Last 5 Year PYQs in Surgery for NEET PG

Q1. Which of the following is true about the flap given in the image? ​

1. ​Pedicled TRAM based on superior epigastric artery
2. Free TRAM based on superior and inferior epigastric artery
3. DIEP based on deep inferior epigastric artery
4. Lower Abdominal fat-based inferior epigastric vessels​

Ans. 3) DIEP based on deep inferior epigastric artery

Q2. In MEN 1 syndrome, where is the most frequent occurrence of gastrinoma observed?

1. Jejunum
2. Ileum
3. Duodenum
4. Stomach

Ans. 3) Duodenum

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Q3. What is the probable diagnosis for a 50-year-old male who is a long-term smoker and experiences pain in both thighs and buttocks while walking approximately 500 meters?

1. Arterial disease involving the superficial femoral artery
2. Arterial disease with aortoiliac involvement
3. Femoral venous insufficiency
4. Arterial disease involving the profunda femoris artery

Ans. 2) Arterial disease with aortoiliac involvement

Q4. Which statement regarding retrosternal goiter is accurate?

1. Operated in all patients regardless of symptoms
2. Sternal incision is always required to operate
3. It receives blood supply from the thoracodorsal artery
4. Most of the retrosternal goiters can be removed by a neck incision

Ans. 4) Most of the retrosternal goiters can be removed by a neck incision

Q5. What stage of Hinchey's classification is indicated when a patient with clinical features suggestive of peritonitis presents with a diverticular perforation and fecal peritonitis during surgery?

1. Stage 1
2. Stage 2
3. Stage 3
4. Stage 4

Ans. 4) Stage 4

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Q6. A 75-year-old man with prostate carcinoma presents to you with a PSA of 9 ng/mL with a small tumor focus. His Gleason score is 6. What will be your most likely management?

1. Radical prostatectomy
2. External beam radiation
3. Brachytherapy
4. Active surveillance

Ans. 4) Active surveillance

Q7. A patient after a road traffic accident presented with pain in the abdomen. The resident examined the child and found that vitals were stable and tenderness was present in the left lumbar region. Which is the best investigation of choice?

1. Contrast enhanced CT scan
2. Retrograde urethrogram
3. Wait and watch
4. Emergency laparotomy

Ans. 1) Contrast enhanced CT scan

Q8. A patient with rectal prolapse underwent surgery. The postoperative image is given below. Identify the procedure.

1. Stapled hemorrhoidopexy
2. Well's procedure
3. Thiersch wiring
4. Altemeier repair

Ans. 3) Thiersch wiring

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Q9. A patient arrives after being involved in a motorcycle road traffic accident. The patient does not report any pain or injury. Upon examination, there is evidence of blood at the urethral meatus. What would be your subsequent course of action in terms of managing this patient?

1. Foley's catheterization
2. Wait and watch
3. Nephrogram
4. Suprapubic cystostomy

Ans. 2) Wait and watch

Q10. ​A patient presents with a hernia medial to the inferior epigastric artery. What is the most likely diagnosis and appropriate management for the same?

1. Direct hernia and Bassini repair
2. Direct hernia and Lichtenstein mesh repair
3. Indirect hernia and Bassini repair
4. Indirect hernia and Lichtenstein mesh repair

Ans. 2) Direct hernia and Lichtenstein mesh repair

Q11. A 6-year-old boy came with a history of recurrent urinary tract infections. Imaging was done and is shown below. What is the diagnosis?​

1. Vesicoureteric reflux
2. Urinary bladder diverticulum
3. Urinary bladder hernia
4. Vesicocolic fistula

Ans. 1) Thromboelastography

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Q12. A 45-year-old female patient underwent a thyroidectomy. Three days after the surgery, she developed perioral numbness. Which of the following investigations need to be done for her?

1. Free T3, T4
2. T3, T4, TSH
3. Radioiodine scan
4. Calcium, phosphate, and parathormone levels

Ans. 4) Calcium, phosphate and Parathormone levels

Q13. A patient presented with blunt trauma to the abdomen. On evaluation, liver injury was noted, for which primary repair was done. Coagulation function was monitored intraoperatively using the method shown below. What is the method used?​

1. Thromboelastography
2. Plethysmography
3. Sonography
4. Elastography

Ans. 1) Thromboelastography

Q14. A 59-year-old lady presents with a progressive, painless lump in the breast. What is the cause for the following skin change?​

1. Infiltration of subdermal lymphatics
2. Infiltration of the lactiferous duct
3. Involvement of Cooper’s ligament
4. Spread of the tumor to the anterior chest wall

Ans. 1) Infiltration of subdermal lymphatics

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Q15. A child with a prior incident of being stabbed in the front part of the abdomen. The child's vital signs are stable. What will be the subsequent step in managing this case?

1. Emergency laparotomy
2. Observation
3. Intravenous hydration
4. Wait and watch

Ans. 1) Emergency laparotomy

Q16. Predominantly osteoblastic secondaries are seen in which of the following?

1. Prostate carcinoma
2. Breast carcinoma
3. Stomach carcinoma
4. Bone carcinoma

Ans. 1) Prostate carcinoma

Q17. Which of the following drugs cause carcinoma bladder?

1. Cyclophosphamide
2. Cisplatin
3. Taxane
4. Tamoxifen

Ans. 1) Cyclophosphamide

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Q18. The most common site of branchial cyst is___.

1. Junction of upper and middle third of the sternomastoid muscle
2. Junction of middle and lower third of the sternomastoid muscle
3. Middle of the sternomastoid muscle
4. Between the two heads of the sternomastoid muscle

 Ans. 1) Junction of upper and middle third of the sternomastoid muscle

Q19. ​Dohlman's procedure is for:

1. Meckel's diverticulum
2. Zenker's diverticulum
3. Bochadlek hernia
4. Menetrier's disease

Ans. 2) Zenker's diverticulum

Q20. Parathyroid gland post-surgery is commonly transferred to?

1. Triceps
2. Biceps
3. Sartorius
4. Brachioradialis

Ans. 4) Brachioradialis

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