GENERAL SURGERY PRACTICE 4

                             SINGLE BEST OPTION SERIES

                  INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.       Positive pemberton sign in a patient with goitre best demonstrates:

a.       Toxic components

b.      Lid lag

c.       Retrosternal extension of the goitre

d.      High vascularity of of the goitre

e.      All of the above

2.       The following suggest retrosternal extension of a goitre except:

a.       Tracheal deviation

b.      Positive Pemberton sign

c.       Dull percussion over the sternum

d.      Positive Berry sign

e.      None of the above

3.       Important radiograph views of the neck to request in a patient with thyroid swelling include the following except:

a.       Anteroposterior

b.      Lateral

c.       Thoracic inlet

d.      Open mouth view

e.      None of the above

4.       Important reasons for doing indirect laryngoscopy in a patient with thyroid swelling include the following except:

a.       To detect psammona bodies

b.      Medico-legal reasons

c.       To detect damage to the recurrent laryngeal nerve

d.      Only (a) and (c) above

e.      Only (b) above

5.       The following are ocular signs of thyrotoxicosis except:

a.       Jaffroy’s sign

b.      Mobius sign

c.       Myerson’s sign

d.      Gifford’s sign

e.      Stellwag sign

6.       Which of the following is used for the management of hypothyroidism?

a.       Carbimazole

b.      L-thyroxine

c.       Methimazole

d.      Propylthiouracil

e.      Iodides

7.       An operation on the thyroid gland involving the removal of one lobe, a part of the second lobe and the whole of the isthmus of the gland is known as:

a.       Lobectomy

b.      Subtotal thyroidectomy

c.       Near total thyroidectomy

d.      Total thyroidectomy

e.      None of the above

8.       The following operation on the thyroid does not involve sparing of the isthmus except:

a.       Near total thyroidectomy

b.      Lobectomy

c.       Total thyroidectomy

d.      Subtotal thyoidectomy

e.      None of the above

9.       After sub-total thyroidectomy, the size of the thyroid gland remaining is usually estimated to be ..................... of the original

a.       1/4

b.      1/8

c.       1/16

d.      1/32

e.      1/2

10.   Management of tension haematoma post thyroidectomy will not immediately involve:

a.       Removing some of the dressings

b.      Transferring the patient to the theatre to secure haemostasis

c.       Intralesional triamcinolone for keloids

d.      Giving the patient intravenous fluid

e.      None of the above

ANSWERS:

1. c

2. d

3. d

4. a

5. c

6. b

7. c

8. e

9. b

10. c

                                        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.