MBBS Surgery and Clinical Medicine 3

Question 1

Which sign is elicited in acute appendicitis by pressing on the left iliac fossa causing pain in the right iliac fossa?

Accepted Answer

Rovsing's sign

Answer

McBurney's sign

Answer

Psoas sign

Answer

Obturator sign

Question 2

What is the best initial investigation for suspected acute appendicitis in a child?

Accepted Answer

Ultrasound abdomen

Answer

CT abdomen with contrast

Answer

MRI abdomen

Answer

Diagnostic laparoscopy immediately

Question 3

Which condition is described by the triad of hematemesis, aortic stenosis, and gastrointestinal angiodysplasia?

Accepted Answer

Heyde's syndrome

Answer

Osler-Weber-Rendu syndrome

Answer

Mallory-Weiss syndrome

Answer

Dieulafoy lesion

Question 4

In colorectal cancer staging using the TNM system, what does N1 indicate?

Accepted Answer

Metastasis in 1–3 regional lymph nodes

Answer

No regional lymph node metastasis

Answer

Metastasis in 4 or more regional lymph nodes

Answer

Distant organ metastasis

Question 5

Which maneuver is used intraoperatively to expose the retroperitoneal structures (kidney, aorta, IVC) during abdominal surgery?

Accepted Answer

Mattox maneuver

Answer

Cattell-Braasch maneuver

Answer

Pringle maneuver

Answer

Kocher maneuver

Question 6

What is the most common complication following splenectomy?

Accepted Answer

Left-sided pleural effusion

Answer

Overwhelming post-splenectomy infection (OPSI)

Answer

Portal vein thrombosis

Answer

Pancreatic fistula