171. “Intestinal angina” is a symptom complex of the following:
1. Postprandial abdominal pain, weight loss, acute mesenteric vessel occlusion.
2. Postprandial abdominal pain, weight loss, chronic mesenteric vessel occlusion
3. Preprandial abdominal pain, weight loss, chronic mesenteric vessel occlusion
4. Preprandial abdominal pain, weight gain, acute mesenteric vessel occlusion.
Ans. -2
172. In which of the following condition acquired (secondary) megacolon is seen?
1. Fissure in-ano
2. Complete absence of parasympathetic ganglion cells
3. Absence of sympathetic ganglion cells
4. Rectal malignancy
Ans. -1
173. One of the following is not correct in papillary carcinoma of thyroid:
1. Can be reliably diagnosed using fine needle aspiration cytology.
2. Always unifocal
3. Typically spreads to the cervical lymph nodes
4. Requires a total thyroidectomy for large tumours.
Ans. -2
174. Which one of the following is the correct statement during operation on the submandibular gland?
1. The submandibular gland is seen to warp around the posterior border of mylohyoid.
2. The facial artery and vein are divided as they course through the deep part of the gland
3. The hypoglossal nerve is seen to loop under the submandibular duct
4. Damage to the lingual nerve will cause loss of sensation to the posterior third of the
Ans. -1
175. Which of the following statements is incorrect in regard to stones in the gallbladder?
1. Pigment stones are due to increased excretion of conjugated Bilirubin
2. Are considered a risk factor for the development of gallbladder carcinoma
3. 10% of gallstones are radio-opaque
4. A mucocele of the gallbladder is caused by a stone impacted in Hartmann’s pouch
Ans. -1
176. Which one of the following statement is incorrect, regarding Meckel’s diverticulum?
1. Is found on the anti-mesenteric border of the small intestine
2. Consists of mucosa without a muscle coat
3. Heterotopic gastric mucosa can ulcerate and cause a brisk gastrointestinal bleed
4. A fibrous band between the apex and umbilicus can cause intestinal obstruction
Ans. -2
177. The following ocular structure is not derived from surface ectoderm:
1. Crystalline lens
2. Sclera
3. Corneal epithelium
4. Epithelium of lacrimal glands
Ans. -2
178. A 35 year old premenopausal patient has recently developed a 1.5 cm sized pigmented lesion on her back. Which of the following forms of tissue diagnosis will you recommend for her?
1. Needle biopsy
2. Trucut biopsy
3. Excision biopsy
4. Incisional biopsy
Ans. -3
179. A patient of thrombosis of hepatic veins has been receiving coumarintherapy for duration of three years. Recently, she has developed bleeding tendency. How will you reverse the effect of coumarin?
1. Protamine injection
2. Vit K injection
3. Infusion of fibrinogen
4. Whole blood transfusion
Ans. -*
180. A 45 year old gentleman has undergone truncal vagotomy and pyloroplasty for bleeding duodenal ulcer seven years ago. Now he has intractable recurrent symptoms of peptic ulcer. All of the following suggest the diagnosis of Zollinger Ellison syndrome, except:
1. Basal acid output of 15 meq/hour
2. Serum gastrin value of 500 pg/ml
3. Ulcers in proximal jejunum and lower end of esophagus
4. Serum gastrin value of 200 pg/ml with secretin stimulation
Ans. -2
1. Postprandial abdominal pain, weight loss, acute mesenteric vessel occlusion.
2. Postprandial abdominal pain, weight loss, chronic mesenteric vessel occlusion
3. Preprandial abdominal pain, weight loss, chronic mesenteric vessel occlusion
4. Preprandial abdominal pain, weight gain, acute mesenteric vessel occlusion.
Ans. -2
172. In which of the following condition acquired (secondary) megacolon is seen?
1. Fissure in-ano
2. Complete absence of parasympathetic ganglion cells
3. Absence of sympathetic ganglion cells
4. Rectal malignancy
Ans. -1
173. One of the following is not correct in papillary carcinoma of thyroid:
1. Can be reliably diagnosed using fine needle aspiration cytology.
2. Always unifocal
3. Typically spreads to the cervical lymph nodes
4. Requires a total thyroidectomy for large tumours.
Ans. -2
174. Which one of the following is the correct statement during operation on the submandibular gland?
1. The submandibular gland is seen to warp around the posterior border of mylohyoid.
2. The facial artery and vein are divided as they course through the deep part of the gland
3. The hypoglossal nerve is seen to loop under the submandibular duct
4. Damage to the lingual nerve will cause loss of sensation to the posterior third of the
Ans. -1
175. Which of the following statements is incorrect in regard to stones in the gallbladder?
1. Pigment stones are due to increased excretion of conjugated Bilirubin
2. Are considered a risk factor for the development of gallbladder carcinoma
3. 10% of gallstones are radio-opaque
4. A mucocele of the gallbladder is caused by a stone impacted in Hartmann’s pouch
Ans. -1
176. Which one of the following statement is incorrect, regarding Meckel’s diverticulum?
1. Is found on the anti-mesenteric border of the small intestine
2. Consists of mucosa without a muscle coat
3. Heterotopic gastric mucosa can ulcerate and cause a brisk gastrointestinal bleed
4. A fibrous band between the apex and umbilicus can cause intestinal obstruction
Ans. -2
177. The following ocular structure is not derived from surface ectoderm:
1. Crystalline lens
2. Sclera
3. Corneal epithelium
4. Epithelium of lacrimal glands
Ans. -2
178. A 35 year old premenopausal patient has recently developed a 1.5 cm sized pigmented lesion on her back. Which of the following forms of tissue diagnosis will you recommend for her?
1. Needle biopsy
2. Trucut biopsy
3. Excision biopsy
4. Incisional biopsy
Ans. -3
179. A patient of thrombosis of hepatic veins has been receiving coumarintherapy for duration of three years. Recently, she has developed bleeding tendency. How will you reverse the effect of coumarin?
1. Protamine injection
2. Vit K injection
3. Infusion of fibrinogen
4. Whole blood transfusion
Ans. -*
180. A 45 year old gentleman has undergone truncal vagotomy and pyloroplasty for bleeding duodenal ulcer seven years ago. Now he has intractable recurrent symptoms of peptic ulcer. All of the following suggest the diagnosis of Zollinger Ellison syndrome, except:
1. Basal acid output of 15 meq/hour
2. Serum gastrin value of 500 pg/ml
3. Ulcers in proximal jejunum and lower end of esophagus
4. Serum gastrin value of 200 pg/ml with secretin stimulation
Ans. -2
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