Surgery residency JPMC past papers 2018.

1) WHICH OF FOLLOWING ORGAN IN HUMAN BODY IS LEAST RADIOSENSITIVITY?

i. (A)Ovaries (b) testes (c) kidneys (d) lymphocytes ………… (C)
ii. REGARDING URETER CORRECT STATEMENT?
iii. Narrowest at L4 transverse process (b) anteriorly related to gonadal vessels
(c) posteriorly related to ovarian vessels…( B)

2) CORRECT STATEMENT ABOUT ILIAC CREST? (A) Lies at the level of L4 vertebra.
3) CORRECT ABOUT TRANSPYLORIC PLAN? (A) CROSS THROUGH HALIUM OF KIDNEY.
4) CORRECT ABOUT ANTERIOR ABDOMAL WALL? (A) Internal thoracic arty supply blood up to
umbilical.
5) LEAST COMMON SITE OF DIVERTICULOSIS? …… (Jejunum).
6) REGARDING BENGIN TUMOR OF SMALL Intestine….( Incidentally found during laparotomy.)
7) MOST COMMON SYMPTOMS OF MALIGNANT TUMOUR OF SMALL INTESTINE? …(
ABDOMINAL PAIN).
8) SURGICAL TREATMENT OF FISTULA IN CRHONS DISEASES? (RESECTION OF FISTULA AND
PROXIMAL ILEOSTOMY.
9) REGARDING SACROCOCGEAL TERATOMA? ….. ( A) XRAY SHOWS CALCIFICATION) (B) MORE
COMMON IN MALE CHILD ……(A).
10) MOST COMMON SITE OF GIT LYMPHOMA? (A) COLON (B) STOAMCH (C) DUDENUM …..B
11) REGARDING ESOPHAGOUS LEIOMYOMA? (A) MOSTLY EFFECTS FEMALE (B) DYSPGHIA IS
SPECFIC FEATURE (C) LOWER 1/3 IS MOST COMMON SITE….(C is right).
12) MOST COMMON SURGICAL INDICATION IN CHRONIC PANCREATITIS IS (A) PAIN (B) JAUDICE
(C) GASTRIC OUTLET OBSTRUCTION (D) PSEUDOCYST …ANS –C.
13) SPONATANOUS FISTULA CLOSER DOES NOT OCCURS IN WHICH OF FOLLOWING? (A)
STOMACH (B) ESOPHAGOUS (C) COLON (D) DEUDENUM …ANS .(C).
14) WIGING OS SCAPULA AFTER BREAST SURGERY? ANS . LONG THORAIC NREVE.
15) WHICH NERVE IS MOST COMMONLY EFFECTD IN GENERAL ANESTHESIA? ANS... RADIAL
NERVE ( bcz of prolong pressure under O.t table ) .
16) WHICH OF FOLLOWING IS VASOCONSTRICTOR? (A) PROCAIN (B) LIDOCAIN (C) BUPIVCAIN
(D) CA0CAIN………ANS (D) .
17) CORRECT ABOUT MALIGANANT HYPERTHERMIA? (A) Occurs with non-depolarizing agent. (B)
Most common in children (C) Increase End tidal CO2 (d) tachycardia …..ANS (C).
18) Patient have bolus vomiting double bubble sign diagnosed as duodenal atresia treatment?
(A) Duodenal resection + deudenodedeuostomy.
19) Correct about Caudate lobe of liver (A) Drain directly into IVC (B) represented as 4 segmental
lob (C) Receive blood only from right Pv (D) Receive blood only from left Portal vein……
Ans..(B).
20) CORRECT ABOUT HUMROSUS? (A) Subscapularis insert at greater tubercle (B) Surgical neck
separate head from tubercles (C) Bicipital groove divide two tubercles. ANS … (C).
21) MOST COMMON CANCER IN LI-FRUMENI SYNDROM? (A) Colon ca (B) Breast ca (C) ovaries …
ANS (B).
22) CORRECT ABOUT SHOULDER GIRDLE? (A) Most common site of clavicle fracture is medially +
middle third.
23) The most common sit of ca-of tongue? ANS... Lateral border of tongue.
24) CORRECT ABOUT ANTROCHONAL POLP? (A) Single bilateral (B) double unilateral (C) Single &
Bilateral (D) arise from floor of nose …ANS.( C).
25) CORRECT ABOUT INVERTED PAPILOMA? (A) Arise from floor of nose (B) arise from medial
wall of nose (C) Arise from lateral wall of nose..ANS (C) .
26) PATIENT HAVE LOSS OF SENSATION POSTTHIRD OF TONGUE THIS STRUCTURE PASS
THROUGH (GLASOPHARYNGEAL NERVE) …ANS (JUGALR FORMAINA).
27) REGARDING MIDDLE CRANIAL FOSSA? ANS (. SPHENOID BONE & TEMPORAL BONE FORM ITS
FLOOR.).
28) PRIMARY MOTOR CORTEX LOCATED IN.? ANS… FRONTAL LOBE.
29) RESPIRATORY DISTRESS IN HUGE GOITER IS BCZ OF? ANS... RETROSTERNAL EXTENSION.
30) MOST COMMON CAUSE OF HYPERCALCEMIA CRISIS? (A) PRIMARY HYPERPARATHYROIDISM
(B) MALIGANACY …. ANS (B).
31) NORMAL ANION GAP SEEN IN?(A) SALICYCAT POISING (B) METABOLIC ACIDOSIS (C) SEVER
DIARRHEA… ANS (C).
32) REGARDING ADERNAL GLAND? (A) right adrenal drain into renal vein (B) left adrenal drain
into IVC (C) medulla is supplied by postganglionic nerve (D) cortex is not supplied by nerve .
….. ……. ANS... (D) .
33) Patient have abdominal desmoids tumour which following tumour may Occurs in this
patient? ANS. (CA –COLON).
34) CORRECT ABOUT FEMALE BREAST?..ANS (SUSPENSORY LIGAMENT ATTACHED SKIN WITH
PECTORAL FASCIA.
35) REGARDING OBTURATOR HERNIA CORRECT? ( A) Most common in women with cachexia (B)
present as sciatic pain (C) operated by transverse medial thigh incision . ANS... (A) .
36) Correct about shoulder joint ? (A) Supraspinous supplied by infrascapular nerve (B) Teres
major is its rottator cuff part (c) subscapularis inserted at greater tubercles (D) Sub acromial
bursa communicant with joint. ..ANS(C).
37) 23 years female patient diagnosed as acut appendicitis but when abdomen open appendix
was normal but slightly purulent fluid surround fallopian tube what will you do? (a)
Appendectomy (B) Appendectomy + salpingectomy (C) leave it no any surgery ….ANS.(A)
38) Correct about pleural space …ANS (Anterior axillary line pass through 10th ribs.
39) Correct about femoral hernia its lateral border is formed by? … ANS (Femoral vein).
40) Sun burst sign seen in? (A) Osteosarcoma (B) Ewing’s sarcoma ANS ( A).
41) MOST SPECFIC SIGN OF SIADH IS? (A) Increases serum osmarlity (B) hypernatremia (C) high
urinary sodium (D) low plasma volume …ANS (C).
42) CORRECT ABOUT ORBITAL FLOOR FRACTURE? (A) Diplopia in upwrdgaz & downward gaz (B)
Loss of lateral sensation of canthus …ANS... (A)
43) About Atropine correct? ANS. It loss accommodation power.
44) Patient has Para aortic lymph node hypertrophy which tumour is most commonly find? ANS
(TESTICULAR TUMOUR).
45) MOST COOMON CAUSE OF DEATH IN CHILDREN AFTER CHRONIC DIAPHGRAMATIC HERNIA
REPAIR IS? ANS. (PUMONARY HYPOPLASIA / LUNGS COLLAPSE.
46) MOST COMMON CAUSE PROPTOSIS? ….ANS (THYROID OPTHALMOPLGIA).
47) Pain in ureter stone is bcz of ? (a) Irritation of intramural layer (b) bcz of peristaltic
contraction of muscular layers …… ANS ( B).
48) MOST COMMON CAUSE OF GROSS HEMATURIA IN OLD AGE? …ANS (CA –BLADDER).
49) INCOORECT ABOUT ARCH OF FOOT? ANS..(FLEXOR HALIUS form its main support medial).
50) Correct among following statement? (A) internal thoracic arty arise from right side from
brachiocephalic trunk (b) it supply breast …ANS (B).
51) Descending thoracic aorta give branches?(a) all posterior Intercostal vessels (b) first 2
Intercostal vessels (c) lower 6 ICV…. ANS(C) .
52) MOST COMMON SIDE OF FISTULA IS ?(A) gallbladder to duodenum(b) CBD to duodenum (c)
gallbladder to jejunum.. ANS (A).
53) Absolute contraindication of breast conservation surgery? (a) Pregnancy (b) multifocal
tumour (c) high grade tumour (d) retroarolar tumour. ANS (A).
54) INJURY TO UPPER LIMB EXTENSION OF FINGER LOST & IEXTENSION AT WIRST IS INTACT &
RADIAL NERVE IS INJURIED AT WHICH SITE RADIAL NERVE IS INJURIED? (A) Wrist (b) elbow
(c) arm (d) shoulder… ANS (B).
55) FEMALE HAVE MID THIGH ABCESS RX IS …ANS (Incision and Drainage).
56) Cardiac contusion will cause?(a) AV block (b) premature ventricular contraction (c)
premature atrial contraction … ANS (B).
57) STRUCTURE DOES NOT PASS THROUGH GREATER SCIAT FORAMINA? (A) Superior gluteal arty
(b) inferior gluteal arty (c) posterior cutaneous nerve of thigh (d) superior gamellious.
ANS... (D) .
58) STRUCTURE PASS THROUGH LESSER SCIATIC FORMINA? ANS (PUNDENAL NERVE).
59) Investigation for diagnosis of diverticulosis? ( a) U/S (B) CT abdomen and pelvis (c) barium
enema (d) gastrografin. ANS. (CT SCAN).
60) CORRECT AMONG FOLLOWING? ANS. (gastrografin is superior if aspiration occurs with
barium enema.
61) The most common site of vertebral fracture is? ( a) cervical (b) cervicothoracic (c) lumber (d)
thoracolumbar. ANS. (D)
62) CHEMOTHRPIC DRUG THAT CAUSE PARALYTIC ILEUS? (A) Cyclophospmide (B) cisplatin (c)
VIins Alkoids. ANS (C).