Aurangabad Zilla Parishad Set One Question Papers with Answer Key

  1. The external opening of bronchial fistula is present in :

(a) Lower third of the neck

(b) Middle third of the neck

(c) Upper third of the neck

(d) Suprasternal notch

Ans:-  (a) Lower third of the neck



  1. A eight year old male child complains of severe pain in right testes. The most probable diagnosis is


(a) Torsion of right testis

(b) Strangulated Inguinal hernia

(c) Acute epididym‐orchitis

(d) Undescended testis


Ans:-  (a) Torsion of right testis



  1. Which one of the following statements is NOT correct regarding Gastroschisis?


(a) It is a ruptured exomphalos

(b) Gut has herniated through a defect to right of umbilicus

(c) Normally limited to midgut

(d) There is no covering membrane


Ans:-  (a) It is a ruptured exomphalos



  1. Heineke‐Mikulicz operation is done for:


(a) Ureteric stricture

(b) Urethral stricture

(c) Pyloric stenosis

(d) Stricture common bile duct


Ans:-  (c) Pyloric stenosis



  1. A 32 year old female underwent laparoscopic cholecystectomy which was difficult. On her second post operative day, she develops jaundice. Her LFT parameters show serum bilirubin 6.8 mg/dL; direct bilirubin 5.6 and indirect bilirubin 1.2 mg/dL; and serum alkaline phosphatase 1226 IU/L. She is most likely suffering from obstructive jaundice due to:


(a) Bile duct injury

(b) Carcinoma gallbladder

(c) Hepatocellular carcinoma

(d) Carcinoma head of pancreas


Ans:-  (a) Bile duct injury



  1. A 60 year old man presents with painless progressive jaundice for two months. He has a history of weight loss. On examination, his gallbladder is palpable which is smooth, non‐tender and globular. His serum bilirubin is 18.2 mg/dL. He is most likely suffering from:

(a) Carcinoma head of pancreas

(b) Carcinoma stomach

(c) Choledocholithiasis

(d) Klatskin tumour

            Ans:-  (a) Carcinoma head of pancreas


  1. A young 23 year old male riding his motorcycle meets with a road accident. He is tachypnoeic with HR 110/m and BP 112/74 mmHg. On examination, he has tenderness over left side of chest with decreased air entry. His trachea is pushed to opposite side. Abdominal examination is unremarkable. Most probably he is suffering from:

         (a) Haemothorax

(b) Consolidation

(c) Subcutaneous emphysema

(d) Tracheal rupture

      Ans:-         (a) Haemothorax


  1. Mondor’s disease is  

(a) Lymphangitis of mammary lymphatics

(b) Multiple breast cysts

(c) Eczema by nipple and areola

(d) Thrombophlebitis of superficial veins of breast


Ans:-   (d) Thrombophlebitis of superficial veins of breast



  1. Which of the following is NOT true regarding ‘Renal Carbuncle’?


(a) It is an abscess in renal parenchyma

(b) It occurs in diabetic patient

(c) It is a type of renal tuberculosis

(d) It occurs in intravenous drug abusers


Ans:-  (c) It is a type of renal tuberculosis


  1. Anderson‐Hynes operation is performed for:


(a) Achalasia cardia

(b) Pyloric stenosis

(c) Pseudo‐pancreatic cyst

(d) Pelvi‐ureteric junction obstruction


Ans:-   (d) Pelvi‐ureteric junction obstruction



  1. Which of the following is NOT correct for ‘strawberry gall bladder’?


(a) It is a malignant condition of gall bladder

(b) It has sub mucous aggregation of cholesterol crystals

(c) It may be associated with cholesterol Stones

(d) Simple cholecystectomy is the treatment of choice


Ans:-  (a) It is a malignant condition of gall bladder



  1. Treatment of choice for Recurrent Thyrotoxicosis after surgery is 


(a) Further surgery

(b) Radio iodine followed by surgery

(c) Radio iodine

(d) Observe/follow –up


Ans:-  (c) Radio iodine



  1. All the following are features of Polycystic disease of kidneys EXCEPT:


(a) Haematuria

(b) Hypertension

(c) Renal failure

(d) Erythrocytosis


Ans:-  (d) Erythrocytosis



  1. Which one of the following is the most important selection criteria for obesity surgery ?


(a) BMI > 40

(b) BMI 30

(c) BMI 30 with co‐morbid disease

(d) BMI 35 without any co‐morbid disease


Ans:-  (a) BMI > 40



  1. A 45 year old underwent abdominal rectal prolapse surgery. At present, he   complains of sexual dysfunction which is probably due to the injury of


(a) Pelvic autonomic nerves

(b) Inferior mesenteric artery

(c) Rectum

(d) Urinary bladder


Ans:-  (a) Pelvic autonomic nerves



  1. In endoscopic retrograde cholangiopancreatography endoscope used is:


(a) End viewing

(b) Side viewing

(c) Rigid

(d) Front viewing


Ans:-  (b) Side viewing



  1. Oliguria is defined as:


(a) Absence of urine production

(b) More than 900 ml of urine excreted in a day

(c) 600 ml to 700 ml of urine excreted in a day

(d) Less than 300 ml of urine excreted in a day


Ans:-  (d) Less than 300 ml of urine excreted in a day



  1. A 40 year old man, with a history of a reducible left groin swelling of two years, comes with severe pain over left groin. The swelling is now non‐reducible and is very tender to touch. The most probable treatment plan for this patient would be:


(a) Continue conservative management

(b) Hot fomentation of groin area

(c) Oral antibiotics

(d) Prepare for emergency surgery


Ans:-  (d) Prepare for emergency surgery



  1. During laparoscopic inguinal hernia repair, in the ‘triangle of doom’, the following are true EXCEPT:


(a) Vas deferens on medial side

(b) Cord structures on lateral side

(c) Base by iliac vessels

(d) Dangerous area for dissection


Ans:-  (c) Base by iliac vessels



  1. All are rare type of lateral Hernia of abdominal wall, EXCEPT:


(a) Spigelian

(b) Obturator

(c) Superior lumbar

(d) Inferior lumbar


Ans:-  (b) Obturator


  1. A 35 year old female had laparoscopic ventral hernia repair using polypropylene mesh in January 2015. In June 2015, she is again admitted with features of sub acute intestinal obstruction and is managed conservatively. She continues to have recurrent colicky pain after that. Most probably she is suffering from:


(a) Recurrence of hernia

(b) New hernia

(c) Acute appendicitis

(d) Bowel adhesion to mesh


Ans:-  (d) Bowel adhesion to mesh



  1. Which of the following is NOT correct for breast abscess?


(a) Drainage of abscess by a radial incision

(b) Antibiotic is given if pus is already present

(c) A counter‐incision is made in the dependant part

(d) Dressings are changed frequently


Ans:-  (b) Antibiotic is given if pus is already present



  1. Important landmark in submandibular gland dissection is:


(a) Posterior border of mylohyoid muscle

(b) Posterior belly of digastrics muscle

(c) Anterior belly of digastrics muscle

(d) Facial artery


Ans:-  (a) Posterior border of mylohyoid muscle



  1. Which of the following is NOT a feature of Systemic Inflammatory Response Syndrome?


(a) Hyperthermia ( more than 380 C)

(b) Hypothermia (less than 360 C)

(c) Leucocytosis

(d) Bradycardia


Ans:-  (d) Bradycardia



  1. A 35 year old man presents to Emergency with acute onset pain abdomen radiating to whole abdomen and abdominal distension for one day. On examination, he has tenderness and guarding all over abdomen with pulse rate of 100/m and BP 116/84 mmHg. Chest X‐ray erect position shows gas under bilateral domes of diaphragm. Probably he is suffering from:


(a) Acute pancreatitis

(b) Ruptured liver abscess

(c) Appendicular perforation

(d) Colonic perforation


Ans:-  (d) Colonic perforation



  1. A 70 year old man comes to Emergency with pain lower abdomen and not passing urine for eight hours. He has a past history of urgency, hesitancy and frequency of urine. On examination, he has a lump up to the umbilicus which is slightly tender. What is the next step of management?


(a) Get an urgent USG

(b) Per rectal examination

(c) Per urethral catheterise the patient

(d) Start antibiotics


Ans:-  (c) Per urethral catheterise the patient



  1. ‘Swiss cheese defects’ of anterior abdominal wall after exploratory laparotomy is best seen while doing:


(a) Open ventral hernia repair

(b) Open inguinal hernia repair

(c) Laparoscopic ventral hernia repair

(d) Laparoscopic inguinal hernia repair


Ans:-  (c) Laparoscopic ventral hernia repair



  1. A 35 year old male patient comes to casualty with acute pain abdomen; and on examination found to have cold, clammy extremities, sunken eyes, dry tongue, thready pulse, drawn and anxious face with abdominal guarding and rigidity. This clinical picture indicates:


(a) Local peritonitis

(b) Diffuse early peritonitis

(c) Diffuse late peritonitis

(d) Acute cholecystitis


Ans:-  (c) Diffuse late peritonitis



  1. All of the following statements are true for keloids EXCEPT:


(a) It is rarely seen in white skinned persons and is more common over the sternum

(b) True keloid continues to become worse even after one year

(c) True keloid does not spread into surrounding tissue

(d) The maturation and stabilization of the collagen fibrils is inhibited


Ans:-  (c) True keloid does not spread into surrounding tissue



  1. Which of these is a palliative shunt procedure created between the left subclavian artery and pulmonary artery to treat cyanotic congenital heart disease?


(a) Gott’s shunt

(b) Lieno renal shunt

(c) Blalock‐Taussig shunt

(d) Waterstons shunt


Ans:-  (c) Blalock‐Taussig shunt



  1. A young male is undergoing emergency surgery for a clinical diagnosis of acute appendicitis. Intraoperatively minimal pus was found but the appendix was normal. What is the next step of management?


(a) Appendectomy

(b) Right hemicolectomy

(c) Close the abdomen without doing anything

(d) Search for perforated Meckel’s diverticulum


Ans:-   (d) Search for perforated Meckel’s diverticulum



  1. Which of the following is NOT considered as an indicator of adequate fluid resuscitation?


(a) Urine output

(b) Respiratory rate

(c) Pulse

(d) Blood pressure


Ans:-  (b) Respiratory rate



  1. In a 65 year old, double contrast barium enema shows cancer of colon with an apple core appearance. Colonoscopic biopsy shows adenocarcinoma. What will be the next step of management?


(a) Surgery

(b) Chemotherapy

(c) CECT to stage disease

(d) Radiotherapy


Ans:-  (c) CECT to stage disease



  1. A 35 year old woman presented with a lump in her upper abdomen for two months which was slightly increasing. She also complained of early satiety. She gave a history of acute severe pain in upper abdomen for which she was admitted in hospital for 10 days, about three months ago. On examination, the mass was firm, smooth surfaced and not moving with respiration. She was most likely suffering from:

           (a) Cancer stomach

(b) Cancer colon

(c) Pseudocyst pancreas

(d) Splenic cyst


           Ans:-  (c) Pseudocyst pancreas


  1. While working in a primary health centre, an elderly patient presents with a history of sudden loss of vision and curtain falling sensation in one eye. This symptom is highly suggestive that the patient has the following condition:


          (a) Retinal detachment

(b) Vitreous haemorrhage

(c) Acute onset ptosis

(d) Intracranial haemorrhage


           Ans:-  (a) Retinal detachment



  1. Pringle’s manoeuvre is done to stop bleeding at:


(a) Left gastric artery

(b) Splenic artery

(c) Renal artery

(d) Hepatoduodenal ligament


Ans:-  (d) Hepatoduodenal ligament



  1. What is the most common malignant tumour of eyelid?


(a) Neurofibroma

(b) Meibomian cancer

(c) Basal cell cancer

(d) Pseudotumour


Ans:-  (c) Basal cell cancer



  1. Which of the following is NOT a symptom of atherosclerotic occlusive disease at the bifurcation of aorta (Leriche syndrome)?


           (a) Claudication of the buttock and thigh

(b) Claudication of the calf

(c) Sexual impotence

(d) Gangrene localised to the feet


        Ans:-             (d) Gangrene localised to the feet



  1. Which of the following factors is labelled as cytokine in the pathogenesis of Systemic Inflammatory Response Syndrome (SIRS)?  


(a) Nitric oxide

(b) Complements

(c) Leukotrienes

(d) Tumor necrosis factor


Ans:-  (d) Tumor necrosis factor



  1. Vocal cord palsy after thyroid surgery is due to injury to:


(a) Superficial laryngeal nerve

(b) Recurrent laryngeal nerve

(c) Ansa cervicalis

(d) Vagus nerve


Ans:-  (b) Recurrent laryngeal nerve



  1. A infertile woman presents with yellow or green vaginal discharge, bartholin cyst and proctitis. What is the most probable diagnosis?


(a) Syphilis

(b) Trichomomiasis

(c) Gonorrhoea

(d) Candidiasis


Ans:-  (c) Gonorrhoea



  1. Absolute contraindication to combined oral contraceptive is:


(a) History of GDM

(b) History of thrombo‐embolism

(c) History of previous two caesarean section

(d) History of gallbladder disease


Ans:-  (b) History of thrombo‐embolism



  1. A 28 year old P1L1 presents with severe pain in her abdomen and is taken for laparotomy. On opening the abdomen pseudomyxoma of the peritoneum is present. What should be the probable reason?


(a) Mucinous cystadenoma of ovary

(b) Serous cystadenoma of ovary

(c) Rupture of dermoid tumor

(d) Endometriosis


Ans:- (a) Mucinous cystadenoma of ovary



  1. In a 40 year old woman, pap smear shows atypical glandular cells. The next step of management should be:


(a) Repeat pap smear after three months

(b) Colposcopic directed cervical biopsy

(c) Colposcopy, cervical biopsy, endocervical curettage and endometrial biopsy

(d) Hysteroscopy and directed endometrial biopsy


Ans:- (c) Colposcopy, cervical biopsy, endocervical curettage and endometrial biopsy


  1. A 50 year old P4L4 has a simple left ovarian cyst of 10cm. Ca 125 is 30u/ml. Treatment of choice would be:


(a) TAH + BSO (Total abdominal hysterectomy + Bilateral salpingo‐oopherectomy)

(b) Laparoscopic cystectomy

(c) Laparoscopic oophorectomy

(d) Medical management with oral contraceptives


Ans:- (a) TAH + BSO (Total abdominal hysterectomy + Bilateral salpingo‐oopherectomy)



  1. A seven year old girl with precocious puberty is found to be having a 10 cm. ovarian cyst on USG. The most likely etiology is


(a) Benign cystic teratoma

(b) Brenner tumour

(c) Choriocarcinoma

(d) Granulosa cell tumour


Ans:-  (d) Granulosa cell tumour



  1. A 17 year old girl presents with an ovarian cyst of 5cm. The cyst is echo free, unilocular and CA 125 of 8U/ml. What is most appropriate management?


(a) Laproscopy for cyst removal

(b) Laparotomy for cyst removal

(c) Conservative with follow up ultrasound

(d) Medical treatment


Ans:-  (c) Conservative with follow up ultrasound



  1. The contraceptive choice for a 38 year old P1L1 woman having chronic hypertension, dysmenorrhoea and menorrhagia is:


(a) Copper intrauterine device

(b) Sterilization

(c) Levenorgestrel intrauterine device

(d) Combined oral contraceptive pills


Ans:-  (c) Levenorgestrel intrauterine device



  1. Most probable cause of heavy bleeding in a P2L2 during tenth day post partum is:


(a) Retained bits of cotyledons and membranes

(b) Sub involution of placental site

(c) Resumption of menstruation

(d) Infected episiotomy wound


Ans:-  (a) Retained bits of cotyledons and membranes



  1. A woman with which of the following health problems should avoid centchromen?


(a) Polycystic ovarian syndrome

(b) Woman with dysfunctional uterine bleeding

(c) Endometrial hyperplasia

(d) Endometriosis


Ans:-  (a) Polycystic ovarian syndrome