMIA
• 71,MOST COMMON BONY CYST AT ANGLE OF MANDIBLE IS=DENTIGERIOUS CYST
• 58.SWELLING AT UMBILICUS WIT SEROUS DIACHARGE IS RASPBERRY LIKE=UMBILICAL ADENOMA
• 72.PT HAVING GOITRE WITH SIGN OF TOXICITY ,DIAGNOSTIC TEST IS =RADIOISOTOPE SCAN
• 59.MOST COMMON NEOPLASM OF TESTIS IS SEMINIMA
• 73.RED BRIGHT GLISTINING CHERRY LIKE TUMOR AT RECTAL AREA =GUVENILE POLYP
• 60.DURING HYSTERECTOMY INJURY OCCUR TO URINARY BLADDER • 61.IN CASE OF REBLEDDING OF VARICES RX OF CHOOICE IS=SCLEROTHERAPY • 62.RX OF CHOICE IN CARCINOMA OF PROSTATE IS =RADICAL PROSTECTOMY • 63.IN CASE OF HERNIA PT HAVE A BPH ,RX OF CHOICE IS =SURGERY FOR BPH • 64.A NEW BORN CHILD SWLLING AT UMBILICUS INCREASE IN SIZE WITH CRYING N SKIN COVERED IT IS =UMBLICAL HERNIA
• 74.A BOOT SHAPED HEART IS DAIGNOSTIC FOR =FALLOT'S TETROLOGY • 75.INITIAL DRAINEGE IN HEMOTHORAX IS=MORE THAN 1000ML • 76.RX OF CHOICE FOR SQ.CELL CARCINOMA OF ANUS IS =CHEMORADIOTHERAPY • 77.IN CHRONIC RETENTION OF URINE BLOOD UREA IS 12MG%,RX OF CHOICE IS=FOLLEYS +WATCH • 78.DRUG THAT USED TO REDUCE THE SIZE OF BPH IS 5-ALPHA REDUCTASE INHIBITOR
Raheel Khan Final year MBBS Quaid-e-Azam Medical College Bahwalpur (www.xraheel.20m.com)
High Ranked Surgery SEQ’s & MCQ’s
• 79.MOST AGGRESSIVE BREAST CANCER IS =INFLAMATORY CANCER • 80.A SYMPTOM PRODUCING RENAL STONES WITH PROJECTION R OXALATES STONES • 81.A SYMPTOMATIC STONES R PHOSPHATE STONES • 82.BEST MANAGEMENT OF EMPYEMA THORAX THAT IS RESISTENT TO ANTIBIOTICS IS DECORTICATION • 83.BEST DIAGNOSTIC TEST FOR DVT IS DUPLEX SCAN • 84.TREATMENT JOICE IN DVT IS LOW DOSE HAPARIN • 85.CA PENIS IS NOT PRESENT IN JEWS AND MUSLIMS • 86.RADIATION IN CA TONGUE IS BRACHYTHERAPY • 87.DOXIRUBICIN WITH SIDE EFFECTS OF CARDIOMYOPATHY • 88.MOST COMMON OF GALLSTONE IS CARCINOMA • 89.TREATMENT OF CHOICE FOR LIPOMA IS EXCISION
• 95.SWELLING THAT IS STRABERRY LIKE AND SIGN OF COMPREBELITY IS +VE TREATMENT OF CHOICE IS SPONTANEOUS REGRESISON • 96.SQUAMOUS CELL CARCINOMA THAT DEVELOP FROM BURN IS MARGULIN ULCER • 97.BEST MONITORING IN BURRN PATIENT IS URINE OUT PUT • 98.IN PARAPLEGIC PATIENT BED SORE DEVELOP AT SACRUM • 99.ACCORDING TO WALLACE RULE OF NINE BODY SUFACE AREA OF PRENIUM IS 1 PERCENT • 100.TREATMENT FOR LYMPHANGITIS PATIENT IS PENICILLIN • 101,MOST COMMON CAUSE LYMPHEDEMA IS FILIRIASIS • 102.MOST COMMON CAUSE OF SUBMANDIBULAR OBSTRUTION IS STONE • 103.MOST COMMON CAUSE OF GYNAECOMASIA IS IDIOPATHIC • 104.CASE OF EPIGASTRIC HERNIA IS GIVEN • 105. CASE OF BURST ABDOMEN IS GIVEN
• 90.MOTORCYCLIST WITH R.T.A HAS MULTIPAL INJURIES ON WHICH PART OF THE BODY IS MAXIMUM THORAX • 91.IN CONGENITAL HYPERTROPHIC PYLORIC STENOSIS METABOLIC ALKALOSIS OCCURS
• 106. CASE AF PARA UMBLICAL HERNIA IS GIVEN • 107.CASE OF APPENDICULAR MASS IS GIVEN • 108.CASE OF RANDOM GRAFT IS GIVEN
• 92.O –VE IS UNIVERSAL DONOR] • 93.MESH HERNIOPLASTY COMES UNDER THE CATEGORY OF CLEAN OPERATI0ON • 94.HIV MOST COMMONLY SPRAED WITH HOLLO NEEDLE
• 109.APPENDICULAR ARTERY IS THE BRANCH OF ILLEOCOLLIC • 110.CYSTIC ARTERY IS INCLUDED IN CALLOT’S TRIANGLE • 111.WHICH IS RADIATION DEPENDENT TECHNIQUE C.T SCAN
Raheel Khan Final year MBBS Quaid-e-Azam Medical College Bahwalpur (www.xraheel.20m.com)
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High Ranked Surgery SEQ’s & MCQ’s
• 112.INVESTIGATION OF CHOICE renal tauma is i.v.p • 113.BEST BANTISEPTIC SOLUTION IS PYODINE • 114.MOST COMMON I.V INDUCTION AGENT IS PROPOFOL
• 129.CASE DIAGNOSED ON BASIS OF CLINICAL FEATURE OF PRIMARY HYPERPARATHYROIDISM • 130.CASE DIAGNOSE ON CLINICAL FEAURE OF PHEOCROMOCYTOMA
Page | • 131.LYMPHATIC DRAINAGE OF BREAT IS 7
MOSTLY AXILLARY • 115.MOST COMMON INHALATIONAL AGENT IS SEVOFLOREIN • 116.MOST COMMON NON DEPOLARIZIN AGENT WITH LONG DURATION IS ATRACURIUM • 117.HIGHEST POINT IN STEP LADDER PATTERN OF ANALGESIA IS REGOINAL BLOCK • 118.FLUID OF CHOICE FOR RESUSCITATION IN BURN PARIENT IS RINGARLACTATE • 119.ENTRAL FEEDING IS CONTRA INDICATED IN SEVER PANCREATITIS • 120MOST OMMON FETAL COMLICATION OF CENTRAL VENOUS CATHETR IS INFECTION
• 132.ANTERIOR WALL MI MOST COMMONLY LEFT ANTERIOR DESCENDING ARTERY • 133.INFERIOR WALL MI MOST COMMON RT CORONARY ARTERY • 134.PRIMARY LYMPHEDEMA ONSET LESS THAN 2 YR IS CONGENITAL • 135. PRIMARY LYMPHEDEMA ONSET 2 YR IS PRAECOX • 136.SQUAMOUS CELL CA IN BURN PATIENTS IS MARJOLIN ULCER • 137-. MCQ MODEL PAPER 2007+ PRETEST SURGERY
• 121.MOST COMMON FETAL COMPLICATION OF PERIPHERAL LINE IS THROMBOPHLEBITIS • 122.TALOR HAS IMPLATATION TYPE OF DERMOID CYST • 125.IN CASE OF CABG SCAR NOT REGRESS IN OUT SIDE THE MARGIN IS KELOID • 126.HYPERTESIVE PATIEN PATIENT RY GRESSY TOUCH WITH WRINKLED SKIN IS DRY GANGRENE • 127.CYST WITH PUNTUM TREATMENT IS INCISION AND AVULSION • 128.PT WITH MNG RADIO ISOTOPE TECHNIQUE ADVISED, COMMONLY USED ISOTOPE IS TECH-99 Raheel Khan Final year MBBS Quaid-e-Azam Medical College Bahwalpur (www.xraheel.20m.com)