Important MCQ's For Head & Neck in NEET SS Surgery

Q1. A 35-year-old man arrives at the emergency department after being injured in a car accident two hours earlier. He reports being unconscious for about 10 minutes after hitting his head on the steering wheel. A CT scan without contrast shows an epidural hematoma. Which of the following vessels is involved in the pathogenesis of an epidural hematoma?

1. Middle meningeal artery

2. Cerebral bridging veins

3. Vertebral artery

4. Circle of Willis

Ans. 1) Middle meningeal artery 

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Q2. Which of the following vessels is most likely to be damaged in a patient with an acute subdural hematoma?

1. Middle meningeal artery

2. Cerebral bridging veins

3. Vertebral artery

4. Circle of Willis

 Ans. 2) Cerebral bridging veins 

Q3.  A 42-year-old male presented to the emergency department after sustaining injuries in a road traffic accident 1 hour ago. He is unconscious with a GCS score of 8. Investigations reveal traumatic brain injury (TBI). Which of the following ions is directly involved in neuronal degradation and apoptosis in traumatic brain injury?

1. Sodium

2. Potassium

3. Calcium

4. Magnesium

Ans. 3) Calcium 

Q4. An intern examining a 28-year-old male patient who presented with severe injuries after a road traffic accident is asked to calculate his Glasgow coma score (GCS). The patient can only open his eyes, abnormally flexes his hands in pain, and speaks incomprehensibly. What is the GCS score of this patient?

1. 6

2. 7

3. 8

4. 9

Ans. 2) 7 

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Q5. A 37-year-old male is brought to the emergency department by the paramedics after sustaining injuries in a road traffic accident 30 minutes ago. The paramedics reported that the patient was unconscious when found at the accident site, gained consciousness in between, and then became unconscious again. The clinician suspects an extradural hematoma. What is the initial investigation required for this patient?

1. Non-contrast CT scan

2. Contrast-enhanced CT scan

3. MRI

4. Angiography

Ans. 1) Non-contrast CT scan 

Q6. A 54-year-old alcoholic male presents to the emergency department after a fall from the stairs 20 minutes ago. He is unconscious with a GCS score of 9. A non-contrast CT scan of the head is given below. What is the most likely diagnosis?

1. Epidural hematoma

2. Acute subdural hematoma

3. Chronic subdural hematoma

4. Subarachnoid haemorrhage

Ans. 2) Acute subdural hematoma

Q7. A non-contrast CT scan of the head is shown below:

What is the most likely diagnosis?

1. Epidural hematoma

2. Acute subdural hematoma

3. Chronic subdural hematoma

4. Subarachnoid haemorrhage

Ans. 3) Chronic subdural hematoma

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Q8. A 29-year-old male is brought to the emergency department by the paramedics after sustaining injuries in a road traffic accident an hour ago. The patient is unconscious and has a GCS of 7. Several wounds are present on the temporal region of the head, right upper, and lower limbs. A non-contrast CT scan of the head is given below. What is the most likely diagnosis?

1. Acute subdural hematoma

2. Epidural hematoma

3. Chronic subdural hematoma

4. Subarachnoid haemorrhage 

Ans. 2) Epidural hematoma 

Q9. A 47-year-old male presents to the emergency department after sustaining injuries in a road traffic accident. The patient is conscious but confused and has no visible wounds on the head or body. A non-contrast CT scan of the head is unremarkable. Which of the following is the most likely diagnosis?

1. Contusion

2. Epidural hematoma

3. Acute subdural hematoma

4. Concussion 

Ans. 4) Concussion 

Q10. A 23-year-old man arrives at the emergency department after being injured in a car accident two hours earlier. Investigations confirm traumatic brain injuries. While awaiting neurosurgery, which of the following medical interventions is least likely to be required? 

1. Head elevation

2. Hypoventilation

3. Hyperosmolar therapy

4. Therapeutic cooling 

Ans. 2) Hypoventilation 

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Q11. Which of the following is not included in the medical management of a closed head injury? 

1. Seizure prophylaxis

2. Stress ulcer prophylaxis

3. Therapeutic heating

4. Hyperventilation 

Ans. 3) Therapeutic heating 

Q12. A 29-year-old man arrives at the emergency department after being injured in a bike accident an hour ago. He is unconscious with a GCS of 6. A non-contrast CT scan of the head shows a large epidural hematoma. Which of the following is the definitive treatment for this patient?

1. Phenytoin

2. Omeprazole

3. Open craniectomy

4. Burr hole surgery 

Ans. 3) Open craniectomy 

Q13. A 60-year-old man comes to the surgery department complaining of a painless white patch on his tongue for the last 1 month. He has a 30-pack-year history of smoking cigarettes. The surgeon tries to scrape off the white patch but fails to do so. Which of the following is the most likely diagnosis in this patient?

1. Oral candidiasis

2. Leukoplakia

3. Erythroplakia

4. Oral lichen planus

Ans. 2) Leukoplakia 

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Q14. A 55-year-old man with a history of chewing betel nuts comes to the clinic complaining of a painless white lesion on the floor of the mouth. On scraping the lesion, it does not go away. The physician suspects leukoplakia.Which of the following histological features would be present on a biopsy of leukoplakia?

1. Hyperkeratosis, acanthosis, and dysplasia

2. Sawtooth lymphocytic infiltrate at the dermal-epidermal junction

3. Keratin pearls

4. Double layer of papillary epithelium surrounded by lymphoid stroma 

Ans. 1) Hyperkeratosis, acanthosis, and dysplasia 

Q15. A research scientist is working with a group of pathologists dealing with oral biopsies. He is planning to do a meta-analysis on the complications of leukoplakia. He finds that out of all the patients diagnosed with oral leukoplakia, 1 to 9 % of people develop a malignancy. Which of the following is the most common complication of leukoplakia? 

1. Squamous cell carcinoma

2. Warthin tumour

3. Pleomorphic adenoma

4. Mucoepidermoid carcinoma

Ans. 1) Squamous cell carcinoma

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Hope you found this blog helpful for your NEET SS Surgery Head & Neck Preparation. For more informative and interesting posts like these, keep reading PrepLadder’s blogs. 

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