NEETPG MARATHON
SURGERY
Dr Pritesh Singh
1. A 50 years old female was brought to the hospital with
enlargement of the breast. The image is given below. What is
the preferred treatment option?
a. Simple mastectomy
b. Radical mastectomy
c. Modified radical mastectomy
d. Antibiotic with conservative treatment
2. A known case of papillary carcinoma of left breast had come
to your hospital for surgery. A modified radical mastectomy
procedure was done and on 2nd post-operative day, during your
rounds the patient presents with the following finding as shown
in the figure below. Which nerve would have been damaged
during the operative procedure?
a. Musculocutaneous nerve
b. Long thoracic nerve of Bell
c. Intercostobrachial nerve
d. Thoracodorsal nerve
3. A patient presented with the presence of a thyroid swelling
and weight loss. The physician found presence of cervical
lymphadenopathy and decided to go for a thyroid biopsy.
Histopathology report of the patient suggested the presence of
cells with orphan Annie eye nuclei. Which of the following is
the most likely diagnosis?
a. Papillary carcinoma thyroid
b. Follicular carcinoma thyroid
c. Medullary carcinoma thyroid
d. Anaplastic carcinoma thyroi
4. You are a Junior resident in the surgical department and
during your morning Post-op rounds, you see the following
finding shown in the image in a patient who underwent Total
thyroidectomy for Medullary carcinoma of the thyroid 3 days
before. The probable cause for this condition is:
a. Parathyroid insufficiency
b. Nerve damage during surgery
c. Infection
d. Hypothyroidism
5. A 45 years old male patient presented with abdominal pain
and hepatomegaly. Ultrasound image is given below. What is
the most probable diagnosis?
a. Hydatid cyst
b. Amebic liver abscess
c. Pyogenic liver abscess
d. Simple hepatic cyst
6. A 4 years old girl presented with a left-sided anterior neck swelling of
about a week duration. It was painful and had progressively increased in
size. There was accompanying dysphagia. Though fever was absent at
presentation, it was later noticed on the second day of admission. Had a h/o
being treated for URTI in a private clinic before 1 week. There was no
hoarseness, difficulty with breathing or features suggestive of hyper-
/hypothyroidism. All of the following statements are correct about the given
condition except:
a. More common in children
b. Most common cause is presence of pyriform sinus
c. Most common organism is Staph aureus
d. Most patients are managed conservatively
7. A child presented with mild abdominal discomfort and intermittent
abdominal pain. The radiograph is given below. What is the most likely
diagnosis?
a. Bochdalek hernia
b. Eventration of diaphragm
c. Morgagni hernia
d. Gastric volvulus a.
Bochdalek Hernia:
Frontal view: Large air-containing walled structure near left
lower lobe (origin: Below the diaphragm)
Lateral view: Posterior
8. A 60 years old male presented to OPD with progressive dysphagia
and weight loss. Barium swallow was done whose image is given
below. What is the investigation of choice for diagnosis of this
condition?
a. Barium swallow
b. 24-hours ambulatory pH monitoring
c. Endoscopy with biopsy
d. Endoscopic ultrasound
9. A 45 years old alcoholic male was brought to the emergency
with upper GI bleed. Upper GI endoscopy was done and the
image is given below. Choose the incorrect option about this
condition?
a. Partial tear involving mucosa & submucosa
b. Left gastric artery is source of bleeding
c. Cardia is most common site
d. Associated with massive bleeding
10. In a child, during elective surgery, this abnormality (image is given
below) was detected incidentally. Which of the following statement is
incorrect about this condition?
a. Contains mucosa, submucosa & muscularis
propria
a. Most common ectopic mucosa is pancreatic
b. Diagnosed by Tc-pertechnate scan
c. Bleeding is most common presentation
11. A 60 years old male, known case of coronary artery disease,
taking NSAIDs, was brought to the emergency with pain
abdomen. On examination, tenderness was present all over
abdomen with BP of 90/60 mmHg. Chest X-ray is given below.
What is the next step of management?
a. IV fluids and exploratory laparotomy
b. Observation and conservative management
c. USG abdomen
d. Emergency laparotomy
12. All of the following statement about the given condition are
correct except:
a. Most patients are elderly males
b. Most common site is antrum
c. Associated with chronic liver disease
d. Presence of vascular ectasia
13. A 40 years old female presented with dysphagia to both
solids and liquids. The given image of barium swallow
suggests the diagnosis of:
a. Achalasia cardia
b. Diffuse esophageal spasm
c. Nutcrackers esophagus
d. Carcinoma esophagus
14. A child was brought to the emergency with abdominal pain
and multiple episodes of bilious vomiting. What is the
diagnosis based on the given image of barium enema?
a. Hirschsprung’s disease
b. Sigmoid volvulus
c. Carcinoma colon
d. Intussusception
RADIOLOGICAL SIGNS
15. A 60 years old American presented to emergency with lower
GI bleed. The amount of bleeding was approximately 200-300
ml. Bleeding stopped after conservative management. Barium
enema was done and the image is given below. What is the
most probable diagnosis?
a. Crohn’s disease
b. Ulcerative colitis
c. Colonic diverticulosis
d. Carcinoma colon
16. A 60 years old diabetic male patient presents with halitosis
and a swelling in the lateral aspect of the neck, which on
pressing gives rise to a regurgitant sound. Barium swallow
image is shown. What is the diagnosis?
a. Laryngocele
b. Achalasia cardia
c. Pharyngeal pouch
d. Schatzki’s ring
17. A 45 years old male presented with recurrent attacks of
cholangitis. MRCP and ERCP findings are given below. What is
the most probable diagnosis?
a. Primary biliary cirrhosis
b. Primary sclerosing cholangitis
c. Oriental cholangiohepatitis
d. Caroli’s disease
18. A 60 years old male presented with painless progressive
jaundice. On examination, gallbladder was palpable. MRCP
image is given. On the basis of findings of MRCP, most
probable diagnosis is:
a. Hilar cholangiocarcinoma
b. Distal cholangiocarcinoma
c. Carcinoma gallbladder
d. Carcinoma pancreas
19. A 50 years old woman presents to emergency for vomiting
and abdominal pain. She has a history of Crohn disease, on
infliximab, but she reports that this did not feel like a flare of
her disease. On physical exam, there is tenderness to palpation
of her abdomen without any peritoneal
signs. An abdominal radiograph shows valves of Kerckering.
What is the diagnosis?
a. Proximal small bowel obstruction
b. Distal small bowel obstruction
c. Large bowel obstruction
d. Pseudo-obstruction
20. What is the composition of given stone?
a. Crystalline cholesterol monohydrate
b. Crystalline cholesterol dihydrate
c. Amorphous cholesterol monohydrate
d. Amorphous cholesterol dihydrate
21. In a 45 years old female, on abdominal ultrasound diffuse
wall thickening with hyperechoic nodules at neck and comet
tail artefacts were seen. What is the most likely diagnosis?
a. Xanthogranulomatous cholecystitis
b. Cholesterolosis
c. Adenocarcinoma gall bladder
d. Adenomyomatosis
22. A 50 years old male was brought to the emergency with left
sided chest pain and dysphagia. His ECG and ECHO was
normal. Barium swallow image is given below. What is the
diagnosis?
a. Achalasia cardia
b. Diffuse esophageal spasm
c. Nutcracker’s esophagus
d. Carcinoma esophagus
23. A 45 years old male patient with paralysis operated for rectal
prolapse as shown in the image. Which of the following
procedure is done?
a. Stapled hemorrhoidopexy
b. Well’s procedure
c. Thiersch wiring
d. Altemeier repair
“Thiersch operation: In this procedure, a steel wire, or silastic or nylon tape, is
placed around the anal canal. It has become largely obsolete owing to
problems with chronic perineal sepsis, anal stenosis and obstructed
defaecation.”-Bailey 27/e p1323
24. A chronic alcoholic patient presented with repeated
episodes of non-bilious vomiting after meals. On the basis of
CECT findings, what is the diagnosis?
a. Gastric outlet obstruction
b. Pseudocyst
c. Carcinoma pancreas
d. Chronic pancreatitis
25. A 60 years old female presented with dull aching pain in the
central abdomen. On laboratory evaluation, amylase and CEA
was normal. The image of CECT abdomen and tumor cut
section after surgery is given below. What is the most probable
diagnosis?
a. Mucinous cystadenoma
b. IPMN
c. Serous cystadenoma
d. Pseudocyst pancreas
THANK YOU
