GENERAL SURGERY PRACTICE 3

       
                       SINGLE BEST OPTION SERIES
          INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.       Causes of anal fissure does not include:

a.       Diarrhoea

b.      Constipation

c.       Schistosomiasis

d.      Foreign body

e.      None of the above

2.       The following are features of fissure-in-ano except:

a.       Severe perianal pain

b.      Streaking of the faeces with blood

c.       Sentinel pile

d.      Anal maximum resting pressure

e.      None  of the above

3.       The following conditions require anal dilatation as a management option except:

a.       Post-operative haemorrhoidectomy

b.      Hirschsprung disease

c.       Fissure-in-ano

d.      Twisted hydatid of Morgagni

e.      None of the above

4.       The management option for anal fissure does not include:

a.       Botulinum toxin A

b.      Oral or topical nifedipine

c.       Liquid paraffin

d.      Analgesic

e.      None of the above

5.       The following are important barium study findings in colorectal cancer investigation except:

a.       Transition zone

b.      Apple core deformity

c.       Narrowed lumen

d.      Filling defects

e.      All of the above

6.       Staging of colorectal cancer is done using the:

a.       House-Brackmann grading

b.      Astler-Coller Dukes classification

c.       Melbourne classification

d.      Salmon Goodsall’s law

e.      All of the above

7.       The following usually suggest that colorectal is on the left side of the colon except:

a.       Annular type of lesion on colonoscopy

b.      Colicky abdominal pain referred to the suprapubic area

c.       Tenesmus

d.      Spurious diarrhoea

e.      None of the above

8.       The following are the usual sites of fissure-in-ano except:

a.       Anterior

b.      Posterior

c.       Medial

d.      Lateral

e.      Only medial and lateral

9.       The following are important manoeuvres in thyroid examination except:

a.       Pizzilo manoeuvre

b.      Lahey’s method

c.       Crile’s method

d.      Kocher’s test

e.      None of the above

10.   During the physical examination of a woman with goitre, she was asked to place her hands behind her head and the head pushed against the clasped hands. What necessitated this manoeuvre is most likely that the patient was:

a.       Tall and slim

b.      Short and obese

c.       An elderly

d.      Very young

e.      Ill-looking 

ANSWERS:

1. e

2. e

3. d

4. e

5. a

6. b

7. e

8. c

9. e

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.