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

 

 

2. 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

 

 

3. 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

 

 

4. Heineke‐Mikulicz operation is done for:

 

(a) Ureteric stricture

(b) Urethral stricture

(c) Pyloric stenosis

(d) Stricture common bile duct

 

Ans:-  (c) Pyloric stenosis

 

 

5. 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

 

 

6. 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

 

7. 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

 

8. 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

 

 

9. 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

 

10. 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

 

 

11. 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

 

 

12. 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

 

 

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

 

(a) Haematuria

(b) Hypertension

(c) Renal failure

(d) Erythrocytosis

 

Ans:-  (d) Erythrocytosis

 

 

14. 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

 

 

15. 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

 

 

16. In endoscopic retrograde cholangiopancreatography endoscope used is:

 

(a) End viewing

(b) Side viewing

(c) Rigid

(d) Front viewing

 

Ans:-  (b) Side viewing

 

 

17. 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

 

 

18. 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

 

 

19. 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

 

 

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

 

(a) Spigelian

(b) Obturator

(c) Superior lumbar

(d) Inferior lumbar

 

Ans:-  (b) Obturator

 

21. 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

 

 

22. 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

 

 

23. 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

 

 

24. 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

 

 

25. 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

 

 

26. 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

 

 

27. ‘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

 

 

28. 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

 

 

29. 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

 

 

30. 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

 

 

31. 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

 

 

32. 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

 

 

33. 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

 

 

34. 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

 

35. 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

 

 

36. 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

 

 

37. 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

 

 

38. 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

 

 

39. 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

 

 

40. 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

 

 

41. 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

 

 

42. 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

 

 

43. 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

 

 

44. 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

 

45. 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)

 

 

46. 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

 

 

47. 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

 

 

48. 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

 

 

49. 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

 

 

50. 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