SOLVED PAPER for SURGERY TEST

Q1. Regarding acute perionitis all are true except: a) Most cases are caused by invasion by bacteria. b) Gastrointestinal perforation is one of its path. c) Abdominal pain worse by moving and breathing d) Bacterial peritonitis is usually with anaerobics alone. e) Pelvic abcess is its complication. Q2. All are the clinical features of paralytic ileus which is the complication of acute peritonitis except a) Mild abdominal pain. b) Gas filled loops and fluid levels are seen in proximal colon. c) It has to be differentated from intestinal obstruction. d) Bowel sounds are reduced or abscent Q3. Which of the following is the cause for transudative ascites? a) Tuberculous peritonitis. b) Peritoneal Malignancy. c) Budd-chiari syndromed. d) Congenital heart disease. e) Meig's syndorme Q4. A 24 year female complaining of painless lump in breast,which is firm in consistency,solitary,not fixed to the surrounding structures,regional lymph nodes are not involved,what will e your diagnosis?? a) Phyllodes tumor b) Duct papiloma c) Fibroadenoma d) Duct cell carcinoma Q5. in localised peritonitis, the most imp sign is a) gaurding and rigidity of abd wall b) rebound tenderness c) rising pulse and temp d) shoulder tip (phrenic) pain e) both a and b Q6. in grading of mammography, grade 4 indicates a) benign lesion b) highly suggestive of Ca c) suspicious of breast cancer d) probably benign lesion Q7. black or green discharge from more than 1 duct of nipple is seen in a) purulent infection b) fibrocystic disease c) carcinoma d) duct ectasia Q8. thrombophlebitis of superficial veins of breast occur in a) actinomycosis b) breast abscess c) TB of breast d) mondor's disease Q9. non cyclic mastalgia in post menopausal women is usually refered from a) neck and shoulder b) ears c) back d) uper limb Q10. fibroadenoma usually arises at age of a) 20 to 25 yrs b) 15-25 yrs c) 35-40 yrs d) 25-30 yrs