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    MCQs Surgery 1

    Uploaded by

    Asim Niaz
    The document contains multiple choice questions (MCQs) about acute abdominal pain and trauma management. It includes MCQs testing diagnosis and management of conditions causing acute abdominal pain like duodenal ulcer perforation and acute appendicitis. It also has MCQs on early assessment and resuscitation of polytrauma patients, including securing the airway, controlling hemorrhage, and indications for emergency thoracotomy.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    MCQs Surgery 1

    Uploaded by

    Asim Niaz
    901 views4 pages
    The document contains multiple choice questions (MCQs) about acute abdominal pain and trauma management. It includes MCQs testing diagnosis and management of conditions causing acute abdominal pain like duodenal ulcer perforation and acute appendicitis. It also has MCQs on early assessment and resuscitation of polytrauma patients, including securing the airway, controlling hemorrhage, and indications for emergency thoracotomy.

    Original Description:

    MCQs in general surgery

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    The document contains multiple choice questions (MCQs) about acute abdominal pain and trauma management. It includes MCQs testing diagnosis and management of conditions causing acute abdominal pain like duodenal ulcer perforation and acute appendicitis. It also has MCQs on early assessment and resuscitation of polytrauma patients, including securing the airway, controlling hemorrhage, and indications for emergency thoracotomy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    901 views4 pages

    MCQs Surgery 1

    Uploaded by

    Asim Niaz
    The document contains multiple choice questions (MCQs) about acute abdominal pain and trauma management. It includes MCQs testing diagnosis and management of conditions causing acute abdominal pain like duodenal ulcer perforation and acute appendicitis. It also has MCQs on early assessment and resuscitation of polytrauma patients, including securing the airway, controlling hemorrhage, and indications for emergency thoracotomy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    The document discusses various case scenarios related to acute abdominal pain and trauma management. Multiple choice questions are provided with each case to test diagnosis and treatment.

    Symptoms can include abdominal pain, distension, vomiting and tenderness.

    Ultrasound would be the best initial investigation in this case.

    Topic : Acute pain abdomen

    MCQs: 1

    A 35 yr old male came to emergency room with acute abdominal pain, abdominal distension and

    vomiting for 3 days. Examination revealed presence of tachycardia, dehydration, abdominal rigidity

    and rebound tenderness. Best initial management would be

    1. IV fluids and CT scan

    2. IV fluids and X ray abdomen

    3. Directly CT scan

    4. Only USG examination

    MCQs: 2

    A 40 yr old female had severe pain in RUQ with radiation to back and vomiting for 6 hrs.

    Examination revealed mild tenderness in RUQ. Best initial investigation would be

    1. X ray chest

    2. X ray abdomen

    3. CT scan

    4. USG examination

    MCQs: 3

    A woman 35 years of age comes to the emergency department with symptoms of pain in abdomen

    and bilious vomiting but no distension of abdomen. Abdominal X ray showed no air fluid level.

    Diagnosis is:

    1. Ca rectum

    2. Duodenal obstruction

    3. Adynamic ileus

    4. Pseudoobstruction
    MCQ 4

    In duodenal ulcer perforation

    1. Erect x ray chest is not helpful in detecting air under diaphragm

    2. Supine x ray is better than erect x ray abdomen

    3. Air under diaphragm is not seen in all cases

    4. X ray chest is not helpful in making correct diagnosis

    MCQ 5

    A 22-year-old man awakens with periumbilical abdominal pain and nausea followed by nonbilious
    vomiting. He has low grade fever and tenderness in rt lower quadrant. What is the most likely
    diagnosis?

    A. Perforated ulcer

    B. Acute appendicitis

    C. Perforation following bowel obstruction

    D. Cholecystitis

    E. Diverticulitis

    MCQ 6

    A 26 year old female with a history of two prior abdominal operations presents with abdominal
    distension, colicy abdominal pain and no bowel function for 36 hours prior to admission. Which of the
    following is the initial treatment plan for this patient?

    A. Immediate surgery.

    B. Nasogastric decompression, IV Fluids IV Antibiotics and analgesics for 24 hours.

    C. USG Abdomen.

    D. CT Scan Andomen.
    POLY TRAUMA

    1. When a casualty has severe facial injuries

    A. An immediate danger to life is blood loss

    B. Transport to the casualty department should be in the supine position

    C. Airway obstruction can occur due to inhaled blood

    D. Surgical cricothyroidotomy may be required due to oedema

    E. Cervical spine injury should be considered after securing a definitive airway

    2. In the early assessment and resuscitation of a trauma patient

    A. Application of a tourniquet to control obvious external blood loss from a limb is essential to minimise
    hypovolaemic shock

    B. Airway patency ensures adequate ventilation

    C. A urinary catheter should be inserted if the patient is unconscious

    D. A normal lateral cervical spine X-ray excludes a cervical spine injury

    E. Nasotracheal intubation should be undertaken in the apnoeic patient

    3. In compensated hypovolaemia due to haemorrhage

    A. There is no significant reduction of systemic blood pressure

    B. The vital organs are inadequately perfused

    C. There will be associated bradycardia

    D. The patient may feel thirsty

    E. 1000 ml of blood may have been lost from the intravascular compartment
    4. Severe head injury may be associated with

    A. Raised systemic arterial blood pressure

    B. No evidence of damage on CT scan

    C. Secondary injury due to tissue hypoxia

    D. Retention of carbon dioxide

    E. A Glasgow Coma Score of 10

    5. Indications for emergency thoracotomy include

    A. Patients with penetrating precordial injuries who are in EMD

    B. Immediate evacuation of 750 ml blood on insertion of a chest drain

    C. Continued blood loss from a chest drain of 200 ml/h for >3 h

    D. A haemodynamically stable patient with a wide mediastinum on chest X-ray

    E. A patient with hypoxia and a flail chest segment

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