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Question and Answers of TNPSC Exam for Assistant Surgeons, held on October
16th, 2005
Series A : 101 to 150
101 The
commonest lump in the breast of a young female is
a Fibrocystic disease
b
Fibroadenoma
c Early breast cancer
d
Phylloides tumour
Reference : Bailey and Love, 23rd edition Page 759,
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102 Traction injury to epiphysis of the Vertebra is called
a Osgood-Schlatter's disease
b Kohler's
disease
c Sever's disease
d
Scheuermann's disease
Reference Page 269, Maheshwari, 3rd edition
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103 Trigger Thumb is
a Stenosing Tenosynovitis of Flexor Pollicis Longus
b Stenosing
Tenosynovitis of Abd. Pol. Longus and Ext. Pol. Brevis
c Tenosynovitis of Abductor Pollicis
d
Tenosynovitis of Lumbricals and Interossel
Reference : Bailey and Love 24th Edition Page 530 and Text book of Surgery S.Das 3rd Edition
Page 281,
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104 The most common infection of the hand is
a Acute paronychia
b Chronic
paronychia
c Terminal pulp space infection
d Web space
infection
Reference : Bailey and Love 24th Edition Page 524
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105 The common cause for tennis elbow is
a bursitis
b
enthesopathy at the regiobn
c radial head osteophyte
d
entrapment of posterior interosseous nerve
Reference : Bailey and Love 24th Edition Page 367
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106 Most common complication of clavicle fracture is
a Malunion
b Non-union
c Injury to brachial plexus
d Shoulder
stiffness
Reference : Bailey and Love 24th Edition Page 371
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107 Maximumtourniquet time for upper limb is
a 1/2 hour
b 1 hour
c 1 1/2 hours
d 2 hours
Reference : Bailey and Love 24th Edition Pages 140, 519
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108 The following malignancies are common in AIDS, except
a Kaposi Sarcoma
b Burkitt's
Lymphoma
c Primary CNS Lymphoma
d Ca-Colon
Reference : Robbins 7th Edition Paged 255
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109 Partial thickness Burn is characterised by all the following, except
a Becomes full thickness later
b Rarely
causes severe physiological derangement
c Heals without grafting
d Moist &
blistered
Reference : Bailey and Love 24th Edition Page 270
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110 Necrotising Fascitis is caused by the following organisms, except
a Coliforms
b
Staphylococci
c Bacteriodes
d
Clostridia
Reference : Bailey and Love 24th Edition Page 124
Please read
the first line in Bailey before arguing against this answer
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111 In a surgical patient which of the following preoperative preparation
effectively reduces injection rate ?
a Antiseptic bathing of the patient's body
b Shorter
period of preoperative hospital stay
c Preoperative shaving five minutes before surgery
d
Antiseptic scrubbing of the surgeon's hands
Reference : Bailey and Love 24th Edition Page 126
Please note
that there is "no hard evidence" for the usefulness of Antiseptic bathing
and preoperative shaving "should be avoided except for aesthetic reasons."
That leaves us to choose between choice (b) and (d). Now As per bailey, "Short
preoperative stay lowers the risk of acquiring MRSA and multiply resistant
coagulase-negative staphylococci (MRCNS). So we choose (b) inspite of the fact
that (d) is also a correct option
Controversy due to : Not clear in
Bailey. Varied books give varied
answers. Spelling mistake in Question
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112 The safe method of administering general anaesthesia is through
a Tracheostomy tube
b
Non-cuffed endotracheal tube
c Cuffed endotracheal tube
d
Endobronchial tube
Reference : Ajay yadav, Page 32
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113 The initial fluid replacement in a case of burns is dependent upon
a haematocit value
b blood
pressure
c surface area involved
d the depth
of the burns
Reference : Bailey and Love 24th Edition Page 271
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114 Minimum amount of G.I. Bleed to cause malena is
a 30 ml
b 60 ml
c 120 ml
d 10 ml
Reference : CSDT, 11th edition Page 548
Minimum
TIme needed for transit is 14 hours
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115 Most malignant type of Ca stomach is
a Proliferative growth
b
Ulcerative type
c Linitis Plastica
d
Superficial Spreading type
Reference : Robbins 7th Edition Page 825
Different
books give varied opinions
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116 Emphysematous Cholecystitis occurs commonly in
a Sarcoidosis
b Systemic
Lupus Erythematosis
c Diabetes Mellitus
d Gas
Gangrene
Harrison 15th Edition Chapter 302
"When you
hear hoofs, think of horses and not Zebras"
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117 Common site involved in Toxic Mega-colon is
a Ascending colon
b
Descending colon
c Transverse colon
d
Sigmoidorectal area
Reference : Bailey and Love 24th Edition Page 1104
Yes....
Check bailey if you have any doubt regarding this
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118 Operation of choice for Resectable Cancer Rectum 4 cms above the Anal verge
is
a Anterior Resection
b
Abdomino-perineal Excision
c Resection and anastomosis
d Davis
procedure
Reference : Bailey and Love 23rd Edition Page 1108 and Sabiston 15th Edition
Chapter 32. Explained in TargetPG TNPSC Book. This is a repeat Question
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119 Barret's Ulcers are found in
a Reflux Esopphagitis
b Following
Burns
c Following Head injury
d In
Typhoid, T.B. and Amoebiasis
Reference : Robbins 7th Edition page 804
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120 Gastric ulcer occurs most commobnly at
a Fundus
b Body
c Pyloric antrum
d Greater
curvature
Reference : Robbins 7th edition Page 817
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121 Kehr's sign is positive in
a Splenic rupture
b Rupture
of distended gall bladder
c Hepatic injury
d
Perforation of peptic ulcer
Reference : Bailey and Love 24th Edition Page 1087
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122 Lignocaine toxicity includes
a Convulsions
b Asystole
c Methaemoglobinaemia
d All of
these
Answer : d All of these
Reference : Harrison
16th Edition Page 2590 Table 377-4 (Methemoglobinaemia) and K.D.Tripathi 5th
Edition Page and Katzung 9th Edition
Page 426
Methemoglobinemia results from exposure to chemicals that oxidize the ferrous
(Fe2+) iron in hemoglobin to the ferric (Fe3+) state. Concomitant oxidation of
hemoglobin protein may cause its precipitation in erythrocytes and consequent
hemolytic anemia, manifest as Heinz bodies and "bite cells," respectively, on
peripheral blood smear. Oxidizing agents include aniline and its derivatives,
aminophenols, aminophenones, chlorates, dapsone,
local anesthetics (particularly benzocaine), nitrites, nitrates, naphthalene, nitrobenzene and related
chemicals, oxides of nitrogen, phenazopyridine, primaquine and related
antimalarials, and sulfonamides.
Controversy due to : Limiting the
reference to one book. It is clearly given in Harrison that local anaesthetics
cause methemoglobinemia. The side effects of Local anaesthetics are described
under 4 headings in Katsung namely 1.CNS, 2. Neuro toxicity, 3.CVS and 4.
Hematological - Methemoglobinemia and 5. Allergic reactions.
Opinion
:
No need for confusion.
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123 Mycosis fungoides is
a Cutaneous lymphoma
b Deep
dermal fungal infection
c Cutaneous tuberculous infection
d Skin
eruptions due to rubella viruses
Reference : Harrison 15th Edition Chapter 112
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124 Commonest variety of piles is
a Internal
b External
c Internal-external
d none of
these
Reference : Bailey and Love 24th Edition Page 1255
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125 Rectal strictures are more commonly seen with
a Carcinoma Rectum
b Syphilis
c Chancroid
d LGV
Reference Harrison, 15th edition Chapter 179
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126 The following are true about Ideopathic hypertrophic Aortic stenosis, except
a Autosomal dominant with complete penetrance
b Sudden
death
c Associated Mitral Regurgitation
d Verapamil
ameliorate symptoms
Reference Harrison, 15th edition Chapter 61
The
inehritance is Autosomal Dominance wih Incomplete penetrance
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127 Shrinking Lung syndrome is seen in
a Systemic Lupus Erythamatosis
b Systemic
sclerosis
c Poliomyelities
d
Tuberculosis
Reference Davidson, 19th edition , Page 560
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128 All are Autosomal Dominant disorders, except
a Tuberous sclerosis
b Polyposis
coli
c Cystic Fibrosis
d Myotonia
dystonica
Reference : Harrison 15th Edition Chapter 257 and Page 151, Robbins , 7th edition
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129 cANCA is most commonly associated with
a Wegner's glomerulosclerosis
b
Idiopathic crescentic GN
c Diffuse glomerulosclerosis
d None of
these
Reference : Harrison 15th Edition Chapter 317
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130 Which of the following is not associated with Tetany?
a Chovostek's sign
b
Trousseau's sign
c Cole's sign
d Erb's
sign
Reference : Harrison 15th Edition Chapter 340
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131 Causes of Hypergonadotrophic hypogonadism are following, except
a Klinefelter's syndrome
b Turner's syndrome
c Cushing's syndrome
d Leprosy
Reference : Harrison 16th Edition Pages 969 and 2215 and O.P. Ghai, 5th edition Page 455,
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132 Following are true about Psoriasis, except
a Well defined erythamatous plaques
b Parakeratosis
c Not associated with HLACW6
d Exacerbated by Propranolol.
Reference : Harrisons 15th edition Chapter 56
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133 Clinical features of raised intracranial pressure include all, except
a Tachycardia
b Vomitting
c Personality changes
d 6th N.Palsy.
Reference : Harrisons 15th edition Chapter 369
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134 Pulsus Paradox occurs in
a Cardiac tamponade
b Bronchial Asthma
c Pneumo-thorax
d All of these
Reference : Golwalia 8th Edition Page 233
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135 Turner's syndrome is associated with all the following, except
a Karyotype of 45 XO
b Genitial hypoplasia
c Blind vagina
d Streak ovaries.
Reference : Harrisons 15th edition Chapter 338
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136 The condition of 'waxy flexibility' is encountered during examination of
patients with
a Alcoholic Hallucinosis
b Mania
c Catatonic Schizopherenta
d Alzheimer's Dementia.
Reference Ahuja, 4th edition Page 56
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137 In the following, mention the drug which is not used in Erythematous Nodosum
Leprosum
a Steroids
b Chlorpromazine
c Thalidomide
d Adriamycin
Reference :
http://www.dgho.de/aktuell/17130_thalidomid-konsensus-050213.pdf
Adriamycin (Doxorubicin) is used in latest Trails
* VAD,
Vincristin, Adriamycin (Doxorubicin), Dexamethasone
*
Thalidomide combined with vincristine, adriamycin and dexamethasone (T-VAD) is
effective treatment
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138 The key mediator in Scar Formation are following, except
a T.F.G. beta
b FGF
c Macrophages
d Polymorphs
Reference Robbins, 7th edition Page 110,
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139 In renal transplantation, the dreaded cause for graft loss is
a Acute rejection
b Vascular thrombosis of artery
c Vascular thrombosis of vein
d Anastomatic dehiscence.
Reference : Searching
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140 The rate limiting enzyme in Blue Salt synthesis is
a HMG-Co-A-Reductase enzyme
b HMG-Co-A-Synthetase enzyme
c 7-Alpha Hydroxylase
d Nucleosidase enzyme
Reference
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141 Boerhoove's syndrome is
a Partial thickness rupture of oesophagus
b Full thickness rupture of oesophagus
c Rupture of oesophageal varices
d Rupture at gastro-oesophageal junction
Reference : Sabiston 15th Edition Chapter 26
Rupture in
Left Lateral wall above diaphragm
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142 Common Goitre in Iodine Deficiency is
a Simple Colloid
b Single Nodule
c Multiple Nodule
d Malignant Nodule
Reference : Robbins 7th Edition Page 1174
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143 Plasma Cortisol levels show Diurnal variation with highest values
a in the morning
b at bed time
c in the evening
d at midnight
Reference : Harrison 16th Edition Page 2092
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144 Which of the following Naevt becomes malignant
a Blue Naevus
b Hairy Naevus
c Junctional Naevus
d Intradermal Naevus
Reference : Surgical SHort Cases, S. Das , 2nd Edition page 30
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145 Metabolic acidosis occurs in
a Diabetes
b Starvation
c Renal insufficiency
d All of these
Reference : Harrison 15th Edition Chapter 50
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146 Amaurosis fugax is
a Hemiplegia caused by embolus in middle cerebral artery
b Fleeting blindness
due to embolus in central retinal artery
c Gangrene of intestines due to thrombosis of mesenteric artery
d Splenic
infarction due to thrombosis of splenic artery
Reference : Harrison 15th Edition Chapter 28
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147 Step-wells are associated with the transmission of
a Amoebiasis
b Ascariasis
c Ancylostomiasis
d Dracunculosis
Reference Park, 18th edition Page 197
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148 The toxic agent in epidemic dropsy is
a BOAA
b Ergot alkaloids
c Sangianarine
d none of these
Reference Park, 18th edition , Page 479,
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149 Evolution of Rash in a chicken pox case passes through the following four
stages. Identify the correct order in which they appear:
a Macule, Papule, Scab, Vesicle
b Papule, Macule, Vesicle, Scab
c Vesicle, Papule, Macule, Scab
d Macule, Papule, Vesicle, Scab
Reference : Park, 18th edition Page 123,
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150 The Odds ratio is used as a measure of association in a
a Retrospective cohort study
b Cohort study
c Prospective cohort study
d Case control study
Reference Park, 18th edition Page 67,
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