Surgery MCQ File 1

1. Question

Which is not an indication for an urgent brain CT-scan following head injury

Admitting GCS score <8
Penetrating head injury
Seizures
Alcohol intoxication
Depressed skull fracture

2. Question

Surgical Litigation is settlement of a medical issue through

Prayer
Court of law
Party politics
Negligence
Sports

3. Question

Acute massive lower GI bleeding is commonly due

Aortoenteric fistula
Diverticula disease
Angiodysplasia
Amoebic dysentery
Upper GI bleeding from oesophagealvarices

4. Question

All of the following are true about PCO except:

To diagnose PCO hormonal analysis can be done at any time of the cycle
It is associated with reversed FSH:LH ratio
It is associated with increase resistance to insulin
Can be associated with increased prolactin level
The ovaries have characteristic appearance by the ultrasound

5. Question

Which of the following is not an action of the teres major?

Rotate the scapular
Adduct the humerus
Medially rotate the humerus
Extends shoulder joint
Internal rotation of the glenohumeral joint

6. Question

Which of the following bone is located on the distal row of carpal bones starting from the radial side

Trapezoid
Capitate
Hamate
Trapezium
Lunate

7. Question

incorrect about ESR

Increases with age
higher in males than females
reduced in polycythaemia
Increased in severe anaemia
Measure of acute phase reaction

8. Question

Neutrophils

Predominate in chronic inflammation
Have bilobed nuclei
Have a lifespan of only few hours in inflamed tissue
May fuse to form multinucleate giant cells
Carry out oxygen dependent microbial killing by lysosomal enzymes

9. Question

The commonest cause of burns in children is..

Electrical burns
Chemical Burns
Scald burns
All of the above
None of the above.

10. Question

Scope of medical jurisprudence include all except

Respect for person’s body
Malpractice
Praise
Respect for dignity of the person
Right to die

11. Question

The following is true about massive lower GI bleeding wxcept…

Presentation with hemodynamic instability and shock
Significant re-bleeding in one week
Bleeding that continues for 3 days
Less common in West Africans
Transfusion of at least 2 units of Packed cells

12. Question

Regarding ectopic pregnancy, all of the following are true, EXCEPT:

Is associated with uterine enlargement
Is situated in the ovary in about 0.5% of all cases
Is more dangerous when it is situated in the isthmus of the fallopian tube
Can only be diagnosed after it has ruptured
Is a complication of assisted conception.

13. Question

Concerning the maxillary artery, which of the following is not correct?

Arise in the parotid gland
Supplies blood to the lower teeth
Is lateral to the Sphenomandibular ligament
Ends immediately deep to the lateral Pterygoid muscle
Supplies blood to the nasal cavity

14. Question

The femoral canal contains which of the following structures

Femoral artery
Femoral vein
Femoral branch of genitofemoral nerve
Connective tissue and lymph nodes
Great saphenous vein

15. Question

Frontal sinus

Are lined by stratified squamous epithelium
are not normally present at birth
are related to posterior cranial fossa
Increases in size during pregnancy
are uncommon site for mucocoele formation

16. Question

Femoral hernia, true except

Rare in neonates
Content is the same in both male and female
Commoner in female than males
Commonest form
Less common than inguinal hernia in females

17. Question

The following are the Jackson’s zones of burn injuries, except

Zone of stasis
Zone of coagulation
Zone of Hypereamia
Zone of Hypergranulation
(a) and (C) above

18. Question

Criminal liability of practitioners involves the following except..

Abortion
Murder
Professionalism
Voluntary
Dating of patients

19. Question

Occult GI bleeding presents as ..

Megaloblasticaneamia
Iron deficiency aneamia
Faecal occult blood negative
All of the above
None of the above

20. Question

Acceptable treatment for uterine fibroids includes all of the following EXCEPT:

No treatment
Myomectomy during pregnancy if red degeneration occurs
Myomectomy
Hysterectomy
GnRH agonist

21. Question

The following are isotonic fluids except

Lactate
ringers lactate
5%dex in N/S
5%dex in water
5% albumin

22. Question

The following are risk associated with lumber puncture except

Back pain
Hernia
Infection
Air embolism
CSF leak

23. Question

One of the following is true of the inguinal canal

it’s 2cm in neonates
it’s longer in females than males
the content is the same in male and female
direct hernia passes through the deep ring
direct hernia passes through the superficial ring

24. Question

One of these is a rule in fluid replacement

Replace plasma with crystalloid
Resuscitate with crystalloid and colloids
Rehydrate with dextrose infusion
Replace ECF depletion with dextrose infusion
Mannitol is also a fluid of choice.

25. Question

The following are criteria for transfer to a burns centre..

2^nd or 3^rd degree burns < 5% in Children younger than 10 years
3^rd degree burns < 2% in any age group
Presence of inhalational burn injury
All of the above
None of the above

26. Question

Responsibilties of health institutions towards patients include the listed except..

Duty of care regarding patient accommodation
Duty of care in relation to patient person
Duty of care in relation to patient property
Duty of care regarding patient sexual needs
Duty of care regarding patient safety

27. Question

The following is true of mesenteric angiography except

Can detect 0.5-1.0ml/min
Has both diagnostic and therapeutic uses.
Useful in ongoing bleeding
Procedure has no complication
50% rebleed rate.

28. Question

Evaluation of infertile couples

History of regular cycles is suggestive of anovulation
History of severe dysmenorrhea and dyspareunia is suggestive of
endometriosis
Endometriosis is diagnosed by hysteroscopy
Hysterosalpingogram is the only means of assisting ectopic pregnancy
Thyroid disease does not affect fertility

29. Question

Statistical data are usually displayed or summarized in one of the following forms:

Geometric table
Histogram
Graphs
Bar chart
Pie chart

30. Question

The following are indication for tracheal intubation except

Pulmonary toileting
Positive pressure ventilation
Drug administration
Visualize vocal cords
Prevent aspiration

31. Question

which of the following is true of the inguinal canal

it’s obliterated in neonates
it’s longer in females than males
the content is the same in both male and female
direct hernia passes through the deep ring
direct hernia occurs commonly,

32. Question

how long does it take a wound to return to its original strength

6mo
1yr
2yrs
1week
Never

33. Question

The following are methods of estimating Total Burns Surface Area (TBSA)..

The Doctor’s palm
Gillies’ rule of nine
Browder’s graph
The patient’s palm
None of the above.

34. Question

Hippocratic oath involves all except..

Respect for colleagues
Respect for patients
Conspiracy
Professionalism
Teaching of younger colleagues

35. Question

In prenatal infection

Rubella can be prevented by administration of rubella vaccine uring pregnancy
Toxoplasma is a virus
HIV virus infect the baby more readily when delivered vaginally than caesarean section
Cytomegalovirus causes macrosomic babies
In HIV patient breast-feeding is encouraged

36. Question

Treatment of pelvic inflammatory disease include the following, EXCEPT:

Oral doxycycline
Removal of IUCD
Clindamycin
Tetracycline
Dilatation and curettage (D & C)

37. Question

The following would assist in the diagnosis of the matched clinical conditions: choose the correct match

CA 19-9: Cholestasis
CA 125: Pancreatic carcinoma
CEA: Peritonitis
AFP: Breast cancer
CA 153: Colorectal cancer.

38. Question

The following are known causes of airway obstruction except

Laryngeal spasm
Pulmonary oedema
Foreign body in the mouth
Tongue falling back
Kinking of connecting tube

39. Question

The following are features of prostatism except

urgency
frequency
poor urinary stream
double stream of urine
terminal dribbling

40. Question

the dura mater ends at wat spinal level

L1
L3/L4
S2
S4/ S5
L2

41. Question

The following can be used to determine burns depth except

Inspection
Flourescnece dye
ChestX-ray
MRI
Ultrasound scan

42. Question

The following are crystalloids except..

Full Strength Darrows solution
Half Strength Darrows solution
5% Dextrose water
Dexran
Ringers lactate

43. Question

Uterine Cervix

Is the portion of the uterus below the isthmus
External OS cell lining is columnar epithelium
Laterally is attached to the round ligament
The cervical canal is covered with stratified squamous epithelium
Can be dilated with dilators without the need of anesthesia

44. Question

Antenatal booking investigations include all of the following, EXCEPT:

Complete blood count
Blood sugar
Hepatitis screening
Toxoplasmosis
liver function

45. Question

The commonest cause of hyperkalemia

Diuretics
Hemolysis
metabolic acidosis
Ketonuria

46. Question

Which of the following concerning the trachea is correct

It commences at the level of C4
It ends at the level of T3/4
In the erect position,the level of bifurcation is at T6
It divides to form the right and left main bronchioles
It’s 8cm in its entire length

47. Question

The following are true of venous and lymphatic drainage of the head and neck except

The external jugular vein is in the posterior triangle if the neck
The superficial cervical nodes are found along the external jugular vein
The occipital lymph nodes are located in the base of the posterior triangle
Cervical lymphadenopathy may be secondary to facial, nasal or pharyngeal infection
A boil located between the eye and the upper lips may cause cavernous sinus thrombosis

48. Question

Which of this is a local factor affectin wound healing

age
malnutrition
ionizing agents
immunosuppression

49. Question

Burn depth can be classified as ..

Blanchable skin
Blisters
Insensate skin
Full thickness skin
Hyper granuloma

50. Question

A 70kg man living in Ghana loses what amount of fluid in the urine in 24hours

3200mls
1700mls
1500mls
3400mls
200mls