GENERAL SURGERY PRACTICE 1

                              
                        SINGLE BEST OPTION SERIES
          
        INSTRUCTION: SELECT THE SINGLE BEST OPTION 

1.       Post operative complications of appendicectomy does not include:

a.       Dynamic ileus

b.      Adynamic ileus

c.       Sub-hepatic abscess

d.      Enterocutaneous fistula

e.      None of the above

2.       Differential diagnosis of an appendix mass does not include:

a.       Amoeboma

b.      Ileocaecal tuberculosis

c.       Pedunculated fibroid

d.      Crohn’s disease

e.      Seroma

3.       The main components of appendix mass does not include:

a.       Greater omentum

b.      Adipose tissue

c.       Inflamed caecum

d.      Coils of terminal ileum

e.      Inflamed appendix

4.       Following the Ocshner-Sherren regimen, it is expected that an appendix mass should resolve around:

a.       5-14 days

b.      7-14 days

c.       14-28 days

d.      1-7 days

e.      1-4 months

5.       Components of Oschner-Sherren regimen does not include

a.       Giving intravenous fluid

b.      Analgesia

c.       Hourly pulse monitoring

d.      Barium enema

e.      Marking the abdomen with an indelible ink

6.       Failure of an appendix mass to resolve after administering the Oschner-Sherren regimen should not raise a suspicion of

a.       Situs inversus

b.      Cancer of the caecum

c.       Crohn’s disease

d.      Amoeboma

e.      None of the above

7.       Interval appendicectomy is an appropriate management option in:

a.       Ruptured appendix

b.      Appendix mass

c.       Postoperative fistula

d.      Removing the appendix when doing other operation

e.      Subphrenic abscess

8.       MANTREL score for appendicitis is also known as:

a.       Alvorado score

b.      APACHE score

c.       APGAR score

d.      Alvogadro’s number

e.      Weber’s score

9.       Which of the following incision is not used for the management of appendicitis

a.       Paramedian

b.      Lanz

c.       Joel-Cohen

d.      Gridiron

e.      None of the above

10.   The following parameters carry a single point on MANTREL score except:

a.       Anorexia

b.      Tenderness in the right iliac fossa

c.       Rebound tenderness

d.      Nausea and vomiting

e.      Migration of pain to the right iliac fossa

ANSWERS:

1.  e

2. e

3. b

4. b

5. d

6. a

7. b

8. a

9. c

10. b

                                        REMEMBER
” Some people sin by not working diligently for six days whereas, others – because of greed, unbelief or powerlessness- sin by working also on a day of rest and worship. Either way of breaking this   command results in poverty.”   By  Vishal Mangalwadi.