NEET SS Surgery Most Important MCQS 

Q1. A 38-year-old lady went to the outpatient clinic complaining of 4 months of difficulties swallowing solid foods and 9 months of joint discomfort. The discomfort spread to several joints, including the ankle, knees, and elbows on both sides. In addition, the patient occasionally has a sand-like sensation in her eyes. The patient shows a bilateral enlargement of the parotid glands on examination. Based on the history and examination, which of the following is the most likely diagnosis?

1. Metabolic
2. Metastatic
3. Autoimmune
4. Infectious

Ans. 3 - Autoimmune

Q2. A 35-year-old man presents to the emergency department with a 2-day history of swelling and pain in the lower jaw. He reports difficulty in opening his mouth and swallowing. Medical history is significant for diabetes. On examination, there is diffuse erythema and swelling of the floor of the mouth, extending to the submental and submandibular regions and halitosis. Trismus is also present. What is the most likely diagnosis?

1. Cellulitis
2. Ludwig's Angina
3. Dental Abscess
4. Parotitis

Ans. 2  - Ludwig's Angina:

Q3. 52-year-old man comes to the outpatient clinic complaining of a lesion on his tongue for the last 3 months. He has a 20-pack-year history of smoking. Oral examination reveals an ulcerated lesion on the lateral border of the tongue, which bleeds on touch. Cervical lymphadenopathy is palpated in the neck. Which of the following is the most likely diagnosis in this patient?

1. Squamous cell carcinoma
2. Leucoplakia
3. Mucoepidermoid carcinoma
4. Chronic hyperplastic candidiasis

Ans 1  - Squamous cell carcinoma

Q4. Delirium tremens is a common cause of fever in hospitalized patients and can present with other features of hemodynamic instability. Which of the following is the drug of choice for delirium tremens?

1. I/V phenytoin
2. I/V benzodiazepines
3. I/V labetalol
4. I/V dantrolene

Ans 2 - I/V benzodiazepines:

Q5. Which of the following types of shock is characterised by a high mixed venous oxygen saturation?

1. Obstructive shock
2. Distributive shock
3. Hypovolemic shock
4. Cardiogenic shock

Ans. 2 - Distributive shock:

Q6. An 85-year-old man is admitted after being involved in a road traffic accident. He undergoes surgery for a splenic rupture. After seven hours, he becomes hypotensive and febrile. He rapidly develops disseminated intravascular coagulation. Which of the following is the most likely diagnosis?

1. Hypovolemic Shock
2. Septic Shock
3. Cardiogenic Shock
4. Anaphylactic Shock

Ans. 2  - Septic Shock:

Q7. A surgeon uses a suture for ligating superficial vessels in a patient. He used this suture because it is enzymatically degraded in 7 – 10 days. Which of the following sutures was used in the procedure?

1. Catgut plain
2. Surgical Steel
3. Silk
4. Polyester

Ans. 1 - Catgut plain:

Q8. A 39-year-old male presents to the emergency department with a painful, red, and swollen left lower leg. He has a history of obesity and Type 2 diabetes mellitus. On examination, there is an area of erythema measuring 10 cm x 8 cm with warmth and tenderness to touch. The patient has a fever of 101°F. Blood cultures have been taken. Which of the following is the most appropriate next step in the management of this patient's condition?

1. Intravenous antibiotics and admission to the hospital
2. Outpatient management with oral antibiotics and follow-up
3. Immediate surgical debridement of the affected area
4. Ultrasonography of the affected leg

Ans. 1 - Intravenous antibiotics and admission to the hospital:

Q9. A 65-year-old male presents to the emergency department with severe pain and swelling in his left thigh after falling off his bicycle and getting a deep abrasion wound. The wound had been covered with a bandage for several days. On examination, there is an open, purplish wound with a foul odour, surrounded by erythema and crepitus on palpation. The patient's vitals reveal a temperature of 102°F, a heart rate of 120 beats per minute, and a blood pressure of 90/60 mm Hg. What is the most appropriate next step in management?

1. Immediate surgical debridement and fasciotomy
2. Prescribe broad-spectrum antibiotics
3. Cleanse the wound and apply a topical antibiotic ointment
4. Perform a Gram stain and culture of the wound

Ans. 1 - Immediate surgical debridement and fasciotomy:

Q10. A 40-year-old male is diagnosed with adenocarcinoma of the pancreatic head. He undergoes pylorus-preserving pancreatoduodenectomy. The hospital postoperative period was unremarkable. On his first follow-up visit, the patient had a BMI of 18 kg/m^2, and he had not eaten anything for 1 week because of poor appetite. What is the next step in the management of the patient?

1. Start total parenteral nutrition.
2. Increase enteral nutrition
3. Observe the patient
4. Routine care

Ans. 2 - Increase enteral nutrition:

Q11. A 36-year-old male is brought to the emergency department by the paramedics after sustaining injuries in a road traffic accident 20 minutes ago. The patient is unconscious. He opens his eyes and withdraws when a painful stimulus is applied, responding only with sounds. Which of the following is the correct Glasgow Coma Score (GCS) for this patient?

1. 6
2. 7
3. 8
4. 9

Ans. 3 - 8:

Q12. A 29-year-old female was brought to the emergency department after she was involved in a motor vehicle crash. She is vitally stable but complains of pain in her lower abdomen. She has not passed any urine since the accident. However, she recalls that she had the urge to urinate before the accident. A catheter is placed, and gross hematuria is noted. A FAST scan reveals free intraperitoneal fluid, and an X-ray reveals no pelvic fracture. What is the most likely site of injury in this patient?

1. Dome of the bladder
2. Neck of the bladder
3. Anterior bladder wall
4. Anterior urethra

Ans. 1 - Dome of the bladder:

Q13. 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. Hyperventilation
3. Hyperosmolar therapy
4. Therapeutic cooling

Ans. 2 - Hyperventilation:

Q14. A 22-year-old man arrives at the emergency room after his house catches fire. On arrival, there is erythema and blistering over the front of the right upper extremity and anterior chest. The temperature is 38.3 °C (100.9 °F), the blood pressure is 100/70 mmHg, the pulse rate is 120 beats per minute, and the respirations rate is 22 beats per minute. According to Rule 9, which of the following is this patient's most likely total body surface area burned?

1. 13.5%
2. 22.5%
3. 27%
4. 18%

Ans. 1 - 13.5%:

Q15. Which of the following is the indication for an emergency thoracotomy?

1. Cardiopulmonary resuscitation for >10 minutes
2. Cardiopulmonary resuscitation for >5 minutes without endotracheal intubation
3. Initial drainage of 800 ml blood from chest drain
4. Continuous drainage of >200 ml/hr blood for 3-4 hour

Ans. 4  - Continuous drainage of >200 ml/hr blood for 3-4 hours:

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