Todays MCQ General Surgery

This part of Todays MCQ include MCQs on General Surgery for medical students who are preparing for Post graduate medical entrance examination

1) Gallbladder fills by

Antegrade mechanism Retrograde mechanism 50% antegrade and 50% retrograde mechanism 70% antegrade and 30% retrograde mechanism Answer is Retrograde Mechanism

2) A patient presents with severe upper abdominal pain radiating to back to the left side for last 12 hrs, pt is alcoholic, acute pancreatitis is suspected but serum amylase and lipase levels are normal, next thing to be done

USG Whole abdomen Repeat serum amylase and lipase level after 12 hrs Repeat serum amylase and lipase level after 24 hrs CECT whole abdomen

3) A patient presented with hematochezia, nasogastric tube aspirate is clear, next to do

Upper GI Endoscopy Colonoscopy Conventional Angiography CT Angiography

4) A patient presented with melena, nasogastric tube aspirate is clear, next to do

Urgent upper GI endoscopy Urgent colonoscopy Upper GI endoscopy Colonoscopy

5) Coronary artery disease patient presented with massive lower GI bleed, On evaluation found to have colonic diverticular bleed but stopped, next to do

Recurrent bleeding incidence is low so nothing to be done Recurrent bleeding incidence is low but still require colonic resection Recurrent bleeding incidence is high but still nothing to be done as high risk for surgery Recurrent bleeding incidence is high require colonic resection

6) Known case of chronic liver disease with portal hypertension patient presented with melena true is

Variceal bleed is most common cause variceal bleed is most common cause, variceal bleed medical therapy should be started before endoscopy Non-variceal bleed is most common cause, no variceal bleed medical therapy should be started before endoscopy Non-variceal bleed is most common cause, still variceal bleed medical therapy should be started even before endoscopy

7) The manometric abnormality diagnostic of achalasia is

Lack of peristalsis of esophageal body
Impaired LES relaxation
Impaired LES relaxation with swallowing
Hypertensive LES