Hi Orris about me i am final year mbbs student studying in independent medical college affiliated with UHS from Pakistan girl 23yr for now i’ll give u little details bcs i have test tomorrow so for surgery i follow book bailey and love its quite lengthy so what i do is split it into pdfs paste the chapter here and the syllabus given by uhs i copy paste LOs bailey is lengthy i use its short book bailopedix by mbbs cafeteria so what u have to do is cover all the topics give in UHS LOs in detail and mcqs also in uhs pattern (ill also give u pattern) i read and understand from here and write it on my book cafeteria that i use so that i don’t miss a thing

first of all save this pattern of mcqs SAMPLE MCQS FOR SYSTEMIC SURGERY UHS Original 5-Optioned MCQs 2007-2025 A 40-year-old man complains of regurgitation of saliva and undigested food. Barium swallow reveals bird beak deformity You would expect one of the following in this condition: a) Chest pain is common in the advanced stage of this disease More patients are improved by forceful dilation than by surgical intervention @Surgical treatment primarily consists of resection of distal esophagus with re-anastomosis to the stomach above the diaphragm Patient with this disease are at no increased risk of development of carcinoma Manometry can be expected to show high resting pressure of the lower esophageal sphincter A 80-year-old male alcoholic is admitted with hematemesis. His blood pressure is 100/60 and abdominal examination reveals splenomegaly and ascites. Nasogastric aspiration reveals 300 ml of fresh blood. After initial resuscitation, the MODEL 2007: QUESTION 2 man should undergo: Esophageal balloon tamponade bBarium swallow Selective angiography d) Esophagogastroscopy e) Exploratory laparotomy MODEL 2007: QUESTION A 40-year-old man presents with epigastric discomfort. Endoscopy confirms duodenal ulcer. Which of the following organisms is most closely associated with gastric and duodenal ulcer? al Campylobacter b) Cytomegalovirus Helicobacter d) Mycobacteriurn e) Yersinia MODEL 2007: QUESTION 4 A 4-week-old male child presents with projectile vomiting. Vomitus contains milk taken by the child. On examination child is weak and emaciated. What is the diagnosis in this case? Duodenal atresia b) Jejunal atresia Congenital hypertrophic pyloric stenosis d) Annular pancreas e) Volvulus neonatorum UHS Original 5-Optioned MCQs 2007-2015 MODEL 2007, QUESTION I A20year-old matsutsumshot ryto the abdomen A distal small bowel injury is treated with resection and stmas post-operative day, a small bowel fluid comes out of operational incision. The fistula output is 250 may and there is no evidence of intro abdominal sepsis. Correct treatment includes: a) Early re-operation to close fistula tract Broad spectrum antibiotics Total parenteral nutrition e) Loperamide MODEL 2007: QUESTION 2 di Somatostatin A 15-year-old boy with history of familial adenomatous polyposis undergoes a diagnostic polypectomy. Which of the following types of polyps a most likely to be found? a) Villous adenoma Hyperplastic polyp d) Retention polyp Adenomatous polyp e) Pseudo polyp MODEL 2007: QUESTION 3 A 70-year-old woman presents with vomiting abdominal distention, abdominal pain and absolute constipation. There a no history of previous surgery but she has a long history of cholelithiasis, X-ray abdomen reveals a radio-opoque shadow in righe lower quadrant. Correct treatment should be: a) leo-colectomy b) Cholecystectomy lectomy and extraction d) Nasogastric tube decompression e) IV antibiotics MODEL 2007: QUESTION 4 A 30-year-old woman who is in 2nd trimester of pregnancy presents with nausea, vomiting and right sided abdominal pain. Examination reveals rebound tenderness in right iliac fossa. She is diagnosed as suffering from acute appendichs Which of the following statements regarding appendicitis during pregnancy is correct? a) Appendicitis is the most common extra-uterine indication of laparotomy in pregnancy b) Appendicitis occurs most commonly in pregnant woman than in non-pregnant woman of comparable age c) Suspected appendicitis in a pregnant woman should be managed conservatively due to risk of laparotomy to fetus d) Uncomplicated appendicitis results in 20 % fetal mortality and premature labor e) The severity of appendicitis correlates with increased gestational age of the fetus MODEL 2007: QUESTION 4 A60-year-old man presents with painless hematuria. Cystoscopy and urine cytology confirm the diagnosis of transitional cell carcinoma. The tumor is stage A (superficial. The recommended treatment for the patient is a ) Local excision d) Topical (intravesical) chemotherapy b) Radical cystectomy e) Systemic chemotherapy Radiotherapy MODEL 2007: QUESTIONS A 60-year-old man presents with thinning of urine stream, hesitancy and urgency. Per-rectal examination presents unjormly enlarged firm prostate. Which of the following statement is correct regarding at it occurs mainly in outer portion of gland this condition? A peak urine flow rate of $30 ml/s for a voided volume of >100 ml is good evidence of outflow obstruction Transurethral prostatectomy removes entire prostate dit is a risk factor for development of prostatic cancer el Indications for surgery include acute urinary retention and recurrent urinary tract infections MODEL 2007: QUESTION 6 470-year-old man presents with bladder outflow obstruction, pelvic pain and hematuria. Per-rectal examination reveals hard nodular prostate. Needle biopsy confirms the diagnosis of adenocarcinoma of prostate. What operation would you perform in this patient? Transurethral prostatectomy Transvesical prostatectomy Radical prostatectomy d) Retropubic prostatectomy e) Perineal prostatectomy MODEL 2007: QUESTION 7 A 20-year-old man presents with urinary burning, frequency and urgency. Urinalysis shows pus cells. His meatus is interiorly displaced on the glans. Which of the following statement regarding hypospadias is correct? altis often associated with chordee biit is associated with imperfectly descended testes in more than 50% of cases It is rare fusion defect of posterior male urethra toccurs sporadically without evidence of familial inheritance el The most common location is penoscrotal A young motorcyclist meets a road traffic accident and develops closed fracture of left humerus. Orthopedic surgeon advises open reduction while patient insists on closed treatment. In contrast to closed reduction, open reduction of facture: Produces a shorter healing time Decreases trauma to the fracture site Produces a higher incidence of non-union d) Reduces the risk of infection e) Requires long period of immobilization MODEL 2007: QUESTION 2 5-year-old man falls in bathroom and lands on his right shoulder. There is immediate pain and deformity in an uncomplicated dislocation of shoulder joint, the humeral head mostly dislocates in which of the flowing directions al Anteriorly b Superiorly Posteriorly d) Laterally e) Medially MODEL 2007: QUESTION 33 A 20-year-old man is hit by a motor car while jogging. Physical examination is consistent with tearing of meniscus. Meniscal tears result from which of the following circumstances? Hyperextension Flexion and rotation Simple hyperflexion d) Compression e) Femoral condyle fracture MODEL 2007, QUESTION 4 A 20-year-old woman is taking high doses of vitamin D to supplement a defect in bones due to abnormalities of vitamin O metabolism. Which disease is she suffering from? Osteogenesis imperfecta by Osteoporosis Osteitis fibrosa cystica d) Osteomalacia e) Osteitis deformans SUPPLY 2013 QUESTION 13 A 29-year-old male builder has fallen from scaffolding landing heavily on his left chest. He is tachycardiac and hypovolemic, examination of his chest reveals absence of breath sounds and dullness to precussion on the left. What is the most likely pathophysiology? a) Flail chest b) Massive hemothorax d) Myocardial contusion c) Cardiac tamponade e) Open pneumothorax SUPPLY 2013: QUESTION 14 The chest radiograph of a 59-year-old male smoker shows a cavity with an air fluid level. Bronchoscopy excludes malignancy. What is the most likely diagnosis? a) Lung abscess d) Hamartoma b) Bronchiectasis e) Pulmonary embolism c) Carcinoma of lung SUPPLY 2013: QUESTION 15 The chest radiograph of a 39-year-old woman reveals bilateral cystic changes with 'tram-lines shadows. She suffered repeated severe chest infections since childhood. Recently she has developed haemoptysis. What is the most likely diagnosis? a) Pulmonary embolism b) Hamartoma d) Carcinoma of lung e) Bronchiectasis c) Lung abscess SUPPLY 2013: QUESTION 16 A 45-year-old gentleman has recently bought a motorcycle. He crashes it on his first journey and is brought to the A&E department, where a trauma call is put out. He is immobilized. Initial observations reveal that he has a blood pressure of 92 systolic and pulse of 120 beats/min. He gasps for breathing. On examination, you find that his trachea is deviated and he has no breath sounds on the right side. What is the next step in your management? a) Call for senior help b) Chest drain insertion Needle decompression d) Fluid bolus challenge e) Immediate chest X-ray middle aged patient with signs of thyrotoxicosis is about to undergo thyroidectomy. Of the common complications of thyroidectomy, the one that may be avoided through prophylaxis is al Injury to the recurrent laryngeal nerve d) Thyroid storm bhjury to the superior laryngeal nerve Symptomatic hypocalcemia e) Post operative hemorrhage MODEL 2007: QUESTION 2 A 50-year-old man has become irritable, his facies has changed to the round configuration, he is impotent, he has developed purplish lines on his flanks and he is hypertensive. Which of the following statements concerning his diagnosis &coтест? Adrenal adenomas cause 40-60% of all cases of this condition Biochemical and radiological procedures are generally unsuccessful in lateralizing the tumors post-operatively Exploration of both adrenal glands is indicated For uncomplicated tumors, an open transperitoneal surgical approach is applied Postoperative corticoid therapy is required to prevent hypoadrenalism MODEL 2007: QUESTION A30-year-old woman presents with small masses inside her lips which are growing slowly. Biopsy shows a pleomorphic adenama. Which of the following statements is correct regarding this condition? grows rapidly bit presents as stony hard mass dit recurs rarely if enucleated d) It has got malignant potential e) It is mostly bilateral MODEL 2007: QUESTIONA An 8 lbs infant, born following uncomplicated labor and delivery is noted to have a unilateral cleft lip and palate. The parents should be advised that The child certainly has other congenital abnormalities b Rehabilitation requires adjunctive speech therapy Lip repair is indicated at 1 year of age Palate repair is indicated prior to 6 months of age Cosmetic revisions to the nose should be performed at the same time as cleft lip repair MODEL 2007: QUESTION 1 14-year-old woman presents with a skin rash around her areola. There is erosion around the nipple. There is tenderness. Precedes development of Paget's disease of bone hing and intermittent bleeding. This condition: Does not involve axillary lymph node because it is a manifestation of intra dermal carcinoma Accounts for 10-15% of all newly diagnosed breast cancers Presents with nipple areola eczematous changes elis adequately treated with wide excision when it presents as a mass MODEL 2007: QUESTION 2 135-year-old woman whose mother has just undergone treatment for breast cancer is asking about how it affects her and what can be done to lessen her chances of having this disease. You tell her that incidence of breast cancer: Increases with increasing age Has declined after World War II dis related to dietary fat intake d) Is related to coffee intake e) Is related to vitamin C intake MODEL 2007: QUESTION 3 140-year-old woman is found to have a 2 cm slightly tender cystic mass in her left breast. Her axilla is clear. What aune would you follow? Reassurance and re-examination in immediate post menstrual period Immediate excisional biopsy Aspiration of mass for cytological analysis Fuoroscopically guided needle biopsy Mammography and re-evaluation MODEL 2007: QUESTION 4 44-year-old woman noticed bilateral thin serous discharge from her breast. Examination does not reveal any mass. Conect statement about discharge from the nipple is: Intermittent thin or milky discharge can be physiological Epressible milk discharge is indication of open biopsy Blood stained discharge is indicative of an underlying malignancy Galadonhea is indicative of an underlying malignancy Pathological discharge is mostly bilateral EFY (2025) THE A 60-year-old woman presents with a 3-week history of severe headache. A contrast CT scan reveals a tmall, rolet hypodense lesion with ring like contrast enhancement. The most likely diagnosis is MODEL 2007: QUESTION 2 a) Brain abscess b) Astrocytoma c) Intracerebral hemorrhage d) Metastatic lesion e) Toxoplasmosis Which of the following is the early complication of acute cervical spinal cord injury? a) Hydronephrosis b) Hypertension d) Spinal shock e) Deep vein thrombosis ANNUAL 2012: QUESTION 3 c) Spasticity ANNUAL 2013: QUESTION 4 Glasgow coma scale in a patient with head injury: a) With high score correlates with a high mortally rate b) Serves to assess the outcome and prognosis in a patient with head injury c) Includes measurement of intracranial pressure d) Includes measurement of pupillary reflexes also e) Includes measurement of verbal and written response Carpal tunnel syndrome: a) An underlying medical condition is usually present b) May present with pain in the forearm c) Is associated with fasciculation of small muscles of hand d) Is exacerbated by coughing and sneezing e) Is uncommon in diffusion eosinophilic These are original UHS mcqs reference book is bailey and love and dogar systemic surgery I will give you topic then You will give me mcqs following this pattern to master my mcq game Give ans at end of each mcq